Very true in discribing the HH's at onset of sleep and on awakening. It should be noted that this can happen to a person that doesn't have an actual disorder. HH's are useually very vivid and there occurrence is more often in the number of times they appear in those with a chronic sleep disorder. I am also Narcoleptic with Cataplexy. I have REM intrusions throughout the day, they usually co-inside with a sleep attack but they have been known to happen without the symptoms of a sleep attack. It has taken me a long time to learn to cope with the distractions of my brain going off to netherworld, I thought I had it under control but it seems the older I get the worse I suffer from it and it seems to me that it is now almost impossible to be able to cope with it any more. I have spent the last 4 years trying all the different treatments (chemically) and I am at a point where the meds just don't work very good or they cause bad side effects. I started my treatment back in 1986, and gradually through the years made adjustments to my life style and career so as to be as safe to myself and the general public. It is still a huge concern of mine for public safety but it seems that the Govt. still doesn't seem to think that driving while you are at an attack risk, is a problem. There still needs to be more awareness of the dangers that we can impose on the public due to the seriousness of Narcolepsy. That being said, there needs to be a better understanding of the various levels of severity in symptoms that are displayed by individuals with sleep disorders. I have experienced many of these levels through out my life dealing with Narcolepsy. They range from mild to medium (meaning, managable without to much risk) and to a level of being disabled. As we get older, it's hard enough to compete for employment without having any health issue to deal with but when you add the health issue in there you suddenly become unuseable to this world and it's work force. So like a broken part you are discarded never to be of use anymore. That is when you make the attemp to recieve what you have been paying in for for so many years, only to add to the struggle for the existence of being awake occaisionally.
This bit of discouragement has been brought on by my circumstances that I have experienced this past few months and by no means do I wish any ill regard to any person. This is just another slice of the struggles that we face. Struggles that I am sure will continue as time passes by. May you all become more informed and stay educated on our struggles.
Hugs
sleepingmikeawake