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DUKE MEDICINE
Aatif Husain, MD posted:
Hello Everyone! My name is Aatif Husain, and I will be the physician expert for this panel. As you will read from my biography, I am a neurologist at Duke University Medical Center, and a main focus of my practice is sleep medicine. I am very excited to be a part of this forum and am looking forward to the discussions on this message board. I encourage you to post not only your questions but your ideas, concerns and thoughts about sleep and sleep disorders. In time I will be posting some Tips and Resources as well as Polls to help us learn from each other. So, welcome and happy posting!
Aatif M. Husain, M.D.
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debrazgalaxy responded:
Hello doctor~ Thank YOU for being available. SHort version:
almost 4 months of insomnia~ Fall asleep okay MOST of the time~ but awaken after 2 to 4 broken hours of sleep and AM AWAKE the rest of the night except for occasional micro sleeps...I have has some ZERO hour sleeps and a few 5 or 6 hour broken sleeps. I tried 5mg of generic ambien, with the same result as NO medicine.
I Used nicotine replacement for 6 weeks in order to quit smoking. MY sleep problem started arted THE very night I gave UP nicotine.... after a LIFETIME of nicotine dependence. I was born to smokers and smoked 35 yrs by my own hand.
Can YOU tell me if my body's lack of nicotine IS the problem? ANY studiess that you know of that would prove this?
I am a stay at home wife and mom, so this sleep deprivation is do~able~ BUT I am certainly NOT "all here" anymore.
 
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TiredGradStudent responded:
Hi Dr. Husain,

My name is Jade and I am currently a first-year graduate student studying clinical psychology (I am 23, if that is relevant). For as long as I can remember I have been unable to sleep through the night. I sleep for 2-3 hours before waking, then wake up frequently for the rest of the night. I never feel rested and it is starting to interfere with school, given the demands of the program. I practice sleep hygiene and have been able to improve how long it takes me to fall asleep, but not the waking in the middle of the night. Also, when I do wake up it is very brief and most of the time I fall back to sleep quickly.

I have asthma but it is mild and controlled, and I only take meds as necessary for that. I am overweight which may contribute to my trouble sleeping, but I exercise regularly and I don't snore. My MD has been aware of my sleep troubles but believed they were the result of MDD and GAD. I have been in therapy and take an antidepressant, but my sleep has not improved with the rest of my symptoms. My MD recently expressed that I may have sleep apnea, but I do not snore... Can that happen? I have done some research and am considering that I may be a rare case of central sleep apnea. I am wondering if given this information you have any recommendations?

My insurance does not cover sleep studies, but if that is what you recommend, do you have any suggestions for making a sleep study affordable?

I sincerely appreciate your help. I am starting to feel desperate about finding a solution to all of this... I so badly want to wake feeling refreshed!!

Thank you,
Jade
 
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SueInVA responded:
Hello Dr. Husain and Welcome,

I have been on sleep meds for the past 27 years. I am so tired of being unable to sleep. I was a good sleeper for the first 27 yrs, had two children and began with sleep problems when my 2nd child was approximately a year old. When I would put my children down for their naps, I would then take a 2 hr. nap and the trouble began. I noticed I had a harder and harder time falling asleep and then one night, no sleep. Went without sleep for 3 days, went to Dr. and began the med regimen. I was a stay-at-home mom and was very happy. No depression, just unable to fall asleep. I have been on many different meds through the years. Doxepin worked very well however, I began gaining weight and asked to be taken off the med. Lost the weight gained. I am currently taking Temazepam for about a year and never sleep more than 5 hrs. per night. I have noticed memory loss through the years which effects my job. I also had a sleep study done 4 years ago.with results of mild sleep apnea. I am a small person, current weigh about 113 lbs. I exercise, follow good sleep hygiene practices and still have sleep problems. Where can I go to find answers to this disorder?
Thank you for your help.

SleepySue
 
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MagPrincess replied to SueInVA's response:
Hi Dr. Husain,

I actually just joined this exchange today. I have been very active on the Fibromyalgia board , Back pain, Ibs support boards. for awhile now.

As I am sure you know FM greatly affects your sleep.

I have been taking 5mg of ambien, 350mg of soma and 7.5mg of mobic each night in order to sleep. I get to sleep typically okay but without these meds i will wake every hour to hour and half. Roll over go back to sleep and repeat. Even with these meds I rarely sleep past four hours without waking up.
I also sometimes get Migraines and will forgo the other meds for 50mg of benadryl and a 7.5 loratab. then i sleep five hours straight.

I have a very set routine to help my body get ready for bed each night.

I also take cymbalta and tramadol daily for the FM. I have found that i can not take the tramadol past about two pm becuase then i have more trouble falling asleep.

Any suggestions on how to sleep more than four hours?

My Rheumy is satisfied with the four hours and said its really the best i am going to get. I will admit it is more restorative but i really desire to sleep through the night.

Am i grasping at straws here?
 
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debrazgalaxy replied to debrazgalaxy's response:
My blood work showed my vitamin D was at 18 (how ever they measure) ...and it should be between 30 and 50~

I was put on 50,000 iu Once a week . I sleep better after ONLY one dose... as it got closer to my next dose my sleeping decreased~ Today was my second pill.
 
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KyMom61 responded:
Hello Dr. Husain,

I'm trying to help my son with insomnia...his is severe, he will go 3 - 4 nights with absolutely no sleep. He's 25 years old and a student in a private college and has the normal stress and pressures associated with college, working, and dealing with a few other stresses. In the last 4 -5 years the insomnia has become severe and is causing him to suffer from physical symptons.

He is on his 3rd night of no sleep - he has started to what I would term as hallucinations of sort...he describes it as he is in bed trying to sleep, it feels like his body is asleep but his brain isn't...during this time he will have vivid dreams but he is completely awake. The episodes are becoming worse with each bout of insomnia. His doctors have tried ambien, lunesta, benedryl and xanax...none of which affect him. He can take an ambien or lunesta and never fall asleep (the only other meds he takes are vitamins) likewise for the other recommended meds above...nothing knocks him out.

If he can 'break the cycle' and fall asleep one night then that bout of insomnia will end. These used to happen 2 - 3 times a year...now it's 2 - 3 times a month. The sleep he is able to get is very short...he'll fall asleep for 2 -4 hours then wake up and never go back to sleep.

He has always been a problem sleeper - as a newborn he would only nap about 1 hour (total) a day and would sleep maybe 6 - 7 hrs at night. As a young boy (from 4 - 9yrs) he would have spells of 2 - 3 months of waking up 25 (no exaggeration...I counted it since he would wake me up each time) then for 2 - 3 months he would only get up 3 -4 times a night. He was almost 10 years old before he slept all night long.

He has tried every technique published to try and combat this horrible disorder but nothing helps. He is falling apart mentally, emotionally and physically before my eyes and I don't know what to do for him. He has been to a neurologist who's answer was to medicate him with ambien or lunesta but that DOESN'T solve his problem only masks it.

PLEASE HELP ME HELP HIM....I feel so helpless...

Thank you for anything you can do to help.
 
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debrazgalaxy replied to skalicky's response:
I am sorry that your wife had complications friend~
Please seek counsel for your grief~


Each time that you post here, we all get notices ~
 
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clcmom2010 responded:
I have a question for you. It has been brought to my attention that for the last 2 months I have been active in my sleep. I am a 26 year old woman with 2 children, and I knew I talked in my sleep when dreaming, however things have taken a different turn. My fiance has told me that about an hour or 2 hours after I fall asleep I wake back up and say I can't sleep and then I start talking about things that either never happened, or talk to him like he is my ex. I have also had episodes when I do things. I have gotten up and turned off the alarm clock, go back and forth to the bathroom, thrown my ring, smacked/hit him and worst of all sexually assulted him. I have a great deal of anxiety over sleeping at night, and due my best to stay awake so as not to hurt him in any way. I never have any memory of the things I have done or said in the morning. I am also extremely exhausted all day long. I don't know if you can help me, or anything. I am located in Southern Indiana, and am without insurance. If you could help I would appreciate it.

Chante
 
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BLK46 responded:
I am SO glad to have found this site. Thank you , Dr. Husain for being here. I was diagnosed with severe PLMD (0% restorative sleep during sleep study) about 8 years ago. My sleep specialist in the area, who teaches sleep disorders at the U of Iowa, has quite literally saved my life by helping me with my meds....until mid March when I asked to get off of Mirapex because of Compulsive Control issues. He tried both Requip and Sinemet....with very bad side effects...lethargy/anxiety/depression/s.i. He finally took me off all dopamine agonists and I am currently taking 22mg of temazepam.

Although my sleep is doing so- so....I think I'm having a reaction to stopping the .50 Mirapex.....M.D. says "no".....I have increased anxiety/lethargy/depression/crying/nausea etc. since I went off of Mirapex six days ago. MD says that I don't need to be 'weaned off" of Mirapex.

Could you give me some of your thoughts on the subject ?
 
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Byroney_WebMD_Staff responded:
Hello!

I just wanted to let everyone know that if you want your question to be seen, please post it in a new thread. Posting in Dr. Husain's two month old introduction thread is not going to get your question seen, as it's not intended for questions.

Thanks so much,

Byroney
 
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Wildgiggles responded:
I had been on ambien for years before getting a sleep study and a cpap machine. I have been having problems using it because I wake up with my mouth open and so dry I can't swallow. Do I need to use the humidifier or find a way to tie my mouth closed? I was under the impression that the humidifier was for the winter use only. I hope that you have a suggestion for me. Thanks.
 
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An_207058 responded:
Hello Dr. Husain--and a warm welcome. I just posted on here in response to someone else who is having the same problem as I'm having--I hope you can help us. Its so hard for me to type right now from sleepiness, so I'll just post the link where the question is:
http://forums.webmd.com/3/sleep-disorders-exchange/forum/1187?@@!skip=0
It's about CPAP therapy not working for us and we don't know where to turn. Thanks for being here and helping us.
 
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Kendeck responded:
Thanks Dr Husain of making yourself available for sleep disorders. For the past seven years I have been suffering for insomnia. I can sleep for four hours one night and stay awake the whole following two nights. I do not know if waking up after two hours of sleep with one obstructed nasal nose is a sign of having a sleep apnea. I also snore at night. Thank you in advance for your help.
 
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An_207059 responded:
Thanks Dr Husain of making yourself available for sleep disorders. For the past seven years I have been suffering for insomnia. I can sleep for four hours one night and stay awake the whole following two nights. I do not know if waking up after two hours of sleep with one obstructed nasal nose is a sign of having a sleep apnea. I also snore at night. Thank you in advance for your help.


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take meds at some time, don't eat after 7
I meant the longer reply posted a few minutes ago to to go to donnajune2000 More
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