All of us have an inbuilt biological system within the body that keeps us awake and alert during the daytime. Long-term deviation from this natural cycle can very easily lead to different types of sleep disorders.
If you have ever tried to sleep during the day, you must have experienced that it is extremely difficult to have seven or eight hours of uninterrupted sleep. It may seem almost impossible to fall and remain asleep with so much of noise and other hindrances around. Even when you manage to find a quiet and cozy corner, personal relationships and family responsibilities can very easily play spoilsport.
People with a routine time for sleep and waking up regulate their biological hormones to initiate and maintain sleep well. When this normal schedule is switched too frequently, the body often fails to adapt to the changed pattern. Sleep disorder is common with many shift workers because their work and rest schedule keeps changing all the time and the body sleep rhythm cannot keep up with the changes. On average, it has been found that people working in night shifts have a sleep deficit of two hours compared to an average adult. This deficit exposes them to the risk of several long term health problems.
Finding the correct shift pattern for the body clock is extremely important for shift workers. If your job necessarily demands working in shifts, it is advisable to stick to a particular routine for at least two consecutive weeks. Always remember that working in rotating shifts is comparable to a never ending jet lag. Therefore, it really helps to have a relatively longer adjustment period between the different types of shifts.
Working in shifts is often associated with putting in extended working hours. If you end up working for more than eight hours, you are at a higher level of risk. Also, please remember that all individuals are different, and some people may find it relatively easier to adapt to erratic shift timings. You must be extremely careful about ensuring adequate sleep time, if your body finds it difficult to adjust to your shift pattern. In case of a serious sleep disorder, you may even want to consider working on a regular shift during the daytime.
If you are not able to change your shift time, here are a few things you can do to optimize your night shift schedule
Before finding a way to control your snoring problem, it is important to understand why we snore. The muscles in our throat relax during sleep. Turbulent airflow then occurs through a narrowed airway causing vibration and shaking of the uvula and soft palate tissues to cause snoring.
Snoring is often associated with obstructive sleep apnoea, a breathing disorder in sleep where the airway closes off completely and the person stops breathing. This is turn is associated with a number of health conditions such as stroke and heart disease, high blood pressure, anxiety, depression, low self esteem, and reduced libido. Work place or driving accidents can occur due to daytime sleepiness and lack of attention.
Do you suffer from a snoring problem? Have you ever been teased by your family members and friends for your loud snoring during sleep? Well, you are certainly not alone. Nowadays, a high percentage of adults as well as minors are affected by this problem. There is no denying the fact that snoring can disturb others. However, snoring can be a clue to a serious health concern that demands attention. People with a snoring problem are more likely to be irritable and tired because it can also be associated with impacts on their own sleep quality. Moreover, the noise caused by snoring affects their sleeping partners. If left unattended, snoring can be a constant source of frustration and tension between the couples.
Some lifestyle factors exacerbate snoring and obstructive sleep apnoea. Being overweight, evening alcohol, smoking, and sleep deprivation are some of these factors.
Snoring and obstructive sleep apnea are treatable. Simple early lifestyle changes include:
Often snoring is a symptom of obstructive sleep apnea (OSA). Clues to obstructive sleep apnoea include breathing pauses in sleep, gasping episodes overnight, daytime tiredness and sleepiness. OSA needs to be investigated and managed medically. You should visit your GP and be referred to a Sleep Specialist for further testing and treatment advice.
Dr Desai has worked closely with Somnomed to host and lecture to groups of Dentists interested in treating obstructive sleep apnoea. Dentists are in a good position to identify obstructive sleep aponea in their patients and can work well with Sleep Physicians to provide co-ordinated care.
23/09/2016 - Multidisciplinary Dental Sleep Medicine Symposium at Pullman Hotel Sydney. Speakers included Dr Anup Desai, Sleep Physician, and Dr Nicholas Stow, ENT surgeon.
13/12/2016 - Dental Sleep Medicine Symposium hosted in Sydney Sleep Centre rooms
23/02/2017 - GP and Dentist talk on obstructive sleep apnoea and treatment approaches. Speakers included Dr Anup Desai, Sleep Physician, and Dr Geraldine Ash, Specialist Sleep Dentist.
Dr Desai was interviewed by Tara Brown from 60 minutes at the Sydney Sleep Centre clinic in September 2016. They discussed the tragic Coroners case of Phoebe Handsjuk. Dr Desai reviewed the Coroners report in which the Coroner formed the opinion that Phoebe Handsjuk plunged to her death while in a sleepwalking like state. He provided an expert Sleep Physician opinion on the medical evidence from the Corners Investigation and presented this in the 60 minutes segment. A link to the full TV episode is below:
As part of ongoing educational initiatives to local GP's and to facilitate close GP/Specialist communication for our mutual patients, Dr Desai has presented to several GP groups in early 2016:
1) Obstructive Sleep Apnoea and Driving Accident Risk - Homebush, March 2016
2) Respiratory Inhalers - Maroubra, April 2016
3) Which inhaler to use ? - Zetland, April 2016
4) Interpreting Sleep Studies - Randwick, May 2016
Dr Lewis also presented a Sleep Medicine topic at Zetland in April 2016
Dr Desai was invited by Dental Corp to present to their dentists on Obstructive Sleep Apnea. He presented in March 2016 to around 30 dentists as part of an all day Educational Conference. The talk was well received and the topic is of keen interest to many dentists.
Dr Desai and Dr Lewis, both Sleep and Respiratory Physicians at Sydney Sleep Centre, presented to a group of dentists on site at Sydney Sleep Centre in March 2016. There were two topics in Dental Sleep Medicine presented, and the attending dentists toured the diagnosis, investigation and management facility at Sydney Sleep Centre.