Mike & Molly Mixed on CPAP, Sleep Apnea

Mike & Molly, a traditional CBS sitcom with three cameras and a laugh track, is the most controversial new show on television this fall. The show is about an obese Chicago couple in the early stages of their relationship.

Health pundits rail on Mike & Molly for promoting obesity and unhealthy life choices. Entertainment critics have a different but equally critical take on the show – some say the show uses endless fat jokes to mock obese people.

At this point in the show’s run it’s hard to say if either group is right, but there is one healthy choice Mike & Molly is promoting – the recognition and treatment of obstructive sleep apnea.

The latest episode, titled “Mike has Sleep Apnea,” introduced millions of prime-time viewers to CPAP, the front-line treatment for the sleep disorder. The episode is a step forward for sleep apnea awareness, but it doesn’t get everything right.

The episode is about the new couple’s difficulties sharing a bed for reasons including an obvious (and unfunny in this blogger’s opinion) fat joke and Mike’s treatment for sleep apnea.



The couple gets in bed and Mike matter-of-factly tells Molly he sleeps with a CPAP to stop from snoring. Then he tells her he doesn’t have to wear it that night. Both statements raise concerns.

After a few jokes about the appearance of Mike’s CPAP mask, Mike is fast asleep. Meantime, Molly can’t sleep because of the sound of air blowing from CPAP. She tries to move Mike, who starts snoring.

This is where the show gets things wrong. Loud snoring should not happen with CPAP unless the machine has a titration problem. An appointment with a sleep specialist can fix that easily.

For that matter, technically Mike’s treatment isn’t just to prevent snoring, but the breathing pauses from sleep apnea. A person with the disorder may sound like they are choking or not breathing at all.

Additionally, Mike’s offer to skip CPAP for a night sets a bad example. For moderate to severe cases of sleep apnea, treatment is not optional. Sleep apnea can wreck your sleep in the short-term and devastate your health in the long-term when untreated.

Make no mistake about it, Mike & Molly’s take on sleep apnea is flawed, but it may inspire people to seek treatment. And for that reason, the show may not be as bad as its reputation suggests.

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AAA Study Finds 2 out of 5 Americans Drive Drowsy

New traffic safety statistics provide a wake-up call for America about the public safety threat that is drowsy driving.

About 1 in 6 fatal accidents involves a drowsy driver, the AAA Foundation for Traffic Safety reports. And there’s a 41 percent chance you’re part of the problem, study results show.

Approximately 2 out of every 5 drivers admit to drifting to sleep behind the wheel at some point in their lives. About 10 percent nodded off while driving within the past year. Alarmingly, half of the survey respondents the incident said it happened on a busy highway.

Drowsy driving is the cause of an estimated 4,400 deadly crashes per year, accounting for 17 percent of all fatal accidents on U.S. roadways. You may think most drowsy driving accidents happen in the pitch black and bleary-eyed overnight hours, but findings show the afternoon rush is actually slightly more risky.

Teens and young adults are most likely to cause drowsy driving accidents. The risk is 78 percent higher compared to middle-aged adults, and may be the symptom of a larger problem.

The American Academy of Sleep Medicine reports teens need more sleep than adults, yet rarely achieve it on school nights. More than a quarter of teens are badly sleep deprived while only about 15 percent of teens sleep 8.5 hours on a given school night. In many cases accumulated sleep debt can be as great as five to 15 hours per week, the equivalent of total sleep deprivation.

In severe cases the effects of sleep deprivation are comparable to alcohol intoxication. Teens’ inexperience at the wheel worsens an already dangerous scenario.

Men cause more drowsy driving-related accidents compared to women. The study doesn’t provide a reason, but men are more likely to have obstructive sleep apnea, a breathing disorder that can wreck your sleep and make it difficult to stay awake and alert in the daytime.

Accidents most often occur within the first hour of driving. Most people don’t realize they may struggle to stay awake towards the beginning of a trip, the study found.

The AASM reports the following are signs you may be too drowsy to drive:

1. Yawning repeatedly
2. Inability to keep your eyes open.
3. You catch yourself “nodding off” and have trouble keeping your head up.
4. Trouble remembering driving the last few miles.
5. You end up too close to cars in front of you.
6. Missing road signs or driving past your turn.
7. Drifting into the other lane of traffic.
8. Drifting onto the “rumble strip” or onto the shoulder of the road.

If you find yourself doing any of the things listed above, pull over and take a nap. Drink a cup of coffee and wait a half hour for the caffeine to enter your bloodstream for the boost in alertness you need to finish the trip.

Always get a full night’s sleep before driving. If you can’t sleep, arrange for a ride from a friend.
Make the right choices before and after you get behind the wheel and avoid being one of the 41 percent of Americans who drive drowsy.

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Sleep: Nature’s Study Aid

Get some sleep instead of pulling an all-nighter to buy extra time to cram for a vocabulary exam. A new study found that sleeping after a study session dramatically helps with the recall of new words. This approach can help prospective students improve their performance on the make-or-break tests like the SAT, ACT or GRE.

Two groups of study participants learned a series of new words phonologically similar to familiar words. Both groups were tested after the initial study session. The session occurred in the evening for half of the subjects; the others studied in the morning.

Volunteers who studied in the evening slept before taking a follow-up test in the morning. The people who studied in the morning had to take the second test later in the evening, and were not permitted to sleep.

Results indicate the participants remembered more words when they slept before the follow-up exam. Brain activity data suggests sleep spindles during deep sleep helped the volunteers retain the new words.

In a statement to the media, one of the authors suggested sleep plays an important role in the reorganization of new memories.

Regular may notice studies these findings are in line with several recent studies involving sleep and memory. One noted study involved word association problems commonly found in the SAT. The research concluded that long naps with REM sleep led to higher test scores than short naps or waking rest periods.

Another article published in April reported that naps helped a group of study participants learn the correct path through a complex maze.

The message is clear: sleep on your academic success and shun the caffeine and cram sessions.

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Resist Temptation and Use the Fall Back Hour for Sleep

Sunday at 2 a.m. marks the unofficial start of winter as daylight savings time ends and standard time returns. Until the second Sunday of March, sunset will comes an hour early everywhere but Hawaii, Arizona and parts of Indiana.

Few look forward to the shorter days, but the silver lining is the extra hour of personal time that comes with the switch. Instead of extending your evening activities go to bed and enjoy the extra hour of sleep.

Spurn sleep and lengthen your Saturday nightcap and you may be sorry when Monday comes around and you return to your responsibities.

The American Academy of Sleep Medicine reports sleep debt can lead to decreased productivity and increased family stress. Fall back weekend is the perfect time to chip away at accumulated sleep debt.

Set your alarm before going to bed at a normal hour, and wake up at the same time as you normally would. If you can, take it easy on Sunday and get to bed at a normal hour to get the winter off on the right foot.

A few other tips for the time change:

Early morning sunrises will make a brief and welcome return. Before they go away again consider getting a light box to simulate sunrise for a more pleasant wake-up during dark winter mornings. It’s normal to have a difficult time waking up early feeling energized when and it might as well be midnight outside. Clinical sleep specialists often recommend light boxes for treatment of insomnia or shift work disorder.

Apple iPhone users may want to use an extra alarm. Last week, countless owners of the popular smart phone overslept by a full hour because the phone’s internal clock never turned back an hour for Europe’s daylight savings. In all likelihood, Steve Jobs and AT&T won’t let that happen twice. But better to be on the safe side. Same goes with any cell phones, computers or electronic devices with an automatic internal clock.

For more information about the switch from daylight savings time, read last years coverage on the Sleep Education Blog.

Photo by rappensuncle

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Sleep Apnea Risks Common among Hospital Patients

A large number of hospital patients may have a high risk for obstructive sleep apnea, a new study suggests. A survey conducted at Loyola University Health System found that more than 80 percent of respondents experienced some of the common warning signs of sleep-disordered breathing.

The results of the study don’t necessarily mean all of these people have sleep apnea. The only way to diagnose sleep apnea is through an overnight sleep study, conducted by a sleep medicine specialist. Instead the study indicates that these people reported some of the following risk factors:

• Loud snoring and/or pauses in breathing
• Daytime Fatigue
• High blood pressure
• Obesity
• Thick neck circumference
• More than 50 years of age
• Male Gender

157 out of 195 patients indicated they had at least three of the risk factors. Only 41 were evaluated in an overnight sleep lab. Doctors discovered 31 had obstructive sleep apnea.

Although sleep apnea is one of the more common sleep disorders, the rate reported in the study is abnormally high. This may be due to old age, obesity or overall poor health of hospital patients.

Read more about Obstructive Sleep Apnea at Sleepeducation.com.

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Can You Overdose on Caffeine?

Caffeine is a unique substance. Unlike most other stimulants and commonly abused drugs you can’t seriously harm your health by overdoing it. At least, that’s the perception.

In November, something happened to a British man that even the most seasoned caffeine fiend would have trouble grasping. He died of a caffeine overdose.

A medical autopsy revealed the 23-year-old had the consumed the caffeine equivalent of 70 energy drinks when he died. Rather than drinking coffee, soda or energy drinks, he decided to swallow spoonfuls of caffeine powder he purchased on the internet.

Previous case studies show consumption of around 10,000 mgs of caffeine can cause cardiac arrest leading to death.

To put things in perspective, a Starbucks venti (large) brewed black coffee contains only 415 mgs of caffeine. You would have to drink 24 large-sized coffees to reach the 10,000 mgs of caffeine that can alone cause a deadly overdose.

Past cases of such extreme caffeine consumption have led to severe symptoms including seizures, dangerously low blood pressure, severely abnormal heart rhythm and circulatory failure.

More often, deaths related to caffeine overconsumption are due to the combination of another substance, most commonly alcohol. Increasingly popular energy drinks containing alcohol have been linked to several high profile incidents, including the October 2010 hospitalization of nine students at a party at Central Washington University.

Case studies show that alcohol mixed with energy drinks leads to higher rates of intoxication. Authors explain that caffeine may alter the perception of alcohol intoxication. In other words, you feel less drunk than you actually are because of the caffeine, so you may continue to drink more.

When taken in moderation without other substances, caffeine is safe and can help alertness and mood. Caffeine can make it difficult to fall asleep and can reduce the total sleep time and time in deep sleep. Avoid consuming caffeine in the afternoon or evening to avoid disruptive effects on your sleep.

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Sleep Deprivation Effects Worse for Extroverts

There’s a sharp downside to being an extrovert, new findings show. The effects of sleep deprivation are worse for the naturally outgoing than for socially-reluctant homebodies.

A study published in the November issue of the journal SLEEP brings to light how our social lives can affect how we function without sleep. Frequent interaction with others also makes sleep deprivation worse.

Each of the 48 participants, aged 18 to 39, took a personality type test prior to the start of the study. Test results determined that 23 were extroverts and 25 were introverts.

After a full night of sleep, participants were required to stay awake for a total of 36 hours. After a few hours of baseline testing, half of the participants spent 12 hours with their peers playing interactive games and puzzles, watching movies and having group discussions. The others completed similar activities while alone in their private rooms. Following social time, the participants spent 22 hours of designated sleep deprivation.

Throughout the study, each person was tested every hour for the effects of sleep deprivation. Testing alternated between a test for motors skills and reaction and a test for ability to stay awake.

Extroverts suffered more than anyone from the effects sleep deprivation during every hour of testing. Introverts had an easier time staying awake and had better reaction times. Extroverts who were denied social contact actually did better in the tests than those who were allowed to socialize.

Authors of the study believe high levels of social stimulation may increase the need for sleep because social interactions lead to rapid fatigue in brain regions that regulate attention and alertness.

Introverts may be genetically built to resist sleep deprivation because they have naturally higher levels of cortical arousal.

The findings may have implication for job that requires long periods of wakefulness, such as military personnel. The authors of the study suggest managers may want to consider social personality when scheduling lengthy team assignments or independent work.

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