My guilty admission is that as interesting and relevant as I think Dr. Krakow's TFI research is, I haven't purchased his book yet.
However, I got to wondering just how many historical figures might have benefited from TFI balancing techniques. The famous thinker Voltaire immediately surfaces in my mind as a possible candidate. I can't help but wonder if the famously intellectual Voltaire may have had difficulty "closing out" his compelling thoughts at the end of each day.
And, of course, Voltaire the thinker is also famous for having consumed inordinate amounts of coffee each day.
.
Dr. Krakow's book
And don't forget Descartes, of "I think therefore I am" fame.... should probably be "infame"...
O.
O.
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And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
So that's what the rest of Descartes work said. I always assumed he was poised to say: "I think... with cognitive dysfunction, therefore I had better drink another pot of coffee."ozij wrote:And don't forget Descartes, of "I think therefore I am" fame.... should probably be "infame"...
O.
note to self: reading partial sentences doesn't always cut the mustard.
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WillCunningham
- Posts: 104
- Joined: Sun Jun 18, 2006 6:08 am
- Location: New Hampshire
- Contact:
Very interesting thread! I have to comment on the caffeine discussion and being more accurately aware of your sleepy-ness level. When I first started cpap therapy I could tell I was better but it happened fairly gradually for me and I was extremely anxious to get that magic "cured" feeling. My father had a near immediate drastic improvement when he started cpap and I had hoped to have the same experience.
I was able to relax and know that cpap was helping after I had an "ah ha!" moment. It was finally being able to avoid passing out against my will without the aid of large amounts of caffeine. I weaned my way off it to avoid the headaches and felt incredibly free the first day I spent caffeine free. I would never have been able to do that pre-cpap and that reassurance that my sleep had improved was very helpful for me. I had difficulty quantifying my level of success till then.
I was able to relax and know that cpap was helping after I had an "ah ha!" moment. It was finally being able to avoid passing out against my will without the aid of large amounts of caffeine. I weaned my way off it to avoid the headaches and felt incredibly free the first day I spent caffeine free. I would never have been able to do that pre-cpap and that reassurance that my sleep had improved was very helpful for me. I had difficulty quantifying my level of success till then.
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Acid Reflux and GERD - The sneaky cPAP therapy twins of sleep assasination.
John Wiley & Sons (Dr. Krakow's publisher) offers many books in electronic format through several vendors. Anyone interested in instant gratification, less desk clutter, or perhaps even ecological/forestation type issues just may prefer the ebook format versus paper:
http://www.booksonboard.com/index.php?B ... OOK=156698
and
http://www.ereadable.com/scripts/browse ... source=J22
Those are only two such vendors, and I imagine there are more John Wiley & Sons supplied vendors on the Internet. For those who prefer the paper copy, here is the Amazon link from Dr. Krakow's web site:
http://www.amazon.com/gp/product/047165 ... 0471650641
...And how about that Albert Einstein anyway? He had bags under his eyes.
Then there was Freud, the father of psychoanalysis. His preoccupation with thinking included thinking about thinking. And since he was the first person to psychoanalyze himself and his own dreams, his preoccupation with thinking about thinking included his own thinking as well.
Great to hear from you, Will. I'm so glad to hear you and your father are doing well with xPAP therapy!
http://www.booksonboard.com/index.php?B ... OOK=156698
and
http://www.ereadable.com/scripts/browse ... source=J22
Those are only two such vendors, and I imagine there are more John Wiley & Sons supplied vendors on the Internet. For those who prefer the paper copy, here is the Amazon link from Dr. Krakow's web site:
http://www.amazon.com/gp/product/047165 ... 0471650641
...And how about that Albert Einstein anyway? He had bags under his eyes.
Then there was Freud, the father of psychoanalysis. His preoccupation with thinking included thinking about thinking. And since he was the first person to psychoanalyze himself and his own dreams, his preoccupation with thinking about thinking included his own thinking as well.
Great to hear from you, Will. I'm so glad to hear you and your father are doing well with xPAP therapy!
It has been many years since I read any of Descartes' philosophy and I don't care to take it up again (I need to spend more time on my F and I). I do remember that Descartes spent much time on perceptions and how the mind perceived.ozij wrote:And don't forget Descartes, of "I think therefore I am" fame.... should probably be "infame"...
O.
In the process he took great notice of material things so maybe he had both T and I going well. Does anyone know how his F was?
I don't know how the T, F, or I components might have stacked up for Descartes either (or any of the historical figures I commented on for that matter). But boy, it sure is interesting to ponder.rooster wrote: In the process he took great notice of material things so maybe he had both T and I going well. Does anyone know how his F was?
One interesting detail shows up in Descartes' biography relative to seeking out extreme experiences (and thus quite possibly extreme emotions). In early life Descartes became a mercenary to "see the world and discover the truth".
Does anyone know or even care to speculate how this extreme experience-orientation in Descartes' young life might have contributed-to or portrayed Descartes' psychological makeup?
Last edited by -SWS on Wed Jan 30, 2008 10:37 pm, edited 1 time in total.
Yesterday I found the New Age station (channel 77) on my XM car radio. It is appropriately called Audio Visions and seems to really feed you imagery. I love the acoustic guitars and imagine the finger movements as I listen.
Wow it works! Last night I slept much better than usual and even remember a dream in which I was picking a stringed instrument!
Today I drove about two hours to a prospective client in rural upstate South Carolina. I took the scenic route and tried not to think at all about work, instead concentrating on the beautiful scenery. The New Age station was going also. Very relaxing drive down and back and I should have a good store of imagery for tonight. For good measure, before bed, I will leaf through two "Our State" (NC) travel magazines that my wife picked up this week.
Oh, I did not make the sale and could not answer the most basic questions the client asked. This would be very embarrassing before my mindset changed. But now, who gives a damn, I built up my images store.
If I had seen that before my trip to India, I might have skipped the elephant ride and especially that outdoors dinner way out from Ahmedabad on a remote dark farm a long way from any electrical lights.
Now I will begin to close out my day.
Wow it works! Last night I slept much better than usual and even remember a dream in which I was picking a stringed instrument!
Today I drove about two hours to a prospective client in rural upstate South Carolina. I took the scenic route and tried not to think at all about work, instead concentrating on the beautiful scenery. The New Age station was going also. Very relaxing drive down and back and I should have a good store of imagery for tonight. For good measure, before bed, I will leaf through two "Our State" (NC) travel magazines that my wife picked up this week.
Oh, I did not make the sale and could not answer the most basic questions the client asked. This would be very embarrassing before my mindset changed. But now, who gives a damn, I built up my images store.
SWS, this one I recommend viewing only before noon: http://www.youtube.com/watch?v=e0QTI8_V ... re=related.-SWS wrote:And Rooster, I have to ask if you don't mind...
How does one derive soothing bedtime imagery from DVDs about menacingly large and predatory cats?
If I had seen that before my trip to India, I might have skipped the elephant ride and especially that outdoors dinner way out from Ahmedabad on a remote dark farm a long way from any electrical lights.
Now I will begin to close out my day.
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girlsaylor
- Posts: 140
- Joined: Tue Dec 19, 2006 12:00 pm
no sleep stages 3/4
Dr. Krakow,
Do you have insight as to how/why some people have very little or absolutely no stages 3/4 sleep, and how it is affected by xpap or if it is even affected by use of xpap, I'm curious to hear your explanation. I've never gotten an answer to my question. Is the lack of stages 3/4 sleep of concern? Am I doomed in some way because my initial sleep study as well as the titration study showed absolutely no stages 3/4 sleep? Should I post this in a new thread or drop the question? My own sleep doc/pulmy doesn't have a clue how to answer my question.
Thank you for spending time here giving us new insight into the world of xpap therapy and particularly into your area of expertise.
girlsaylor
Do you have insight as to how/why some people have very little or absolutely no stages 3/4 sleep, and how it is affected by xpap or if it is even affected by use of xpap, I'm curious to hear your explanation. I've never gotten an answer to my question. Is the lack of stages 3/4 sleep of concern? Am I doomed in some way because my initial sleep study as well as the titration study showed absolutely no stages 3/4 sleep? Should I post this in a new thread or drop the question? My own sleep doc/pulmy doesn't have a clue how to answer my question.
Thank you for spending time here giving us new insight into the world of xpap therapy and particularly into your area of expertise.
girlsaylor
I'm with girlsaylor, more information on stage 3/4 sleep. I had almost none at my sleep study, I had a lot of "alpha breakthrough" in the few minutes I managed to get to deep sleep.
I wish I could have a split night study now that I have adjusted to cpap. Heck, a titration study would have been nice.
I wish I could have a split night study now that I have adjusted to cpap. Heck, a titration study would have been nice.
Well, I couldn't resist the curiosity any longer, so I ordered Dr. Krakow's book. Read about half of it yesterday after it arrived. My initial review is that this is a worthwhile read for all who care about the efficacy of their sleep. Even upon night one after my introduction to these concepts, I find that "letting the day be done" and SOLO, and TFI have potential to improve my rest. Certainly it is helpful to recognize and understand that good sleep is affected by both our physiological and psychological domains and to learn how we can develop skills to reverse the adverse effects associated with our busy, unbalanced thinking.
"You are getting sleepy . . ."
"You are getting sleepy . . ."
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BarryKrakowMD
- Posts: 65
- Joined: Wed Dec 05, 2007 12:48 am
- Contact:
Deep Sleep
I'm of the opinion that normal, healthy sleep achieved through optimal non-drug sleep treatments is going to result in a general increase in delta and REM sleep. I'm not just referring to rebound; I mean sustained increases from pre-treatment levels. However, there are so many factors that influence this theory such that each individual needs to assess the reasons why they may or may not see these improvements.
1. Drugs. If you've been on sleep aids or other psychotropics such as antidepressants and anxiolytics, there is no question you're likely to have less delta and REM on your diagnostic studies as well as your titrations, compared to what you might if you were drug-free. I have no bias against these drugs, because they serve their purposes for those who use them, but I'm disappointed that the psychiatric community is so reluctant or ignorant about their effects on sleep architecture. It is very difficult to convince a patient to taper off these drugs to find out if they could get more delta and REM, but when I work closely with a prescribing psychiatrist, we can at least come to a consensus to consider this approach down the line. And, that would raise the question, "just how long would the person need to be off the meds to see changes in delta or REM?" Usually a month, but I don't know that anyone has seriously looked at this through research protocols involving long-term users going off meds for a long time.
2. Alcohol. It's fairly well documented that thosing suffering from alcoholism for years end up with chronically fragmented or lighter sleep. And, the general consensus is that even if you remain clean and sober for years, you would still show more fragmented or lighter sleep. On this last point, I'm very suspicous that most with alcohol use disorders develop SDB because the alcohol damages airway dilator muscles. If the patient develops SDB while drinking, I expect it's difficult for the SDB to go away once the person stops drinking. Moreover, a fair number of these alcohol users probably had SDB in the first place, which triggered severe insomnia and maybe nightmares, for which alcohol was the immediate best solution until alcoholism developed, which worsened the SDB and so on.
3. General population. Among general population patients who don't use meds, don't suffer from alcoholism, and don't suffer from another chronic illness that would clearly fragment sleep (e.g chronic pain conditions), I would be hopeful that some delta and REM would return, assuming the patient is receiving unquestionably an OPTIMAL response to PAP therapy, where the airflow curve is normalized, where EEG arousal activity has been dramatically reduced, and where oxygenation not only does not show desaturations, but even minor fluctuations have been eliminated. With this kind of response, I would expect to see more delta and more REM during a titration study and would certainly predict that more delta and REM would be occurring at home under normal sleep conditions. The caveat in the lab is that many other factors adversely influence the ability to sustain delta or REM, so until Dr. McCoy's Tricorder device is perfected for sleep lab patients, it will be difficult to remove the extra stimulation that occurs in that environment.
In sum, all things being equal, we always are looking to see increases in REM sleep, especially consolidated REM and some smaller increases in delta during titrations and retitrations, and that is one reason why we order a much higher frequency of retitration studies at our lab in the first 1 to 2 years of treatment in our patients. If we don't see the changes in delta and REM, and the patient's outcomes are not optimal, we're assuming either we haven't done our job well, we're missing something, or we just need to be more aggressive with some other aspect of care.
1. Drugs. If you've been on sleep aids or other psychotropics such as antidepressants and anxiolytics, there is no question you're likely to have less delta and REM on your diagnostic studies as well as your titrations, compared to what you might if you were drug-free. I have no bias against these drugs, because they serve their purposes for those who use them, but I'm disappointed that the psychiatric community is so reluctant or ignorant about their effects on sleep architecture. It is very difficult to convince a patient to taper off these drugs to find out if they could get more delta and REM, but when I work closely with a prescribing psychiatrist, we can at least come to a consensus to consider this approach down the line. And, that would raise the question, "just how long would the person need to be off the meds to see changes in delta or REM?" Usually a month, but I don't know that anyone has seriously looked at this through research protocols involving long-term users going off meds for a long time.
2. Alcohol. It's fairly well documented that thosing suffering from alcoholism for years end up with chronically fragmented or lighter sleep. And, the general consensus is that even if you remain clean and sober for years, you would still show more fragmented or lighter sleep. On this last point, I'm very suspicous that most with alcohol use disorders develop SDB because the alcohol damages airway dilator muscles. If the patient develops SDB while drinking, I expect it's difficult for the SDB to go away once the person stops drinking. Moreover, a fair number of these alcohol users probably had SDB in the first place, which triggered severe insomnia and maybe nightmares, for which alcohol was the immediate best solution until alcoholism developed, which worsened the SDB and so on.
3. General population. Among general population patients who don't use meds, don't suffer from alcoholism, and don't suffer from another chronic illness that would clearly fragment sleep (e.g chronic pain conditions), I would be hopeful that some delta and REM would return, assuming the patient is receiving unquestionably an OPTIMAL response to PAP therapy, where the airflow curve is normalized, where EEG arousal activity has been dramatically reduced, and where oxygenation not only does not show desaturations, but even minor fluctuations have been eliminated. With this kind of response, I would expect to see more delta and more REM during a titration study and would certainly predict that more delta and REM would be occurring at home under normal sleep conditions. The caveat in the lab is that many other factors adversely influence the ability to sustain delta or REM, so until Dr. McCoy's Tricorder device is perfected for sleep lab patients, it will be difficult to remove the extra stimulation that occurs in that environment.
In sum, all things being equal, we always are looking to see increases in REM sleep, especially consolidated REM and some smaller increases in delta during titrations and retitrations, and that is one reason why we order a much higher frequency of retitration studies at our lab in the first 1 to 2 years of treatment in our patients. If we don't see the changes in delta and REM, and the patient's outcomes are not optimal, we're assuming either we haven't done our job well, we're missing something, or we just need to be more aggressive with some other aspect of care.
_________________
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Barry Krakow, MD
Blogging at Fast Asleep (Sign up: https://fastasleep.substack.com/embed
Books & Videos at http://www.barrykrakowmd.com
Practice at http://www.barrykrakowmd.com
Blogging at Fast Asleep (Sign up: https://fastasleep.substack.com/embed
Books & Videos at http://www.barrykrakowmd.com
Practice at http://www.barrykrakowmd.com
Re: How Many Is Many?
hey that looks like my pool water!StillAnotherGuest wrote:It is unclear to me exactly how many times you actually end up urinating. How many is it?fehler wrote:It looks really good to me but I still wake up several times a night mostly to go to the bathroom. Can someone tell me how my data looks and any suggestions you have.
How much do you go (get out the big Pyrex measuring cup)(you'll know which one to use after the first time you do this). Report in milliliters.
How about the color?
SAG
someday science will catch up to what I'm saying...