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A Study of Sleep

 

 

I had to do a sleep study for the new Pulmonologist. He did breathing tests, and x-rays, and walking-while-breathing tests, and inhaling-vile-stuff-while-breathing tests, and then he wanted a sleep study to see if sleep apnea was causing my exhaustion and shortness of breath. Each new doctor has his own set of tests you have to take, it’s their thing, and if you want them to take anything you say seriously, you have to jump through all of their hoops. I’d done a sleep study years ago that came out normal, but he wanted to check again.

I was really anxious that this new sleep study, which would be done at home, would be like the ambulatory EEG, which involved having a video camera pointed at me at all times, and wires glued to my head. But there was no video camera or glue this time, thank God. I had to wear monitors, but they were small and wrapped around my chest and abdomen with elastic, and a nasal cannula was stuffed into my nostrils, and there was a monitor on my wrist and middle finger to keep track of the oxygenation of my blood. It wasn’t especially humiliating, though neither of the dogs chose to sleep near me that night. I’m sure that was just a coincidence.

The results of the sleep study were, as I’d expected, normal. I do not have sleep apnea. The thing I don’t understand is, if you are going to study sleep to try to discover more about my overall health, why would you only focus on a limited area like sleep apnea? Isn’t there anything else about sleep that is worthy of attention?

I have always had trouble with sleep. Even as a kid, I would wander around, go to my Mom, visit the bathroom a few times, and then stare at the ceiling and count the circles in the asbestos tiles for hours. Every creak of the house made me worry about monsters under the bed. But even now, even when I get to sleep on time and wake up on time, I still don’t feel rested.

The dogs are champion sleepers. Cricket can pull a blanket off the couch and smush it into cozy nest for herself on the floor and take a short daytime nap any time she pleases. Butterfly will find one of the stuffed toys, anywhere Cricket has left it on the floor, and stretch out for nap right next to it. Cricket can stretch into all manner of unimagined yoga poses to vary her sleep style and keep it interesting.

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“Platypus needs this blanket more than you do, Mommy. “

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Two toys are better than one.

In fact, the dogs change sleep positions very frequently. I think I do this too, except that I don’t have as much room for variation as they do. I’ll turn over, or kick my blankets away, or curl up, or stretch out, but they actually move from place to place and alter the whole landscape of sleep. I only sleep on my bed, but they can sleep on my bed, on the hard floor, on their pet beds, on carpets, on couches, under couches, chin on a shelf, or chin on my leg. But no matter how they sleep, or when or where they sleep, the dogs wake up raring to go, and ready to go outside and pee, and then ready to eat, and then ready to get back to sleep. They can wake up and fall asleep so quickly!

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Platypus is a very accommodating sleep partner.

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But so are my shoes.

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Cricket can’t decide which bed to sleep on.

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Or maybe she should sleep on the floor.

It seems like the sleep study should have looked at some of the practical issues of sleep. Maybe along with the heart rate monitors and oxygen concentrations monitors and such, they could have asked me questions, like, was I too hot or too cold? Did I wake up during the night? Did I have bad dreams, or nightmares? Did I feel rested in the morning? But they don’t want to know if I kick or turn a lot when I sleep, or if I’m in pain when I wake up. They don’t want to know about problems they don’t know how to solve. All they want to know is if my breathing is interrupted when I sleep, because they have a machine for that.

Maybe if each doctor took a more detailed interest, in each area of testing, they could have figured out something by now. But instead they choose the easiest thing, for them, and the hardest thing for me, and come up with nothing. I bet if Cricket could read medical journals, she’d have me fully diagnosed by now. She could use Butterfly to monitor my skin temperature, and flavor, overnight, and she herself could test my reflexes with her patented Jump-On-Mommy-While-She’s-Still-Sleeping test. Both dogs watch me very carefully, and I’m sure if they could write they’d fill many notebooks with all of their trenchant observations. And yet none of my doctors have asked for their input in making a diagnosis.

Phooey.

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Diagnostic exam in process.

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Cricket consults with Butterfly before delivering her diagnosis.

 

A Post about Sleep

 

When Butterfly sleeps on my bed, instead of on the floor, or the bathmat, or the rug, etc, she sleeps next to my head, stretched out against her pillow, kicking me in the face. She may have restless paw syndrome.

Here she is, getting ready to kick Cricket in the face.

Here she is, getting ready to kick Cricket in the face.

Cricket is less of a kicker and more of a body blocker. She prefers to sleep either on top of me, so I can’t move, or squashed up against my back and gradually pushing me off the bed. I don’t (quite) believe that her intention is to do me bodily harm, she just doesn’t like to wake up and find even a whisper of space between us, so she keeps encroaching until I have nowhere left to go.

Cricket is a very good sleeper, as long as she's attached to a person.

Cricket is a very good sleeper, as long as she’s attached to a person.

There was a spate of articles recently about how having a dog sleep on your bed makes for bad sleeping. It is, actually, possible that having Butterfly kick my head interrupts my ability to sleep well, but I wouldn’t know, because I’ve never slept well. I take Benadryl or Tylenol pm every night just to get to sleep, and I seem to fling myself around a lot while I’m sleeping. I gave up on using a top sheet because it always ended up wrapped around my feet or dumped on the floor.

As a kid, I would stare up at the ceiling tiles and follow the swirls with my eyes, like walking a labyrinth, trying to put myself to sleep, but it didn’t work. Then I’d start counting down from a hundred and then down from a thousand. I spent a lot of time counting small, fluffy sheep, which might explain why I have two small fluffy white dogs now.

Counting fluffy puppies.

Counting fluffy puppies.

I feel better knowing the girls are nearby, either on the bed or next to it, because I imagine they could protect me from harm, or at least wake me up in time to protect myself. And it’s a relief to know that if I’m up at 3am, one of the dogs will notice and come to visit.

I sleep better during the day. I would be much happier with a series of naps throughout the day instead of one long sleep at night. My dreams during the daytime naps are usually less ferocious than night time dreams. The light in the room seeps into the dream, and other noises like lawn mowers and traffic and fire engines, seem to make lighter dreams as opposed to the deafening silence of the nighttime.

It’s probably fair to say that I am afraid of the dark. I’m not particularly frightened by rats or spiders or even snakes, but any one of those things crawling near me in the dark could give me a heart attack. Though puppies never scare me, no matter what time of day.

Even this face couldn't scare me.

Even this face couldn’t scare me.

My ideal of sleep would be that I could put my head down on my pillow and feel cozy and comfortable, and with no effort at all, and no long list of anxieties for the next day, I could just fall asleep. And then I would remain asleep and maybe dream of some pleasant vacation where people are smiling and happy, and everyone likes me, and I like everyone. And then I’d wake up, after a full night’s rest, and I’d feel refreshed and comfortable, not in pain, and I’d be happy and looking forward to the day to come.

I’ve had that once or twice, so I know that it’s possible. It’s just not especially probable.

There’s a computer in my brain that keeps track of the unconscious work that needs to be done overnight, and either its processors are not working at full speed, or, more likely, there is too much work to do in the allotted time, so I often wake up exhausted and feeling like there’s something I was supposed to do, but I have no idea what it is. Luckily, that’s when the dogs come to tell me it’s time to go outside, and then it’s time for treats and playing, and by then I’m awake and things are looking up.

 

"Are you up yet?"

“Are you up yet?”

Nap Time For Puppies

 

When it’s time to go to sleep at night, my dogs are pretty consistent. Butterfly sleeps on my bed, with her ducky under her chin, and a towel under her, because she makes such a mess with her chewies. Cricket sleeps on Grandma’s bed, guarding her from the night monsters. If necessary, she curls up on Grandma’s head to ward off bad dreams.

But during the day, the girls can sleep almost anywhere.

As a puppy, Cricket could fit herself into some pretty strange places.

Upside down Footstool

Upside down Footstool

Suitcase

Suitcase

Between Two cabinets

Between Two cabinets

On Grandma's Foot

On Grandma’s Foot

She could sleep in her bed

Cricket's puppy sized bed

Cricket’s puppy sized bed

Or out of it.

Not quite her bed

Not quite her bed

As she got older, she found other places to sleep.

Under the computer

Under the computer

On Grandma's Lap

On Grandma’s Lap

In Her Big Girl Bed

In Her Big Girl Bed

When Butterfly first came home, she was afraid to relax and let her guard down. She would get so tired, but still refuse to lie down, so she would start to fall asleep sitting up. She would wobble form side to side, her eyes flickering open and closed, and finally, she would slide down to the floor in defeat.

The Sitting Sleeper and her guardian

The Sitting Sleeper and her guardian

She’s more comfortable now, sleeping in her own bed.

In Her Bed, with her guardian nearby

In Her Bed, with her guardian nearby

Unless Cricket has usurped her bed.

This is NOT Cricket's bed

This is NOT Cricket’s bed

Even then, she Butterfly still has plenty of sleeping options.

Fallen Cow Pose

Fallen Cow Pose

Head on Hands Pose

Head on Hands Pose

Curled in a Ball Pose

Curled in a Ball Pose

One Leg Hooked onto the Bed Pose

One Leg Hooked onto the Bed Pose

 

But my favorite is when they are both worn out from a long walk outside and they are fast asleep in their beds at the same time.

And I can relax.