Discover and read the best of Twitter Threads about #sleep

Most recents (7)

I think we are at the beginning of changing the general consensus of sleep.

#Sleep will go from being an inconvenience to the secret weapon of the highly productive and most healthy.
My personal awakening was because of @sleepdiplomat and his incredible book 'Why we Sleep'.

My favourite quote 👇
Improved #sleep is directly correlated with improved health across the entire spectrum.

Health and wellness startups focussed on sleep are on the rise.

Mattresses with @Casper.
Sleep metrics with @ouraring.
Anti-anxiety blankets with @gravityblankets.
Read 8 tweets
In my neighbourhood there was a serial sex predator breaking into women's homes and sexually assaulting them in their own beds. It's bad enough that women routinely have to take more precautions than men to do basic things like go for a walk or a jog. 1/ #sexualassault #crime
I can't describe to you what it's like to be afraid to do something as necessary as falling asleep in your own bed at night. This is what happened to many women in my neighbourhood. 2/ #VAW
At the time this was going on, a lot of women talked to me about their fear, about being afraid in their own homes, being unable to fall asleep or stay asleep in their own beds. There were a lot of exhausted women in my neighbourhood. 3/ #crime #fear
Read 34 tweets
Thread. Please read if you have an #infant at home.

So this is a well-kept and potentially deadly secret about an industry that is growing exponentially and has spawned sexy, venture-funded #startups. The industry is #sleep. And the product is the #mattress. #parenting 1/n
Recently, we went #mattress shopping. After many trials (choosing a mattress is crazy stressful!) zeroed in on and placed an order at a prominent brand's store. It was a beautiful #memoryfoam mattress. I was drooling thinking of all the glorious #sleep I'd soon be getting. 2/n
I have had horrible body ache for years now thanks to our old #mattress that was handmade in Mumbai. I was so excited about buying this amazing new mattress that I did what anyone in my place would: obsessively Google memory-foam mattresses. 3/n
Read 14 tweets
I'm not a big #tweetorial person, more a #bitesized learning guy.
But important topic + healthy peer pressure =
Let's talk about #Delirium in the ICU (#DICU)!
For the most part, this is applicable to most patients.

Q: Do you regularly assess for #DICU?
What does delirium look like?
<5% "hyperactive": EASY TO JUDGE these pts
95%: "hypoactive" or mixed: somnolent, not accepting feeds, withdrawn:
EASY TO MISS these pts

What's the big deal?
Vent time 🔼 8d
Hosp LOS 🔼 by 8d
Cognitive impairment at D/C: 50%, long term: 33%
WHAT is delirium:
😣 Altered level of consciousness (hyper/hypoactive) +
🙄 Inattention

With either:
😇 Change in cognition (who, you?, what is life?) OR
🤓 Change in perception

Easy to miss in a patient that isn't "belligerent" or "climbing out of the bed". It can be SUBTLE!
Read 17 tweets
1. thread.

Nice @FrontPediatrics paper providing guidance for docs and #pwME in the diagnosis and management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS

#MedEd #MedTwitter #chronicillness #chronicpain #SickNotTired
frontiersin.org/article/10.338…
2. #MECFS is commonly misdiagnosed as a #somatic disorder

#pwME "..have been humiliated or dismissed by other providers, so [doctors] will need to be.. nonjudgmental.. & acknowledge that #MECFS is not a #psychological condition but a real illness"

frontiersin.org/article/10.338…
3. #MECFS symptoms can be diverse, complex, fluctuate and overlap with many other conditions making the diagnosis difficult

This @FrontPediatrics paper lists 33 (!) co-morbidities commonly associated with #MECFS

#MedEd #MedTwitter #pwME #SickNotTired
frontiersin.org/article/10.338…
Read 8 tweets
18 myths & misconceptions of Post-Exertional Malaise #PEM in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS

#PEM (aka PENE, "flare" or “crash”) is seriously debilitating symptom caused by exercise

#SickNotWeak #SickNotTired #pwME #chronicillness #medtwitter #MedEd
1. #PEM is just tiredness

No

#pwME experience <pathological> fatigue after #exercise which can be long-lasting and includes debilitating fatigue, flu-like symptoms, cognitive impairment, #sleep disturbance

@PNASNews #MECFS #MyalgicE #MedEd #medtwitter
pnas.org/content/114/6/…
2. #PEM is not a real

No

“there exists no medical condition.. where exertion.. causes #immune/ inflammatory-related symptoms like sore throat, tender lymph nodes, or flu-like feelings, yet 60%.. of.. [#pwME].. reported these symptoms”

@PLOSONE #MECFS
dx.plos.org/10.1371/journa…
Read 20 tweets
thread

Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia

read her story here

#MedEd #MedTwitter @MayoClinic
casereports.bmj.com/content/2018/b…
2. After suffering for 16 years, seeing 19 docs with repeated misdiagnosis:

Her cardiologist couldnt diagnose #POTS

Her gastroenterologist couldnt diagnose #SIBO

Her immunologist couldnt diagnose #MCAS

Her neurologist referred her to a #psychiatrist!

casereports.bmj.com/content/2018/b…
3. Patient: the "neurologist was out of ideas and suggested I get a psych evaluation, which I declined"

the patient <referred herself> to @MayoClinic

#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter

casereports.bmj.com/content/2018/b…
Read 10 tweets

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