Hook

Their other posts in the index, biggest breakout first.
The reason why you get a disease is because your sleep is not restorative. I've got this beautiful 18-year-old who's about to go to college, she comes to see me for daily headache. She has a sleep study that shows none of these phases of deep sleep. She usually sleeps for 10 hours. So when I ask her when we first meet, how's your sleep? She says fine. She has no deep sleep at all, and every 15 minutes or so, her brain is trying to get into one of these deep sleep phases, and she wakes up to light sleep again. So every time the brain tries to do this, it breaks to light sleep, light sleep, light sleep, light sleep. She thinks that she's asleep the whole night. This shows that she's asleep the whole night, but her sleep study over my five years of experience is horrifying because it's not just, oh, she's missing a little REM. She has no deep sleep at all. This is a brain stem disorder of chemistry that's going to mean she might meet me 10 years from now with a stroke. I've taken care of 28-year-olds who just had a stroke. 28, sorry? 28-year-olds. We associate stroke with being old and having diabetes and hypertension and heart disease. No, I'm looking at this and for the very first time, I have actually started to see the diseases that my neurology patients come in with and their relationship to sleep. I'm doing sleep studies on anybody who will let me. So I'm doing little kids, I'm doing moms, I'm doing dads, I'm doing every single neurologic illness that comes in, they're all abnormal. This implies that the reason why you get a disease is because your sleep is not restorative. It is what makes us last. Like we're not made of Teflon, we're made of these biologic materials and they repair themselves every night. That's a miracle. If you view it through that lens, then you start to question why is medicine doing what it is? Why as a physician am I trained to give the drug for this disease? I'm trained to ask questions for the thing the person walks in for. Let's say burning in the feet. I'm trained to make a little list of the diseases that have resulted in that and then give a drug for it. And if we don't find a drug that reverses it, then we give a drug that numbs the pain a little bit. We just kind of plastering over cracks. We put a Band-Aid on it. We're putting Band-Aids on these things instead of saying, well, what do you think led to this?