insomnia-clients.org

1) From GP to a sleeping clinic
2) from a regular sleeping clinic to the 'top'

1) From GP to a sleeping clinic


The first thins a physician looks at when a patient reports sleeping disorders, is:

  • Did it last long or how serious is it?
  • Is it comorbid, or primary?
  • Are there physical reasons why patient cannot fall asleep? (uncomfortable bed, wrong temperature, wrong air, slept too long last time, did not have enough waking hours and exercise before sleeping, wrong bio-time)
  • Are there there mental or emotional obstructions? (no worries, no depressed mood, no high mood, no problem to solve, no major impressions to absorb, enough fatigue)

    If the sleep disturbance is cause by one of above, the physician gives sleeping tablets for 3 weeks, and supposes thereafter it is over.

    However, for some people Insomnia PERSISTS through the years. The ncomes the point that the GP does not understand this: he does not know (given his own lifetime secured and very well paid job) what it is to be unemployed for two years and have little perspective - for example. Or what also may be the case: the invididual is not too happy, but certainly not depressive either - but the insomnia continues.

    The physician never learned about the ICSD (International Classification fo Sleeping Disorders) - ICSD - in which sleep disorders are mentioned that can last for decades:

    1.a. Intrinsic Sleep dirorders 1. Psychophysiologic insomnia  
    4. narcolepsy  

    8. Obstructive Sleep Apnea Syndrome

     
    9. Central Sleep Apnea Sundrome  
    13. Intrinsic Sleep Disorder NOS (Not Otherwise Specified)  
       
    3. Sleepdisorders associated with......  
    ...B. Associated with Neurological disorders


    Your physician probably feels quite uncomfortable at this point

    So probably thinks up of a 'sleeping clinic'

    But: this last stop will probably seriously disappoint you.

    A sleeping clinic only applies EEG, with electrodes on your head. It can measure agglomarated electricity at the outside of the skull....but that is is.

    The sleep your are most looking after is the SWS - Slow Wave Sleep



    Stage 4, with the long waves, the slow wave sleep, is what is most restful......but should it last longer with you, or not happen at all, then you sleeping clinic with its 'specialists' has nothing to offer>

    A disappoint all chronic insomniacs will have been through. But NOW we will continue with what is possible AFTER a sleeping clinic!

2) From Sleeping Clinice to the top


Now you have had you journey from GP to sleeping clinic, and are still unhelped, you very likely classify as hard core insomniac

Of course you route up to now had been disappointed, and you had to teach more than 1 GP about insomnia.

Before 2010, no route after the Sleeping Clinic existed, because
a) the sleeping mechanism (the flipflop circuit) was not described
b) neuroimaging was not yet in use, and if it had been in use: you would not have known what to look for because the fliflop was not described>

Ad a), The falling asleep mechanism is systematically described here: (PDF)

Then neuro-imaging: all kinds of electronic devices, invented by electronic engineers, sometimes decades before known to physicians, were developed: MRI, fMRI, SPECT, PET, MEG....wikipedia usually gives a good overview.

In the falling asleep mechanism, neural activity is important - more than bio mass. (f)MRI is based on the magnetic resonance of blood en blood flow containing oxygen. In order to measure, a large magnetic field is introduced. Neural activity can only be measured in a indirect way in the sense the neural activity causes vascular blood stream.

In this nice brochure you find several applications of fMRI:


To measure neural activity, a far mor subtle instrument is required: MEG. Magneto encephalography. This device measures current winds, as triggered by neurons, in space and time. In orde to understand the signals, quite a lot of mathematics is required: finite element method, Frourier transformations etc. Therefore the MEG is usueally operated by exact peope as mathematicians and engineers, who are mathematically far better equipped than physicians. We tell this also so you can beware of 'politics', many physicians are at comfort with fMRI whilst you need MEG.

In 2011 the wake -slee neural activities of healthy sleepers were described:
In 2010 another intraskull study of healthy sleepers was done:

From there, and also based on the qualitative sleep wake model of 2010, more mathematic dynamic 'computational neuroscience' Markov models were made that are also used in anesthesia.

Underneath you find a whole series of MEG scans that would be good to make in your case, if you are a chronic insomniac, and compare it to a 'normal sleeper'. Especially give attention to:

  • opening of the ion channels
  • neural activity of the VLPO
  • neural activity of the GABA
  • inhibitopn of cortex signals

Below you find useful MEG scans to check your week-sleep mechanisme that could be done with you as well.

THEREFORE WE PROPOSE YOU DO THE FOLLOWING:

1) Send a mail to info@Insomnia-clients.org that you want on the waiting list for MEG scan
2) sign this petition: http://www.avaaz.org/en/petition/Chronic_insomnia_Have_your_brain_scanned_MEG/?knHAheb 3) print and take (or modify first) this letter to your physician (.doc)











 

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