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Joined 1 year ago
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Cake day: July 17th, 2023

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  • So I have some experience with this and have a few things I want to tell you:

    Consider a dedicated sleep study. If you have sleep apnea, medication will not fix your problem and some medications may actually make it worse.

    Xanax (an anxiety medication) and Ambien (a sleep medication) are very similar drugs with respect to their mechanism of action. Xanax binds to a specific group of receptors to cause anxiolytic effects and happens to also make you sleepy. Ambien binds to a subset of those same receptors to make you sleepy, but don’t have the strong anxiety reducing effect. If Xanax works for you, Ambien should theoretically have a similar effect. In practice, it doesn’t tend to work as well because anxiety can keep you awake. If that has been your experience with Ambien, think about taking some steps to address anxiety even if you don’t think it’s that bad. Yoga, counseling, meditation, whatever. There are also guided breathing audio sessions designed to put you to sleep in apps like Fitbit and calm that may be helpful.

    You can also supplement a prescription sleep aid with something non prescription, which is what I do. I take Ambien, and to keep my dose low I supplement with melatonin, tryptophan, and valerian root when I need an extra kick into sleepiness. I’ve heard CBD is also quite effective for this. Magnesium reportedly also helps with restful sleep, but get a sleep formulation because magnesium in the wrong form causes diarrhea.

    Don’t underestimate sleep hygiene. For a long time I had the attitude of “I have real sleep problems, basic stuff like cutting back caffeine is not going to help.” The thing is, when taken together, that kind of stuff actually can help tremendously. I scheduled a month where I went hardcore on sleep hygiene. Strict caffeine limits, no late caffeine or exercise, don’t do anything on your bed but sleep and sex, wake up at the same early time every day even when you don’t have to, limit screens before, bed… I mean ALL of it. I found that it actually really helped. In combination with medication it might be a life saver. Might be worth doing your own experiment with it.

    Good luck!






  • I’m sorry for what you experienced, but that isn’t the same thing at all. Not every hospital has advanced capabilities. There aren’t enough specialists to staff them, and even if there were small population centers wouldn’t have the number of patients needed to sustain the costs associated with those advanced capabilities. Transferring patients to different hospitals for a higher level of care is extremely common.

    The article is talking about a situation where the hospital has the capability to provide the appropriate care, but can’t for legal reasons. In that scenario having to transfer a patient out of state is ridiculous, wasteful, and unsafe.








  • Not from a person. When I was younger I took an online personality test. Nothing from a reputable source, just some random pop psychology thing. The result was short and had a few things on it, but one line hit me like a ton of bricks: “You don’t like people who aren’t as smart as you.”

    I was incredulous at first, but the more I thought about it the more I realized it was probably true at some level. I was pretty horrified by this realization, and I ended up thinking about it a lot and doing a ton of introspection. I knew I was smart, but I started acknowledging that there were also a ton of things I was terrible at. Whenever I had intrusive thoughts about a person I thought wasn’t very smart, I tried to think about things they were good at or at least acknowledge privileges I had that they didn’t.

    We are a product of our experiences, and different people have different skills and aptitudes for things. All of that is ok and doesn’t make someone better than anyone else. I’m not perfect at it, but I found some value in confronting uncomfortable truths about myself.