10 Tips for Naturalistic Sleep

Submission by: Farwa Feroze, OMS IV

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“A good laugh and a long sleep are the two best cures for anything.” – Irish Proverb

Do you feel like you don’t get enough sleep, that there isn’t enough time in the day, or that you’re up late night just staring at the ceiling? Well, you’re not alone; it is estimated that 70% of adult Americans report insufficient sleep for least one night a month and 11% report insufficient sleep every night. (1)

Not only is insufficient sleep detrimental to your health, it can affect every aspect of your life. Many studies have shown a clear link between a lack of sleep and many diseases, including cancer, diabetes, Alzheimer’s disease, obesity, and many more. When we don’t sleep for an average of eight quality hours every night, we decrease our body’s ability to fight pathogens, repair and heal itself, regulate our hormones and blood sugar, as well as many other essential functions. To make matters worse, when we’re sleep-deprived, we’re more likely to make mistakes, be involved in car crashes, and have poor mental health. (2)

Simply put, sleep is preventative medicine. The solution seems simple, just get enough sleep! Unfortunately, it’s not as easy as it seems. But here are ten tips from the American Cancer Society to help work towards restful naturalistic sleep. (3)

  • Go to sleep at the same time each night, and get up at the same time each morning, even on the weekends.
  • Don’t take naps after 3 pm, and don’t nap longer than 20 minutes.
  • Stay away from caffeine and alcohol late in the day.
  • Avoid nicotine completely.
  • Get regular exercise, but not within 2-3 hours of bedtime.
  • Don’t eat a heavy meal late in the day. A light snack before bedtime is OK.
  • Make your bedroom comfortable, dark, quiet, and not too warm or cold.
  • Follow a routine to help you relax before sleep (for example, reading or listening to music). Turn off the TV and other screens at least an hour before bedtime.
  • Don’t lie in bed awake. If you can’t fall asleep after 20 minutes, do something calming until you feel sleepy, like reading or listening to soft music.
  • Talk with a doctor if you continue to have trouble sleeping.

References:

Image retrieved from: https://images.app.goo.gl/zPdEkzmZ79hg36mDA

(1) “The State of in America.” SleepHealth, 24 Sept. 2018, http://www.sleephealth.org/sleep-health/the-state-of-sleephealth-in-america/#:%7E:text=In%20America%2C%2070%25%20of%20adults,report%20insufficient%20sleep%20every%20night.&text=It%20is%20estimated%20that%20sleep,all%20ages%20and%20socioeconomic%20classes.

(2) “NPR Cookie Consent and Choices.” National Public Radio, 20 July 2018, choice.npr.org/index.html?origin=https://www.npr.org/2018/07/20/630792401/sleep-scientist-warns-against-walking-through-life-in-an-underslept-state.

(3) Simon, Stacy. “10 Tips to Get More Sleep.” American Cancer Society, 5 May 2020, http://www.cancer.org/latest-news/how-to-get-more-sleep.html.

Choose Your Side

Submission by: William Qin, OMS III

Branch, Branch Point, Split, Fork In The Road, Choice

Image accessed from: https://pixabay.com/vectors/branch-branch-point-split-1290017/

Here at Daily Dose we encourage originality and engaging with ones creative side to reset and rebalance during stressful times.

Here is one such original piece, a rap written by 3rd year osteopathic medical student William Qin.

Choose Your Side

You’ve gotta choose your side,
Who you gonna believe?
You’ve gotta choose your side
With the people you wanna believe.

Choose your bubble, snuggle up close
And don’t let them go.
More than friendship, it’s ideological.
And you’ve gotta choose your people,
Pick the ones you’ll call home.

Some tools say you’ll lose your soul
Just cause you won’t toe their line
But we all know that ain’t right.
Saying you’ve gotta choose their side
Else you’re gonna have a fight.
And they’ll tell you, “you need to lose your pride
If you want to be on my side.”

You’ve gotta choose your side,
Who you gonna believe?
You’ve gotta choose your side
With the people you wanna believe.

~William Qin

How Life Passes

Submission By: Kwabena O.M. Adubofour, MD, FACP

Image Obtained from: https://unsplash.com/s/photos/dew-drop-rose

Here at Daily Dose of Humanities, we strive to share content that can engage our humanity, our compassion, and our resilience. In our goal to prevent burnout, we cannot forget about the lives we touch on a daily basis. Our patients remind us how valuable life, and all the little moments that make it up, can be. Life may be short, but its vibrancy is so precious, and can never be forgotten.

This poem written by one of our founders, Dr. Adubofour, is honoring the life of one of our many inspiring patients. 

Death in the ICU

For this life,

This once vibrant life hangs precariously.

A drop of morning dew

Shimmering,

Brilliantly, 

Bright

An array of fading rainbow colors

At the edge of a rosy thorn.

For this life hangs precariously

Only to falter,

To drop and disappear 

At the whisper of the passing breeze. 

Kwabena O.M. Adubofour, MD, FACP

Conscious Breathing

Submission by: Priya Singh, OMS III

stones, meditation, balance, relaxation, gartendeko, garden design, rest

Image accessed from: https://www.hippopx.com/en/stones-meditation-balance-relaxation-gartendeko-garden-design-rest-98391


This breathing exercise is meant to give you a quick mindfulness break between your busy day at work or otherwise.

For this exercise, finding a quiet place would be ideal but it can be performed anywhere.

You can do this laying down, sitting or reclining. You do not need to force any breaths but just simply observe your breath with mindfulness.

A Quick and Simple Meditation Technique

● Start with closing your eyes
● Focus on each breath you take, try to not let your mind wander and refocus whenever
that happens.
● As you inhale, feel the air enter your nostrils.
● Focus on the temperature of the air entering your body.
● Feel the air inflate your lungs, and chest.
● Feel the air as it makes your stomach rise.
● As you exhale, feel your stomach flattening.
● Feel your lungs and chest deflate.
● Feel the air leaving through your nostrils.
● Focus on the warmth of the breath that you are exhaling.
● Also, as you are inhaling, feel all the positive energy, peace and calm enter your body.
● As you exhale, feel all the negative energy leave your body.
● Continue to do this for 8-10 breaths.
● Then slowly open your eyes, and go on with your day with renewed energy

Flavors in Transition

Submission by: Anil Harrison MD

Image accessed from: https://www.flickr.com/photos/visionwithin/149553091

While sitting on my patio one late evening, I mused on the flavors of life akin to the changing seasons…

       Flavors in Transition

Sitting in the dark

the flow of a gentle breeze, the sound of crickets and a distant train 

The early morning calm, it’s freshness and a yearning for music of rain.

The summer has passed me by, I feel a wisp of cool around the bend

The leaves dazzle with colorful radiance,

And pretty petals near their end.

Soon the cold shall turn nature bare 

Though festivities and cheer will fill the air

With gloomy grays, the soul might despair 

Sitting by a fire, there’ll be warmth to share.

Flavors of spring shall blossom next

With changes….at the creator’s behest 

New beginnings, some a challenge while others a pretext

The soul never fails to rise, nor lose its zest.

The sound of crickets and birds, the heart shall miss

Moments in the thicket and abyss, and much more to remiss 

The seasons share beauty, with musings of bliss.

With every passing night, a day shall follow

To turn despair into cheer and wallow

Akin to a ray of hope that kindles one’s hollow.

 Life in ways takes turns in showing

The overcast skies aren’t done a glowing 

A story it tells without an end, an intent sublime and growing

Sitting in the dark, the breeze gentle and time’s aflowing…

My dawn has broken through and cherishes a’ glowing.

Life: living in the present moment

Submission by: Annie Haji Datoo, MD

water, nature, blossom, plant, sky, photography, sunlight, flower, petal, summer, pollen, young, reflection, relax, balance, peaceful, natural, peace, training, blue, pink, lifestyle, flora, health, fitness, zen, relaxation, meditation, yoga, lotus, harmony, screenshot, spirituality, macro photography, position, meditation nature, yoga meditation, yoga woman, atmosphere of earth, computer wallpaper

Image accessed from: https://pxhere.com/en/photo/652397

Sometimes we need to take a moment to step back remind ourselves to focus on the present moment.

Here is Dr. Datoo’s take on living life in the present:

Life is reminding oneself that everything will be okay

Life is giving 100%

Life is staying calm during times of chaos

Life is knowing that everything will unfold itself

Life is love, joy, forgiveness

Life is focusing on the good

Life is not letting small things ruin your mood

Life is protecting your soul from darkness

Life is music

Life is taking a deep breath

Life is self-love

Life is a smile

Life is oneness

Life is hugs, kisses, and happiness

Life is self-forgiveness

Life is magic

Life is: fill in the blank

Empty your mind

Submission by: Douglas O’Connell, OMS III

We’re in the constant noise of the 21st century.

There is so much around us and so much to take in.

We see vibrant ads pop up on our computer screens or out our windows. We hear our neighbor’s tasteless music.

We are badgered by the incessant alerts on our smart phones all while craving just one more dopamine hit.

I ask you. I urge you.

Find your focus.

Right now, I’m constantly thinking about all the things I have to do.

There’s definitely an email or two I’ve forgotten to send, and I’ve put off a paper to write day after day. There are notes to write and patients to see. There are things to read and presentations to prepare for.

Dinner? Dishes? Also, my room is a complete mess. As things pile up outside, we forget they pile up inside as well. Everything takes it toll.

I ask you. I urge you. Find your focus.

Some people get lost in a world of imagination.

Others breathe deeply and hum or become a downward dog and sometimes practically resemble a pretzel.

I’ve even seen people sew or knit for hours on end. I’ve even witnessed people telling themselves they want to go someplace else, and then proceed to get there fast, on their own two feet.

Occasionally, people take a stick and hit a small ball into a faraway hole.

I ask you. I urge you. Find your focus.

It could be a goal. It could be a simple task. It’s your way to get away.

Your way to escape the hustle and bustle of your surroundings and the world.

It’s your way to leave the ads, alerts, papers, patients, dinner, dishes, and messes behind.

It’s your passion.

It’s about discovering clarity and breaking free from the chains of your mind. Even if it’s just for a few minutes.

Sudoku? Do it. Everyday. A mountain? Climb it.

I ask you.

I urge you.

Find your focus.

Let us know what YOU do to empty your mind and focus on the NOW

A Letter of Gratitude

Submission by: David Sobel, MD

Image accessed from: https://www.flickr.com/photos/36767313@N00/29681183870

I have been reflecting of late on the many teachers and mentors who I am grateful for. I have taken to recontacting (by phone or letter) some of these special and generous people. 

Here is a letter I wrote to one of them. It shows how even a brief “teaching moment” can have valuable impact throughout a career.

Make each moment,

each encounter (with students, patients, and colleagues)

count

Dear XXX,

This is a letter of thanks and gratitude that I have been meaning to write for several decades.

This story is about my encounter with you one night while I was on call as an intern and you were the attending physician. It is very likely that you have no recollection of this brief encounter but it was one that, as it turns out, had a great impact on my life and career.

Let me explain. One night as an intern on call at PMC I admitted a patient with a GI bleed. We called the attending to come in to consult that night, and it happened to be you. You came in and after hearing the history of the patient, you turned to me and said, “What would you do to manage the patient?” I replied that I would summon the gastroenterologist on call and get their advice on management.

You replied, “What if I were not here, what would you do?” I was somewhat taken back by this, and responded, I would call another gastroenterologist. “Well,” you said. “I want you to analyze the situation and give it your best shot. What would you do? I won’t let you harm a patient with over or under treatment, but I really want you to think through the problem as though I was not here. And, I don’t care if I have to stay all night while we figure this out.”

I was stunned. Most attending physicians and teachers wanted to swoop in, demonstrate how much they knew, impress the interns, and get back home as quickly as possible. You were different. You created a safe environment in which no patient would be harmed. But you wanted me to grow-up as a physician and think through decisions in advance of asking for help. Your insight and generosity as a teacher has stuck with me for many years. I cannot tell you how many times I have shared this story with others as an example of effective teaching.

I have applied what I learned that night to my interactions with patients. I have found that my questions can be more powerful than answers. I have often found it more effective to elicit patient-generated solutions by asking “What do you think might help or work for you?” rather than flooding them with advice.

Similarly, when managing co-workers I will often ask them, “If I were not here, what would you recommend doing or deciding?” I have found this often builds their competence, confidence and leadership ability.

So you see, your night of teaching me at PMC has had happy repercussions throughout my career and I am very grateful to you.

I do hope you are thriving!

Your “student,”

David Sobel, MD

Teacher

Submission By: La Donna R. Porter, MD

St. Joseph’s Medical Center, Stockton CA, Family Medicine Residency Program Director

clipart of the apple teacher

Image accessed from: https://pixy.org/4390466/

My inspiration for this poem was truly my love for teaching Family Medicine Residents and medical students.

However, I realized that my passion for teaching was also due in part to the Family Medicine Faculty, Residents, Specialists, Nurses, Hospital Staff and last but not least the patients I care for, ALL of whom were instrumental in training me.

I have become, in many ways, the Physician and Teacher I am because of them. 

Teacher

Teacher, teacher what can I say 

You chose me to stretch beyond any normal boring day 

With thoughts of scalpels and sutures and retractors swimming around in my head 

You chose me for a different journey than that for which I had been led 

To what do I owe you 

Can you or will you ever know 

How much you have done for me there is so much to say 

How much I have learned each and every day 

Oh teacher, teacher what am I to do 

When this beautiful journey ends 

I will most certainly miss you 

How can I say it, where will I begin 

But as a sorority, of which I am a member for life 

You too are with me forever 

I cannot tell you how much I went through to meet you 

As much as I can, I will leave you never 

Here I am teaching those as you have taught me 

The biopsychosocial model swims lovingly in my head 

Differential diagnoses are where the learners are led 

In this journey planned out for me, more incredible discovery 

So now that I have told you all that you need to know 

How much I truly have grown because you have loved me so 

Thank you for stretching me beyond where I thought that I could never go 

An incredible teacher I have become, to you I know I owe 

Teacher, teacher what can I say 

Thank you Family Medicine  

For training and raising me  

In your amazing way

La Donna R. Porter, MD

The Power of Music

Submission by: Jorvic Ramos, OMS-III

“It’s fascinating and powerful to think that music, something that has been floating around in our environment forever – that this natural, omnipresent human activity has demonstrable benefit as treatment.”

Sarah Hoover., D.M.A., co-director of the Center for Music and Medicine

There is one universal language that unites us all – music.

Music is all around us. It’s not just the repetitive pop songs on the radio or your fine-tuned Spotify playlists that fit your every mood. Open your ears to the world around you – and you soon realize that music is everywhere.

The singing of the birds in the morning; the mechanical synchrony of your car starting up in the morning; the symphony of alarms, call lights, bed alarms, telephones, yelling of agitated patients during rounds; the calmness, wind, and quiet whirring of your bike’s pedals and chain during an afternoon ride; or the subtle humming of the fan as you study in the evening.

For me, making music is a way of creative expressiveness – something to keep my mind off medicine just for a little bit. However, you can’t deny the healing powers of music. Researchers have studied music interventions and the application of clinical music strategies in medicine. Music can balance the autonomic system by toning down sympathetic activity, allowing patients to relax; it can influence how the mind, body, and spirit interact with one other. Check out the videos below to see some examples how music can bring joy and better health to people.

95yo Julian Lee plays the piano

Henry’s transformation after listening to his favorite music

My quick cover of Stevie Wonder’s Isn’t She Lovely on melodica and piano

For more on my musical endeavors, follow me on Instagram: @jorvicjustinmusic