89. Conquering the Sleep Struggle with Roger Seheult, MD

In this episode, Dr. Linda Bluestein interviews Dr. Roger Seheult about the importance of sleep for people with chronic illness, chronic pain, and joint hypermobility.  Dr Seheult, a quadruple board-certified physician with expertise in sleep medicine, discusses various topics related to sleep, including the circadian rhythm, the impact of light on sleep, the effect of blue light on sleep, ideal bedtime, the impact of electronics on sleep, the role of melatonin, and the timing of eating and its effect on sleep.  Other topics include challenges of working from home, sleep schedules and chronic illness, shifting sleep patterns, sleep apnea and its relationship with chronic illness, sleep medications, sleep watches and monitoring devices, sleep positions and joint instability, and the importance of sleep education in medical training. Dr. Seheult provides valuable insights and recommendations for improving sleep quality and managing sleep-related issues. YOUR host, as always, is Dr. Linda Bluestein, the Hypermobility MD. Takeaways: Sleep is crucial for people with chronic illness, chronic pain, and joint hypermobility. Understanding the circadian rhythm is important for optimizing sleep. Light, especially blue light, can significantly impact sleep quality. The suprachiasmatic nucleus plays a key role in regulating the sleep-wake cycle. Morning light exposure is important for setting the body's internal clock. The timing of eating can affect sleep quality. Establishing a consistent sleep schedule and avoiding late-night eating can improve sleep quality. Shifting sleep patterns can be challenging, especially for individuals with chronic illness. Sleep apnea is common in individuals with chronic illness and connective tissue disorders like Ehlers-Danlos Syndromes. Home sleep studies can be effective in detecting sleep apnea, but in-lab studies may be necessary for individuals at higher risk of central apnea. Sleep medications should be used cautiously due to potential side effects and dependency issues. Sleep watches and monitoring devices can provide valuable insights into sleep patterns and quality. Proper sleep positions, pillows, and mattresses can help alleviate joint instability and pain during sleep. Education on sleep disorders and their relationship with chronic illness should be improved in medical training. Patient advocacy and sharing information through podcasts can help raise awareness and improve access to sleep education. Chapters 00:00 Introduction of Dr. Roger Seheult 03:22 Understanding the Circadian Rhythm 07:02 Impact of Light on Sleep 09:20 The Suprachiasmatic Nucleus and its Role in Sleep 09:49 The Importance of Light for People with Chronic Illness 13:35 The Effect of Blue Light on Sleep 15:28 Ideal Bedtime for Optimal Sleep 17:25 The Impact of Electronics on Sleep 19:26 The Role of Melatonin in Sleep 20:05 The Importance of Morning Light 23:29 The Timing of Eating and its Effect on Sleep 24:00 Challenges of Working from Home and Small Meals 25:20 Sleep Schedule and Chronic Illness 28:57 Falling Asleep While Watching TV 31:49 Sleep Apnea and Chronic Illness 39:05 Sleep Apnea and Temporomandibular Dysfunction 44:09 EDS and Central Sleep Apnea 44:30 Elevating the Head of the Bed 45:23 Alignment Problems and Breathing 47:37 Sleep Medications and Side Effects 1:00:15 Supplements for Sleep 1:02:01 Sleep Watches and Monitoring Devices 1:03:01 Sleep Positions and Joint Instability 1:04:46 Paresthesias and Numbness in Sleep 1:05:11 Pillow Recommendations for Cervical Instability 1:07:35 Waking Up in Pain 1:09:58 Sympathetic Nervous System Activation 1:12:23 Safety of Melatonin 1:14:49 Improving Education on EDS and HSD Connect with YOUR Bendy Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/.     Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/.       YOUR bendy body is our highest priority! 🧬🔬🦓 Resources:   www.medcram.com https://www.youtube.com/@Medcram https://www.optum.com/care/locations/california.html https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175781/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052958/ https://www.itamar-medical.com/professionals/watchpat-300/ https://youtu.be/OIwHYaDyswA?si=xSOW5miP4otLEKR6 #BendyBodiesPodcast  Learn more about your ad choices. Visit megaphone.fm/adchoices