I've been doing a lot of research on narcolepsy ever since my sleep study consultation appointment last Friday.
Like most everybody else I thought narcolepsy was just randomly falling asleep when you didn't plan on sleeping. What it really is, is a chronic neurological disorder that prevents the brain from regulating sleep like it should.
Before my appointment I had to fill out a rather large questionnaire. There were a few strange questions on there, like, "Do you lose muscle control when you laugh?"
Honestly, I had never thought of that before and I didn't know what to put so I waited to answer it until I was at my appointment so the doctor could clarify that question. He then asked more specifically, "Do you slur your words when you get excited or after laughing?" And I answered yes to that one. I don't slur when I'm not excited but if you get me excited and laughing I have a hard time getting anything out that is intelligible. Then he asked if my hands felt weak when I was laughing or if I was particularly angry. I answered yes for that one too. Often when I laugh really hard I'll drop what I'm holding or will have to put it down to not drop it and sometimes my knees will buckle when I laugh a bit and I can't help it so I have to stop.
I thought that was normal for everyone but apparently it's not. This is something known as "cataplexy" and is very, very common in narcoleptics.
He then asked me if I ever hear things that might be from a dream before I'm actually fully asleep. This happens to me all the time. Whenever I lay down to go to sleep it doesn't take long before I start to hear things, people's voices that aren't there or just noises from every day activities that I am not doing at the moment (and the house is completely quiet because Reid is asleep). When I wake up, sometimes I will still hear things for a few minutes before actually standing up and getting out of bed. Sometimes, I will wake up and still be smelling whatever it is that I was smelling in my dreams (oddly enough that smell is usually garlic). Apparently, this is called "Hypnagogia".
This is also something that is common for narcoleptic people. Narcoleptics usually go into REM sleep sometimes as soon as 5 minutes after closing their eyes while for normal people it takes about an hour to get to REM sleep. Narcoleptics spend 5 times longer in REM sleep than normal people.
Sleep paralysis is another common symptom. I have only had that happen a couple of times but I have to say, it's seriously THE MOST DISTURBING thing I have ever gone through. The first time it happened, I literally thought I was being possessed by a demon spirit. I opened my eyes in the middle of the night and thought I saw a shadow in the corner, and then it felt like I was being dragged off the bed, so I tried to yell out for Reid but I couldn't. I was completely conscious and flipped out in my head when I realized I couldn't so much as control my own breathing (I was still breathing, the diaphragm is not affected by sleep paralysis but it was so scary to not even be able to take a big gulp of air like I wanted to in that moment even though I was breathing just fine). Again, apparently this is something that is common for people with narcolepsy.
Insomnia is also a symptom as well as sleeping for the recommended amount of time but never feeling rested. These will switch off from what I've been told. I have had bouts of horrible insomnia, but right now it's the excessive daytime sleepiness that is killing me. For the past few months I've been doing well with sleeping for 8 hours a night but I always wake up feeling more tired than when I went to sleep. I have also been waking up with strange bruises that I think are coming from my tossing and turning and hitting myself in my sleep (something that I've done since I was a kid).
That all being said, it's not a mental illness and it's not caused by mental illnesses or any other psychological disorder. It is genetic, pretty sure my grandpa has it and I inherited that from him (fine with me, I love my Papa to death, and this just makes me more like him. Or that is how I've chosen to view it at least). It's caused by a lack of hypocretin in the brain which controls sleep and appetite (this might also explain why I don't "feel" hunger like normal people... suddenly everything about my life is making sense).
It's also not curable (geeze what is it with this body and getting all these diseases that aren't curable or are only found in diabetic, obese old people??? I want a new body...) but the doc told me to not despair, which I really wasn't, I'm fine with living with this as long as there is something that can help the symptoms. Hell, I recently started drinking every night to suppress REM sleep... and I've only had a handful of drinks since July 3rd 2010 (yes, it was that bad of a bender that I remember the exact date). I know it's a fine line to walk with alcohol and sleep disorder but I'm no longer having nightmares that leave me in a cold sweat so I'll continue to have a few ciders before bed until we find another band-aid.
It's really so ironic that I would actually have narcolepsy since all my home-school high school friends used to make fun of me and call me a narcoleptic for falling asleep easily in a crowded room or dosing off during home group classes and stuff. I'm going to hear endless "I told you so's" for a while I'm sure.
So what new things have you learned this week now that I've shared my new tidbits of knowledge?
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