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Why Do Hospitals Hate Sleep So Much?

motherjones.com

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Re: Why Do Hospitals Hate Sleep So Much?

#151
post #27

Earlier quoted context omitted.

Ask them to stop, perhaps?

Sure, just get out of bed and run them down and ask them to stop...

That's why you've got a partner there with you. The partner's job is to keep an eye on whatever the young mother needs and make it happen.

Re: Why Do Hospitals Hate Sleep So Much?

#153

People die or suffer serious harm in hospitals all the time. This often happens during sleep, and in many cases it could have been prevented if the patient had been checked on more frequently. It is much easier to confirm that the patient is ok if they are awake. When the nurse softly asks "do you feel ok?" when drawing blood in the night, it is not just meant as soothing, but just as much to check if further treatme…

Is that like how I constantly hit Cmd-S while working even though the chances of my system crashing are low?

Re: Why Do Hospitals Hate Sleep So Much?

#154
This is contradictory to any experience I had in my hospital. I've broken my leg a few times and have spent some time in the hospital. It was always the same one so this is very anecdotal.

They always had strict sleeping schedules for all patients, from 23:00 until 7.30 or 8 everything would be quiet and as little as possible would happen. Besides the pain I always slept like a baby and the hospital encourages that as much as possible.

Re: Why Do Hospitals Hate Sleep So Much?

#155

For the birth of my second child, I learned to manage hospital staff so that they would leave my wife and newborn alone unless there was an emergency. I proactively scheduled scans, vital checks for the next morning so that the patients could rest. The experience was so much better than what my wife and first child had. I do not understand why hospitals cannot do this kind of considerate scheduling by default.

Can you elaborate on how you worked with the hospital staff to make this "considerate scheduling" possible? My initial feeling would be that the staff will do their jobs when it convenient for them to do it, regardless of when you would prefer them to do it. How did you manage to convince them to modify their scheduling?

If nothing else works, make it more convenient for them to work with the patient than against the patient: annoy the hell out of them if they don't.

Re: Why Do Hospitals Hate Sleep So Much?

#156

For the birth of my second child, I learned to manage hospital staff so that they would leave my wife and newborn alone unless there was an emergency. I proactively scheduled scans, vital checks for the next morning so that the patients could rest. The experience was so much better than what my wife and first child had. I do not understand why hospitals cannot do this kind of considerate scheduling by default.

Good job. I was surprised how much I as a husband had to take charge on because the hospital had no idea what was really going on. You need to ask stuff from the nurses if your wife needs anything.

Re: Why Do Hospitals Hate Sleep So Much?

#157

I recently had a family member in the intensive care unit (ICU) for over a month in Austin, Texas. I quickly learned my main contribution would be protecting her sleep when I saw she hadn't slept in days because of the constant interruptions. She went from reasonable and compliant in taking her medication, to extremely irritated and noncompliant with the doctors. Of course I could see this was due to sleep deprivatio…

There is a fantastic book, "The Circadian Code," which describes this exactly. I don't know what I would have done in your situation, it sounds absolutely infuriating. It is amazing how ignorant some of the best educated people can sometimes be (including myself, I'm sure)!

Re: Why Do Hospitals Hate Sleep So Much?

#158

People die or suffer serious harm in hospitals all the time. This often happens during sleep, and in many cases it could have been prevented if the patient had been checked on more frequently. It is much easier to confirm that the patient is ok if they are awake. When the nurse softly asks "do you feel ok?" when drawing blood in the night, it is not just meant as soothing, but just as much to check if further treatme…

This is interesting and not something I'd considered. I wonder though if they've got the balance right. These protocols were developed no doubt before it was really understood how incredibly dangerous poor sleep is to our health most especially during recovery from illness.

Re: Why Do Hospitals Hate Sleep So Much?

#159

Earlier quoted context omitted.

Tangentional, but why recent head trauma shouldn't be allowed to sleep? This was dead, but it seems like a sensible question so I vouched for the comment to resurrect it. My understanding is that with any head trauma doctors are concerned about the possibility of bleeding into the brain, and it's much easier to detect the neurological symptoms of this in a patient who is awake. But I'm not a medical doctor; someone e…

My mother is a doctor (in a different specialty), and this came up when we watched 10 Things I Hate About You , which repeats the myth. You're correct; as far as the patient is concerned, it's better for them if you let them sleep. But it's easier for everyone else if the patient isn't allowed to sleep, as sleeping and dying look exactly the same.

> sleeping and dying look exactly the same.

I do not know how many dead people you've attended to, but the ones that I have seen generally lack pulse or breathing. Both of those vitals are monitored for inpatients. And if one of those goes, the other goes too in short order.

Sleeping patients, on the other hand, usually pulse at least once per second, and breathe every six seconds or so.

Re: Why Do Hospitals Hate Sleep So Much?

#160

Earlier quoted context omitted.

A key lesson I learned with our first child was "just about everything gets easier once you leave the hospital", so with our second we prioritized GTFOing ASAP. It was a good decision.

Yes. Having a different person coming in every 5 minutes to check something else. Somewhat tempered by having to go back in a week later, so all these things aren't useless. Child birth isn't the risk free thing we like to think it is.

> Child birth isn't the risk free thing we like to think it is.

For almost all mammals it is, just not for humans, where gestation and partum are uniquely difficult and dangerous.

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