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Sleep habits may have long-term benefits

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Re: Sleep habits may have long-term benefits

#141

Earlier quoted context omitted.

Believe it or not, most doctors don't own their own practice and don't make more money for giving out treatments. Most of them did get into the field because they want to help people and it's a pretty small minority that profits off handing out treatments

Believe it or not, I am not blaming doctors. I respect doctors, and go to them frequently. But it's useful to go in with open eyes. Even doctors that do not own their own practice are incentivized by the people who do own the practice. In the same way that a store clerk is incentivized to sell high margin items over low margin items. Or a Facebook engineer is incentivized to get users to engage in unhealthy social me…

What is the evidence for your claim? As far as I'm aware, insurance shoots down as much as possible

When a physician works for someone else's practice or hospital, generally they're pressured to see as many patients as possible

Re: Sleep habits may have long-term benefits

#142

Earlier quoted context omitted.

Everyone is different, I found that I sleep the best on a firm futon combined with a 2cm thick memory foam mattress from Ikea. If the bed is too soft, it might be comfy for a few nights but then my back and neck start hurting.

memory foam mattress of 2cm?

According to Google Translate "Mattress topper" is the correct term I was looking for =)

Basically a thing you put on top of a mattress for extra comfort and it makes making the bed a bit easier and cleaner.

Re: Sleep habits may have long-term benefits

#143

Earlier quoted context omitted.

Believe it or not, I am not blaming doctors. I respect doctors, and go to them frequently. But it's useful to go in with open eyes. Even doctors that do not own their own practice are incentivized by the people who do own the practice. In the same way that a store clerk is incentivized to sell high margin items over low margin items. Or a Facebook engineer is incentivized to get users to engage in unhealthy social me…

What is the evidence for your claim? As far as I'm aware, insurance shoots down as much as possible When a physician works for someone else's practice or hospital, generally they're pressured to see as many patients as possible

My claim is as simple as the claim that for-profit enterprises are incentivized by profit and will prioritize profit-making activities over not-profit-making activities. If you have even a passing belief in capitalism then you have all the evidence necessary.

Every single doctor (in the US) profits off of handing out treatments. It's a pivotal part of how the economics of medicine works in this country. The entire thing would, quite literally, fall apart if doctors/practices did not profit from handing out treatments.

Note that I am not claiming that doctors are out there prescribing medicine they shouldn't be prescribing just to line their pockets or whatever...you seem to be convinced that I have some sort of negative view of doctors and I don't. What I am saying is that they operate within a system that literally requires them to prescribe medicine in order to stay in business. So given the option of "prescribe medicine, bill insurance, and see the next patient in line" or "suggest a lifestyle change and work with the patient over the course of months and years to monitor those changes"...they all choose the former. AND THAT IS FINE. But to be blind to it is simple ignorance.

Hell, it's what most patients want. Most people go to a doctor for medicine, not lifestyle advice.

> generally they're pressured to see as many patients as possible

That is because this is what maximizes profit for the parent company. It is a business like any other.

Re: Sleep habits may have long-term benefits

#144

Earlier quoted context omitted.

What is the evidence for your claim? As far as I'm aware, insurance shoots down as much as possible When a physician works for someone else's practice or hospital, generally they're pressured to see as many patients as possible

My claim is as simple as the claim that for-profit enterprises are incentivized by profit and will prioritize profit-making activities over not-profit-making activities. If you have even a passing belief in capitalism then you have all the evidence necessary. Every single doctor (in the US) profits off of handing out treatments. It's a pivotal part of how the economics of medicine works in this country. The entire th…

Doctors get paid for seeing patients, not specifically for giving out treatments and I'm not sure where you got that idea from

Re: Sleep habits may have long-term benefits

#145
post #45
post #29

Earlier quoted context omitted.

I’m always baffled that so many people don’t make new or comfortable beds, sheets, pillows, etc. a critical priority. Generally speaking, a third of your life will be spent there, invest in the best you can afford.

I'd be willing to buy a nice one, but it's probably one of the most annoying things to shop for. I don't know what I want, and mattress vendors all seem like crooks. The rise of the internet foam mattress startup has made it worse.

I purchased four different mattresses until I settled on one. Most major brands have very easy return policies so shop around and try out a few before settling.

Re: Sleep habits may have long-term benefits

#146
post #128

Earlier quoted context omitted.

What has worked for me, but with only one month experience: An apparatus that pulls my lower teeth forward, prescribed by a doctor, that keeps me from snoring. Then suddenly, I slept so soundly that I didn’t wake up at odd times during the night. I used to wake up at 2am and stay awake until 6am, only to sleep between 6 and 8 and be late at work.

Can you share more about this apparatus, or what made your doctor think you needed this? Were you investigating sleep issues or dental issues or what.

In French it’s an “orthèse mandibulaire”. It holds teeth together (with a hinge), its role is to push the lower mandibula forwards to get 0.5cm farther from the throat so that air can pass unencumbered.

Re: Sleep habits may have long-term benefits

#147

Earlier quoted context omitted.

My claim is as simple as the claim that for-profit enterprises are incentivized by profit and will prioritize profit-making activities over not-profit-making activities. If you have even a passing belief in capitalism then you have all the evidence necessary. Every single doctor (in the US) profits off of handing out treatments. It's a pivotal part of how the economics of medicine works in this country. The entire th…

Doctors get paid for seeing patients, not specifically for giving out treatments and I'm not sure where you got that idea from

Yes and engineers only get paid for writing code. The money just appears from the employer. I honestly can’t tell if you’re just being purposefully obtuse.

Re: Sleep habits may have long-term benefits

#148
post #49
post #38

I really wanted there to be controllable habits listed in this article, but instead it was about sleep characteristics. Telling me that "having trouble falling asleep," or "having trouble staying asleep," or "not feeling alert upon waking" are working against me is useless to me. These aren't "habits." I'm not choosing to do them until they become routine. They just happen to me. Tell me how to FIX those things. Tell…

Convincing people that sleep is a problem worth caring about is half the battle. There are many resources available that get into the practical/tactical aspect of improving sleep. But if you don't believe sleep is a problem yet, you won't seek those out. The Huberman Lab has put out a number of good resources for this [0] including a podcast episode speaking with Matt Walker, PhD, sleep researcher and author of Why w…

> but I went from an average 3AM-10AM sleep cycle to 10PM-6AM, and I've realized that all the things I told myself over the years about needing to be up all night were simply untrue.

You also seem to sleep an hour more, so some changes you experienced might be due to that.

Re: Sleep habits may have long-term benefits

#149
post #49

Earlier quoted context omitted.

Convincing people that sleep is a problem worth caring about is half the battle. There are many resources available that get into the practical/tactical aspect of improving sleep. But if you don't believe sleep is a problem yet, you won't seek those out. The Huberman Lab has put out a number of good resources for this [0] including a podcast episode speaking with Matt Walker, PhD, sleep researcher and author of Why w…

> but I went from an average 3AM-10AM sleep cycle to 10PM-6AM, and I've realized that all the things I told myself over the years about needing to be up all night were simply untrue. You also seem to sleep an hour more, so some changes you experienced might be due to that.

Prior to implementing bigger changes, I tried many things to make my late nights “work”, including trying to sleep more.

Sleeping longer while going to bed later didn’t help much with quality (deep and REM phases were poor/short), and was also difficult to achieve for practical reasons.

I took about 3 months to fully shift the schedule, and I was tracking stats along the way. I started to notice improvements once my average bedtime was closer to midnight.

Once I hit that point, I kept shifting earlier because I wanted the benefit of the morning solitude that comes with getting up earlier. But sleep quality kept improving as well.

Re: Sleep habits may have long-term benefits

#150

Earlier quoted context omitted.

Doctors get paid for seeing patients, not specifically for giving out treatments and I'm not sure where you got that idea from

Yes and engineers only get paid for writing code. The money just appears from the employer. I honestly can’t tell if you’re just being purposefully obtuse.

Engineers get instructed to implement features, doctors do not get instructed to hand out treatments
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