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When I can't sleep I sometimes have a glass of wine to drink. This tends to help me fall asleep. But my family says that this is not a good idea. They claim that alcohol is bad for sleep. Who is right? This edition of The Sleepless Times includes a thought-provoking article from our newest board member, Gayle Greene. She has joined the board as Patient Advocate. Ms. Greene is both a teacher and a writer. Like many of our readers, she also has insomnia. Her article emphasizes the importance of observations that sleep patients can make to aid their own diagnoses and treatments. It also highlights a common shortcoming in the relationship between doctors and patients. It is true that doctors don't always take the time to listen to their patients. They may ignore "new" ideas that patients have about their problems. Researchers can also fail to either ask the right questions or study the correct variables. As a result, medical advances in an area of study may come slowly. This is why it is so important for people with insomnia to express themselves. They can provide valuable information to sleep professionals. We need to hear your own observations, frustrations and success stories. This will help keep the focus on needed research in the field. It will also inform and help others who have the same problem. I encourage readers to share their experiences and questions through this newsletter. We will answer as many questions as possible in the "Ask the Doctor" section. We will also consider any requested topics for future articles. Hearing from our readers helps us make the newsletter a better tool for people with insomnia. So feel free to contact the staff with your comments, concerns and suggestions. Also, make sure that you encourage others to join the AIA. To obtain an AIA membership registration form, please click on the AIA membership link at americaninsomniaassociation . You can also call the AIA national office at 708 ; 492-0930. Together we will be able to increase awareness of insomnia and further the cause of the AIA. St. Louis, Missouri In this case your family is right. Drinking an alcoholic beverage before going to sleep affects your sleep in several ways. Alcohol does shorten the time it takes for you to fall asleep. It is also known to decrease dream sleep or REM sleep ; . But while you are sleeping, your body metabolizes the alcohol. You metabolize alcohol at the rate of one ounce an hour. This is the amount of alcohol in a four-ounce glass of wine or a half-pint of beer. Your body is under the influence of the alcohol during the first part of the night. Then those effects are eliminated after the alcohol is metabolized. Once this occurs, you will have an increase in dream sleep. You will also have more arousals and shallower sleep. Withdrawal from alcohol can cause stomach irritation or headaches that disturb your sleep. So alcohol may help put you to sleep. But the overall quality of your sleep is poorer when you drink it near bedtime. There are other reasons to avoid using alcohol to put you to sleep. Alcohol increases your risk of falling during the night. It also worsens snoring and obstructive sleep apnea. Over time you can develop a tolerance to the effects of alcohol. Researchers have also found that drinking alcohol before bed makes you sleepier if you are sleep-deprived. This is often the case if you have insomnia. Avoiding alcoholic beverages near bedtime is a good habit that will help you develop a pattern of healthy sleep. Mary S. Esther, MD Charlotte Eye Ear Nose and Throat Associates Charlotte, North Carolina.
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The law permits us to use or disclose your health information for the following purposes: 1. Treatment. We may use medical information about you to provide your medical care. We disclose medical information to our employees and others who are involved in providing the care you need. For example, we may share your medical information with other physicians or other health care providers who will provide services, which we do not provide. We may also share this information with a pharmacist who needs it to dispense a prescription to you, or a laboratory that performs a test. 2. Payment. We may use and disclose medical information about you to obtain payment for the services we provide. For example, we may give your health plan the information it requires before it will pay us. We may also disclose information to other health care providers to assist them in obtaining payment for services they have provided to you. 3. Health Care Operations. We may use and disclose medical information about you to operate this practice. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence and qualifications of our professional staff. We may also use and disclose this information to request that your health plan authorize services or referrals. We may also use and disclose this information as necessary for medical reviews, legal services and audits, including fraud and abuse detection and compliance programs and business planning and management. We may also share your information with other health care providers, a health care clearinghouse or health plans that have a relationship with you when they request this information, to help them with their quality assessment and improvement activities, their efforts to improve health or reduce health care costs, their review of compliance, qualifications and performance of health care professionals, their training programs, their accreditation, certification or licensing activities , or their health care fraud and abuse detection and compliance efforts. Employee Assistance Professionals, Inc. HIPPA Compliance -1 and hydrodiuril.
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