The Dreams of a Man Asleep for Three Weeks
kotaku.com
kotaku.com
> Only now I can wake up any time I want.
The author talks about dreams, but dreams are just one aspect of the ICU mental experience. The line between dreams, hallucinations, and memories can collapse.
Delirium in intensive care units is extremely common, affecting up to 80% of some patient populations. It is the result of a combination of highly vulnerable patients, extremely stressful situations, abnormal biochemistry, and powerful pharmaceuticals. It is poorly understood.
This delirium can pose danger to staff and patient in hospital, and can have lasting cognitive impact on patients once they leave. PTSD-like symptoms are not uncommon and are certainly under-treated. Given how common delirium in ICUs is, most facilities have limited or no psychiatric staffing for ICU mental health support.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2391269/
I spent three days in a coma as a result of hepatic encephalopathy, among other episodes related to end stage liver disease. Some day I'll write more about the experience. Incredibly vivid dreams are just one piece of it.
For some people a fever is enough. Somewhere in the region of 39C I start having what I can best describe "emotional hallucinations" or "hallucinations of the mind's eye." There is nothing sensory (auditory, visual, physical) in the classical sense, but I know that something is there and it is terrifying (even though I have always been aware that it's a hallucination).
I had an unknown parasite, distantly related to Malaria, for two weeks as a child. This was just enough to push me into delirium. I "hallucinated" a black hole in my room, not one the size of my room, but real stellar proportions and gravity. I also hallucinated a radio chasing me around. I never saw, heard or felt either of them, I just knew that they were there, and were not there.
I've had wildly vivid dreams ever since. They are blandly authentic. Some of them would probably make great movies. Every night I hope I have one of those dreams, but they are becoming less and less frequent.
>Delirium in intensive care units is extremely common
The first time after 48 hours the auditory hallucinations started, but I thought it was music traveling through the HVAC from the wing of the hospital that was being remodeled so I said nothing of it. The second time after 48 hours the auditory hallucinations came again and the nurses had uncomfortable looks on their faces when I explained it to them. Basically it was constant hip-hop, metal, or psychedelic music, droning constantly.
>extremely stressful situations, abnormal biochemistry, and powerful pharmaceuticals.
The constant clicks and beeps of the IV machine, the little lights that never turn off, and all the other interruptions of a hospital stay make for a very stressful situation. The last time that I was in the hospital for it a couple years ago (and surely hope it is the last time, for my daughter's sake) they had implemented alarms on the beds for those under heavy pain medications that went off anytime you attempted to get out of bed, leading to the feeling of being imprisoned.
By the end of each time that I was in the hospital it was constant auditory and intermittent visual hallucinations, and it was horrible. Typing all of this has brought all the vividness back (and the feelings of being trapped in a nonsensical world), which makes me think maybe I as well should write about my experiences.
There is obviously more risk to unexpected hallucination, but always some risk if it happens. I still think it's a really interesting risk minimisation proposition.
You can also cheat a bit in my experience by waking up maybe 45-90 mins before you normally would, then going back to sleep. The dreams you have in this period should be more vivid and easier to remember.
I'm lucky if I remember deodorant first thing in the morning. I'm usually good 5-10 minutes after waking, but before then I rarely do things like shower and sometimes won't even make coffee. I guess I can talk to folks and be really mean at first - I don't remember these outbursts, though. It gets worse with bad sleep hygiene.
Put the journal (opened to the right page) and pen right beside your bed where you can't miss it when you wake up. Write down anything that's in your head, even if it's just, "I don't remember anything." Eventually, you'll start remembering dreams vividly and be able to write them down.
Or at least this seems to work for most people. I have no idea why. Of course, it probably doesn't work for everyone. But then again, what does?
I never remember until I've been awake and moving around for a bit. :)
What makes reading articles in this style interesting? It takes a lot of time, so there's definitely an opportunity cost.
.... to you
>What makes reading articles in this style interesting?
People who are interested in the topic find detailed articles on that topic interesting.
When I was young, I was a natural lucid dreamer and had substantial recall. I wrote tons of my dreams down. There wasn't a time I thought this was unusual until many years later in school after my recall declined.
When I reached high school, a teacher had explained the concept of lucid dreaming to a class that seemed skeptical. There was one other student aside from me that experienced them.
In response to discovering this 'oddity', I ended up joining a community to log my experiences and discuss them... there's a large variability in the kinds of dreams and the ability to induce them. I ended up meeting my last gf on that community and she never had a lucid (her dreams were mostly fragments of the prior day's events)
Mine weren't like that. Sometimes I would just fly around in environments that were similar to what I experienced in life. I would often just test to see what I could do (move objects with my mind, that sound of crap).
Oftentimes, I would just live out daily events as either a different person or myself in another time and place. A hallmark of my logs was the amount of time I experienced in each dream, when I was very young I would experience what would feel like a week in a night. There were times it felt even longer, one time in kindergarten I lived out a portion of gradeschool and woke up crying because I realized the friends I made there wouldn't be in the real world.
Today, I am an infrequent dreamer and not active in that community anymore. I can occasionally induce a short lucid dream if I have a quiet morning to myself and set an alarm to wake up a bit early. I find my recall goes up when I am teaching myself things. The recall is not related to the material I'm learning.
So yeah, there's some variability in dreaming.
I've recently started learning and practicing new music, and when I focus, fragments of old dreams just randomly appear in my head.
I've dabbled in sleep deprivation in the past and after four days it's as if I'm dreaming while my eyes are open, simultaneously sleeping on some level while still functioning in the world. It was as if totally random and crazy movies were playing in my head and my consciousness would uncontrollably alternate between them for minutes at a time, only occasionally giving attention to the one in front of my eyes.
The interesting part for me, is that as soon as I realized these were crazy and not reality, I would instantly zap myself awake. It made things incredibly difficult and I would have to close my eyes with the intention of not trying to detect if what I was thinking about was real.
Cheese before bed? Art-house movies? Art-house substances?
I really do not recommend high dosages over 50mg, peripheral neuropathy is not fun to have.
Honestly, I don't know. I don't remember them not being like that. I still have some normal dreams, even the common ones like teeth falling out. But a large portion of my dreams have always been nonsense.
I can believe it, since I (both unfortunately and fortunately) have the most vivid, realistic, extremely detailed (and sometimes weird and frightening) dreams. Dreams that I can remember after years. Sometimes they change the course of days decisions, even life decisions.
I can remember almost every detail, except for one: every time that I wake up in the middle of the night after dreaming the solution to a big (mine or global) problem, or an idea for "the next big thing". I recall saying "Yes! Of course! How could I not think about it before?!". The answer is there, at the tip of my fingers, then I wake up and, frustrated, can't remember what it was. I can remember though that feeling of having the click in my mind about the idea or solution being so rational and possible.