Didn't Get Enough Sleep? You Might As Well Be Drunk
forbes.com
forbes.com
Upon further examination, they found that error rates due to fatigue had decreased, but that error rates related to patient handoffs had increased by a similar amount. The long shifts, while being a source of fatigue, did provide for good continuity of care, as the same doctor handled the case for longer.
Once the study team started addressing some of the problems in handoffs, such as going through the patients alphabetically instead of by severity, they began to see the error rates decrease.
I came across an article on this same topic, regarding a man who after being shot in the head could no longer sleep..... and apparently lived (as a fully functioning human being??) for 40 more years: https://en.wikipedia.org/wiki/Paul_Kern
The problem is that I cannot find any scholarly articles that mention him (searched on Google Scholar, do not have access to other journals) and the wikipedia article has an extreme dearth of scientific details/sources on this individual; the citations listed are mainly mass media stories.
As someone who has (mainly unsuccessfully) waged a battle against sleep almost my entire life, this story that I came across yesterday intrigued me greatly, and the lack of medical details frustrated me to no end.
[1] http://www.kmjn.org/notes/wikipedia_notability_verifiability...
But I wouldn't use it to skip more than a night of sleep. Sounds like a bad idea because you do need to sleep. Sleep is good for you.
[1] http://www.gwern.net/Modafinil#suppliers-prices
[2] See /r/nootropics or LongeCity for reviews.
Modafinil does have various side effects, does not allow you to never sleep, and you do have some effects of sleep deprivation if you use it to skip nights. The shady sites that sell it do ship to non-US addresses. Your doctor probably also has it (provigil), if you have narcolepsy.
"later in the evening she fainted from exhaustion and woke up blind. It took the longest two minutes of all our lives for her eyesight to return fully, and she developed shakes like I’ve never seen, which we couldn’t stop"
“I was mid-conversation and my nose started to bleed uncontrollably, blood was gushing. I completely freaked out”
“Physically, he looked rough, says Charles. He was completely exhausted, his cheeks were pasty and grey, and his body was exhibiting clear signs of sleep deprivation.”
“One friend tried the drug just once, and was plagued by serious, mind numbing headaches. Another couldn’t sleep for two days, despite spending 8 hours in bed per night trying."
Source: http://www.nouse.co.uk/2009/06/30/modafinil-the-new-wonder-d...
More people doing dumb shit without having a clue, I guess...
"With a Friday psychology exam looming, she stayed awake nearly sixty hours,
sleeping for just four. "
seriously...It reminds me of credulous studies of people who claim they don't need to eat and drink, surviving off sunlight or air or something mystical. Dig into them a little and you invariably find that they were only monitored for a few days or they were left alone to bathe or pray or whatever else provided some gap where they could go and get food.
EDIT: Did a little more research and I came across a possible explanation that does seem to have some decent scientific studies to back it up (more than any of the non-sleeping examples, at least). "Sleep state misperception" (http://en.wikipedia.org/wiki/Sleep_state_misperception), where a patient doesn't think they've slept much or at all, even though they actually have.
http://abcnews.go.com/Health/International/man-eat-drink/sto...
http://en.wikipedia.org/wiki/Prahlad_Jani
Very credulous. But, as the wise man says "We'll see." :)
However, both tests were done with other researchers (in 2010, with "a team of 35 researchers from the Indian Defence Institute of Physiology and Allied Sciences (DIPAS) as well as other organizations") in the largest hospital chain in one of the most industrialized states in India.
So, still very believable to my mind, despite the reaction of the scientific community at large. Many are quick to say "impossible", citing what they know based on their own observations. It saddens me that modern scientists are such cynics. History has proven that "impossible" is just a point of view and that many things widely believed to be impossible in the past are completely doable.
But this is exactly the problem, scientists in general are not trained to investigate cases where the phenomena studied is adversarial and has an interest in a given outcome. I am not saying that the man is a fraud, I don't know, but the mindset that you need to spot it will be very different from what most scientists hold. This is why I personally think that these kinds of people should at least initially be analysed by magicians and others who are trained in misdirection and illusion.
> "It saddens me that modern scientists are such cynics."
The amount of evidence required is usually proportional to the strength of the claim. In this case the man is asking us to suspend close to everything we know about how the human body processes waste and its energy requirements. Claiming that this is possible due to a deity. These are very grandiose claims and I think a lot of people are rightfully sceptical rather than cynical.
And a large, well-funded project doesn't guarantee reliability. Science involves a certain amount of trust of your peers and scientists studying these claimed phenomena often miss tricks by the participants that someone trained in deception wouldn't (there's a reason so many skeptics and "debunkers" are magicians by training). Look at Project Alpha (http://en.wikipedia.org/wiki/Project_Alpha) - a couple of amateur street magicians were able to make a whole department of researchers believe they had psychic powers for years without even being challenged.
When it comes down to it, science is about evidence. That's why scientists were able to overturn ideas like geocentrism - they examined them and they didn't fit with the evidence, so they had to go. Theories that had seemed "impossible" to some (certainly not all) people before them, like the Earth going round the Sun, did fit the evidence when scientifically examined and they became the accepted scientific consensus (to cut a long story short).
Scientists dismissing these studies aren't doing so based just "on their own observations". There's a very solid base of scientific, verifiable evidence that says that people need to eat. I don't think it's overly cynical to say that a couple of flaky studies should do little to change anyone's mind.
Science is based on skepticism, you can't believe something just because somebody tells you to or because you hope it is true, and you can't trust all sources of information. This is why there is a system (we can admit it is improvable) where experts on a certain area review the quality and reproducibility of a work to ensure it reaches a certain/minimum level.
Obviously, something that we consider true today can be accepted as false tomorrow (even though usually in science more than false, the change is to not complete). And that's precisely the power of science.
To the contrary, history has shown that many things are just plain impossible, and no change of state of mind will do anything to make them possible.
In a case like this, it's up to the ones making the extraordinary claim to provide the evidence, not up to anyone else to debunk it.
Bathing was also observed as was gargling (what he spit out was also measured). Even so - these "red flags" come from the same scientists that you don't trust. So, they should not support your cynicism in any way.
What are we left with?
- Not published in a journal.
- Incomplete CCTV coverage.
Also, it should be stated that according to many cynics, the CCTV coverage is incomplete because Jani moved out of view for moments at a time. He also received visitors and was allowed to take sun baths.Anyway, I'm not really here to debate this case. I am just being an anti-cynic because it's been shown time and again that even the smartest people in the world have been dead wrong about what they think they know. Here is a terrific video that sums up this point very well - https://www.youtube.com/watch?v=E8V8rtdXnLA
When the entire experiment is based around constantly monitoring someone, any time where you can't see them is a pretty serious flaw in the experiment design. Even if he was only out of view for a few seconds (and I wouldn't mind a source for that), that's all it would take to drink some gargling/bathing water or quickly have a snack that some devotee left hidden.
Smart people can certainly be wrong and often have been. Sometimes due to their own preexisting beliefs and prejudices, sometimes because they were limited by the knowledge and technology of their time, and sometimes even because they're being deliberately deceived and their particularly expertise isn't suited to catching it (I cited Project Alpha in a comment below and there are many other examples).
The key thing about science, and remember that organised science is a relatively new idea in the span of human history and one that's made tremendous advances possible in a short time, is that it's about a consensus backed up by the evidence, not any single scientist's opinion. Sure, sometimes one scientist or a small team will come up with a radically new opinion in some field. When their evidence is examined and their experiments repeated by their peers, sometimes they're a Gallileo. More often they're a Pons and Fleischmann (http://en.wikipedia.org/wiki/Cold_fusion#Fleischmann.E2.80.9...). But if, and quite rightly only if, they've got good evidence and a theory that fits the facts better than any other, the consensus will shift.
It's not about cynicism, it's about rationality and skepticism. As the old saying goes, keep an open mind, but not so open that your brain falls out.
...but everyone else is wrong a lot more often.
Not sure if there's more conclusive information about this, but it does make me more skeptical of the article you linked.
* The idea is pretty interesting; I feel like I'm drunk, but I'm undersleeping the last few months.
* The major reason I don't get enough sleep is that I need to binge from time to time to get things done or enjoy life. I think I'll do better if I could track my sleeping needs before I get to feel like I do now
Bad:
* TA looks like an advertisement
* The website uses words like "your workforce". I hope employers stay away from their employees sleep. What's next? Stool samples. Management in many places already likes to treat employees like lab rats or machines to be repaired.
In theory it could turn out well, if it turned out that the numbers said it was better to pay people to take an hour nap in the middle of the work day.
In practice I assume it'd turn out to be more of a mandatory unpaid nap, of course.
"Could possibly lead" isn't really a good reason to start giving up privacy
That means that in many cases, a good-but-legally-drunk driver will be vastly out-performing a terrible-but-sober driver.
I'm just glad my car will drive itself soon.
How do you know what percentage of ability corresponds to bad driving?
It is based on reaction time. So if you approach a stop light that turns red and you have a 70% score, you are taking approximately 30% longer to hit the car brakes.
(We opt not to lean to the more permissive side because drivers who are drunk are indeed already responsible for a great deal of injury, loss of life, and damage)
Seriously, I can drive for fifteen minutes and see dozens of people who are driving too close together or committing some other sin. All those people who, just going into a corner, you see lighting off their brakes one after another - when all you, a little further back, have to do is roll your toes back a little to take some of the speed out.
Considering random breath tests don't seem to be that big of a thing, (I think - https://www.askthe.police.uk/content/Q723.htm - that they can't do truly random testing,) they're probably picking the people liable to be the worst examples anyway. Which I suspect is the most we can practically hope for at the moment.
for better or worse, it's not far off. imagine we could cross reference some street level CCTV (license plate, maybe gate and facial recognition) and "select driver_dl from trips where driving_ability < 0.7"; revoke licenses from those who can't drive well, consistently... to pay for it, maybe, we could just issue some DUI tickets where the car was parked in-front of a bar for a while and the driver appeared to walk unusually (dozens of violations per habitual drinker, ez). cross reference some phone/text and CC metadata to determine sociability and spending, maybe more, and you can get a pretty good certainty who's probably driving under the infuence and/or a poor driver, and take them off the road.
barely fiction (maybe not at all?), but it won't be hard forever and they won't need to "stop" many people in the sense that is hard to do, for much longer.
In the absence of usable public transit and a populace capable of bicycling, I guess we'll just have to wait for the self-driving cars...
I do agree with your general point though.
Not really. Drunk-driving is illegal due to increased reaction times, not decreased driving ability. You can be drunk and properly follow the traffic laws, but if you run into a situation that requires quick reflexes you're much more likely to not react quickly enough.
Whereas terrible drivers are generally terrible in other ways.
What I didn't realize is the long term effects it would have on me, my memory became really bad, I was irritable to the point where I thought that's just who I was and worst of all I started having a really hard time grasping new concepts.
I've been getting 7-10 hrs of sleep a night for about two months now and I already noticed a drastic difference in my brains performance.
PSA: Those extra couple of hours of staying awake aren't worth it guys!
I found that rather fascinating.
Some immediate questions come to mind, like: at what point do you start tracking hours as sleep deprived versus not? What areas of cognitive performance are being evaluated exactly? How was the research collected and what was the sample size?
Any time I see explicit numbers like this connected to neuroscience a bunch of little red flags start to fly up. But then again, I didn't sleep well last night.
Also "ability to solve complex tasks" seems like it might be difficult to quantify and I can't remember how they did that.
But it's fairly easy to measure the difference in reaction times and capacity to remember strings of numbers.
I've also noticed that when I'm tired I tend to get stressed much faster.
Tony Schwartz in his book "The Way We're Working Isn't Working" also mentioned a study on laboratory mice. They were deprived of ever sleeping until they died.
From this Tony Schwatz advises we have a daily nap.
I'm sure there are countless other hellish and inhumane experiments animals are going through to better our understanding of sleep. But it seems like we still don't know much.
[1] https://en.wikipedia.org/wiki/Michel_Jouvet [2] http://psychology4a.com/sleep8.htm