According to Merriam-Webster, the definition of the plural noun vital signs is as follows: clinical measurements, specifically pulse rate, temperature, respiration rate, and blood pressure, that indicate the state of a patient’s essential body functions. As someone who has experienced the glorious phenomenon of a full eight hours of uninterrupted sleep approximately twelve times in fifty years, I strongly argue that sleep should be added to the list of vital signs.

From the Sleep Experts

In a Psychology Today article titled “Why Sleep Deprivation is Torture” , sleep experts tell us that the first signs of sleep deprivation are fatigue, irritability, and difficulties concentrating. Then come problems with reading and speaking clearly, poor judgment, lower body temperature, and a considerable increase in appetite. 

Two ginger cats curled up together in a blanket sleeping on the couch.

If the deprivation continues, the worsening effects include disorientation, visual misperceptions, apathy, severe lethargy, and social withdrawal. As far as torture goes, it’s not even terribly effective because the cognitive decline can leave the information squeezed out of a person unreliable. For me on the other hand, sleep deprivation is terribly terrible and it truly is torture.

From Yours Truly

Good sleep has eluded me for most of my life. I vividly remember my first nightmare with its blood thirsty creatures snarling at me from never-ending rows of dark caves. The screaming brought my mother frantically running into my room, catching her long nightgown on the door violently jerking her back from me, her arms outstretched. I was four and it’s been downhill ever since. But over the past couple months, the effects of sleep deprivation have been particularly profound. I found myself desperately clawing to get out of the dark, underground cave in my head that I was calling home. It’s effing scary down there!

TV screen with message from Netflix: Are you still watching "London Spy?"

To say that I was depressed would be to say Norman Bates was a bit socially awkward. Tip of the ice berg! Both my body and my brain functioned like slow, churning cement. I would go days without breathing fresh air or eating fresh food. Decisions seemed impossible. Should I microwave yesterday’s coffee for 60 seconds or 90?

Overwhelmed by the need to think, produce and interact with others, I shut down at work and ended up using precious PTO days to catch up on sleep and/or bingeing terrible TV. In a nutshell, avoiding life.

PS Fuck you, Netflix!

Catatonia and creativity do not play well together, and my writing definitely suffered. If I even managed to open my laptop, I mostly just sat and stared at it. My memoir went nowhere for weeks and my last blog post red + blue = purple was published on February 15!

Teen heart throb Leif Garrett on left. Mug shot of adult Leif Garrett on right.

Every night the grumbling rumble from the man snoring in the apartment below me snuck up through the wood floor and shook my bed until I inevitably woke up. Once awake, the squirrel in my head chased down and presented me with every deadline I was behind on, all the people I was avoiding, and any random question about anything. Suddenly, it became imperative to find out whatever happened to Leif Garrett.  (Yikes!)

Sleep Interventions

Me leaning against headboard in fluffy pink robe, smiling with a huge sleep mask covering from my nose to the top of my head.

My attempts to quiet the squirrel (and the neighbor!) were futile. I created white noise with the drone of a fan, then added sleep music, sleep meditations, and sleep stories. Not even Matthew McConaughey could lull me to sleep with his smooth, come hither voice!

I took 100 mg of Trazodone, then 150 mg. I was so desperate that I even took 200 mg one night! That left me feeling like I was withdrawing from morphine the next day. Lesson learned. I put in earplugs then wrapped my head in the most ridiculous eye mask I could find.

My living room with most of the contents of my bedroom and office strewn around.

But when the bed is vibrating, even if the noise could be blocked, the freight train below just cannot be ignored. I bought a big rug hoping to dull the train. No such luck. In the end, I had to rearrange my apartment. I swapped my office and bedroom which was a pain in the ass, but well worth the trouble.

Cautionary Tale

Sleep may not be a vital sign (yet!), but sleep deprivation is a sure sign that rough waters are ahead. Please take my misery as a cautionary tale and mind your sleep habits. If you experience more than a night or two of disrupted sleep, by God do something about it!