Berkshire Health Systems
  • Coronavirus Information Kiosk
  • Berkshire Patient Portal
  • COVID-19 Relief Fund for Berkshire Health Systems
  • Pay Your Bill Online
  • About Us
  • Employment
  • Coronavirus Information Kiosk
  • Berkshire Patient Portal
  • BMC Parking Maps
  • Advocacy for Access
  • Berkshire Patient Portal
  • BHS Blood Drawing Stations
  • BHS Bloodmobile
  • BHS Community Benefits Implementation Plan
  • BHS News
  • BHS Privacy Practices
  • BMC Community Benefits Report FY 2018
  • Fairview Hospital FY 2018 Community Benefit Report
  • BMC Medical Interpreters
  • Community Outreach Program
  • County Health Needs Assessment
  • Financial Counseling/Ayuda Financiera
  • Helpful Patient Tools
  • Medical Interpreters at Fairview
  • MedlinePlus
  • MedlinePlus en Espanol
  • One Medical Passport
  • Pay Your Bill Online
  • Pre-Surgical Assessment
  • Request a Medical Record
  • Send a Patient Greeting
  • Wellness Works Website - For BHS Employees & Spouses
  • Worksite Wellness
Berkshire Health Systems
  • Programs & Services
    • Addiction Services
    • Anesthesiology
    • Bariatrics
    • Better Start
    • Cancer Care
    • Cardiology
    • Diabetes Care
    • Emergency Care
    • Endoscopy
    • Healthy Steps
    • Home Care
    • Hospitalists
    • Kidney & Dialysis
    • Laboratory Services
    • Maternity
    • Neurology
    • Neurosurgery
    • Occupational Med
    • Orthopedics
    • Outreach
    • Pain Management
    • Pharmacy
    • Psychiatry
    • Pulmonary Care
    • Radiology
    • Rehabilitation
    • Sleep Disorders
    • Sports Medicine
    • Stroke Care
    • Surgery
    • Trauma Care
    • Travel Medicine
    • Urgent Care
    • Urology
    • Wellness
    • WIC Program
    • Women's Imaging
    • Wound Care
    • Patient & Visitor Information
    • Quality Care & Patient Safety
    • Calendar & Events
    • News
    • Maps & Directions
    • Ways to Give
    • Health Encyclopedia
    • Berkshire Medical Center, Pittsfield, MA
    • Fairview Hospital, Great Barrington, MA
    • Berkshire Visiting Nurse Association
    • BHS Survey Module
  • Locations
    • Berkshire Medical Center
    • Fairview Hospital
    • North Adams Campus of BMC
    • BMC & Fairview Physician Practices
    • Berkshire Visiting Nurse Association
    • BHS Urgent Care
    • Long Term Care
    • BHS Laboratory - Blood Drawing Stations
  • Find a Physician
  • BHS Physician Practices
  • Medical Education
    • Message from Dr. Alex Sabo
    • Internal Medicine Residency
    • Surgery Residency
    • Osteopathic Medical Education
    • Psychiatry Residency
    • Dentistry Residency
    • Medical Students
    • Continuing Medical Education
    • School of Medical Technology
    • Schwartz Center Rounds
  • Coronavirus Information Kiosk
  • Berkshire Patient Portal
  • COVID-19 Relief Fund for Berkshire Health Systems
  • Pay Your Bill Online
  • About Us
  • Employment
Sleep & Wellness: Learning to Cherish Your Sleep Pittsfield, Massachusetts (MA) - Berkshire Health Systems
  1. Home
  2. Programs & Services
  3. Community Outreach Program
  4. Health Take-Away
  5. Sleep & Wellness: Learning to Cherish Your Sleep

Health Take-Away

Health Take-Away

  • Alcohol's Impact on Breast Cancer Risk
  • Acupuncture Can Help with Relief in Breast Cancer Care
  • Breast Reconstruction Surgery Journey is Personal
  • Building Your Immunity during COVID-19
  • Emotional Toll of COVID-19
  • COVID-19 Anti-Body Testing: What It Tells You What It Won't
  • Treating Varicose Veins
  • Osteopathic Manipulative Medicine: What is OMM
  • Know Your Audiology Options
  • Pets as Therapists
  • Reducing the Stigma of Substance Use Disorder
  • Be Kind to Your Heart
  • Headache Care
  • Managing Presenteeism
  • Don't Struggle with Resolutions
  • Enjoy the Holidays Through the Gift of Giving
  • Seasonal Affective Disorder
  • Save a Life, Lift Your Soul, Give Blood
  • Team Approach for Breast Cancer
  • Surviving Breast Cancer: A Journey
  • Hunger in the Berkshires
  • Vaccinations Help Avoid Needless Risks
  • Embrace Mindfulness
  • Low Carb High Fat Diet has Benefits
  • Probiotics Uses the Good Bugs to Fight the Bad Ones
  • Use the Power of Nature for Better Health
  • Unplug from Online for Better Health
  • Weight Loss Through Narrowing Your Eating Window
  • Mammography and Dense Breast Tissue
  • Medication-Assisted Treatment for Addiction Disorder
  • Smoker or Former Smoker? Lung Cancer Screening is Recommended for You
  • Be Safe When Using Over the Counter Medications
  • Screenings for Colon Cancer
  • Thyroid Health Essential to Metabolism
  • Go for Nutrition that is Heart Healthy
  • High Blood Pressure and Ways to Lower It
  • Hospitalists: Your Around the Clock Caregiver
  • Weight Loss Surgery Has Lasting Impact
  • Can you Find Joy in the Holidays When Sick?
  • Coping with Holiday Depression
  • When Quitting Smoking You May Need to Try and Try Again
  • Vaginal Birth after C-Section
  • New Tool to Assess Breast Cancer Risk
  • Migraines: How to Treat Them
  • Vestibular Care: It's All in Your Ears
  • Prepare for a Healthy Trip Abroad
  • New Moms Encouraged to Breast Feed
  • Language Diversity Important to Healthcare
  • Latest Advances in Joint Replacement
  • Vaping and Nicotine Addiction
  • Urgent Care or Emergency Department
  • Free Medicare Wellness Visit
  • Rehabilitation from Stroke Onset
  • Life Threatening Stroke Can be Prevented
  • Mammography and MRI for Women with High Risk of Breast Cancer
  • Breaking the Silence on Kidney Disease
  • Stop Mindless Eating
  • Hospitals Working to Improve Heart Health
  • Your Healthy Gut Bacteria
  • Give Up Smoking in 2018
  • Healthy Resolutions for 2018
  • Healthy Giving for 2017
  • Concussions: Myths and Truths
  • Celebrate a Thankful & Healthy Holiday
  • Don't Die of Embarrassment: Get Screened for Colon Cancer
  • Don't Let the Flu Get You This Season
  • Advanced Cardiac Imaging
  • Chronic Wound Care
  • What is a Hospitalist?
  • Healthy Heart Rhythms
  • Wellness Coaching
  • Men's Health In Crisis
  • Prevent Stroke or Respond FAST
  • Walking to Good Health
  • Healing Through Acupuncture
  • Self Care is Our Future
  • Family Wellness - Play Together Stay Healthy Together
  • Rewriting Your Book of Life
  • Pre-Diabetes: A Wake-Up Call for Better Health
  • Overcoming Crisis With Resiliency
  • Stepping Off the Slippery Slope
  • Sleep & Wellness: Learning to Cherish Your Sleep
  • Kicking the Habit and Ending the Fear
  • High Blood Pressure: One of the Few Things in Life We Can Control
  • Friendship is Powerful Medicine
  • It's Flu Season: Get the Vaccine!
  • The Healing Power of Gratitude
  • Where's the Joy?
  • New Year's Resolutions to Live By
  • Preventing Falls: A Leading Health Risk for the Older Population
  • Staying Healthy in the Office
  • Exercising at Home and Staying Fit in the Winter
  • Cardiac Rehabilitation: Regaining a Healthier and Better Life
  • Nutrition & Exercise: Two Great Gifts for Children
  • A Screening That Has Saved More than a Million Lives
  • How Walking Can Change Your Life
  • Injury-Free Sports & Activities
  • Have a Healthy Summer
  • Head to a Farmers' Market
  • Just Breathe
  • Lyme Disease Facts
  • Mindful Eating
  • Empathy in Healthcare
  • Preparing Your Family for an Emergency
  • Helping Someone to Cope with Opioid Addiction
  • Breast Cancer Awareness: Mammograms Save Lives
  • Antibiotic Resistance
  • Lung Cancer Screening
  • Giving Thanks
  • Healthy Holidays
  • Alcohol's Impact on Breast Cancer Risk
  • Acupuncture Can Help with Relief in Breast Cancer Care
  • Breast Reconstruction Surgery Journey is Personal
  • Building Your Immunity during COVID-19
  • Emotional Toll of COVID-19
  • COVID-19 Anti-Body Testing: What It Tells You What It Won't
  • Treating Varicose Veins
  • Osteopathic Manipulative Medicine: What is OMM
  • Know Your Audiology Options
  • Pets as Therapists
  • Reducing the Stigma of Substance Use Disorder
  • Be Kind to Your Heart
  • Headache Care
  • Managing Presenteeism
  • Don't Struggle with Resolutions
  • Enjoy the Holidays Through the Gift of Giving
  • Seasonal Affective Disorder
  • Save a Life, Lift Your Soul, Give Blood
  • Team Approach for Breast Cancer
  • Surviving Breast Cancer: A Journey
  • Hunger in the Berkshires
  • Vaccinations Help Avoid Needless Risks
  • Embrace Mindfulness
  • Low Carb High Fat Diet has Benefits
  • Probiotics Uses the Good Bugs to Fight the Bad Ones
  • Use the Power of Nature for Better Health
  • Unplug from Online for Better Health
  • Weight Loss Through Narrowing Your Eating Window
  • Mammography and Dense Breast Tissue
  • Medication-Assisted Treatment for Addiction Disorder
  • Smoker or Former Smoker? Lung Cancer Screening is Recommended for You
  • Be Safe When Using Over the Counter Medications
  • Screenings for Colon Cancer
  • Thyroid Health Essential to Metabolism
  • Go for Nutrition that is Heart Healthy
  • High Blood Pressure and Ways to Lower It
  • Hospitalists: Your Around the Clock Caregiver
  • Weight Loss Surgery Has Lasting Impact
  • Can you Find Joy in the Holidays When Sick?
  • Coping with Holiday Depression
  • When Quitting Smoking You May Need to Try and Try Again
  • Vaginal Birth after C-Section
  • New Tool to Assess Breast Cancer Risk
  • Migraines: How to Treat Them
  • Vestibular Care: It's All in Your Ears
  • Prepare for a Healthy Trip Abroad
  • New Moms Encouraged to Breast Feed
  • Language Diversity Important to Healthcare
  • Latest Advances in Joint Replacement
  • Vaping and Nicotine Addiction
  • Urgent Care or Emergency Department
  • Free Medicare Wellness Visit
  • Rehabilitation from Stroke Onset
  • Life Threatening Stroke Can be Prevented
  • Mammography and MRI for Women with High Risk of Breast Cancer
  • Breaking the Silence on Kidney Disease
  • Stop Mindless Eating
  • Hospitals Working to Improve Heart Health
  • Your Healthy Gut Bacteria
  • Give Up Smoking in 2018
  • Healthy Resolutions for 2018
  • Healthy Giving for 2017
  • Concussions: Myths and Truths
  • Celebrate a Thankful & Healthy Holiday
  • Don't Die of Embarrassment: Get Screened for Colon Cancer
  • Don't Let the Flu Get You This Season
  • Advanced Cardiac Imaging
  • Chronic Wound Care
  • What is a Hospitalist?
  • Healthy Heart Rhythms
  • Wellness Coaching
  • Men's Health In Crisis
  • Prevent Stroke or Respond FAST
  • Walking to Good Health
  • Healing Through Acupuncture
  • Self Care is Our Future
  • Family Wellness - Play Together Stay Healthy Together
  • Rewriting Your Book of Life
  • Pre-Diabetes: A Wake-Up Call for Better Health
  • Overcoming Crisis With Resiliency
  • Stepping Off the Slippery Slope
  • Sleep & Wellness: Learning to Cherish Your Sleep
  • Kicking the Habit and Ending the Fear
  • High Blood Pressure: One of the Few Things in Life We Can Control
  • Friendship is Powerful Medicine
  • It's Flu Season: Get the Vaccine!
  • The Healing Power of Gratitude
  • Where's the Joy?
  • New Year's Resolutions to Live By
  • Preventing Falls: A Leading Health Risk for the Older Population
  • Staying Healthy in the Office
  • Exercising at Home and Staying Fit in the Winter
  • Cardiac Rehabilitation: Regaining a Healthier and Better Life
  • Nutrition & Exercise: Two Great Gifts for Children
  • A Screening That Has Saved More than a Million Lives
  • How Walking Can Change Your Life
  • Injury-Free Sports & Activities
  • Have a Healthy Summer
  • Head to a Farmers' Market
  • Just Breathe
  • Lyme Disease Facts
  • Mindful Eating
  • Empathy in Healthcare
  • Preparing Your Family for an Emergency
  • Helping Someone to Cope with Opioid Addiction
  • Breast Cancer Awareness: Mammograms Save Lives
  • Antibiotic Resistance
  • Lung Cancer Screening
  • Giving Thanks
  • Healthy Holidays

Sleep & Wellness: Learning to Cherish Your Sleep

Sleep and Wellness: Learning to Cherish your Sleep
By Jack Ringler, MD RINGLER.jpg

In a 1949 Irwin Shaw story, “The Climate of Insomnia,” a sleepless professor quips: “Sleep is the first great natural resource to be exhausted by modern man.” The modern world does hinder our ability to sleep naturally. We sleep less well than our great-grandparents. What are the consequences of sleep debt? What can we do about it? 

Caring for patients with sleep disorders for 25 years has nurtured my wonder about the relationship of sleep and health. In one way, the relationship is simple and bi-directional: If one sleeps well, one feels well; and if one feels well, one sleeps well. In many other ways, however, we are humbled by how little we know about how sleep serves health. 

Recent research has emphasized how important adequate sleep is to physical and mental wellbeing. Widely quoted studies stress the relationship between sleep duration and life expectancy. Published guidelines tell us how much sleep we need to get. But the relationship between sleep and wellness is not simple. While the association of poor sleep and poor health is irrefutable, it is too often assumed to be a cause/effect relationship, whereby poor sleep causes disease. The unproven inference is that artificially increasing or decreasing sleep extends and improves life.  

This may be true in some circumstances. Patients with crippling sleepiness from sleep deprivation or sleep apnea are at greater risk of accidents, and that risk can be reduced by correcting the sleep disorder. More frequently, however, a broader dysfunction causes both poor sleep and disease. The disturbed sleep of a patient whose “fight or flight” response is overdriven by a hyperactive thyroid gland, an anxiety disorder, or cocaine, is best understood as an innocent bystander of the medical condition. 

Blind correction of under-sleeping or oversleeping without investigation is comparable to artificially feeding a patient who has lost her appetite without investigating the underlying cause. For example, feeding a patient with a bowel obstruction would be harmful. Similarly, the widespread use of sedative or stimulant medications to achieve a standard benchmark number of sleep hours may not be healthy. Studies of long-term use of sedative medications have yielded mixed results. Hours of sleep do increase, but any associated benefit may be offset by side effects including falls and memory deficit. As might be predicted, medical attention to a third of our lives needs to be embraced as complex. After 25 years, I find myself disinclined to pursue the siren song of simple solutions. 

A patient once confided: “At our first session, I was convinced that my sleep had betrayed me. I have since learned that I betrayed my sleep.” This remarkably self-insightful breakthrough highlights the limitations of guidelines and benchmarks. Patients suffer uniquely. Sleep problems, more than any other problems I encounter, require an intensely personal approach. For many complex reasons, contemporary clinical medicine too often tends to lump patients into diagnostic silos. Medical interviews and notes are electronic templates; patients and providers are literally separated by computer screens. It becomes easy to forget that there is no substitute for a literal, compassionate, individualized approach to care. 

I advise my students to read an essay by F.W. Peabody that closes, “… the secret of the care of the patient is caring for the patient.” I advise my patients with sleep disorders that the secret to better sleep is cherishing your sleep. Sometimes that means paying more attention to it and recognizing its value for the first time. Sometimes it means less scrutiny because focusing too much on insomnia makes it worse. Occasionally, patients must forgive their sleep in order to heal it. Always, it means embarking on an adventure comprised of more questions than answers, exploring in a personal hopeful way how one’s life may be enriched, as mine has been, by a sense of wonder about sleep. Pleasant dreams. 

A pulmonologist/critical care, and sleep medicine physician, Dr. Ringler is the Medical Director of the Berkshire Medical Center Sleep Disorders Center.

 

  •   (413) 447-2000
  •   Email - General Inquiries Only
  •   Email - BMC Patient Experience
  •   Email - BHS Physician Practices
  •   Email - Fairview Hospital Inquiries
  • Employment at BHS
  • About Us
  • 2018 BMC Report on Cancer
  • Quality Care & Patient Safety
  • Berkshire Patient Portal
  • Awards & Accreditations
  • BHS Community Outreach
  • BHS Bloodmobile
  • BMC FY 2018 Community Benefits Report
  • Fairview FY 2018 Community Benefits Report
  • Ways to Give
  • Give Us Your Feedback

© 2021 Berkshire Health Systems

725 North Street

Pittsfield, MA 01201

  • News
  • Privacy Practices
  • Practicas De Privacidad
  • Site Map
  • BHS Privacy Practices
  • Contact Us