My Sleep Evolution

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NaBloPoMo 2018:  What I’m Learning

How often do you look back and really appreciate how far you’ve come in a short time?  It could be a skill, an understanding…  Maybe lightning struck and you made a sudden, significant transformation, or maybe it was a slow, plodding trudge to the current state.  For me it started out small and organic, and grew with increasing momentum toward a sort of AHA! confirmation today.

I can honestly say that 5 years ago I did not pay much attention to sleep.  I have always been a night owl, often staying up late reading or writing.  When I started this blog, I routinely published posts around 2:00am.  But when I started talking to patients in more detail about their health habits, I started to learn the importance of sleep.

Here is the timeline of my Sleep Evolution, c.2014-present day.  Where along the arc live your thinking  and habits on sleep?

Personal Evolution

  • 2015: Regularly staying up past 1:00 or 2:00am posting to blog
  • Feeling the cost of this in my body more and more
  • 2017: 11:00pm bedtime commitment kept on and off, not staying up as late, as often posting to blog
  • Early 2018: Recommit to 7 hour goal after accepting new leadership role at work. “Put your own mask on first before helping others.”
  • (Read) Gretching Rubin’s Better Than Before, in which she lays out the evidence for the Foundation Four habits, in order of importance: Sleep, Exercise, Nutrition, and Order (decluttering)
  • Recommit (again) to protecting my own sleep because this helps me maintain healthy habits of exercise and nutrition (this was a small epiphany of the obvious)

Professional Evolution

  • 2016: Observation: Young healthy men who eat healthy and exercise but who have elevated glucose levels tend also to sleep less than 6-7 hours per night, average.
  • Start structuring patient interviews around “The 5 Realms of Health”—Nutrition, Exercise, Sleep, Stress, Relationships
  • Presenting to groups on physician health and well-being using the same framework for self-care
  • Patients asking, “Should I get up an hour earlier to work out or stay in bed?” Not sure how to answer
  • Reading more about myriad downstream effects of chronic sleep deprivation
  • 2017: Start calling them the “5 Reciprocal Domains of Health”
  • Understanding that though the 5 habits affect one another inextricably, sleep deprivation impacts all of the others disproportionately negatively
  • 2018: Resolve to tell patients: Stay in bed.  Because you can only sleep when you’re sleeping, and you can always move more while you’re awake
  • Start to wonder if I should reprioritize the list–rather than Nutrition, Exercise, Sleep, Stress, Relationships, maybe Sleep, Exercise, Nutrition, Stress, Relationships?
  • (Read) Gretching Rubin’s Better Than Before, in which she lays out the evidence for the Foundation Four habits, in order of importance: Sleep, Exercise, Nutrition, and Order (decluttering)
  • Decide to change the order of my list
  • (Read) Brené Brown’s Dare to Lead, in which she labels “rewarding exhaustion as a status symbol and attaching productivity to self-worth” as one of 16 examples of ‘armored leadership,’ whereas ‘daring leadership’ “models and supports rest, play, and recovery.”

What makes this the most exciting for me, though, is to hear real results from others.  I spoke to an acquaintance today, a fellow leader.  About a year ago he decided to take control of his sleep habits.  He started going to bed at a regular time, minimizing screen use at night, and making a nightly wind-down routine.  He adopted a brain dump practice with a diary at the bedside to keep ideas, challenges, etc.    Now he notices that he is able to focus better in the mornings.  He feels more alert, more relaxed in his outlook, and more resilient to acute stressors.

Most importantly, his relationships at work are improving.  A couple of times a week he notices a transformation in his interactions.  When frustrated with another’s mistakes or lack of engagement, he used to come at them with criticism and blame.  These days, he is able to notice this escalation in real time, and redirect his thoughts, words and actions to come alongside others instead, staying in curiosity and compassion.  With better sleep he is able, in real time (the key), to see how his needs are not the only ones worth meeting.  He can hold the space to ask what the other person needs to engage and perform better.  He sees more clearly opportunities to be his best self, to reach those around him at a deeper level.  This fosters self-fulfilling confidence in his leadership skills, not to mention trust and loyalty among his direct reports.

All of this simply from better sleep?  I imagine he has also done work in other domains (stress management, relationships).  But they are reciprocal domains, remember, so as habits in one area improve, others soon follow.

What benefits do you notice when you get enough sleep?

Here are some articles that explain more about consequences of sleep deprivation and how to foster better sleep habits:

You Need More Sleep. Here’s How to Get It, Harvard Business Review

The Simplest Way to Drastically Improve Your Life: Get More Sleep, New York Times

How to Get a Better Night’s Sleep, New York Times

Time to go to bed.

What I’m Learning

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NaBloPoMo 2018

 

ACK!  It starts!

As usual, I have a whole list of ideas for the daily posts this month, and I will likely use none of them.  Who knows, right?  The goal is to practice daily writing and publishing, and do my best to make it non-drivel.

2018 has turned out to be a thick, challenging, and tumultuous year, among other things—would you agree?  What have you learned?  What lessons continue to revisit you?  Is it not all just so fascinating?  What would you write about if you had to publish something every day for 30 days straight…  And try not to bore people to tears every time?

For now, I will start with the books I’m hearing (because I don’t read books as much as I listen to them these days).  So many gifted writers out there, so many ideas—and they all connect in my experience, stimulating insight, understanding, humility, and inspiration.  I’ll list the books here that I’ve ‘read’ this year, and then bring in articles, presentations, etc. the rest of the month—things that have meant something to me personally or professionally—often largely overlapping circles of a Venn diagram.

I predict that the overarching themes will center around self-awareness, integrity, leadership, and relationship (surprise).  We shall see!  As I described to my friend tonight, this will be a practice in discipline, vulnerability, and brevity.  So here goes!  I list the books of 2018 below, in roughly the order that I consumed them.   Starting tomorrow, I will start pulling central tenets and key learnings, exploring how they apply to personal experiences in the every day.  Or maybe I’ll ditch this idea and do something totally different, tomorrow, next week, or whatever.  That’s the beauty of writing every day, I can just go wherever it takes me.

And so the journey begins again (continues!)—thanks for coming along!

ONWARD.

Braving the Wilderness by Brené Brown

A Day in the Life of Marlon Bundo by Marlon Bundo and Jill Twiss

The Righteous Mind by Jonathan Haidt

Big Potential by Shawn Achor

Switch by Dan Heath and Chip Heath

Originals by Adam Grant

Never Split the Difference by Chris Voss

Better Than Before by Gretchen Rubin

The Will Power Instinct by Kelly McGonigal

Mindset by Carol Dweck

The Big Sort by Bill Bishop

Do the Work by Steven Pressfield

How Stella Saved the Farm by Vijay Govindarajan, Chris Trimble

The Art of Possibility by Rosamund Stone Zander and Benjamin Zander

Big Magic by Elizabeth Gilbert

Dare to Lead by Brené Brown

Born A Crime by Trevor Noah

Leadership and Self-Deception: Getting Out of the Box by the Arbinger Institute

A Year of Living Kindly (still reading) by Donna Cameron

We Are Tested

9-2018

What a shit week.  I wonder, how are you doing, my friends?  Because I look around and it really seems like I’m not the only one feeling it.  A friend’s young, healthy sister-in-law was diagnosed with metastatic lung cancer and possibly also lymphoma.  Another friend’s cousin died from a drug overdose after recently completing rehab and getting back to her young family.  Patients are sick with mysterious and disconcerting illnesses.  Pipe bombs were sent to a slew of Democratic leaders and supporters.  And today a man commits yet another deadly, hate-driven shooting.  Seriously, WTAF?  And I honestly think we have yet to hit rock bottom.  I don’t see any of it turning around anytime soon.

I have barely made it through—so much psychic energy required to simply move from one task to the next, taking care of many (and not so much some others).  This past year, actually, sometimes I’m barely holding it together.  First the knee injury, then taking on a new big role at work.  Then surgery/rehab, and another personal crisis that derailed all of my health habits for spring and summer.  As I go around the country talking about personal resilience and culture of wellness, I wonder, am I being a hypocrite?  Am I really walking my talk?  Because if I’m not, I had better just sit down and shut up.

I wrote to a friend today, “I hope you are able to take care of yourself and recharge.  The energy in the world is so tumultuous and agitated.  It’s no help to blame and lament (well maybe lamenting can be a bit cathartic—for a while).  I guess this is a time to exercise our best skills—sharpen them against the harsh and jagged surfaces of challenge and trial.  I feel like all year my professed self-care practices have been called out and called forth—TESTED.  And I’m still here…  Still doing some good every day (I think), alongside the mistakes, the sub-par moments, the not-my-best words, actions, and thoughts…  But hey, who’s perfect?  Nobody.  And are we all here doing the best we can?  I agree with Brené Brown’s husband Steve, the pediatrician: It helps me live better when I choose to believe that we are—all visible evidence to the contrary.” (Here is another article that describes well the benefits of this mindset.)

CO fall 2018

Similar to last week, as I consider this idea, I am met with readings and conversations that deepen the exploration.  Friend and author Donna Cameron published an op-ed today in which she, in her typically kind and gentle style, encourages us all to be our best and see the best in others—on November 7, a day full of potential for vehement loathing and gloating celebration.  In her wisdom, Donna urges us to think ahead and decide in advance how we will choose to think, speak, and act.  How can we be our best on that day, to ourselves and to one another, no matter what the circumstances?

Recently I have had conversations with trusted friends, my coach, and my therapist, focused on my own most cavernous arenas of personal self-loathing and shame.  How lucky that I have such generous, loving, wise, candid, and brave people holding me up.  With their help, I can move past shame, take a step back, and recognize that I simply have some dysfunctional patterns, just like everybody else.  I slide into these deep grooves when I’m stressed, exhausted, and distracted—they are the default. They are part of me, and also subject to change—to intentional modification, gradual evolution.  These days I meditate often on the distinction between perfection and healthy striving, and I’m also reminded daily of the benefits of cultivating a growth mindset.  These days, instead of berating myself for falling into the same deep hole in my sidewalk, I can hold it more lightly, laugh, and exclaim, “How Fascinating!” climb out (often with a little help from my friends), and walk—ever onward.

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Today as I walked outside, slowly (I’m so tired), I noticed the leaves again.  I think autumn is my favorite season.  It reminds me of the wholeness and beauty of transitions.  They are inevitable.  They are temporary (or constant?).  They are unpredictable, at times prolonged, at other times sudden and acute.  They can feel at once painful, joyous, terrifying, shocking, enlightening, overwhelming, confusing, awe-inspiring (or simply inspiring).  It occurs to me that the best way through them involves practicing some combination of mindfulness, self-compassion, empathy, generosity, deep breathing, sleep, connection, self-awareness, magnanimity, and of course love.  The only way out is through, and if we do it well, we can grow a little at a time in the process.

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Who knows what shit will be flung our way and hit the fan next week?  How will we cope?  I know I will be leaning on my tribe and looking to make our ties ever stronger and thicker.  Thank you for being here to share the journey.