Tuesday, January 13, 2009

The Limits of Exhaustion

I ended up pulling an "all nighter" accidentally last night. It really was an accident -- I went to bed at a normal time, but because I had slept in till noon on Monday I couldn't go to sleep. The reason I slept so late on Monday was that I had been sick on Sunday, and apparently a combination of a generic Day-quil knock off during the day and Nyquil at night make me sleep for 15+ hours.

So anyway, I got up at noon, I went to bed at midnight, and I couldn't sleep. I got up, did some work for a couple hours, and tried again. Still no good. I didn't want to take more Nyquil and risk sleeping for another 15 hours so I got up and started reading a John Grisham book (that I ended up with because my roommate's girlfriend was going to donate it to charity but it got left on our kitchen table instead... but I digress from my perfectly streamlined story...). And then of course I just kept reading until I finished. (I have a little problem with "moderation" sometimes... good thing I don't drink... or play Word Twist on Facebook...)

I don't remember how many all nighters I pulled in college, I know there were quite a few. But I always got to sleep the next day as soon as I could. This time I started getting phone calls around 8 AM, and I thought, "What the Heck? I'll just see how long I last." So I went to work (meaning I commuted to my home office 20 feet away) and acted like it was a normal day.

About 3 in the afternoon it started really hitting me. By about 4 PM (hour 28) I crashed. I got up at 8 PM (and of course had 6 voice mails...can't you people leave me alone while I'm doing SCIENCE?).

So I guess 28 hours is my reasonable limit. (I could have pushed it further if really necessary but I wouldn't have been at all effective.) Which leads me to wonder about this policy of having doctors work 36 hour shifts in hospitals. How safe can that really be? How many patients have been killed or harmed because the doctor hadn't slept and didn't know what he/she was doing?

I think Barak should look into this... but hopefully he'll worry about more important things first -- instituting PLAYOFFS IN COLLEGE FOOTBALL!