“Jaguars and Baptist Health Fighting Breast Cancer - First Coast News” plus 4 more

Jaguars and Baptist Health Fighting Breast Cancer - First Coast News
Some are predicting this is the week the Lions break the streak - Detroit Free Press
Breast Self-Exam Saves Woman's Life, She Says - WLTX.com
The financial battle behind the war on cancer - Gloucester Daily Times
How to solve 9 sleep problems - CNN

Jaguars and Baptist Health Fighting Breast Cancer - First Coast News

Posted: 25 Sep 2009 12:25 PM PDT

JACKSONVILLE, FL -- The Jaguars are teaming up to help women make A Crucial Catch.

October is National Breast Cancer Awareness Month, and the Jaguars are joining with Baptist Health in an effort to help women understand the importance of catching breast cancer early.

Quarterback David Garrard, who knows the pain breast cancer can bring to a family, is part of the effort.

"I'm getting the word out about early detection of breast cancer in memory of my Mom," Garrard, who lost his mother to breast cancer when he was 14, says.

There are T-shirts with the "A Crucial Catch" theme on them available for $15. Proceeds go to the Baptist Health Foundation.

Also, if you order a shirt before the end of October, you will be entered for a drawing for two Touchdown Club tickets to the Jaguars-Bills game November 22.

For further information, CLICK HERE.

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Some are predicting this is the week the Lions break the streak - Detroit Free Press

Posted: 25 Sep 2009 12:18 PM PDT

So Lions fans are in the dark again. As in Sunday's home game against Washington isn't a sellout, so it'll be blacked out on local TV and beyond.

But is this really the game you want to miss?

Word out of Washington is the Redskins, fans, etc., are scared to death of becoming the team that ends the Lions' 19-game losing streak.

And there are some prognosticators predicting that that's just what's going to happen. Or at least the Lions will cover the 6 1/2 .

One is SI.com's Peter King, who didn't learn his lesson last week. He picked them to beat Minnesota. They let him down, but he's back for more.

His prediction: Lions 16, Redskins 13.

"I don't care what line Vegas gives this game," King writes. "I won't consider this much of an upset. If Matthew Stafford plays efficiently and Kevin Smith gets two more holes than he had against the Great Wall of Minnesota, the Lions will have enough to win."

Others predicting a Lions win include Mike Florio and Gregg Rosenthal of profootballtalk.com and Barry Wilner of the Associated Press.

I'll believe it when I see it. Oh, that's right. I'll have to trust hearing it on radio.

Show must go on

Do you really want to see Sunday's game? Here's what you can do:

• Start driving. But with the money you'd spend on gas, you might as well buy a ticket. Remember, the 75-mile ban refers to broadcast areas -- as in any station whose signal comes within 75 miles of Ford Field -- so the drive is going to be longer.

For example, the blackout includes Lansing, Saginaw/Flint and Toledo.

• Look for a bootleg broadcast on the Internet. Try www.justin.tv.

• The game will be shown on tape delay at NFL.com after midnight Sunday for 72 hours (except during "Monday Night Football").

Good deed

• Calvin Johnson, Louis Delmas, Larry Foote, Kevin Smith and Yamon Figurs plan to wear pink cleats for the Oct. 11 home game against Pittsburgh as part of the Crucial Catch campaign promoting breast cancer screening for women over 40. Other players around the league will wear pink gloves.

Quick hits

• Mark Kriegel, foxsports.com: "I don't fault Sam Bradford for returning to Oklahoma. But going back after losing four starters on the offensive line makes me wonder whether the value of a college education has been completely wasted on this kid."

• Cowboys receiver Patrick Crayton, asked by Sports Illustrated what Kanye West's next move should be: "Interrupt an anthem singer, say Beyonce would be better."

Compiled from staff reports and news services by STEVE SCHRADER, who can be reached at 313-222-6710 or sschrader@freepress.com.

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Breast Self-Exam Saves Woman's Life, She Says - WLTX.com

Posted: 25 Sep 2009 11:57 AM PDT

(WLTX) -- Teresa Harrison says she is living proof of why a monthly breast self-exam is so important.

Through News19's Buddy Call 19 program, we encourage you to do conduct your own exam on the 19th of each month.

Today, Teresa is healthy, beautiful, and full of life, but by just looking at her you may never guess her past.

"When you hear 'cancer,' you think of death," Teresa said.

At just 38 years old, Teresa has had a masectomy, hysterectomy, chemo therapy, a bone marrow transplant and heart surgery. And it all started with a small bump.

"I found a lump under my arm by doing my regular self-exam, and I knew something wasn't right," Teresa said.

But Teresa had some trouble convincing her doctor in Charlotte of the same thing.

"The doctor dismissed it saying, 'You are too young for breast cancer. It's not serious,'" Teresa said, "But I didn't feel that way."

She went with her insticts and pushed the issue. Several doctors later, Teresa's fears were confirmed. She had Stage 3 breast cancer.

Instead of wallowing in the diagnosis, Teresa says that God gave her strength and told her that her life had a bigger purpose.

"I know you can handle it," Teresa says, "I know when people look at you, because you are going to survive. They'll know they can survive."

So, she shut out all negativity and began the fight of her life.

"When I talk to doctors, I say, 'Don't tell me the statistics. Just tell me my treatment plan, because I will not be a statistic.'"

It's been 12 years since Teresa was diagnosed. The road hasn't been an easy one, but she never lost her focus or her faith in God.

She uses that same strength to look at what's ahead of her.

"The next 12 years will be cancer-free, and I'll live life as it comes," she says.

Teresa and some of her family members went to Palmetto Health Richland for some further genetic testing. That's when doctors discovered she did have a genetic mutation for breast, ovarian, and prostate cancer.

So as a protective measure, Teresa elected to have a hysterectomy.

To sign up for Buddy Call 19, visit the official page on wltx.com.

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The financial battle behind the war on cancer - Gloucester Daily Times

Posted: 25 Sep 2009 10:09 AM PDT

In my last column, (Times, Sept. 4), I described how and why I believe the American Cancer Society (ACS) misleads women into believing that eating soy on a regular basis is useless (or even dangerous) as a natural way to prevent breast cancer.

Finally, I suggested that the ACS wants women to fear soy in¬order to promote tamoxifen and arimidex. These blockbuster drugs,¬used for breast cancer prevention, before or after a diagnosis of estrogen-positive breast cancer, were developed,¬or¬are manufactured, by AstraZeneca, a pharmaceutical company that annually gives the American Cancer Society $10 million.

Last week, I was surprised that Dr. Ted Gansler, director of medical content for the American Cancer Society and editor of the society's publication, "CA: A Cancer Journal for Clinicians," wrote a letter to the Times ("Clarifying Cancer Society's soy stand" Opinion page, Tuesday, Sept. 15),¬criticizing my Sept. 4 column.¬

Unfortunately, Dr. Gansler's recent¬letter says¬nothing new to clarify the American Cancer Society's position on soy. Instead, like most American Cancer Society statements, Gansler uses double speak to defend the society's anti-soy stance.

In a single paragraph he manages to say that "soy foods are safe and may be beneficial ... (but)¬it is not possible to be certain because of insufficient evidence. ...We also suggest caution regarding use of soy supplements by women with breast cancer because the effects of these products have not been studied thoroughly."

This superficial dismissal of soy is irresponsible and becomes alarming¬when Dr. Gansler fails to even mention two recent major studies that offer overwhelming support for eating fermented soy as an effective way to help women prevent breast cancer.

Studying nearly 1,600 Asian-American women and publishing their results in the journal — "Cancer Epidemiology, Biomarkers and Prevention" this past April — researchers found that eating soy before puberty decreases a woman's breast cancer rate by 60 percent and eating soy (especially fermented soy) during adulthood decreases a woman's risk of developing breast cancer by 25 percent. These are incredible statistics, worth celebrating with a feast of miso soup every morning.

This past June, the "American Journal of Clinical Nutrition" published another study showing a 59 percent decrease of breast cancer for women who ate a high amount of fermented soy. The study involved 73,223 Chinese women participating in the Shanghai Women's Health Study. Again I say, "Alleluia¬and Hosanna!"

Dr. Gansler must be familiar with these and with the hundred-plus earlier published studies that statistically indicate the preventative effects of eating fermented soy. If so, why won't he or his employer, the ACS, talk about research?¬More to the point, why won't the American Cancer Society educate American women about ways to introduce fermented soy into our everyday diets?

To add insult to injury, Gansler does not cite any research studies to support his "soy-is-scary" or his "insufficient-evidence" premise; nor does he propose that the ACS fund any studies that might answer his lingering questions about soy.

Who knows the truth; but it would appear that AstraZeneca, the company that developed tamoxifen and now manufactures arimidex, both with billion-dollar markets, would not be happy if clients dropped these drugs and switched to tofu, miso and tempeh stir-frys.¬Meanwhile, remember that AstraZeneca gives the American Cancer Society a $10 million donation each year.¬

Colin Campbell, professor emeritus of nutritional biochemistry at Cornell,¬and author of the 2004¬"China Study," called the "Grand Prix of Epidemiology" by the New York Times,¬is very clear about why soy is preferable to taking tamoxifen or arimidex to help block the possible development of estrogen-positive tumors:

"Drugs such as tamoxifen and its newer analogues are considered anti-estrogen drugs. In effect, they work by reducing the activity of estrogen which is known to be associated with elevated breast cancer risk. My question is quite simple: why don't we ask why estrogen is so high in the first place, and once we recognize its nutritional origin, why don't we then correct that cause?

"We have enough information to show that a diet low in animal -based protein, low in fat and high in whole plant foods will reduce estrogen levels. Instead of suggesting dietary change as a solution, we spend hundred of millions of dollars developing and publicizing a drug that may or may not work and that almost¬certainly will have unintended side effects."

Canyon Ranch physicians in the Berkshires town of Lenox also follow Dr. Campbell's research findings by helping breast cancer veterans and other women lower their circulating estrogen levels through a plant-based diet that includes fermented soy, along with strenuous exercise and¬fat loss, instead of¬having their clients take tamoxifen¬or arimidex to lower estrogen levels.

So what is a person to do with this revelation?

Just as regulators and lawmakers struggle to overhaul our financial system, corrupted by greed; just as Congress struggles to overhaul our health-care system, also corrupted by greed, individuals should now call for an overhaul of the American Cancer Society's ethical standards, and ask it to put women's health and educational needs first, instead of merely supporting¬breast cancer drugs sold by the society's largest corporate donor.

But as my son always says, "Yeah Mom; when pigs fly."

For¬those wanting¬more information on the links between the American Cancer Society and the pharmaceutical, radiology and other industries, see: "The Secret History of the War on Cancer,"¬by Devra Davis, Basic Books, 2007; "Breast Cancer: Poisons, Profits and Prevention,"¬ by Liane Clorfene-Casten, Common Courage Press, 1996;¬ and visit the National Cancer Prevention Coalition at www.preventcancer.com

Susan Wadia-Ells, PhD, a longtime wellness advocate, with graduate degrees in politics, energy economics and women studies, is founding director of the national nonprofit organization, Know Breast Cancer, www.knowbreastcancer.net. She also writes the blog www.thetruthaboutbreastcancer.com and lives in Manchester.

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How to solve 9 sleep problems - CNN

Posted: 25 Sep 2009 10:38 AM PDT

Most of us have experienced those maddening midnight moments when, no matter how tired we are, we either can't fall asleep, can't stay asleep or our sleep is of such poor quality it feels as if we were awake. For anyone who has tossed and turned at night, here's some expert advice for solving nine sleep problems.

Good sleep habits don't solve sleep problems, but they do create a foundation for improved sleep, experts say.

The night waker

Her challenge: After a stressful breakup two years ago, Meredith Crowell, 40, a single real estate property manager and yoga instructor from Boulder, Colorado, would wake up in the middle of the night filled with sadness and anxiety. But even after she felt better emotionally, the sleep troubles continued. Although she typically falls asleep easily around 10:30 p.m., she is wide awake three or four hours later. She falls back into a fitful sleep, then gets up around 6 a.m. to begin her day. "I never wake feeling well rested, because it feels like I don't get more than about four hours of truly deep sleep," she says. To no avail, Meredith has tried myriad remedies -- warm baths, hot milk, a glass of wine before bed, no food before bed, relaxation techniques, and prescription and homeopathic medicines. She took a prescription medication, but that didn't give her more than four hours of sleep. She even tried taking the medication when she woke in the middle of the night, but that left her too groggy in the morning. RealSimple.com: Easy ways to unwind

Expert advice: "The good news is that Meredith's insomnia seems to have a clear precipitant -- the breakup," says sleep-medicine specialist David Neubauer, M.D., a sleep-medicine specialist and an associate director of the Johns Hopkins Sleep Disorders Center, in Baltimore, Maryland. Neubauer calls her situation "conditioned arousal," which, he says, is common. "Her sleep problems may have been initially caused by an external trigger, but over time the sleep problems become self-propagating. Eventually she became conditioned to become anxious about her sleep." Some things that might help:

• Cognitive behavioral therapy is often used in cases like this, and the experts agree that it could help Meredith. "CBT aims to stop the behaviors that are perpetuating the insomnia," says Susie Esthera, M.D., a specialist in sleep-disorder medicine at Charlotte Eye, Ear, Nose, and Throat Associates, in Charlotte, North Carolina, and the president-elect of the American Academy of Sleep Medicine. Typically, a therapist will work with a patient for four to eight weeks -- in sessions that last from 30 minutes to two hours -- to assess, diagnose, and treat the underlying problem, such as relationship worries. The therapist will teach the patient things like progressive-relaxation techniques and point out actions that are getting in the way of deep sleep, such as rehashing conversations that occurred earlier in the day. (To find a therapist, go to the website of the National Association of Cognitive Behavioral Therapists)

• Acupuncture. "Acupuncture may help reduce her anxiety and induce deeper sleep," says Rubin Naiman, Ph.D., the director of sleep programs at the Miraval Resort, in Tucson.

• Avoiding wine. "There is a notion that alcohol will help you sleep," says Neubauer. "And while it often does help you fall asleep quicker, your sleep will be more disrupted."

• Accepting some awakenings. The experts stress that nighttime awakenings are perfectly normal -- much more normal, in fact, than the elusive solid eight hours people think they should be getting. Most people will roll over and go back to sleep, but those with insomnia become conditioned to feel anxious when they awake during the night. "You need to accept that you will arouse some, so reassure yourself in the middle of the night that nothing catastrophic will happen if you are awake for a while," says Esther. To that end, she suggests keeping the glaring electric clock off the bedside table. "Clock watching will only increase your anxiety about being awake," Esther says. RealSimple.com: Get a good night's sleep

The early bird

Her challenge: Brooke Brown, 38, is a married prekindergarten teacher with three children from Wellesley, Massachusetts. Given her round-the-clock proximity to small children (her own are ages 4, 7, and 9), Brooke is understandably exhausted by the end of the day. So much so that she often falls sound asleep as early as 7 p.m. But she is routinely awakened around 2 a.m. -- by a child, her husband snoring, or a need to use the bathroom -- and never manages to fall back asleep. She lies in bed with her brain in high gear, eventually giving up on sleep and getting out of bed at 5 a.m. to get a jump on her day.

Expert advice: "She is spending too much time in bed," says sleep-disorders specialist Susie Esther. Brooke should establish a standard waking time (and stick to it seven days a week), then work backward to figure out what her bedtime should be. So if she wants to get up at 5 a.m., she should plan to be asleep by about 10 p.m. -- not 7 p.m. "She should gradually adjust her bedtime so that she is able to stay awake later, and that will help her body adapt to the new schedule," says Esther. To quell Brooke's middle-of-the-night worrying, Esther suggests that, instead of lying in bed, she get up and do something relaxing, like having a cup of decaffeinated herbal tea. "Staying in bed and trying to sleep will just wake you up more," says Esther. "Sleep isn't something you can 'try' to do." RealSimple.com: Solutions to your child's sleep problem

The chronic insomniac

Her challenge: Kristy Lewis, 29, a married homemaker and photographer from Hampton, Virginia, can't remember a time when she didn't have trouble sleeping. "I thought it was normal to take an hour or longer to fall asleep, but in 2004 my doctor diagnosed me with insomnia," she says. She also wakes several times during the night and remains awake for anywhere from a few minutes to an hour. She also suffers from restless legs syndrome and frequently talks in her sleep. Sleep medications help to some degree but leave her feeling drowsy the next day. She has also tried practicing yoga, doing vigorous exercise earlier in the day, avoiding caffeine, and reading or writing in a journal before bed.

Expert advice: "I would first want to investigate her restless legs problem," says sleep-medicine specialist David Neubauer. Restless legs syndrome, which has recently been taken more seriously by doctors, can sometimes be caused by anemia. If blood tests show that Kristy has anemia, iron supplementation could help. If anemia is not the cause, she could ask her doctor about medications like Mirapex and Requip, which are often prescribed for restless legs syndrome. Otherwise, Kristy might consider:

• Pay even more attention to her evening routine and her sleep environment. "Good sleep habits don't necessarily solve sleep problems, but they do create a foundation for improved sleep," says Neubauer. Good habits include things such as keeping the bedroom cool and dark, using a fan or a white-noise machine to create a blanket of sound, and using the bed exclusively as a place for sleeping -- and not for watching television, for example.

• Making an appointment at a sleep clinic, which can be a smart step for people with a long history of sleep issues. Most often this involves office visits (which will not necessarily be overnight observations), during which the patient will undergo a physical examination and work with a doctor to assess and diagnose the cause of the sleep problems. (For more information or to locate a sleep specialist near you, go to the Web site of the American Academy of Sleep Medicine)

The hormone sufferer

Her challenge: Patty Magovern, 53, a married human-resources director from Wall, New Jersey, never had trouble sleeping -- that is, until menopause hit last year. "My whole life, I would fall asleep as soon as my head hit the pillow and sleep through the night," she says, "but those days are long gone." Now, no matter what time she goes to bed, she has difficulty falling asleep and, like clockwork, awakens at 1 a.m. For the rest of the night, she tosses and turns before finally getting up at 6:30 a.m. Taking over-the-counter or prescription medications helps but leaves her feeling logy in the morning rather than refreshed. She doesn't want to take hormone-replacement therapy to treat her menopause symptoms, including the hot flashes that sometimes disrupt her sleep, because she worries about the risks.

Expert advice: There is some evidence that hormonal changes can have an effect on sleep. If hot flashes are a big issue, sleep-medicine specialist David Neubauer, points to recent studies that have shown that sleeping in a cooler-than-normal room can help prevent them. More advice:

• Use caution regarding over-the-counter sleep medications, since they contain some type of antihistamine, which can stay in the body for a long time. "It takes about 18 hours for your body to clear out 50 percent of the active drug. For most of your waking hours, it will still be in your system, making you drowsy," says psychologist Rubin Naiman.

• Patty might also benefit from taking 0.3 milligram of an over-the-counter melatonin supplement about 20 minutes before bedtime since the production of melatonin (a naturally produced hormone that helps regulate circadian rhythms) drops off as we age.

• Go for a checkup. "Around the time a woman reaches menopause, other risk factors may emerge, such as sleep apnea," Neubauer says. Patty should consider that new medications she may be on could also be disrupting her sleep.

The worrier

Her challenge: Alexandra Acker, 29, a single executive director of a nonprofit organization from Washington, D.C., has suffered from sleep issues on and off since high school, but they became worse when she moved to Washington, D.C., and took a new job. "My sleep problems are definitely stress-related," she says. While she has no trouble falling asleep, she wakes up many times throughout the night and can't turn her brain off sufficiently to get back to sleep. She lies in bed thinking about work, making mental to-do lists, and even listening to random songs that play in her head. Making matters worse, there's traffic noise outside the windows of her studio apartment. RealSimple.com: Everyday health dilemmas solved

Expert advice: "She seems to have a predisposition for insomnia, and for people like her, whenever there are additional pressures, like a new job, the insomnia bubbles to the surface," says Gary Richardson, M.D., a senior research scientist and a staff physician at the Sleep Disorders Center at the Henry Ford Hospital, in Detroit, Michigan. Since Alexandra is probably not going to change her job or leave D.C., she needs to find ways to handle her stress better so that it doesn't wake her up at night. "We expect the brain to turn off when we sleep, but it doesn't do that, and there's some evidence that in insomniacs, the areas of the brain that control stress stay active at night," says Richardson. So rather than lying awake listening to song lyrics and making lists in her head, Alexandra might:

• Distract her brain by trying a relaxation technique, like focusing on her breathing.

• Working on keeping her sleep environment quieter, such as using an air conditioner or a fan, as well as blackout shades to block street light.

• Try wearing earplugs.

The night owl

Her challenge: Nicole Williams, 42, a married homemaker and freelance camerawoman from Los Angeles, has always been nocturnal, but the situation has gotten worse since the birth of her child, four years ago. She grows more alert late at night, then stays up until about 3 a.m., watching TV, reading, clearing out e-mail, and organizing things for her family. Her daughter wakes her up at 7:30 a.m., and Nicole says she then feels "dangerously drowsy, irritated, and exhausted all day long." She almost never naps and normally uses the time when her daughter is at school to work or get other things done. Both prescription and over-the-counter sleep medications have worked, but Nicole worries about being groggy in the morning and doesn't want to become reliant on them. She has also tried aromatherapy, warm drinks before bed, and meditation.

Expert advice: To start slowing down and readying herself for an earlier bedtime, psychologist Rubin Naiman suggests blocking blue light. "The blue end of the light spectrum -- emitted by ordinary lightbulbs, televisions, and computer screens -- suppresses melatonin," says Naiman. Nicole might consider buying special lightbulbs as well as blue-blocker filters (available at lowbluelights.com) for her TV and computer screen (if she insists on checking her e-mail) and reducing the amount of light in general. "Being exposed to too much light at night is the environmental equivalent of caffeine," says Naiman. So at least two hours before bed, dim the lights. In addition, Nicole needs to find time earlier in the day for catching up on e-mail and organizing.

The overstimulated sleeper

Her challenge: Lauren Razzore, 31, a single professor of animation and Web design and freelance designer from Queens, New York, often stays up until midnight or 2 a.m., reading or catching up on work. When she realizes how late it is, she jumps into bed but then is too wound up to fall asleep for another hour or so. This tendency is now exacerbated by an erratic schedule. Lauren usually teaches four classes a week. On two days, it's an early morning class that requires her to rise at 6 a.m. The other days she has afternoon classes, which allows her to sleep as late as she wants. When she does sleep, it's not always very restorative. She has vivid dreams that she is teaching, and sometimes she wakes up talking aloud. "I'm exhausted in the morning because I feel like I've been working all night," she says. RealSimple.com: 10 things you should be doing to boost your immunity

Expert advice: "We can't always design a sleep schedule that fits with our work schedule, and that can especially be a problem for someone with genetic night-owl tendencies," says physician and sleep researcher Gary Richardson. He suggests that Lauren might benefit from careful napping to help balance out her sleep schedule, especially on days when she has to get up to teach an early class. He recommends lying down and relaxing and getting up after one hour, regardless of whether she actually dozes. "Napping can interfere with nighttime rest if you sleep too much," he cautions. And rather than racing to bed in a panic when she realizes how late it is, Lauren needs to set a regular bedtime and develop a relaxing evening ritual, which, ideally, she should begin at least half an hour before getting into bed. This could include things like a warm bath and some reading, with the lights as low as possible.

The downtime seeker

Her challenge: Regina Clark, 39, a married assistant professor of journalism from Somerset, New Jersey, stays up until midnight or later to have downtime, even though she knows it's at the expense of getting a good night's sleep. (She often needs to be up at 5 a.m.) When she does lie down, her mind doesn't stop working, especially now that she is up for tenure at her teaching job and pregnant with twins. When she finally falls asleep, it's a very light sleep. She's awakened easily and often by things like her dog's barking or her husband's snoring. She normally manages to get about five hours of sleep but feels she needs a solid seven or eight hours to be fully functional. "I tend to be foggy or hazy during the day, unable to focus clearly or remember things properly, and I know it's related to not getting enough sleep," Regina says.

Expert advice: Regina should take 30 minutes or so earlier in the day to do the things that are keeping her up (like checking e-mail and writing lists). Also:

• She should ask her husband to have his snoring checked to make sure it's not a symptom of a more serious problem -- and she might try wearing earplugs to block out the noise.

• In addition, she can keep the dog out of the bedroom and maybe have her husband agree to get up with their 2-year-old baby for a few weeks while she focuses on improving her sleep pattern.

• Regina should practice "letting go," says psychologist Rubin Naiman. He encourages her to work on managing stress by exercising more and, if possible, delegating more at work so she doesn't feel so overwhelmed. "We're such an active, 'doing' culture, and then we get into bed and try to 'do' sleep," Naiman says. "You can't just 'go' to sleep, but you can learn to let go of waking." RealSimple.com: Supporting loved ones with breast cancer

The slow riser

Her challenge: Elizabeth Marks, 29, a married graduate student from Chicago, struggles with an innate tendency is to stay up till midnight, then hit snooze so many times in the morning. "The clock has been known to give up," she says. Even when she feels exhausted all day, she becomes more alert at night. When she does get into bed, it takes her up to an hour to fall asleep. Elizabeth has tried going to bed earlier so she'll have less trouble getting up in the morning, but then she just lies awake. She doesn't drink caffeine, and she reads when she gets into bed, does yoga three times a week, and uses an aromatherapy-oil diffuser in her bedroom.

Expert advice: While avoiding caffeine in the afternoon and the evening is a wise move, physician and sleep researcher Gary Richardson says that having some first thing in the morning can be helpful for people like Elizabeth, who have trouble waking up.

• Modulating her exposure to light could reset her internal clock gradually, according to Richardson. "Too much light at night will push her clock even later," he says, so the key is to keep the lights dim the closer she gets to bedtime. Elizabeth should also maximize her light exposure first thing in the morning. If she can go outside in bright sunlight for some exercise, that would provide a double whammy of wakefulness.

• Taking a melatonin supplement (0.3 milligram before bed) might help Elizabeth if light manipulation isn't enough, Richardson suggests. It may help pull her internal clock to an earlier hour so she can get the sleep she needs.

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All About Sleep Apnea • Sleep Disorders • Sleeping and Sleep Disorders

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Breast Cancer

Friday, September 25, 2009