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Why We Sleep: Science of Sleep & Dreams | Matthew Walker | Talks at Google — Transcript

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  1. 0:00[Music]
  2. 0:04and thank you all for coming this a
  3. 0:06great crowd in order welcome dr. Matthew
  4. 0:09Walker he is professor of neuroscience
  5. 0:11and psychology at the University of
  6. 0:12California Berkeley and he is the
  7. 0:14founder and director of the Center for
  8. 0:16human sleep science and he's here today
  9. 0:18to talk about his new book why we sleep
  10. 0:20so it's that further adieu thank you
  11. 0:22very much Josh thank you well it's a
  12. 0:27it's a delight and privilege to be here
  13. 0:30and I would like to start with testicles
  14. 0:37men who sleep five hours a night have
  15. 0:40significantly smaller testicles than
  16. 0:43those who sleep eight hours or more in
  17. 0:47addition men who routinely sleep five to
  18. 0:51six hours a night will have a level of
  19. 0:54testosterone which is that of someone
  20. 0:56ten years their senior so a lack of
  21. 1:01sleep ages you by a decade in terms of
  22. 1:04that aspect that critical aspect of
  23. 1:07wellness and virility and we see
  24. 1:11equivalent impairments in female
  25. 1:13reproductive health caused by a lack of
  26. 1:16sleep this is the best news that I have
  27. 1:21for you today
  28. 1:24from this point forward it's only going
  29. 1:27to get worse rather than tell you about
  30. 1:30the wonderfully good things that happen
  31. 1:32when you get sleep I'm going to tell you
  32. 1:34about the alarmingly bad things that
  33. 1:36happen when you don't get enough both
  34. 1:38for the brain and for the body and let
  35. 1:42me start with the brain and the
  36. 1:43functions of learning and memory what
  37. 1:46we've discovered over the past 10 or so
  38. 1:49years is that you need sleep after
  39. 1:52learning to essentially hit the Save
  40. 1:54button on those new memories so that you
  41. 1:57don't forget so sleep essentially future
  42. 2:01proofs those facts within the brain but
  43. 2:05recently we've discovered that you not
  44. 2:07only need to sleep after learning you
  45. 2:09also need to sleep before learning but
  46. 2:13now to actually prepare your brain I'm
  47. 2:15almost like a dry sponge ready to
  48. 2:18initially soak up new information and
  49. 2:21without sleep the memory circuits of the
  50. 2:24brain effectively become waterlogged as
  51. 2:27it were and you can't absorb new
  52. 2:30information so here in the study we
  53. 2:33decided to test the hypothesis that
  54. 2:36pulling the all nighter was a good idea
  55. 2:39how do you do that well we took a group
  56. 2:42of healthy adults and we assign them to
  57. 2:45one of two experimental conditions a
  58. 2:47sleep group and a sleep deprivation
  59. 2:49group now the sleep group they're going
  60. 2:52to get a full eight hours of shut-eye
  61. 2:55but the deprivation group we're going to
  62. 2:57keep them awake in the laboratory under
  63. 2:59full supervision
  64. 3:01there's no naps there's no caffeine it's
  65. 3:05miserable for everyone included as well
  66. 3:07and then the next day we're going to
  67. 3:10place those participants inside an MRI
  68. 3:13scanner and we're going to have them try
  69. 3:16and learn a whole list of new facts as
  70. 3:19we're taking snapshots of brain activity
  71. 3:22and then we're going to test them to see
  72. 3:26how effective that learning has been and
  73. 3:29that's what you're looking at here on
  74. 3:31the vertical axis the amount of learning
  75. 3:33so the higher up you are the more that
  76. 3:36you learn
  77. 3:37and when you put those two groups
  78. 3:39head-to-head what you find is a quite
  79. 3:41significant 40 percent deficit in the
  80. 3:45ability of the brain to make new
  81. 3:47memories without sleep and I think this
  82. 3:52should be frightening considering what
  83. 3:54we know is happening to sleep in our
  84. 3:56education populations right now just a
  85. 4:00frameless in context it would be the
  86. 4:02difference between acing an exam and
  87. 4:04failing it miserably and we've gone on
  88. 4:10to discover what goes wrong within your
  89. 4:13brain to produce these types of learning
  90. 4:16disabilities there is a structure on the
  91. 4:19left and the right side of your brain
  92. 4:21called the hippocampus and you can see
  93. 4:24it here in these sort of orange yellow
  94. 4:26colors think of the hippocampus like the
  95. 4:29informational inbox of your brain it's
  96. 4:33very good at receiving new memory files
  97. 4:36and holding on to them and when we
  98. 4:40looked at this structure in those people
  99. 4:41who'd had a full night of sleep here in
  100. 4:44green we saw lots of healthy learning
  101. 4:47related activity yet in those people who
  102. 4:51were sleep deprived we actually couldn't
  103. 4:53find any significant signal whatsoever
  104. 4:58it's almost as though
  105. 5:00sleep deprivation had shut down the
  106. 5:03memory inbox and any new incoming files
  107. 5:07they were just being bounced you
  108. 5:10couldn't effectively commit new
  109. 5:12experiences to memory and
  110. 5:16parenthetically I should note if you
  111. 5:18would like to know what life is like
  112. 5:20without a functioning hippocampus and
  113. 5:22just watch the movie memento I suspect
  114. 5:25many of you who have seen this but this
  115. 5:27gentleman suffers brain damage and from
  116. 5:30that point forward he can no longer make
  117. 5:33any new memories he's what we call
  118. 5:35densely amnesic the part of his brain
  119. 5:40that was damaged was the hippocampus and
  120. 5:43it is the very same structure that sleep
  121. 5:46deprivation will attack and block your
  122. 5:49brains kapow
  123. 5:50thirty-four new learning so that's the
  124. 5:55bad that happens when you take sleep
  125. 5:57away let me just come back to that
  126. 5:59control group for a second
  127. 6:01remember those folks that got a full
  128. 6:04eight hours of sleep well we can ask a
  129. 6:07very different question here what is it
  130. 6:10about the physiological quality of sleep
  131. 6:13when you do get it that actually
  132. 6:16enhances and restores your learning and
  133. 6:19memory ability each and every day and by
  134. 6:23recording sleep with electrodes placed
  135. 6:25all over the head we've discovered that
  136. 6:28there are big powerful brain waves that
  137. 6:31happen
  138. 6:31during the very deepest stages of sleep
  139. 6:34that have riding on top of them
  140. 6:37these spectacular bursts of electrical
  141. 6:39activity called sleep spindles and it's
  142. 6:44the combined quality of these deep sleep
  143. 6:47brain waves at night that acts like a
  144. 6:50file transfer mechanism it takes
  145. 6:54memories from a short-term vulnerable
  146. 6:56reservoir and shifts them to a more
  147. 6:59permanent long-term storage site within
  148. 7:02the brain called the cortex this big
  149. 7:04wrinkled massive tissue that sits the
  150. 7:07top of your brain and it means that when
  151. 7:10you wake up the next morning there are
  152. 7:12two benefits first having shifted
  153. 7:16memories of yesterday to that long-term
  154. 7:18safe storage Haven in the brain they are
  155. 7:22protected so that you will remember
  156. 7:25rather than forget the second benefit
  157. 7:29however is that having shifted those
  158. 7:32files from that short-term reservoir
  159. 7:34almost like moving files from a USB
  160. 7:37stick you've cleared out all of that
  161. 7:39memory encoding capacity so that when
  162. 7:42you wake up the next day you can start
  163. 7:44acquiring new files all over again you
  164. 7:47can start learning and new so its this
  165. 7:52elegant beautiful symbiotic system of
  166. 7:56memory that happens each and every night
  167. 7:58and it's important that we understand
  168. 8:01what during sleep at
  169. 8:04transacts these memory benefits because
  170. 8:07there are real medical and societal
  171. 8:10implications and let me just tell you
  172. 8:12about two areas that we've moved this
  173. 8:14work out into I'll begin clinically and
  174. 8:17specifically the context of Aging and
  175. 8:20dementia because I think many of us have
  176. 8:24a sense or even know that as we get
  177. 8:27older our learning and memory abilities
  178. 8:30start to fade they begin to decline but
  179. 8:33what we've also known for many decades
  180. 8:35is that a physiological signature of
  181. 8:38aging is that your sleep gets worse and
  182. 8:43not just any type of sleep especially
  183. 8:46that deep quality of sleep that I was
  184. 8:50just describing and only last year we
  185. 8:54finally published evidence that these
  186. 8:56two factors are not simply co-occurring
  187. 8:59they are significantly interrelated and
  188. 9:04it suggests that the disruption of deep
  189. 9:07sleep is perhaps an underappreciated
  190. 9:10factor that is contributing to what we
  191. 9:13call cognitive decline or memory decline
  192. 9:15in aging and most recently we've
  193. 9:19discovered in Alzheimer's disease as
  194. 9:21well now I know this is remarkably
  195. 9:28depressing news I understand it's in the
  196. 9:31mail it's it's coming at you but there
  197. 9:34is a potential silver lining here
  198. 9:37because unlike many of the other factors
  199. 9:40that we know are associated with aging
  200. 9:42and dementia and for example changes in
  201. 9:45the physical structure of the brain or
  202. 9:48even changes in the vasculature of the
  203. 9:50brain those are fiendishly difficult to
  204. 9:53treat right now and we don't have any
  205. 9:56good wholesale approaches in medicine
  206. 9:59but that sleep is a missing piece in the
  207. 10:03explanatory puzzle of aging and
  208. 10:06Alzheimer's is exciting because we may
  209. 10:09be able to do something about it and one
  210. 10:13way that we are approaching this at my
  211. 10:15sleep center is not by using sleeping
  212. 10:17pills by the way
  213. 10:18they are blunt instruments that do not
  214. 10:21produce naturalistic sleep and they have
  215. 10:23been associated with a higher risk of
  216. 10:25death and cancer and I'm happy to speak
  217. 10:29about that evidence during the Q&A and
  218. 10:31it's discussed in the book as well what
  219. 10:34we are actually doing is developing a
  220. 10:36method based on this technology it's
  221. 10:38called direct current brain stimulation
  222. 10:41it sounds like the stuff of science
  223. 10:43fiction it's actually science fact you
  224. 10:45apply electro pads to the head and you
  225. 10:47insert a small amount of voltage into
  226. 10:50the brain so small that you tend not to
  227. 10:52feel it but it has a measurable impact
  228. 10:54on physiology now if you apply this
  229. 10:59stimulation during sleep in young
  230. 11:03healthy adults as if you're sort of
  231. 11:05singing in time with those deep sleep
  232. 11:09brainwaves not only can you actually
  233. 11:12amplify the size of those deep sleep
  234. 11:15brainwaves but in doing so you can
  235. 11:18almost double the amount of memory
  236. 11:21benefit that you get from sleep the
  237. 11:26question now is whether we can translate
  238. 11:29the same affordable potentially portable
  239. 11:32technology into older adults and those
  240. 11:35with dementia can we restore back some
  241. 11:39healthy quality of deep sleep and in
  242. 11:42doing so can we salvage aspects of
  243. 11:46learning and memory function that is my
  244. 11:50real hope now that's one of our moonshot
  245. 11:53goals as it were I should note by the
  246. 11:58way because I always get asked this
  247. 11:59question people will say where can i buy
  248. 12:01one of those devices
  249. 12:03I want one yesterday and I want five
  250. 12:06more tomorrow and they are not yet FDA
  251. 12:09approved for use in sleep you can buy
  252. 12:12them on the Internet
  253. 12:13I strongly advise against that just read
  254. 12:18around some horror stories people have
  255. 12:20misaligned the voltage skin burns
  256. 12:22they've lost their eyesight for several
  257. 12:24days and hang on we are desperately
  258. 12:27trying to bring this to fruition as soon
  259. 12:30as we can
  260. 12:31so that's sleep and memory in a clinical
  261. 12:35context but let me speak about sleep and
  262. 12:37memory in society and specifically here
  263. 12:41within education because if sleep really
  264. 12:44is so important for learning in memory
  265. 12:47then enhancing sleep in a context where
  266. 12:50arguably it matters most should prove
  267. 12:53transformative and it has because there
  268. 12:59are several counties throughout the
  269. 13:01United States that have started to delay
  270. 13:03the school start times and then measure
  271. 13:06the academic consequence now one of the
  272. 13:10earliest test case examples happened in
  273. 13:13Edina in Minnesota
  274. 13:16it's a Township that sits just outside
  275. 13:18of Minneapolis and they shifted their
  276. 13:21school start times from 7:25 in the
  277. 13:24morning to 8:30 in the morning by the
  278. 13:29way what are we doing trying to educate
  279. 13:32our next generation at 7:25 in the
  280. 13:37morning to give you a sense of this
  281. 13:41buses for a 7:25 start time will often
  282. 13:45begin leaving at 5:30 in the morning
  283. 13:48that means that some kids are having to
  284. 13:50wake up at 5:15 5 o'clock maybe even
  285. 13:53earlier this is lunacy but in a döner it
  286. 14:02was the beginnings of a movement and the
  287. 14:05metric that they used to assess the
  288. 14:08academic consequence was this SAT scores
  289. 14:11and they focused their analysis on the
  290. 14:14top 10% performing students arguably
  291. 14:18those that have the least to gain in
  292. 14:20terms of any further improvement by way
  293. 14:23of sleep now in the year before they
  294. 14:26made the time change that top 10%
  295. 14:29performing students got an average score
  296. 14:32of 1288 which is a very respectable
  297. 14:36score the following year when students
  298. 14:41were now going to school at 8:30 in the
  299. 14:43more
  300. 14:44the average SAT score was 1500 that is a
  301. 14:55212 point increase which is non-trivial
  302. 15:00that will change which tier of
  303. 15:03university those school kids end up
  304. 15:05going to and perhaps as a consequence
  305. 15:08their subsequent life trajectories now
  306. 15:14some people have questioned aspects of
  307. 15:16the Adina study and I think for perhaps
  308. 15:18good reason but in all of the subsequent
  309. 15:21carefully controlled studies the data is
  310. 15:25unequivocal I think academic grades
  311. 15:28increase behavioral problems decrease
  312. 15:33truancy rates decrease and psychological
  313. 15:37and psychiatric issues also decrease but
  314. 15:44something else actually happened in this
  315. 15:47story of later school start times and it
  316. 15:52was something that we did not anticipate
  317. 15:56the life expectancy of students actually
  318. 15:59increased and you think I don't
  319. 16:04understand how does that work does
  320. 16:06anybody know what the leading cause of
  321. 16:08death in late stage teenagers is
  322. 16:11throughout most developed nations
  323. 16:13suicide is actually second it's car
  324. 16:16crashes and here sleep matters enormous
  325. 16:19Lee another example comes from Teton
  326. 16:23County in Wyoming they shifted their
  327. 16:26school starts from seven thirty five in
  328. 16:28the morning to eight fifty five in the
  329. 16:30morning and then they measured the
  330. 16:32reduction in car crashes in this narrow
  331. 16:35age of just 16 to 18 the only thing
  332. 16:40perhaps more remarkable than the extra
  333. 16:42hour of sleep that those students
  334. 16:44reported getting was the drop in vehicle
  335. 16:48accidents
  336. 16:53there was a 70% reduction just to sort
  337. 16:59of frame that in context the advent of
  338. 17:02ABS technology what we call anti-lock
  339. 17:04braking systems that prevent your wheels
  340. 17:06from locking up and a hard braking so
  341. 17:08that you can still safely maneuver a
  342. 17:10vehicle that dropped accident rates by
  343. 17:13twenty to twenty five percent and some
  344. 17:15deemed it to be a revolution but here is
  345. 17:20a biological factor sleep that will drop
  346. 17:25accident rates by up to 70% I think it's
  347. 17:33time for us to reconsider the importance
  348. 17:38of sleep in education when sleep is
  349. 17:43abundant Minds flourish and if our goal
  350. 17:48as educators truly is to educate and not
  351. 17:53risk lives in the process then I fear
  352. 17:56that we meet that we may be failing our
  353. 17:59children in a significant manner with
  354. 18:03this incessant model of early school
  355. 18:06start times
  356. 18:08so that's sleep for learning memory
  357. 18:12aging Alzheimer's what else is sleep
  358. 18:16good for let me tell you that sleep is
  359. 18:19essential to help stabilize your
  360. 18:21emotional and mental health and without
  361. 18:25sleep the emotional circuits of your
  362. 18:27brain become hyperactive and irrational
  363. 18:31allow me to demonstrate with a
  364. 18:34sleep-deprived subject because it turns
  365. 18:37out that we do video diaries with our
  366. 18:40participants throughout the deprivation
  367. 18:42night and you go to meet one under the
  368. 18:45pseudonym of Jeff it's 11:30 at night
  369. 18:49jeff has been awake for about 16 hours
  370. 18:53and I'm actually just going to plug in
  371. 18:55the audio here to see if I can get you
  372. 18:59some audio playing out Jeff's just
  373. 19:01entered the study he's been awake for
  374. 19:04for a normal 16 hours
  375. 19:06perhaps let's hear from Jeff what his
  376. 19:09sort of hopes and aspirations are for
  377. 19:12the deprivation period I've been here
  378. 19:20for about and I think about an hour No
  379. 19:25yeah about an hour so it's the first
  380. 19:27hour I'm reading my paper right now 30
  381. 19:32page paper hopefully I can get some of
  382. 19:33it done before I get to say so that's
  383. 19:37Jeff perfectly likable affable chap
  384. 19:40who's hoping to get his 30 page report
  385. 19:43complete in a night of sleep deprivation
  386. 19:50classic delusional undergraduate
  387. 19:53thinking I have to say I see it all of
  388. 19:55the time in my students so now let's
  389. 19:58fast-forward the clock it's now at 5:30
  390. 20:01the following morning Jeff is now been
  391. 20:04awake for 22 hours straight and
  392. 20:06instantly you'll notice one of the
  393. 20:08hallmark features of sleep deprivation
  394. 20:11which is that you actually slide down in
  395. 20:14your chair you can just you can look
  396. 20:17around the room right now actually and
  397. 20:18see Jeff's down about about 6 or 7
  398. 20:22inches it's about an inch for every hour
  399. 20:25that you've been awake beyond the
  400. 20:27standard 16 based on our highly
  401. 20:31sophisticated machine learning
  402. 20:32algorithms so but in all seriousness
  403. 20:37notice how emotionally different Jeff
  404. 20:41has become some people have I think
  405. 20:44perhaps unkindly described him as
  406. 20:46becoming a little bit emotionally
  407. 20:48unhinged so and let's hear how that 30
  408. 20:51page report has been going and I do
  409. 20:54apologize ahead of time for the
  410. 20:56profanity
  411. 21:02[Applause]
  412. 21:03I'm very angry right now because I
  413. 21:07didn't get me more but I curse
  414. 21:08on this and you know like
  415. 21:13[Laughter]
  416. 21:15they really have crazy addresses and
  417. 21:18very loose erection so did you notice
  418. 21:24how Jeff went from being remarkably
  419. 21:26upset and annoyed that he got none of
  420. 21:28his 30 page report complete - then
  421. 21:30finding it almost hilarious he was
  422. 21:33nearly sort of punch-drunk giddy on
  423. 21:35sleep deprivation and then came right
  424. 21:37back down to baseline again that is a
  425. 21:40remarkably abnormal emotional distance
  426. 21:44to travel with in such a short time
  427. 21:46period and I think it emphasizes the
  428. 21:50type of destabilizing influence that a
  429. 21:53lack of sleep has on our emotional
  430. 21:56integrity and we've since discovered
  431. 22:00what actually changes within your brain
  432. 22:03to produce this type of pendulum
  433. 22:06emotional irrationality there's a
  434. 22:09structure very deep within your brain
  435. 22:11called the amygdala and you can see it
  436. 22:14here in these red colors again you have
  437. 22:16one on the left side and one on the
  438. 22:17right and the amygdala is one of the
  439. 22:20centerpiece regions for the generation
  440. 22:23of strong emotional reactions including
  441. 22:27negative reactions and when we looked at
  442. 22:31this structure in those people who'd had
  443. 22:33a full night of sleep here in green we
  444. 22:36saw a nice controlled modest degree of
  445. 22:39reactivity yet in those people who are
  446. 22:43sleep deprived we saw this amplified
  447. 22:45almost aggravated degree of reactivity
  448. 22:49the amygdala was actually 60% more
  449. 22:52responsive under conditions of a lack of
  450. 22:55sleep and it's almost as though without
  451. 22:59sleep we've become all sort of emotional
  452. 23:01gas pedal and too little sort of
  453. 23:04regulatory control break but what is
  454. 23:08perhaps more concerning however is that
  455. 23:11this represents a neurological signature
  456. 23:14that is not dissimilar to numerous
  457. 23:17psychiatric conditions and we're now
  458. 23:21finding significant links between sleep
  459. 23:25disruption and
  460. 23:26conditions such as depression anxiety
  461. 23:29including PTSD schizophrenia and
  462. 23:33tragically suicide as well in fact we
  463. 23:41cannot find a single psychiatric
  464. 23:44condition in which sleep is normal
  465. 23:47I think sleep has a profound story to
  466. 23:54tell in our understanding in our
  467. 23:57treatment and perhaps even may
  468. 23:59contribute to our ultimate prevention of
  469. 24:02grave mental illness so that's sleep for
  470. 24:09the brain but sleep is just as essential
  471. 24:12for your body and here I could have gone
  472. 24:16into any one of the model systems and
  473. 24:19spoken about it in detail we've already
  474. 24:21spoken a little bit about sleep loss and
  475. 24:24the reproductive system I could tell you
  476. 24:27about sleep loss and the metabolic
  477. 24:29system that after one week of short
  478. 24:32sleep your blood sugar levels are
  479. 24:35disrupted so significantly that your
  480. 24:37doctor would classify you as being
  481. 24:39pre-diabetic or I could tell you about
  482. 24:44sleep loss and the cardiovascular system
  483. 24:47that all it takes is one hour because
  484. 24:51there is a global experiment that is
  485. 24:53performed on 1.6 billion people across
  486. 24:5770 countries twice a year and it's
  487. 25:01called daylight savings time now in the
  488. 25:04spring when we lose one hour of sleep we
  489. 25:08see a subsequent 24 percent increase in
  490. 25:11heart attacks in the fall when we gain
  491. 25:16an hour of sleep we see a 21 percent
  492. 25:19decrease in heart attacks that is how
  493. 25:24fragile your body is to even just the
  494. 25:27smallest perturbations of sleep I think
  495. 25:31many of us props don't think anything of
  496. 25:33losing an hour of sleep but as a deep
  497. 25:37dive I actually want to focus on this
  498. 25:40in the immune system and here I'll
  499. 25:42introduce these delightful blue elements
  500. 25:45in the image they are called natural
  501. 25:47killer cells think of natural killer
  502. 25:50cells like The Secret Service agents of
  503. 25:54your immune system they are very good at
  504. 25:57identifying dangerous foreign elements
  505. 26:00and eliminating them
  506. 26:01in fact what they're doing here in this
  507. 26:04image is embedding themselves into a
  508. 26:05malignant a cancerous tumor mass and
  509. 26:08destroying it and many of you may not
  510. 26:12know but today your body produced cancer
  511. 26:16cells and it's always doing this what
  512. 26:20stops those cancer cells from becoming
  513. 26:23the disease that we call cancer is in
  514. 26:26part these natural killer cells so what
  515. 26:30you want is a veeraiah set of these
  516. 26:34immune assassins at all times and sadly
  517. 26:39that's exactly what you don't have if
  518. 26:41you're not sleeping enough so here in
  519. 26:45this study from my wonderful colleague
  520. 26:47Mike Erwin you're not going to have your
  521. 26:49sleep deprived for an entire night
  522. 26:51you're simply going to have your sleep
  523. 26:53restricted to four hours for one single
  524. 26:57night and then we're going to look to
  525. 26:59see what is the percent reduction in
  526. 27:01immune cell activity that you suffer and
  527. 27:05it's not small it's not ten percent it's
  528. 27:09not thirty percent there was a 70
  529. 27:13percent drop in natural killer cell
  530. 27:16activity that's quite a concerning state
  531. 27:21of an immune deficiency and it happens
  532. 27:25quickly essentially after just one bad
  533. 27:28night imagine the state of your immune
  534. 27:32system after weeks if not months of
  535. 27:35insufficient sleep and it perhaps should
  536. 27:39then come as no surprise to learn that
  537. 27:41we now have significant links between
  538. 27:44short sleep and numerous forms of cancer
  539. 27:48currently that list includes cancer of
  540. 27:51the bowel cancer of the prostate
  541. 27:53and cancer of the breast in fact the
  542. 27:58link between a lack of sleep and cancer
  543. 28:01is now so strong that recently the World
  544. 28:05Health Organization decided to classify
  545. 28:08any form of nighttime shift work as a
  546. 28:11probable carcinogen in other words jobs
  547. 28:16that may induce cancer because of a
  548. 28:18disruption of your sleep wake rhythms so
  549. 28:24you may have heard of that old maxim you
  550. 28:26know you can sleep when you're dead
  551. 28:28well I'm being absolutely serious it is
  552. 28:31mortally unwise advice because if you
  553. 28:36adopt that mindset we know from the data
  554. 28:38that you will now live a shorter life
  555. 28:42and the quality of that shorter life
  556. 28:45will be significantly worse
  557. 28:48epidemiological studies teaches this
  558. 28:51short sleep predicts a shorter life it
  559. 28:54predicts all cause mortality and the bad
  560. 29:01news I'm sorry keeps coming because if
  561. 29:04you are fighting a battle against cancer
  562. 29:06and not getting sufficient sleep that
  563. 29:09cancer may grow more quickly and
  564. 29:11aggressively so here I actually want to
  565. 29:15feature work not from my own
  566. 29:17sleep center but by a scientist called
  567. 29:20David goes out who works at the
  568. 29:22University of Chicago and he examines
  569. 29:25the relationship between sleep loss and
  570. 29:27cancer in mice now I know this isn't for
  571. 29:31everyone so I will tell you when to look
  572. 29:33away if you prefer not to see this but
  573. 29:36in one of the studies that he did he
  574. 29:38inoculated some mice with cancer cells
  575. 29:41on their back and then he gave that
  576. 29:43cancer a one-month period to grow and at
  577. 29:47the end of that one month he resected
  578. 29:49the skin and measured the size of that
  579. 29:51tumor mass half of the mice were allowed
  580. 29:55to sleep normally during that one-month
  581. 29:58period the other half had their sleep
  582. 30:01disrupted not total deprivation they
  583. 30:04just sort of played with them a little
  584. 30:07bit more
  585. 30:07the day in during the night to restrict
  586. 30:09their sleep so in a second I'm going to
  587. 30:13play a video with David illustrating the
  588. 30:15results and now would be the time to
  589. 30:17look away if you would prefer to do so
  590. 30:19and here you can see him pointing to a
  591. 30:23mouse on a monitor with the skin
  592. 30:26resected and you can clearly see that
  593. 30:28tumor master this is in one of the mice
  594. 30:31that was allowed to sleep normally
  595. 30:33during that one month I'll play the
  596. 30:36video and he'll reveal behind it another
  597. 30:39mouse that mouse was in the sleep
  598. 30:42restriction group and you will see the
  599. 30:45difference in the tumor mass this is the
  600. 30:48difference there was a 200% increase in
  601. 30:59the speed and the size of that cancerous
  602. 31:03growth linked to insufficient sleep were
  603. 31:08still the cancer in those underslept
  604. 31:11mice had actually metastasized that's
  605. 31:15just a medical description meaning that
  606. 31:17it had breached the original origin and
  607. 31:19started to invade other areas bone other
  608. 31:22organs as well as brain when cancer
  609. 31:27becomes metastatic that's when we see
  610. 31:30mortality rates escalate so if you are
  611. 31:36fighting a battle against cancer and not
  612. 31:39getting sufficient sleep it may be the
  613. 31:42equivalent of placing gasoline on an
  614. 31:45already aggressive fire sleep loss is an
  615. 31:48accelerant and we now know that it
  616. 31:51produces a harmful biological fertilizer
  617. 31:54for the more rapid and rampant growth of
  618. 31:58cancer
  619. 32:04now if increasing your risk of
  620. 32:06developing Alzheimer's or cancer by way
  621. 32:10of a lack of sleep were not sufficiently
  622. 32:12disquieting we have since discovered
  623. 32:16that a lack of sleep will even erode the
  624. 32:19very fabric of biological life itself
  625. 32:24your DNA genetic code so here in this
  626. 32:30study they took a group of healthy
  627. 32:32adults and limited them to six hours of
  628. 32:35sleep for one week and then they
  629. 32:38measured the chain and change sorry in
  630. 32:40the gene activity profile compared to
  631. 32:44when those same individuals were getting
  632. 32:46eight hours of sleep for a week and
  633. 32:49there were two critical results here
  634. 32:52first a sizable and significant 711
  635. 32:58genes were distorted in terms of their
  636. 33:02activity caused by six hours of sleep
  637. 33:05and that's relevant by the way we know
  638. 33:08that almost one out of every two
  639. 33:10American adults are trying to survive on
  640. 33:13six hours of sleep or less during the
  641. 33:16week the second result was that about
  642. 33:21half of those genes were actually
  643. 33:23increased in their activity the other
  644. 33:25half were actually decreased in their
  645. 33:27activity those genes that were decreased
  646. 33:31by a lack of sleep were genes related to
  647. 33:34numerous aspects of the immune system
  648. 33:37which fits very well with the evidence I
  649. 33:40was just discussing regarding cancer
  650. 33:42those genes that were actually increased
  651. 33:45in their activity or what we call up
  652. 33:47regulated in their expression were genes
  653. 33:50related to the promotion of tumors genes
  654. 33:54that were related to chronic
  655. 33:56inflammation within the body and also
  656. 33:59genes that were related to stress and as
  657. 34:02a consequence cardiovascular disease now
  658. 34:09I think many individuals in society feel
  659. 34:13uncomfortable about the idea of
  660. 34:16genetically modified embryo
  661. 34:18or even genetically modified food but by
  662. 34:22choosing to get insufficient sleep we
  663. 34:26may be forced to accept that we are
  664. 34:28performing a similar genetic modifying
  665. 34:31experiment on ourselves and if we don't
  666. 34:37let our children get the sleep that they
  667. 34:39so desperately need then we may be
  668. 34:42inflicting a similar genetic engineering
  669. 34:45experiment on them as well there is
  670. 34:50simply no aspect of your physiology that
  671. 34:54seems to be able to retreat at the sign
  672. 34:58of sleep deprivation and get away
  673. 35:01unscathed it's almost like a broken
  674. 35:06water pipe in your home sleep loss will
  675. 35:09leak down into every nook and cranny of
  676. 35:13your biology even tampering with the
  677. 35:18very DNA nucleic alphabet that spells
  678. 35:22out your daily health narrative so where
  679. 35:29does this leave us what is the piece of
  680. 35:32sort of mental furniture I would like to
  681. 35:35gift to you as we finish the talk well
  682. 35:40it would be this sleep is not an
  683. 35:45optional lifestyle luxury leave is a
  684. 35:50non-negotiable biological necessity it's
  685. 35:55a life support system and it is mother
  686. 35:59nature's best effort yet at contra death
  687. 36:04and the decimation of sleep throughout
  688. 36:09industrialized nations is having a
  689. 36:11catastrophic impact on our health or
  690. 36:14wellness and the safety and the
  691. 36:17education of our children it's a silent
  692. 36:20sleep loss epidemic and it is fast
  693. 36:24becoming one of the greatest public
  694. 36:26health challenges that we now face in
  695. 36:28the 21st century
  696. 36:31I believe it is now time for us to
  697. 36:37reclaim our right to a full night of
  698. 36:41sleep and without embarrassment and
  699. 36:46without that terrible and stigma of
  700. 36:49laziness and in doing so we may finally
  701. 36:55remember what it feels like to be awake
  702. 36:59during the day and with that soap box
  703. 37:05rant over I will simply say good night
  704. 37:08good luck and above all I do hope you
  705. 37:12sleep well thank you very much indeed I
  706. 37:15[Applause]
  707. 37:19think we've got lots of times for
  708. 37:22questions I think thank you so much for
  709. 37:27the target was actually very informative
  710. 37:28I have two questions for you number one
  711. 37:31I have a five year old and then there's
  712. 37:33myself right so how much sleep should we
  713. 37:35be getting and number two is there any
  714. 37:39disadvantage of over sleeping so let's
  715. 37:40say if I sleep 10 or 15 hours day in the
  716. 37:42day yeah that's a so great questions so
  717. 37:46first the recommendations for sleep you
  718. 37:48can find them on the National Sleep
  719. 37:49Foundation website for all ages for the
  720. 37:53average adult the recommendation World
  721. 37:55Health Organization eight hours range
  722. 37:58seven to nine once human beings the
  723. 38:03average human being gets below seven
  724. 38:05hours of sleep we can measure objective
  725. 38:07empowerment's so people who say I can
  726. 38:09survive on six hours of sleep there's a
  727. 38:11problem with that which is this your
  728. 38:13subjective sense of how well you think
  729. 38:15you're doing without sufficient sleep is
  730. 38:17a miserable predictor of objectively how
  731. 38:20you're doing without sufficient sleep so
  732. 38:22it's it's probably a little bit like a
  733. 38:24drunk driver at a bar you know they've
  734. 38:26had seven shots they pick up the car
  735. 38:27keys and they say I'm fine to drive and
  736. 38:29your response is now I know that you
  737. 38:31think you're fine to drive but trust me
  738. 38:33objectively you're not the same is true
  739. 38:36for a lack of sleep your second question
  740. 38:39is fascinating
  741. 38:40can I sleep too much well there are
  742. 38:44anecdotes of some
  743. 38:45called a sleep hangover where you said
  744. 38:47of oversleep and then you feel worse
  745. 38:49almost when you oversleep it usually
  746. 38:52means that you're trying to sleep off a
  747. 38:54debt that you've lumbered yourself with
  748. 38:56so if you could sleep past your alarm if
  749. 38:59it didn't go off then your underslept
  750. 39:02because it's physiologically impossible
  751. 39:04to sleep too much if you're healthy now
  752. 39:08there is one piece of evidence that
  753. 39:11suggests something called hypersomnia
  754. 39:13excessive sleep that principally
  755. 39:16expresses itself in depression but if
  756. 39:19you look at that data it's actually very
  757. 39:20difficult to tell is it people just
  758. 39:22reporting being in bed for longer rather
  759. 39:25than sleeping longer so I think it's
  760. 39:26unclear right now but let me just take
  761. 39:28it to a theoretical realm could there be
  762. 39:31such a thing as too much sleep I think
  763. 39:33yes but don't forget the same is true
  764. 39:36for the other three essential factors of
  765. 39:38life oxygen food and water can you eat
  766. 39:41too much yes
  767. 39:42can you over hydrate yes can you
  768. 39:45increase blood pressure cause stroke and
  769. 39:47heart attack by excessive water intake
  770. 39:50it happened in the 1990s with the
  771. 39:52ecstasy craze where people were
  772. 39:53dehydrating governments told them drink
  773. 39:55lots they drank too much cardiac events
  774. 39:58can you actually become hyper oxygenated
  775. 40:02so you get free radical species
  776. 40:03dangerous for cells yes you can is there
  777. 40:06such a thing as too much sleep we
  778. 40:09haven't found it yet but I suspect
  779. 40:10probably so it's a bell-shaped curve
  780. 40:13it's a u-shaped function in terms of
  781. 40:14benefit not linear but on most people in
  782. 40:18danger of getting too much sleep Oh
  783. 40:20contraire thank you for the great talk
  784. 40:24do you also have any information on how
  785. 40:27quickly people recover after they switch
  786. 40:29from a kind of short sleep periods to
  787. 40:32kind of a more normal sleep periods
  788. 40:35because we only mentioned kind of as one
  789. 40:37of those was the d'Este change or when
  790. 40:39we'd sleep one or more kind of things
  791. 40:41get better in terms of cardiac province
  792. 40:43yeah kind of is it quick to recover as
  793. 40:47well as quick as the yeah it's a great
  794. 40:52question so different aspects of your
  795. 40:54brain in your body seemed
  796. 40:57to come back online to a status of
  797. 40:59health with recovery sleep and those
  798. 41:02temporal profiles are different based on
  799. 41:05even within the immune system for
  800. 41:07example some components take longer to
  801. 41:09come back online than others what I
  802. 41:11would note however is that you can never
  803. 41:13get back all that you've lost this is
  804. 41:16another one of those myths with sleep so
  805. 41:18sleep is not like the bank
  806. 41:21you cannot accumulate a debt and then
  807. 41:23pay it off at a later point in time
  808. 41:25which is what most of modern society
  809. 41:27does chronic short sleep during the week
  810. 41:30then you binge at the weekend it's what
  811. 41:32I call sleep bulimia it's what is
  812. 41:34otherwise known as social jetlag now if
  813. 41:37I were to take you and deprive you of
  814. 41:39sleep for one single night eight hours
  815. 41:41of lost sleep and then I give you all of
  816. 41:43the sleep that you want for however many
  817. 41:45nights and we keep recording you your
  818. 41:47brain never recovers all of that lost
  819. 41:49eight hours it will try to get back some
  820. 41:52of it it will never get back all of it
  821. 41:54why is that the case we can ask why
  822. 41:58doesn't your brain have a credit system
  823. 41:59for sleep because there's precedent for
  824. 42:02this in biology you have one for energy
  825. 42:04it's called a fat cell you can actually
  826. 42:08store up credit calorically and spend it
  827. 42:13when you go into famine now most of us
  828. 42:15are in that danger anymore but during
  829. 42:17evolution we face that challenge so we
  830. 42:19came up with a solution called the
  831. 42:21adipose cell where is the fat self
  832. 42:24asleep why isn't it there the reason is
  833. 42:28this human beings are the only species
  834. 42:30that deliberately deprived themselves of
  835. 42:32sleep for no apparent reason
  836. 42:35what that means is that Mother Nature
  837. 42:37has never had to face the challenge
  838. 42:40through evolution of coming up with a
  839. 42:42safety net because of insufficient sleep
  840. 42:44so there is no mechanism of safety there
  841. 42:47is no credit system have you done any
  842. 42:56research about supplements that can help
  843. 42:58sleeping well without the device yet so
  844. 43:07no drugs or supplements that we have
  845. 43:10currently produced naturalistic sleep
  846. 43:13chemically it's an incredibly complex
  847. 43:15job now I don't want to dismiss people
  848. 43:19at drug companies I'm not against
  849. 43:21medication I'm not anti all medication
  850. 43:23for medications work I'm all for them
  851. 43:25it's just that all of the sleeping
  852. 43:27medications that we have right now don't
  853. 43:29produce naturalistic sleep most of them
  854. 43:31are a class of drugs that we call the
  855. 43:33sedative hypnotics
  856. 43:34sedation is not sleep all you're doing
  857. 43:36is knocking the cortex out you're not
  858. 43:38producing naturalistic sleep and and as
  859. 43:41I said mentioned in the book they are
  860. 43:44also linked to a higher risk of death
  861. 43:47and considerably higher as well as
  862. 43:49cancer what about melatonin
  863. 43:52well melatonin turns out not to be an
  864. 43:55effective sleep aid and it shouldn't
  865. 43:58surprise us based on how melatonin works
  866. 44:00melatonin helps time the onset of sleep
  867. 44:04but it doesn't help in the creation of
  868. 44:07sleep itself so the analogy would be
  869. 44:10melatonin is like the starting official
  870. 44:13in the hundred meter race at the
  871. 44:15Olympics melatonin gathers all of the
  872. 44:17races to the starting line and begins
  873. 44:19the race but that official themselves
  874. 44:22does not participate in the great sleep
  875. 44:24race itself that's a whole different set
  876. 44:26of brain mechanisms and chemicals that's
  877. 44:29why melatonin is not efficacious once
  878. 44:31you're stable in a new time zone now I
  879. 44:35will say this however if you're taking
  880. 44:38melatonin and you feel it's beneficial
  881. 44:40keep taking it because the placebo
  882. 44:43effect is one of the most reliable
  883. 44:45effects in all of pharmacology
  884. 44:49and and this I mean that tells you
  885. 44:52something by the way something profound
  886. 44:54there is such a thing as mind over
  887. 44:56matter and there is now a wonderful
  888. 44:58science of the placebo effect
  889. 45:00it's very real and we dismissed it for a
  890. 45:03long time I hope that answers both your
  891. 45:05question ain't it sure does like the
  892. 45:13time period between when you wake up to
  893. 45:16when you start using your brain like for
  894. 45:19learning or whatever also play a
  895. 45:22difference like if a person had a full
  896. 45:248-hour sleep but they don't go to school
  897. 45:26until evening when they have evening
  898. 45:27school do they learn worse than if they
  899. 45:30could have went to a morning school and
  900. 45:33so it's a very interesting question sort
  901. 45:36of you know when on the clock face is is
  902. 45:38learning let's say most sort of
  903. 45:41beneficial well once you're waking at a
  904. 45:47reasonable time it seems as though there
  905. 45:49is some degree of stability of learning
  906. 45:52across the day however that does seem to
  907. 45:54be a gradual deterioration and we've
  908. 45:56done some of these studies to basically
  909. 45:57map the time cost the sort of the Great
  910. 46:00Depression of learning you know across
  911. 46:03the day and we've inserted naps and we
  912. 46:06can actually restore learning and but I
  913. 46:07would like to come on to nap someone
  914. 46:09should ask me about that because there
  915. 46:10are a double-edged sword with danger but
  916. 46:14what we do know from those school
  917. 46:16studies were they delayed the school
  918. 46:17start times where you get the greatest
  919. 46:20grade point increases is not in all
  920. 46:23classes across the day but it's
  921. 46:25especially in those first morning
  922. 46:28classes but I think that that's less
  923. 46:30about your brain being better at
  924. 46:33learning in the morning than it was
  925. 46:35about when you were starting so early it
  926. 46:37was just so detrimental to try and learn
  927. 46:39so sort of you lowered the floor rather
  928. 46:42than raise the ceiling so yeah but to me
  929. 46:46it makes sense that learning is somewhat
  930. 46:48stable across 16 hours because if you
  931. 46:50were to design a system of memory that
  932. 46:52could only learn in the last couple of
  933. 46:54hours of wakefulness then why are we
  934. 46:56awake for the other 14 and we seem to
  935. 46:58have a system of memory that gives us a
  936. 47:00capacity for about a
  937. 47:02about 16 hours of recording in humans
  938. 47:05before sleep is required a quick
  939. 47:07question there you're doing a study on
  940. 47:09all their brain activities like code it
  941. 47:13well I'm not coding but you know more
  942. 47:14advanced out like should I try not to
  943. 47:16schedule morning meetings because
  944. 47:17everybody is asleep but nobody's making
  945. 47:18decisions yes so we've done lots of
  946. 47:21studies on all aspects of brain
  947. 47:23cognition we've done at decision making
  948. 47:26judgment making we've done creativity
  949. 47:29emotional regulation we've done visual
  950. 47:32attention aspects we've done motor skill
  951. 47:34learning and it follows the same profile
  952. 47:37which is essentially when sleep is in
  953. 47:39high volumes all of those things are
  954. 47:42supported different operations within
  955. 47:45the brain rely on different stages of
  956. 47:48sleep at different times of night
  957. 47:50however it's not just one stage of sleep
  958. 47:53that does it all for all of your brain
  959. 47:55sort of mechanisms and apparatus
  960. 47:58features and this is why there is no
  961. 48:00single one stage of sleep that's
  962. 48:02important people will say oh how can I
  963. 48:04get more REM sleep and I would say why
  964. 48:06do you want more REM sleep well how can
  965. 48:08I get more deep sleep mother nature took
  966. 48:10about 3.6 million years to figure that
  967. 48:12out just let her do a job she'll see you
  968. 48:15well quick question basically how do
  969. 48:20drugs from any kind of drugs medicine
  970. 48:23alcohol marijuana how would it be simply
  971. 48:26at the brain activity during the my
  972. 48:28doing so how do you drugs perhaps some
  973. 48:33legal some non legal impact sleep I'll
  974. 48:36focus on marijuana and alcohol since you
  975. 48:39mentioned them alcohol is perhaps the
  976. 48:41most misunderstood drug when it comes to
  977. 48:43sleep people say you have a nightcap and
  978. 48:46I fall asleep better untrue alcohol is
  979. 48:49also a class of drugs that we call the
  980. 48:51sedatives and once again that's not
  981. 48:54natural sleep what you're doing is
  982. 48:55simply removing consciousness by way of
  983. 48:58alcohol you're not putting yourself into
  984. 49:00natural sleep to more problems with
  985. 49:02alcohol first it will fragment your
  986. 49:05sleep with awakenings throughout the
  987. 49:06night the problem is that they are so
  988. 49:09brief that you tend not to remember them
  989. 49:11and commit them to memory so you wake up
  990. 49:13the next morning feeling unrefreshed
  991. 49:15but you
  992. 49:15don't understand why that it was the
  993. 49:17alcohol fragmenting your sleep
  994. 49:19finally alcohol is very effective at
  995. 49:22blocking your REM sleep or blocking your
  996. 49:24dream sleep so alcohol misunderstood
  997. 49:28should be avoided and marijuana people
  998. 49:31use it to try and help them get to sleep
  999. 49:33or relax the problem is marijuana also
  1000. 49:36seems to fragment sleep it also seems to
  1001. 49:39block rapid eye movement sleep probably
  1002. 49:42the other chemical that deserves mention
  1003. 49:45here is caffeine caffeine most people
  1004. 49:49know is an alerting drug it's actually a
  1005. 49:51class of drugs that we call the
  1006. 49:53psychoactive stimulants it's the only
  1007. 49:55legal stimulant that we readily give to
  1008. 49:57our children
  1009. 49:58by the way caffeine can obviously keep
  1010. 50:02you awake at night but some people will
  1011. 50:04say I'm one of those who can have a cup
  1012. 50:05of coffee and I fall asleep fine
  1013. 50:07the problem there is that even if you
  1014. 50:09fall asleep the depth of the deep sleep
  1015. 50:12that you have is not as deep as if you
  1016. 50:15were to have sleep that didn't have
  1017. 50:17caffeine swirling around within the
  1018. 50:19brain so again you wake up the next
  1019. 50:21morning feeling unrefreshed
  1020. 50:23you don't remember waking up or
  1021. 50:24struggling to fall asleep so you don't
  1022. 50:26think it's the caffeine but now you need
  1023. 50:28two cups of coffee rather than one the
  1024. 50:30next morning you build up this vicious
  1025. 50:32cycle and it's probably the reason that
  1026. 50:34caffeine is the second most traded
  1027. 50:35commodity on the surface of the planet
  1028. 50:37after oil I don't think there's probably
  1029. 50:39any other Cystic that Burres out how
  1030. 50:41sleep-deprived we are throughout
  1031. 50:43industrialized nations quick question
  1032. 50:48how much of this deep every night is
  1033. 50:50basically enough um
  1034. 50:52zero hours maybe uh once you as I said
  1035. 50:55once you get below seven hours of sleep
  1036. 50:57that's when we can measure objective
  1037. 50:59impairments yeah yep but that's once we
  1038. 51:04can measure objective impairments
  1039. 51:06doesn't mean that if we had more
  1040. 51:07sensitive tools we would measure it at
  1041. 51:09you know 7 hours and 50 minutes I
  1042. 51:12wondered about blue light exposure
  1043. 51:14especially from devices and I couple
  1044. 51:18years ago I got the blue light walking
  1045. 51:20glasses and it does seem actually
  1046. 51:22giving better sleep and I know spirits
  1047. 51:23what the researchers behind that yeah
  1048. 51:25that one is actually not a placebo
  1049. 51:27effect it turns out so the studies are
  1050. 51:30very clear right now we are as as an
  1051. 51:35industrialized set of Nations we are a
  1052. 51:38dark deprived society and we need
  1053. 51:42darkness because the way that darkness
  1054. 51:44works is that it actually removes the
  1055. 51:48breaks from the hormone melatonin that I
  1056. 51:51described that needs to rise to help
  1057. 51:54time the normal onset of healthy sleep
  1058. 51:56so if you're bathed in electrical light
  1059. 51:59at night even though it's not as
  1060. 52:01powerful as daylight it can keep the
  1061. 52:04brake pedal on melatonin now they did
  1062. 52:07some fascinating studies were you read
  1063. 52:10on an iPad for one hour versus just
  1064. 52:12reading a normal buck with dim light and
  1065. 52:15firstly relative to that one hour of dim
  1066. 52:17light normal book reading the one hour
  1067. 52:19of iPad reading firstly delayed that
  1068. 52:22spike in melatonin by two to three hours
  1069. 52:25so here if we are reading the iPad in
  1070. 52:28Seattle were almost all the way to
  1071. 52:30Hawaii in terms of our biological
  1072. 52:32melatonin rhythms
  1073. 52:34that's how shifted and delayed we are
  1074. 52:36second the sleep was not as good REM
  1075. 52:39sleep was disrupted and people
  1076. 52:41subjectively felt worse and less
  1077. 52:43refreshed the next morning and it took a
  1078. 52:46few days before it washed itself away
  1079. 52:48after they ceased so I think you know
  1080. 52:52the recommendation right now is try to
  1081. 52:54limit screen time in the last hour I
  1082. 52:57know where I'm speaking right now which
  1083. 52:59is at Google and what that means you can
  1084. 53:02install software that helps desaturate
  1085. 53:04the most harmful wavelength of light
  1086. 53:06which is the blue light you can also put
  1087. 53:09those spectacles on they seem to work as
  1088. 53:11well but overall try to decrease
  1089. 53:13stimulation blackout curtains also great
  1090. 53:16at night during the night in bed you
  1091. 53:19know follow up on the blackout curtains
  1092. 53:21so one of the things I found is this
  1093. 53:24really hard to get up in the morning if
  1094. 53:25the room is all blocked out of having
  1095. 53:27that
  1096. 53:28and as is important and I wanted to
  1097. 53:31which is worse to have any of this light
  1098. 53:34coming in during the nighttime versus
  1099. 53:36having to deal with an unnatural alarm
  1100. 53:40clock waking up in the morning yeah if
  1101. 53:42you do have to I mean it sounds as
  1102. 53:44though what you're experiencing is sort
  1103. 53:45of a groggy what we call a sleep inertia
  1104. 53:47which is when you wake up it usually
  1105. 53:49means that you're sort of waking up at a
  1106. 53:51time that slightly offset from your
  1107. 53:53natural biological tendency with that
  1108. 53:56you can use daylight to perhaps try and
  1109. 53:59help you some people actually use eye
  1110. 54:00masks in the first part of the night and
  1111. 54:02at some point they will take the eye
  1112. 54:04mask off and then help with the exposure
  1113. 54:07to the daylight because they've kept
  1114. 54:08their curtains you know non-black out in
  1115. 54:11that regard but that's a tricky one to
  1116. 54:12balance yep I know there are a lot of
  1117. 54:15more questions it's coming up on two
  1118. 54:17o'clock so we're gonna cut it off but
  1119. 54:18dr. Walker will stay and he's gonna sign
  1120. 54:20books we're selling a few of the copies
  1121. 54:21and so just everybody let's give dr.
  1122. 54:23Walker our hands thank you very much
  1123. 54:24indeed thank you thank you so much thank
  1124. 54:30you
  1125. 54:40you

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