Copyright © Illustration by Hadley Hooper

Copyright © Illustration by Hadley Hooper
Copyright © Illustration by Hadley Hooper

Saturday, September 14, 2013

Sleeping to Live - Part 1

Instead of a traditional book where you have to wait for the whole thing to become a finished product, I've decided to share with all of you my story, bit by bit, in blog format. It may take a while, but in this way I can not only share the process with you, but you can be part of my writing process by asking questions and making comments.

Thanks for following, and welcome to my story.


Chapter 1 – A Degree Removed

            I’ve spent my entire life one degree removed from the norm. I excelled in school, but I grew up poor. I am an abuse survivor, but I broke the cycle. I was raised in a low-income family, but I left my hometown and aspired to more than just getting by. I am a veteran of the United States Navy, having honorably served my country in the Armed Forces for 10 years, but I am a female.

Like many of my fellow Americans, I suffer from an autoimmune disorder, but my disorder doesn’t have flashy public relations campaigns, like diabetes or Parkinson’s disease or multiple sclerosis do. In fact, most people hear about it in a joke before they even realize that it is a real, and debilitating disease.

            I have narcolepsy with cataplexy. Most people with narcolepsy, or PWN as we prefer to be called, must hide this secret from the world, lest their employer label them as lazy. Or even worse, get fired or lose their health insurance, because of a lack of awareness and understanding.

            Well, being one degree removed like I am, I refuse to hide. Instead, I want to use my experiences with having untreated narcolepsy with cataplexy as the spotlight that brings this terrible disease out of the darkness of benign neglect.

            I am a person with narcolepsy, and this is my story.

            Most people with narcoleptic children notice their kids’ fatigue before any other symptoms appear. I, however, was unfortunate enough to grow up during the explosion of highly caffeinated beverage marketing in the early 1990’s. 

At 13 years of age, I would commonly start my day as a junior high school student with these sugary, caffeine-laden “coffee drinks” in order to stay awake in class. Either that, or I would get my hands on any caffeinated beverage I could. Remember Jolt cola? I certainly do, and up until last year, caffeinated energy drinks would be something I would consume on a regular basis.

My family background also plays a part in this story. I am the oldest of 4 siblings, the youngest of which is a half-brother. Our mother divorced the father of us three older three siblings in 1987, after he got drunk and hit her in the face with a 2” X 4”. Some straw, said the camel, after its back had been broken. Throughout the rest of my life, our father would be, at best, a sporadic presence with unpredictable affect.

My mother, co-dependent as she was, immediately fell into the arms of my stepfather and remarried. Together, they had a son, our half-brother, almost immediately after. In the beginning, as it is with many abusers, life was pleasantly normal.

He plied us with new clothes, when our father left our family so destitute we had to beg for food at the church. He even rented a beautiful home for us right next door to the elementary school I was attending! These were luxuries we had never before had, and those luxuries were the 30 pieces of silver for which my mother unwittingly sold her children’s innocence.

I arrived in junior high school emotionally scarred. Horribly shy, I covered my budding frame in the baggiest clothes I could find, using them as a shield from any unwanted sexual attraction. I had a very small circle of friends who participated in activities that I used as outlets for my home life: band, track, video games, and Magic cards. I don't know if they had any idea what was going on at home, but I know they didn't judge me on anything but my own merit, and for that I am still grateful.

Almost immediately, I bonded with my best friend, Jessica Smith, and her family. They would become not only lifelong friends, but also a part of my chosen family that has a very special place in my heart. As my home life would continue to deteriorate, they would be the stable presence that every child needs in their life. I am certain that without them, and their unbelievable kindness to me, I would not be where I am today.

This is the backdrop on which my narcolepsy story begins.

Imagine, for a moment, that you are me at 15. A shy, awkward dreamer with a creative streak a mile wide, but haunted by twin specters of rejection and self-doubt. One day, I'm in my room, enjoying the freedom from those specters that comes only when I'm alone, dancing to music that only I can hear. But wait... Do you hear that? Is is someone coming up the stairs to the room?!

At this moment, narcolepsy comes crashing into my life with a surprising violence. The fear and embarrassment trigger a waking sleep paralysis, known as cataplexy, and I go crashing to the floor. Of course, I wouldn't find this out until years later. All I knew at first, through the haze of shock and pain, was that I had injured my knee so badly that I couldn't even walk, and the sight of how swollen it was after just a few moments shook me to the core.

My screams drew the attention of my mom and stepdad, who promptly go into dutiful parent mode. The ensuing doctor's visit confirms that my kneecap had dislocated, but gives me no reason why. When the swelling and weakness stubbornly refuse to subside a week later, I'm given an orthopedic specialist consultation. He finds that I've chipped off a piece of my kneecap, which is floating around in the joint and must be removed, and the damage repaired.

I go into the first of 5 successive knee surgeries knowing that there had to be some reason for my kneecap to just dislocate like that, but was left to wonder why I was the only one who did. Like so many other things in life, it would be something I would have to figure out on my own.

Thursday, August 29, 2013

FDA's Narcolepsy Patient-focused Meeting - Your Input Wanted!

The FDA is conducting a narcolepsy patient-focused meeting on September 24th, both in-person and via the web.

Why is this important to me, you ask?

This meeting helps educate decision makers at the FDA, and will shape the future of narcolepsy treatments.

Narcolepsy will only get more attention and better treatments if all of us give our input and show that not only do we need better care - we are willing to do what it takes to get it, too!

Unite Narcolepsy is spearheading the initiative, and is inviting both people with narcolepsy AND their loved ones to participate in an anonymous, confidential survey to capture the variations in patient experiences. Your input can help capture this very important information!

Every little bit helps! Please take a moment to contribute your information toward this very important opportunity to get our collective voices heard.

Friday, August 16, 2013

Working, narcolepsy, and life

First, I want to apologize for having dropped off the face of the blogosphere. This post will explain why, if you bear with me.

Second, I wanted to share with you all that I have come to the realization that a typical 9-5 office job is no longer something I am capable of having over the long-term. I've also realized that I want to go back to school for a computer science degree. Computer programming is something I've not only a newfound passion for, but something I can do from home.

Third, the reason being for this is that the demands of an office job are simply too much for me to handle being a person with narcolepsy. This is why.

I simply cannot tolerate the stimulants that are given to most people with narcolepsy. Auto-immune disorders and their symptoms are exacerbated by stress, and stimulants can exaggerate the stress response, and even lower the stress threshold. Xyrem helps with the excessive daytime sleepiness, but I still find myself struggling to maintain mental clarity and focus during some parts of the day.

Like your typical office, we suffer from the 10% of the workers doing 90% of the work affliction. Guess who is in the 10%? Yup, yours truly. My supervisors have me doing the work of 3 people. And no matter how hard I try, I can't get things off my plate without having new things added. Worse, normal people could probably handle this, and would do so by simply adding more work hours to their day. But I can't do that. Why?

Here is my typical day.

6:30-7:30 am: Wake up. This time depends on how stressed out I am, and how well I slept that night. Early is good, later is usually a bad sign.

8:30-9:30 am: Arrive at work. I have a hard time being able to be in by 9, but I'm lucky that my office is somewhat flexible.

8:30-10:30 am: Spend a couple hours easing in to work, clearing the cobwebs of sleep from my head. Mornings are not my strong suit, so I use them to catch up with whatever's landed in my inbox.

11:00 am ish: Eat lunch at my desk because I use the half-hour I get for lunch to take my nap. Even though the federal government recognizes my disability and accommodates it to a certain extent, I must use my lunch time for naps. If I go over half an hour, I must use my own vacation time to make up for it.

Somewhere between 12:00 and 1:00 pm: Head starts to get fuzzy, concentration goes out the window, I get cranky and listless. This means it's nap time. I go downstairs to the small clinic we have at work, set up the cot I have been allowed to use, and hope that I can generate enough body heat to fall asleep in the frigid clinic within the half-hour allotted.

Half an hour later: Wake up and go back to work.

2:00-5:30 pm: This is the most productive time of day for me. I'm at the peak of alertness, and I get more done during this block of time than the rest of the day combined.

6:00-7:00 pm: Arrive home from work. Honolulu traffic can be atrocious sometimes. I usually focus on taking care of dinner for myself and my family as soon as I get home.

8:00-9:00 pm: Either go to the gym, or do some chores around the house. My boyfriend has teenage kids, and it gets a little crazy around here. If I'm lucky, I get enough time to pack myself lunch for the next day.

8:30-9:30 pm ish: Start getting ready for bed. I shower at night so I can get ready faster in the morning.

No later than 10:00 pm: I'm in bed, and I've taken my Xyrem.

1:30 am: Second dose of Xyrem.

6:30-7:30 am: Wake up again the following day and do it all over again.

Where do I have ANY free time in here to give to work? All my hobbies have pretty much laid in neglect. My friends are constantly hounding me because they never get to see me. I can't sacrifice sleep, because to do so would mean endangering my health.

When I lose even an hour of sleep, my immune system suffers. The one and only time I've gone to bed 2 hours late, I was out sick for 3 days afterwards because of it.

Can you see my dilemma? The delicate balancing act I perform every day? It is draining, and I'm losing the battle. I have no vacation time on the books, in fact, I'm in the red.

My boyfriend is away for work for a little while, and being the single parent to his teenagers is an additional stressor that I bear out of love for him and the kids. They are awesome people, but still teenagers, and it's not easy having to keep after them to help around the house, or do their homework, or even just communicate with me.

I'm not losing the battle with narcolepsy though, I just need to change the battlefield. Going to college as a 30 year old is going to be interesting to say the least, but thankfully, I have the GI Bill to help me pay my way through. It's going to be tough losing that income, but it's not something I could have kept anyway. I can't live in fear of change.

I can live in gratitude for the support I have in my family and friends, and I can live in hope for the future.

Wednesday, May 8, 2013

Having life dictated by your sleep schedule is NOT a luxury.

Despite what the other people at work may think.

I come into work at 9:00 am. Not because I want to, but because I have to. The people at work think it's a luxury though, and I get such snide comments as "It must be nice to be able to waltz in at 9 am." But what they haven't seen is the consequences of what happens when I don't. Until today, I hadn't either.

Yesterday I had to be at work at 7:30 am to attend a class. I figured that as long as I could go to bed early enough, I'd be okay. But when I woke up at 6:00 am and could barely think straight, I knew it was a bad idea.

I was in a mental fog all morning, which was great for my information retention. (I'm using italics for my sarcasm font.) But the worst part was today, when I felt the fatigue hit me, like a rainstorm that soaked me through to the bone. By the time 3:00 pm hit, I couldn't stand it any more. I knew that I had burned through all the productivity I had in me. I went home and slept until 6:30 pm.

I'm never waking up early again, whether I want to or not.

Wednesday, May 1, 2013

Creating Jobs For People With Disabilities

At my narcolepsy support group, we discussed what it was that PWN need most that they don't have: alternative employment options. I had a few ideas, but it wasn't until yesterday that I had a real winner.

What if, instead of the traditional labor market where people are hired for hourly increments, there was the option to hire someone to complete a specific task? This would allow under-employed, unemployed, and disabled persons to contribute to society in a way that they currently cannot.

Just think. How many times have you needed help as an individual or company, but not known where to turn for a task that doesn't require hiring someone for the long term? Babysitting, grocery shopping, ordering supplies, even network management and computer programming could be accessible from your fingertips.

If you think this is an idea worth exploring, please sign my petition at: https://petitions.whitehouse.gov/petition/create-task-based-job-pool-allow-disabled-and-underemployed-americans-chance-contribute-economic/gGwKgZpZ

This could be the opportunity PWN have been waiting for to show the world that we are not our disease! The only way to know for sure is to lend your support.

Saturday, April 27, 2013

Joe Narcoleptic and the Movies

So I went to go see GI Joe: Retaliation tonight with the family, thinking it would be just another fun movie with explosions and kicking of large amounts of butt. As with many things, I was wrong.

There is a prison in this movie, where scientists have engineered a drug that puts the body into the same paralysis experienced during REM sleep, leaving the victim conscious but unable to move.

Gee, does that sound familiar to anyone? The thing that kills me is that the writers probably thought they had just come up with one of the most terrifying ideas for a prison that they could think of, and that is every day life for someone who suffers from narcolepsy with cataplexy. I wish I could find some way to find the writer who "came up" with that concept, and say "Yes! This is what we have to deal with every day! Now do you see? Will you help us raise awareness so that we can come closer to a cure?"

But I can't. I can just shake my head, write in my blog, and hope that some day my dreams come true.

Thursday, March 21, 2013

Frustration

Lately, it seems that narcolepsy has been affecting my body in ways that I have yet to get used to. On Saturday I celebrated my birthday. I took several naps during the day to ensure that I could stay up later than usual and hang out with my friends. I had a great time! I stayed up until 2 am, longer than I had stayed up since starting the Xyrem regimen.

I paid the price the next couple days. Sunday I was incapable of doing much but laying there and recovering. Monday morning, I was still so tired that I had to call in late to work because I was not rested enough to drive safely. The cataplexy also made it difficult to walk, and my knees almost gave way several times.

My life now revolves around the necessity to sleep. This is a fact that I can not afford to ignore. It just frustrates me to no end.

Monday, March 11, 2013

Help us bring Sleep Disorder and Sleep Health Awareness to the White House!

The Obama administration has added an interesting new capability to the whitehouse.gov website - the ability to add petitions. I am petitioning the Obama administration to raise awareness of sleep disorders and promote sleep health in America. Please help me by signing the petition!

https://petitions.whitehouse.gov/petition/raise-awareness-sleep-disorders-and-importance-sleep-health/hQgWnNqM

If you have narcolepsy, insomnia, sleep apnea, shift work sleep disorder, or just want to be able to give every day your all but can't because of society's demands on your time, this issue directly affects you! Let's work together to get a good night's sleep for everyone!

Thursday, March 7, 2013

I swear, I'm not stupid...

Some days, having narcolepsy and working is one of the most frustrating things in the universe. Today was one of those days.

As of this writing, I have been waiting for a place to take a nap for over 3 months. So the daytime naps that I'm supposed to take haven't been happening. This makes the afternoon a difficult time for me at work, but our leadership likes to schedule meetings at this time, so I can't just sit idle.

Imagine for a moment that you haven't slept in 24-48 hours. How are your cognitive abilities at this point? Probably similar to when you are drunk. You would probably forget things that you normally have no trouble remembering, right? Absolutely! If your colleague told you they hadn't slept in that long, would you blame them for not being able to perform at 100% capacity? Certainly not.

As I went and did a dry run of a brief I am supposed to give tomorrow, I start to get very sleepy. As I finish, I can't remember the name of the person who is supposed to go after me. My boss gives me a quizzical, slightly disapproving look that says he expected better of me. I don't want to sound whiny or make excuses, so I just sit down. I sit through the rest of the brief, trying desperately not to fall asleep. Finally, the meeting ends.

I find the colleague who went after me, and apologize for forgetting him. He gives me a sarcastic "Sure you are." and walks away. I am positively mortified. I wish there was some way to show people how tired narcolepsy makes me sometimes. I wish people would stop giving me weird looks when I park in the handicapped stalls because of my cataplexy. I almost wish I had an illness that others could see so that people would better understand.

Days like this only strengthen my resolve to continue to write in this blog. Continue to raise awareness in any way I can.

I will.

Monday, March 4, 2013

The Science of Sleep - article by The New Yorker

I was reading this article this evening, and it makes so much sense to me.

Our society as a whole supposedly places a high value on productivity, but proves itself wrong when it alienates normal sleep hygiene. I have been advocating an adult nap time modeled after the Spanish siesta for years, because it actually increases productivity!

To that end, look at the Google campus and the way they run their company. High-quality, free meals on demand. Gyms and nap areas on site. No mandatory work hours. On-site healthcare. And Google is one of the most productive companies in the United States.

I think we should all take a page from the playbooks of Google and Europe. Bring back nap time!

Wednesday, February 27, 2013

Being in class is pretty awesome!

I'm pretty happy this week, because I am taking a work-related class. The best part about it is that I'm only 5 minutes away from home! So, during my lunch break, I have been able to go home and take naps. It's such a wonderful feeling! I can't wait until I actually get a place to nap at work!

Saturday, February 23, 2013

When you sleep well...

...it's amazing the things you can do!

Things that other people take for granted every day.

I can wear contacts. I couldn't before Xyrem, because I would be too tired to remember to take them out before falling asleep.

I can pick up around the house a little bit every day, instead of taking one whole day to clean just one room. Sleeping well and avoiding caffeine gives me a constant level of energy throughout the day, instead of fits and starts.

At work, I can focus on one task, and manage my time effectively. This got me nominated as the Tradecraft Superstar for the month of February! Just two short months ago, I was terrified that I was going to lose my job because of medical absences and falling asleep at work.

I can start paying attention to my hobbies again! I had been so exhausted just trying to make it through the day that all the hobbies I love fell to the wayside so that I could survive. I'm not just surviving anymore. I'm living.

America does not value sleep the way it should. We reward those who rob from themselves, and give their time, energy, and life to work. But this is a classic example of robbing Peter to pay Paul: the only one who loses is ourselves.

This sacrifice is not necessary! In fact, by taking care of one's self, we are able to contribute more to society than we would if we stumbled around every day in a haze of sleep deprivation fueled by caffeine binge after caffeine binge.

Next time you feel the urge to deprive yourself of sleep for something that can in fact be done later, stop yourself. You can do it tomorrow, and you will do it better, because you will be doing it with a clear mind and healthy body. And if you can't? Ask yourself if it is really worth taking from your future to pay for the present.


Friday, February 22, 2013

Make Sleep Walk In Waikiki Come True!

Please come join me for a Sleep Walk in Waikiki!

We'll meet up at 10:30 AM on March 9th (Sleepy Saturday) at the Duke Kahanamoku Statue in Waikiki, and walk down the Waikiki strip to raise sleep disorder awareness and have a nice morning walk!!

Let's support Julie Flygare, Hawaiian style!

3rd Annual National Sleep Walk, March 3, 2013

The downside of living in Hawaii is not being able to participate in events like the 3rd Annual National Sleep Walk. Perhaps someday we can have this event everywhere, similar to the MS Walk. Until then, if you are in the DC area, please participate in this wonderful event! All proceeds go to raising sleep disorder awareness.

Wednesday, February 20, 2013

Dreaming and Driving

So, the last few days I've been without Xyrem. It wasn't fun, but one thing sticks out in my mind in particular. My boyfriend drove the two of us to a party, and I was so exhausted I had to nap in the car for an hour before I could even muster enough energy to go inside. I spent the whole two hours there in a state of semi-delirium, happy not to be at home alone feeling sorry for myself, but not quite fully coherent.

As he drove us home, I saw a chip in the windshield. For those of you who have never driven in Hawaii, it is a no-fault state. This means that if a truck drops rocks or debris out and it hits your car, they are not liable for damages. And quite often, because of this, trucks don't take caution with these kinds of loads. I was annoyed but I figured I would fix it later.

I spent all of the next day doing laundry, napping, and watching TV. I forgot about the chipped windshield until it came time for me to go to work Tuesday morning. The chip was never there. It was a hypnagogic hallucination. People with Narcolepsy (PWN for short) experience this more than the average person. Before the Xyrem, these hypnagogic hallucinations were primarily happening at work. I wonder now if my narcolepsy is somehow getting worse.

Saturday, February 16, 2013

This weekend is not going to be fun...


I was pretty excited about this weekend until it came time for me to get ready for bed last night. I went to get my regular dose of Xyrem for the evening, and, lo and behold, I don't even have enough for the whole night.

Xyrem is one of the medications that my life revolves around now, and it is the key to my being able to function normally. It allows me to get the deep sleep that I can't achieve myself, since my immune system destroyed the neurons that secrete hypocretin, which is a hormone that regulates REM sleep.

When I called the central pharmacy to get my monthly refill, I had just recently had a dosage increase. The gentleman on the phone with me told me the earliest that they could get me a shipment would be the 19th of February. Now, it's not exactly easy to tell how many days of Xyrem I have left, since it's a liquid. So I figure, hey, I will have enough until the next shipment comes. 

Wrong.

It's now 3:20 AM on a Saturday and I am wide awake. And no hope of relief until Tuesday.

Friday, February 15, 2013

Julie Flygare Tells The World: Narcolepsy Is No Joke!

Most people know what narcolepsy is because it's the punchline in so many jokes. Look at the cute little puppy on Youtube, how he falls asleep while playing! Laugh at the guy who falls asleep into his soup! It's so ridiculous and silly!

Julie Flygare has been working to change that with her newest book, Wide Awake and Dreaming. People with narcolepsy have been discriminated against for years for being lazy or stupid. The only solution to this problem is people who are like Julie - brave enough to put her life in the limelight so that a true understanding of this devastating disease can be reached.

Today, she got the first signs that her hard work is paying off.

If you haven't checked it out yet, please read her book. All of us who suffer from narcolepsy will appreciate it.

Monday, February 11, 2013

Sleep and Memory - article by NPR

I wanted to share an interesting article with you all this morning - NPR recently did a radio segment on the correlation between sleep and memory that is pretty fascinating. Check it out here:

http://www.npr.org/2013/02/08/171486710/science-of-slumber-how-sleep-affects-your-memory

Every day I realize more and more how important sleep is, and how devastating our modern life can be to our bodies. We rob ourselves of health and long life every time we choose caffeine over sleep.

Saturday, February 9, 2013

What do you mean, I have a cold?

What inspired me to start this blog was waking up this morning. Not because I woke up, but because what happened immediately after: I sniffled.

No big deal, right? People catch colds every day.

Let me give you a little background as to why this was such an inspiration. Unknown to me until my diagnosis in November 2012, I have been suffering from narcolepsy with cataplexy since the age of 14. (I will be turning 30 in March 2013.) My first real symptom was collapsing to the floor for no apparent reason.

Because I had dislocated my kneecap when I collapsed, and subsequently dislodged a tiny piece of cartilage that was floating around in my joint, I had to have arthroscopic surgery to remove it. The surgeons just fixed me up and sent me home - no answer was provided as to why this happened, or even the smallest indication that they were trying to find one.

This was just the beginning of a long, drawn out fight with a poorly understood, chronically misdiagnosed illness. By the time I separated from the Navy in January 2012, I had been through 5 knee surgeries (3 of which were major tissue and bone realignments to address the dislocations), was taking extended-release morphine for the chronic pain, and was suffering from terrible insomnia and panic attacks.

Nobody could figure out what was wrong with me, and my health continued to deteriorate even as I started my new career as a Department of Defense employee. I began to have sleep attacks at my new job in May 2012. I was terrified that I would lose my brand new job that I loved, so I got a referral to Sleep Center Hawaii. Through an overnight sleep study and a multiple sleep latency test, I was finally diagnosed with narcolepsy with cataplexy.

What I didn't realize was how totally narcolepsy had affected my outlook, health, and even my weight. After the excruciating process of weaning myself off of all the pain medications I was previously prescribed, I began my regimen of Xyrem. Xyrem is the only drug approved by the FDA for the treatment of narcolepsy with cataplexy. It is also very tightly controlled, and comes with a laundry list of contraindications and explicit instructions. I was, quite frankly, scared out of my wits. But I had no other options.

With the support of Narcoleptics in Paradise (a local support group) and my wonderful boyfriend, I successfully started using Xyrem and got a new lease on life! I woke up after the first night feeling more alert and refreshed than I had in years! More importantly, I was totally pain free. Since then, I have been re-learning what it is like to function "normally".

When I started to feel tiny twinges of pain in my legs a couple days ago, along with increased sleepiness, I started to feel doubt gnawing in the back of my mind. Was the Xyrem losing effectiveness? Am I losing all these hard-won battles?

I discovered this morning that I was not losing. I was, in fact, gaining. Gaining an understanding of what it feels like for "normal people" to catch a cold.