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The Water Cooler
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Shift work disorder?
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<blockquote data-quote="UnSafe" data-source="post: 2537870" data-attributes="member: 100"><p>The term "Shift work disorder" has evolved into a (Billable!) ICD code: "Circadian rhythm sleep disorder, shift work type", which was created about the same time that Provigil got approved for the treatment of SWD, later replaced by Nuvigil. Both were developed as non amphetamine meds to keep narcoleptic people awake. Sales increased dramatically despite the cost (Many insurers won't pay for it, if it's prescribed for SWD). Bottom line- It's legal (Prescribed) speed, with all the side effects- palpitations, insomnia, dependence, etc.. Really not one of the best ideas in the long run, but it makes for big pharmacy profits and another source of drugs that slip into the illicit world. Very popular among college students that struggle to focus.</p><p></p><p>The "Shift work" part of circadian rhythm issues is a voluntary one (For most)- We choose to work or participate in activities that disrupt our normal sleep/ wake cycle. If it gets bad enough to the point that it's causing safety, medical or severe social problems, the "treatment" is to stop the aggravating activity- Stop changing shifts/ enforce sleep and rest patterns. Agree with the above posts about getting screened for sleep apnea, reading up on sleep hygiene and creating a time and place for uninterrupted rest. </p><p></p><p>I'm horrible about it all. I rarely sleep for more than 4-5 hrs at a time, lived on naps for weeks- months at a time while in the Army and as a lazy old retiree, still work on/off 24 hr shifts with naps on off days.</p></blockquote><p></p>
[QUOTE="UnSafe, post: 2537870, member: 100"] The term "Shift work disorder" has evolved into a (Billable!) ICD code: "Circadian rhythm sleep disorder, shift work type", which was created about the same time that Provigil got approved for the treatment of SWD, later replaced by Nuvigil. Both were developed as non amphetamine meds to keep narcoleptic people awake. Sales increased dramatically despite the cost (Many insurers won't pay for it, if it's prescribed for SWD). Bottom line- It's legal (Prescribed) speed, with all the side effects- palpitations, insomnia, dependence, etc.. Really not one of the best ideas in the long run, but it makes for big pharmacy profits and another source of drugs that slip into the illicit world. Very popular among college students that struggle to focus. The "Shift work" part of circadian rhythm issues is a voluntary one (For most)- We choose to work or participate in activities that disrupt our normal sleep/ wake cycle. If it gets bad enough to the point that it's causing safety, medical or severe social problems, the "treatment" is to stop the aggravating activity- Stop changing shifts/ enforce sleep and rest patterns. Agree with the above posts about getting screened for sleep apnea, reading up on sleep hygiene and creating a time and place for uninterrupted rest. I'm horrible about it all. I rarely sleep for more than 4-5 hrs at a time, lived on naps for weeks- months at a time while in the Army and as a lazy old retiree, still work on/off 24 hr shifts with naps on off days. [/QUOTE]
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