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Abstract

The promising young 33-year-old doctor, adored by his department at his Suffolk England hospital, had just completed a long night on duty. Three long marathon night shifts in a row had taken their toll on Dr. Ronak Patel, and he was eager to finally enjoy some well-deserved rest. It was just before 9:00 am when the young doctor climbed behind the wheel of his car to make the 40-mile drive home. Fatigued from his all-nighters, Ronak called his wife Helen on his hands-free phone. Although he was but a few miles from home, Ronak and Helen began singing to each other over the phone to keep him from falling asleep at the wheel. With Helen singing in time, Ronak’s voice suddenly stopped. With the phone line having fallen silent, Helen, in her worry, attempted to call him back – trying again and again – no less than 14 times. Fetching her car keys, she began driving the route from their home toward Ronak’s hospital. A mere 3 miles from her home, she was stopped by police who were setting up barricades around the scene of an auto accident. Even while singing to his wife, the young doctor had drifted from his lane, his small Volkswagen Gulf crashing headlong into an oncoming transport truck. The inquest into the young doctor’s death showed no mechanical failure of his car; the findings ultimately ruling that despite actively singing aloud to his wife while navigating the twisting curves of the road, the young doctor had nevertheless succumbed to sleep mere, minutes from his home.

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Notes

  1. 1.

    See, Dr. Ronak Patel had been “singing to stay awake” before fatal crash. BBC News, 12 July 2016.

  2. 2.

    See, Shift work and driver fatigue ended Dr. Brandon Rogers’ life. American Sleep Apnea Association, 19 August 2017.

  3. 3.

    See Circadian website and accompanying video. URL: http://www.circadian.com/blog/item/42-microsleeps-30-seconds-to-catastrophe.html.

  4. 4.

    Biphasic sleep: what two weeks of it did to me. Renaissance Humans. (Blog). See, http://renaissancehumans.com.

  5. 5.

    See research poster presented by Dr. Manolis Kallistratos at the 2015 European Society of Cardiology Congress. In Busko, Marlene. Siesta Therapy, Medscape, 29 August 2015.

  6. 6.

    The American Academy of Sleep Medicine now combines Stages 3 and 4 into one stage. Along with this change, the nomenclature was also changed to N1, N2, N3, and R (replacing S1, S2, S3, S4, and REM sleep). See, Moser et al. [10].

  7. 7.

    For a good discussion on this, see Gordon [11].

  8. 8.

    See chapter 17 and notes on REM and REM Rebound in Kaufman [16].

  9. 9.

    For an interactive online pharmokinetics BAC calculator produced by E.M.P. Widemark, see: https://www.autoevolution.com/bac/.

  10. 10.

    Ibid.

  11. 11.

    See, Factors that Affect Alcohol Metabolism. University of Richmond. Health Factsheet. http://wellness.richmond.edu/common/pdfs/factsheets/alcohol-metabolism.pdf.

  12. 12.

    Centre for Disease Control. 2016 Press Releases. https://www.cdc.gov/sleep/index.html.

  13. 13.

    Ibid.

  14. 14.

    For a map illustration of the sleep data, https://www.cdc.gov/sleep/data_statistics.html.

  15. 15.

    For an interactive graphic of obesity levels in the US, see Adult Obesity in the United States (updated 31 August 2017). https://stateofobesity.org/adult-obesity/.

  16. 16.

    Ibid.

  17. 17.

    See stats on Mississippi on State of Obesity website. https://stateofobesity.org/states/ms.

  18. 18.

    For a discussion of literatures and findings, see Guglielmo and Silvana [22].

  19. 19.

    Millennial Branding and Beyond.com Survey Reveals the Rising Cost of Hiring Workers from the Millennial Generation. The Cost of Millennial Retention Study. See, www.millenialbranding.com, 6 August 2013.

  20. 20.

    Ibid.

  21. 21.

    See cited sources on infographic. Sourced in article by Blodget [36].

  22. 22.

    As discovered by the author in consultation with School Board and parent representatives in Calgary.

  23. 23.

    Op cit.

  24. 24.

    See Sleepscore.com.

  25. 25.

    See Resmed.com.

  26. 26.

    See American Addiction Centers website.

  27. 27.

    See CDC website data on ADHD.

  28. 28.

    See ADHD Institute data.

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Barrett, R.S., Francescutti, L.H. (2021). Why Do We Ignore Sleep?. In: Hardwired: How Our Instincts to Be Healthy are Making Us Sick. Copernicus, Cham. https://doi.org/10.1007/978-3-030-51729-8_5

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