The Checklist (Chapter Five)

How can they look into my eyes and still they don’t believe me?
— The Smiths, "The Boy with the Thorn in His Side"

As a doctor, I’ve been called many things over the years, both personally and professionally.

“Imbecile. Moron. Dummy. Dolt. Nitwit. Ignoramus. Idiot. First-class idiot. Second-opinion mistake.”

That’s just one person. Others have been equally frank.

“You’re a quack.”

“You’re nuts.”

“You’re crazy.”

“You’re so clueless.”

“You’re ignorant, rude, and conceited.”

Most patients profess a healthy dose of skepticism.

“You’re telling me that I have to look like an orangutan to be happy?”

“I’m ugly on the outside and inside?”

“So my life sucks because my face is stuffed like a Thanksgiving turkey?”

And the one I hear most often.

“Did you tell me to SHUT UP?”

It’s not easy to mend or wipe away the tears. To listen or lay bare one’s innermost secrets and fears. To hold the hand of someone in pain, to feel their horror and sadness, or to be the one who endures the pain, unable to escape a grave reality. No one ever said it was easy to be the doctor or the patient. Yet here we are. Together. This evening. With no distance between us.

Breathing is the foundation of sleep.

It is time to understand how you have changed the way you breathe, the resultant destructive effects on development, and the entailing pervasive disturbances of sleep and life. In the end, your ailments will be cast in a new light; reason will be guided in another way. You will see how everything is connected by perceiving the secret, hidden order that oddly enough is everywhere, right before your eyes, yet all this time, you had been blind to its influence.

woman throwing knives.jpg

The Checklist

  • Mouth Breather

  • Cranial Dystrophy

  • Disturbances of Childhood

  • Disturbances of Sleep

  • Disturbances of Life

Behold the checklist. It is an overview of critical concepts. The book guides you through each point. As you peruse each chapter, page by page, question by question, use the checklists to connect seemingly disparate symptoms and perceive how your disrupted sleep may be a downstream consequence of a broader breathing issue that began in childhood.

Chapter Five Conclusion

Anil Rama, MD

Anil Rama, MD serves as Adjunct Clinical Faculty at the Stanford Center for Sleep Sciences and Medicine. He is the former Medical Director of Kaiser Permanente's tertiary sleep medicine laboratory. Dr. Rama is also an editorial board member of the Sleep Science and Practice Journal and has authored several book chapters and seminal peer-reviewed journal articles in sleep medicine. Dr. Rama is a guest lecturer for the Dental Sleep Medicine Mini-Residency at the University of Pacific, Arthur A. Dugoni School of Dentistry. Furthermore, Dr. Rama has been an investigator in clinical trials for drugs or devices designed to improve sleep. Several national newspapers, local news stations, and health newsletters have consulted with him.

https://www.sleepandbrain.com
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B-B-B-B-Bad to the Bone (Chapter Four)

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Mouth Breather (Chapter Six)