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Apr. 2nd, 2016

azurelunatic: Vivid pink Alaskan wild rose. (Default)
Got linked to http://www.misstreated.org/blog/2016/3/24/five-reasons-fatigue-isnt-like-normal-tiredness-proving-most-people-dont-get-it via some of the usual suspects.

There's a fatigue scale at the destination; since it's an image I'll transcribe it here.

FATIGUE SCALE
Read more... )

Reading that makes me think of some of my own struggles around sleep, which are not quite the same beastie. I have had problems with tiredness more than fatigue, specifically. The numbering system is a combination of severity and misery.


10. By all rights I should be asleep, but there is something chemically prohibiting me from reaching that state (caffeine poisoning, adrenaline spike). I am probably angry, miserable, nauseated, with a high likelihood of auditory and peripheral vision hallucinations. I am not functional.
9. I have been awakened in the middle of a sleep cycle. I am angry and possibly terrified. I may be hallucinating. If I am capable of speech, the words aren't likely to form coherent concepts even if they're intelligible. Memory writing is impaired; I am existing in a very bad dream state. I may or may not exhibit PTSD symptoms, and may or may not acquire new trauma. If I am functional, it is by accident. (Equivalent BAC 0.16-0.20)
8. There will be bad consequences if I cannot be awake for this thing, but I cannot safely drive. I can still sort of function if I take the bus or someone else drives me. Cognitive impairment, emotional fragility, nausea. I am unable to tell whether I actually experienced something, or whether I slipped into a dream state. I may not have the presence of mind to cancel my plans and go back to bed. (Equivalent BAC 0.08-0.20)
7. I have chosen to force myself awake/force myself to stay awake for this because there will be bad consequences if I do not. Cognitive impairment, emotional fragility, nausea. (Equivalent BAC 0.04-0.09)
6. I'm in bed. If I can sleep within the next 15 minutes, everything will be okay. Unfortunately, I know I won't be able to. Tomorrow's going to be a #7 or a #8, depending on how long it takes! Yay!!!
5. It is an appropriate time for sleep for NORMAL people and I am miserably exhausted, but if I go to sleep now I will get 3-5 hours of sleep and then I will be WIDE AWAKE and will have fucked up my sleep schedule for a week or more. I do not have to be functional, merely stay awake until an appropriate bedtime for my own sleep schedule.
4. Micronaps. (Not while driving. Micronaps while driving is a clear #8.)
3. I badly need to sleep and it is an appropriate time for my own sleep schedule, but the sequence of events to get myself actually into bed is not something that I have enough executive function to operate, even though I am sitting upright and reading/talking/typing/playing computer games. I may remain awake for another 0.5 to 4 hours attempting to get to bed to get to sleep. I may even produce useful work while in this state. Tomorrow will be a 2, a 7, or an 8, depending on when I have to be awake.
2. I guess I'm awake? (Equivalent BAC 0.02)
1. Awake, alert, and ready to function.


Before this past September, I rarely ever attained 1. I exist in 3, 5, and 6 regularly, even now.

All my jobs except for Virtual Hammer and the back-room stuff at Survey Hell had me in #7 pretty much every day (because I started later at those two, letting me sleep enough regularly). 2nd Thursday at Virtual Hammer was #7, pretty much always, although discovering the Quiet Room and taking a nap after the morning meeting let me reset to #2. Being within walking distance of Survey Hell as a phone goon let me go to work in a state of #8 pretty regularly, and I was still calling out sick enough to screw up my attendance record due to just not being able to function. 1996 was full of #9. I've only hit #10 a few times, but they were memorable.

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azurelunatic: Vivid pink Alaskan wild rose. (Default)
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