I went through a really nice period over the last couple of months where I was sleeping pretty well (without pharmacological assistance) and my brain was happy.
The last couple of weeks I've been feeling that buzz in the background of my thoughts getting louder as more and more chatter rolls around in my brain:
"What if I bomb the USMLE?"
"Why the hell are my knees giving me so much grief again despite all the TLC I've been giving THEM?"
"I should write a letter to my sister in law whose dad just died"
"I should recert my ACLS soon"
"How am I going to fit in studying for finals with all the workload on top?"
"I should email Nancy's family and thank them for the lovely letter they sent me"
"How am I going to get in better shape when I feel I have no spare time?"
"Where am I going to do electives?"
"What specialty am I going to do my electives in?"
"Should I shoot for a province I *want* to do a residency in or one that I'll have a *chance* at getting a residency in?"
And so on. And so on. And so on.
Haven't slept much in the past couple weeks. In particular not at all the past three days. I am in a daze and we've started the neurophysiology unit this week. And the more days I go like this the harder it is to get it right because now I am stressed that I can't sleep!
Ugh. I can't memorize, concentrate, think, learn when I feel totally exhausted.
And believe me I do ALL the right things to facilitate sleep. I exercise every day (but not too late). I hardly drink coffee/caffeine at all but if I do it is only one cup in the morning. I do yoga on a regular basis. I don't study in the room I sleep in (most of the time). I get up 1/2 an hour earlier than I need to. I don't eat too late. I stop working at 2130h-2200h and do something else for an hour. I have a cool room, with white noise in it.
Any other suggestions most welcome.
And yes I have 4 sleeping pills but I am saving them for finals when the sleep thieves inevitably come and snatch everything they can from me.