Let the Teenagers Sleep for We are Making Hamlets of Them All

LET THE TEENAGERS SLEEP FOR WE ARE MAKING HAMLETS OF THEM ALL

To sleep, perchance to dream,” Hamlet laments to himself in Shakespeare’s famous play. While some have interpreted the quote as being about the protagonist worrying about carrying his troubles to the grave, I see something else: an insomniac. Even worse, I see an insomniac whose lack of sleep is leading to an increasingly unhinged state of mind. Those who have read Hamlet know how it ends (and it’s not pretty).

Whether or not Hamlet was a teenager remains hotly contested, the fact is that too many young people are struggling in their own ways thanks to a lack of sleep. A teenager’s real-world clock – that is to say the clock our world expects them to adhere to, rather than their biological one – can start early. For some, it’s as early as 6 or 7am, and is earlier for those who compete in swimming or who play hockey. For others, long commute times to school can also require an early wake up time.

The first bell for most high schools in Ontario currently goes off at 8:30am, with the day wrapping by 2:37 or so. Many then stay behind to pursue extracurricular activities, resulting in kids not stepping through their front doors until well after 4pm – even later for those who play organized sports or who participate in other activities. Many teenagers say that the two to three hours of homework that follow are the most significant barrier to them getting a good night’s sleep.

Not wanting to miss out on social media, young people have stated that their window for scrolling their friends’ feeds is midnight to 2am. They say this is the only uninterrupted time they have where they can decompress.

The result, of course, is that too many of our young people are deeply sleep deprived. On weeknights, many teenagers report that their average total sleep time is 6- 7 hours. And while many may sleep on the weekends, this ongoing deprivation/restriction is a tough thing to make up for, especially for those who have jobs.

The other challenge is the teen habit of staying up late and waking late on the weekends, delaying their already misaligned circadian clocks.

The fact remains that teenagers need anywhere from 8.5 to 9.5 hours of sleep daily. During adolescence, their circadian clocks are delayed and their drive to sleep builds up slowly. Young people generally want to go to bed later and wake up later than adults do. The problem, of course, is that their social clocks are totally out of sync with their biological clocks. As a result, they are living in a constant state of bio-deregulation caused by sleep deprivation, sleep restriction and misaligned circadian clocks. The result is making Hamlets of them all.

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How to Beat Winter Blues

Seasonal Affective Disorder or SAD (an appropriate acronym) or Winter Blues occurs with the change in seasons as the days get shorter, greyer, and darker. There is a general feeling of lack of motivation and energy and it is often accompanied by sadness, anxiety, increased sleep duration, lack of concentration and weight gain. Morning light therapy has proven to be more effective (10,000-lux light treatment in 30 minute sessions) in conjunction with consistent sleep time (Principles and Practice of Sleep Medicine, 5th edition). If you are a shift worker light therapy is not a good option as your circadian clock is already misaligned and you do not have the luxury of consistent bedtime. Being a shift worker, I had to be inventive.

After trying a variety of different options I found that a really good way for me to beat the winter blues is to add fairy lights everywhere in my house and also by creating indoor micro jungles. Fairy lights will not disrupt your circadian clock but will add an element of joy; greenery is good for general well-being and helps elevate your mood. Combine the greenery with the lights and you have wonderland. Make sure you get your Vitamin D and get some exercise. If it is sunny outside make sure you get outside and bask in it. If the symptoms persist please see your health care provider.

Garlic and Ginger Basmati Rice with Mixed Vegetables and Roasted Cumin

We humans started controlling our environment sometime around 10,000 years ago. We started to protect ourselves from the environment by creating shelters, using fire, and wearing clothes. We also made profound changes to our diet; we went from hunting and gathering to agriculture and our diet went from being rich in protein to one that was rich in carbohydrates (On Human Nature, pg. 265).

It is estimated that rice cultivation began around 2800 B.C. in China and around 2500 B.C. in India. Rice is the member of the grass family. It provides 60 percent of the food intake in Southeast Asia. Rice protein is superior in lysine (an amino acid) content to wheat, corn and sorghum (Cambridge History of Food, pg.132). It is worth noting that brown rice ranks higher in nutrition than white rice.

I come from North India where wheat is the main staple. Rice in my parents’ household was a special treat. My mother preferred Basmati rice over parboiled, for Basmati rice is long grained and delicate in flavour. It was also more on the expensive side, therefore, the saying in our house was “Do not waste a single grain” and we didn’t. It was often accompanied with a dish called Rajma; red kidney beans cooked in masala. Masala is a base to any dish and is often composed of garlic, ginger, onions, tomatoes and a whole bunch of different spices and herbs.  Adding Raita, which is homemade yogurt with grated cucumber, onions and roasted cumin and coriander, and it totally enhanced the combination of rice and Rajma. The memory of it makes my mouth water and puts a smile on my face. Rice, therefore, holds a very special place in my heart.

There was a two year window during my “Self- Regulation and Shift Work” case study, where I eliminated all white carbs as well as alcohol from my diet to control the ‘Diet and Nutrition Variables” of the study. I have to say that letting go of rice was very hard. I missed it so very much. When I did go back to having rice, it was brown rice: which has higher nutritional content, however, it takes much longer to cook and it does not compare to the flavour of white rice of my childhood. I make Basmati rice as a treat in my house and it usually accompanies a feast, especially for dinner parties; large or small and for personal celebrations.  Every once in a while I make rice the centerpiece of my meal by adding a variety of vegetables, spices and fresh herbs and sometimes meat or tofu. This dish is one of those centerpieces.

Ingredients:
  • Basmati Rice
  • Cumin Seeds
  • Garlic
  • Ginger Onion
  • Green chili
  •  Broccoli stalks
  • Yellow carrots
  • Fresh Mint
  • Salt
  • Black Pepper
Recipe:

Wash, rinse and drain the rice a couple of times prior to cooking or until the water runs clear; washing the rice will clear it of all the debris and remove starch so the rice does not get clumped together. In a deep sauté pan or a pot, add olive oil or canola oil and throw in a small teaspoon of cumin seeds. Let the seeds brown and then add minced garlic, ginger, green chilli and diced onions.  Sauté until soft and then add chopped broccoli stalks and carrots. Add salt and pepper for flavour.  Add rice and gently stir. Add double the amount of water to the rice and chopped fresh mint. Turn the heat to medium, cover the pan and keep an eye on it. Sometimes, water can boil over and in that case you might need to let out a bit of steam by shifting the lid slightly, but do not uncover. Peek in after 15 minutes to see where the rice is at and taste it to see if it is cooked.  If you need to add a bit of water to it, do so incrementally. You do not want the rice to be mushy. I used this rice with my chickpea dish and accompanied it with Raita; it is a lovely combination- heart-warming, delicious and so healthy.

One Pot Meals: Pasta with Fresh Tomatoes, Shitake Mushrooms and Chicken Broth

One Pot Meals

Pasta with Fresh Tomatoes, Shitake Mushrooms and Chicken Broth

Ingredients

  • Onion
  • Garlic
  • Beefsteak Tomatoes
  • Cherry Tomatoes
  • Shitake Mushrooms
  • Fresh Thyme
  • Fresh Basil
  • Home Made Broth
  • Pasta
  • Sour Cream
  • Parmesan Cheese
  • Salt
  • Pepper
  • Chilies

I love this dish. I have loved it from the moment I first created it and I have made multiple variations of it since. Each time it has been a different and a delightful experience. It is simple, comforting and delicious. It requires very little time to prep and to cook. The best part is it does not leave me with a pile of dirty pots in the sink. For full disclosure I did cook shitake mushrooms separately in my cast iron skillet, as this is how I prefer to cook my mushrooms.

I sauté or caramelize diced onions with a lot of garlic over high heat while stirring constantly. At the same time I also caramelize the shitake mushrooms in olive oil and a dab of butter until the mushrooms are golden brown. To the mix of caramelized onions and garlic I add equal amount of tomatoes and fresh thyme from my garden and sprinkle salt and freshly ground pepper as always. I stir until I have the desired consistency, which totally depends on my mood, for there are days I like the sauce to be caramelized and sweet and other times I prefer the freshness and a bit of tartness.

Add broth, just enough to cover the amount of pasta you are planning on cooking. Add sour cream, but temper it first so it does not curdle when you add it to the simmering sauce. This is done by adding a bit of heated liquid from the sauce to the cream and stirring it until the sour cream is warm. Also add more fresh thyme. I prefer to simmer my sauce for a few minutes before I add pasta to it so all of the flavors can really meld and come together. 

Once the sauce is to your taste, add pasta; this time I used two different kinds, farfalle and penne. As I like my pasta to be el dente I usually hover around the pot and taste. Sometimes I recruit whoever is around to taste the dish – I can usually tell by their expression if it good or if something is missing. Add fresh basil, shitake mushrooms and the Parmesan cheese at the very end and mix well. I like to have green salad to go with my meal- it is an essential staple in this house. The more greens the better.

I chose not to be a passive consumer, therefore, it is really important for me to know what I am eating and feeding my family. I have profound love and respect for slow cooking. I love how the smell of slow cooking emanates throughout my house, it is uplifting and energizing for the soul. Slow cooking is not always possible especially when time is limited, when you are a parent who also happens to be a shift worker and there are million things to fit into your already tight schedule. It has been often difficult at times to be creative or to have the energy to make delicious slow cooked meals when your work schedule is somewhat erratic with very little recovery time in between shifts.



I have had to figure out ways to make nutritious, healthy meals for there are days I do not have the time to go shopping and there has certainly been times when after making a full meal, I only had 15 minutes left to eat with my family as I had to rush to work. Necessity is the mother of innovation and I used the tools and the skills I have acquired over decades of cooking, reading cook books, observing other cooks to create meals that are simple, nutritious, delicious, full of flavor and that take very little time to prepare. As the French chef and educator Jacques Pepin said, “Cooking is the art of adjustment.”

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Roasted Root Vegetables, Caramelized Cauliflower and Chicken in Green Sauce

Roasted Root Vegetables, Caramelized Cauliflower and Chicken in Green Sauce

“Sweet, Salty, Tangy and Fresh: Flavours and textures that are delightful and nourishing – a feast for the senses.”

Maple Roasted Root Vegetables
Caramelized Cauliflower and Whole Garlic Cloves
Slow Roasted Chicken Thighs in Green Sauce

Ingredients

Root Vegetables

  • Carrots

  • Beets

  • Sweet potato

  • Olive oil

  • Maple syrup

Caramelized Cauliflower

  • Cauliflower
  • Sweet onion
  • Garlic
  • Olive oil
  • Sea salt

Chicken in Green Sauce

  • Chicken thighs skinned
  • Watercress
  • Coriander
  • Garlic
  • Juice of a lemon
  • Juice of a lime
  • Juice of an orange
  • Salt
  • Black pepper
  • Sumac
  • Chipotle chilli powder

A combination of maple roasted root vegetables and as many colours as you can get. Cauliflower with whole garlic cloves and a good sprinkle of sea-salt caramelized slowly at a low heat. Chicken in a green sauce made of fresh herbs or your leafy green preference and juice and the zest of citrus (lemon, lime, orange). Add spices like sumac for flavour and chipotle chilli powder to add heat and a bit of smokiness.

This dish takes a bit of planning and prepping it does take a chunk of time, especially, if you are doing this for the first time, but it is so worth it. Also, once you have done it a few times, you will develop your own system. I prefer to buy all of the ingredients a day before. I make the sauce the night before- so I can marinate the meat in it overnight. For the sake of efficiency I marinate in a container that is oven ready.

I pull the chicken out of the fridge 20 -30 minutes before, so it can reach room temperature before it goes

into a preheated oven- this will help cook the meat more evenly. I learned this from being around chefs.

Once the oven is ready to roll- I start with the roasted root vegetables and then I put in the chicken the cauliflower is the last to go into the oven (it cooks faster than root vegetables and the chicken). I start hovering around the oven at an hour mark, tossing the vegetable occasionally and checking for the caramelizing process so as to not have the sugars burn and also to make sure that vegetables are not mushy.

I end up using my heated oven for multiple dishes (savings in terms of utilities) and I have food for couple of days (conserving time) and sometimes I do it so I can share it with others, so we can have a shared experience.

As chef Anna Thomas said, “We all eat, it would be a sad waste of opportunity to eat badly”.

The Recipe

Root Vegetables
Chop the root vegetables in chunks (proportions equivalent to chopped sweet potato) and add olive oil and maple syrup. Place it in the oven at 375 degrees and toss occasionally. Test to see if vegetables and cooked through and maple syrup is caramelized. I usually try to take a taste before pulling it out of the oven to see if the vegetables are not too mushy.

Cauliflower
Cut up cauliflower into florets and dice the sweet onion into big pieces, peel the garlic cloves and add to a pan. Add olive oil, sea salt, and black pepper. Roast it in the oven at 375 degrees until it is caramelized (slightly browned) and not too mushy.

Chicken with Green Sauce
I use my blender to make sauces. This one is made of watercress, coriander, garlic, lemon and limejuice. Season it with pepper, sumac and chipotle chilli powder. I prefer to marinate the chicken thighs in the sauce overnight. I prefer to add salt just prior to cooking. Take it out of the fridge half an hour before putting it in a preheated oven at 375 degrees. Cook it covered for half and hour and then turn down the heat slightly, remove the covering and cook the chicken until it is beautifully browned and the sauce is to my liking in both flavour and texture.



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Chicken Soup with Homemade Bone Broth

Chicken Soup with Homemade Bone Broth

“Waste not Want not”

In the world of hyper consumerism and 24/7 society, Canadians waste on average 31 billion dollars of food each year https://tfpc.to/food-waste-landing/food-waste-theissue. Food production is the single biggest cause for deforestation, water extraction and loss of bio diversity (Wasted! The story of food waste. Anthony Bourdain).

It has taken me a while to develop systems to minimize food waste within my own household. I have yet to reach zero waste – it is a quest and is a continuous process.

Years ago my brilliant friend Shelagh Freedman introduced me to the idea of broth. Prior to that I occasionally used generic bouillon cubes to add flavor to my dishes and sometimes made do with spices and water.  Shelagh is a great lake swimmer- she swam continuously for about 26 hours from Niagara-on-the-lake to Ontario Place at the age of 17 and during her marathon swim the only thing she could stomach was beef consommé.  I became fascinated with the power of broth. My ideas took shape and were strongly supported by my husband, who is a big proponent of sustainable living, recycling and composting. 

As I started to support our local farmers – I realized the price of organic chicken from our local farmers was a bit more on the expensive side (rightfully so, as our local farmers have no subsidies they can depend on, unlike big farms and those in agribusiness) therefore; I want to use each part of that chicken. I always save the bones from my cooked chicken and if there is skin, I use that too. I keep the tail end and bits of vegetable stalks around and save them to add to my broth for extra flavor and goodness, the more variety, the better. All of the unusable vegetable peels go into the compost, which in turn provides beautiful soil for our urban gardens.

Soup is food for the soul. It always fills me with hope. When my child is feeling under the weather I use my homemade broth and transform into a soup, a different variation each time depending on the ailment:  sometimes it is mellow and simple such as broth with peas when we can’t stomach anything else, spicy and full of heat when we have a cold and need our sinuses cleared, something rich and creamy for when it is cold outside and on and on.

These are just ideas to explore and the journey is the most beautiful part. Cooking is a big part of my life. It is always an adventure. 

An Average Household’s Food Waste in a medium sized Ontario Municipality

(Massow and Martin, n.d.)

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Exam Time Strategies

Exam Time Strategies

It’s Exam Time in Ontario High schools! Last week during my sleep workshops, students expressed how the end of semester heightens their levels of stress and anxiety. The pressure to hand in assignments and prepare for exams ramps up, which can be challenging or even overwhelming.

Stress and anxiety are part of being a human. A little stress is good as it motivates us to get things done and to move forward. Too much stress can be debilitating and can lead to flight or freeze reactions, which can be detrimental to our physical and mental wellbeing.

Here are few strategies to maximize learning during these stressful times:

Make sure you are getting adequate amount of sleep. Learning gets consolidated while you are sleeping, so sleep is part of studying! Please refrain from pulling an all-nighter – it will not serve you well in the long run.

Make sure you move – get some fresh air, go for a short or long walk, jog, or run, or do those pushups and sit-ups.

Do your exams prep in 20 – 30 minutes blocks, and divide the information into chunks by using the chunking process i.e., take big chunks of information or a difficult concept and reorganize it into smaller bits. This will make it easier to process information. Then take a 5 – 10 minute break – meditate, do some jumping jacks, or go for a short walk.

Stay off your phones/screens close to bedtime – it will negatively impact your sleep and your learning process.

Keep hydrated, eat well, and be mindful of your caffeine intake. Remember, caffeine has a quarter life of 12 hours. It will still be in your system 12 hours after ingesting it.

Good luck in your exams. Sleep well. You guys are doing great!

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Self Regulation

Self Regulation

Self Regulation is the key component of the longitudinal case study that was initiated in 2011. Can regulating that variables within one’s control mitigate the slow violence of shift work? What does this process look like? The  Sleep and Society Podcast explores this in detail from the lens of biology, economy, and society. This poster is an aspect of this decade long case study and it looks at the role that self regulation and shift schedules play to counter the negative impact of shift work. It has been   presented at the Canadian Sleep Society Conference,  the International Symposium of The Working Time Society, and at the Kingston Nursing Research Conference.

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Back to School: It’s Time To Reset Your Clock

Back to School:

It’s Time To Reset Your Clock

Alas, it’s back to school time and that means resetting our internal clocks to the rhythms required by society. Summer has been full of late nights and mornings spent sleeping in, and that means our biological clocks have shifted to a later time (AKA delayed phase). Resetting it back to social rhythms is going to take a bit of effort and some time. We humans thrive when we are in synch with our our own circadian rhythms. When we are out of synch, our systems begin to slowly collapse. 

First of all, it’s important to know how much sleep we need, for each of us has different sleep requirements. Some of us do well on 8 hours while others need 11 hours (adolescence and youth need uninterrupted 8.5 – 11 hours daily, as per the Canadian 24 hour Movement Guidelines). Second, it is important to know your chronotype: Are you a morning person or an evening person?  Does it take you a while to get going in the morning? If so, you might need more time to wake up and get yourself organized.

To shift your clock to an earlier bedtime so as to meet your sleep requirements, start by gently shifting your bedtime. Every night, start going to bed 15 minutes earlier than the night before, but keep your wake up time the same. Keep away from your screens at least an hour before going to bed – preferably more. In that hour, get your personal hygiene taken care, take a bath or a shower, read a book, or meditate, and if you are feeling a bit anxious, write those anxieties down and get them out of your head and onto paper. When you wake up in the morning, try to get some direct sunlight as soon as possible (for 15-20 minutes ) hydrate (drink a big glass of water), and have a good breakfast that includes protein, carbs, grain and fruit. Please do exercise – but not too close to bedtime (avoid 2-3 hours before bed). Also, remember not to eat too close to bedtime, – it will mess up your metabolic system and compromise the quality of your sleep. 

Sleep is our superpower; it is where all good things happen. Don’t let anything compromise it. Compromising sleep means you are compromising both your physical and mental wellbeing. There are many interesting adventures and challenges coming your way! Get yourself prepared by getting a good night’s sleep.

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Shift Work: A Lived Experience

Shift Work:

A Lived Experience

Intervention #1: High Intensity Interval Training

Knowing Life by Entering Life- Mahasweta Devi

It takes a lot to get yourself moving at the best of times. But pushing your physical limits at 2:00AM to help lessen the slow violence of shift work takes systematic thinking: from self motivation, to creating spaces where you can move, to choosing the type of movement itself.

In my seven years of doing physical training during 12-hour overnight shifts, I always found myself struggling when 2:00AM approached. There has been rarely a night where I was ready to just go and do my workout. A loud voice in my head was saying, “You don’t need to do this -You already did it yesterday, why put yourself through this pain? It is 2:00AM, just sit your ass down!” To drown out this voice, I often had to seek motivation in a song. I created entire playlists for working out. Nike ads do really help, although I do not wear Nike Shoes. When all else failed, the support from my colleagues encouraged me, every time.

As I age, I have to listen VERY closely to what my body is trying to tell me – when to push and when to back off. There is no one model that fits all – human beings are dynamic systems, with variables that are constantly shifting. We are diurnal creatures and were not meant to be up all night – “night owls” or not. So do what you need to do in order to survive it – move at your own pace (slow or fast), take a nap, or meditate. But remember – stay far away from sugar during your night shift. It will disturb your metabolic rhythms and will only make you feel more tired twenty minutes later.

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A RECOMMENDATION FROM DR. SARAH KASTNER, PHD

A RECOMMENDATION FROM DR. SARAH KASTNER, PHD

Let me introduce you all to my dear friend, Ruhi Snyder, who is one of the most inspiring thinkers I know. Ruhi is an Independent Researcher who studies the intersections of sleep, shift work, and aging. Ruhi has worked as a Sleep Technologist and Educator at Kingston General Hospital’s Sleep Lab at the Kingston Health Sciences Centre for the past ten years.

Her longitudinal self-case study, looks at the impact of shift work on wellbeing. Using her own experiences as a sleep technologist doing shift work in a sleep lab, Ruhi collected subjective and objective data on the impact of shift work on her physical and mental wellbeing over the course of five years. In conversation with the scientific literature on shift work, she created an experimental program that explored how self-regulation, notably physical exercise and diet, might counteract the negative impacts of shift work on her wellbeing. Her findings were far more complex than she could have anticipated.

Ruhi’s work is a quintessential ‘Impossible Project’ because the complexity of her research question cannot be contained within a single discipline and because her findings would require a massive shift in how the scientific community thinks about wellness. By studying herself, Ruhi became fascinated with the unruly question of research ‘variables’ and the extent to which those variables were the very factors that made her human. ‘Controlling’ those variables became a task that was overly demanding. Any study of shift work, sleep, and self-regulation would need to foreground the humanity of its subjects: the dynamism of their lives, the shifting capacities of their bodies at different times, the changing economics of their lives. The limitations of the very concept of an individual study subject were made visible to Ruhi as she juggled family, research, and her personal goals. Her research raised bigger questions about the economic, social and political systems that underwrite sleep and shift work. Sleep became a barometer for measuring and thinking about the health of our broader society.

Ruhi is quickly becoming a leader in sleep and society. Her current work focuses on educating adolescents about sleep and health, changing perceptions about aging and preventative medicine. I often find myself thinking about Ruhi’s research during our Impossible Projects. I hope to have an opportunity to introduce you all to her in person one day.

Dr. Sarah Kastner, PhD

Director of Social Development at the Native Women’s Association of Canada (NWAC)

Native Women’s Association of Canada

Queens University, Kingston, Ontario

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AN INTRODUCTION TO SHIFT WORK

AN INTRODUCTION TO SHIFT WORK

Over 30% of Canadians are shift workers. National Sleep Health defines shift work as irregular work hours, regular being 8-4 or 9-5. International Labour Organization defines it as ” a method of organization of working time in which workers succeed one another at the workplace so that the establishment can operate longer than the hours of work of individual workers”. In our 24/7 society, shift work is a reality for many. Early morning shifts, evening shifts, night shifts, rotating shifts are associated with an increased propensity towards disrupted sleep. Night shift and rotating shift workers have an increased risk of acquiring circadian rhythms disorder, mood disorders, metabolic and cardiovascular disorders, cognitive dysfunction and cancer. Shift work is an act of slow violence against our bodies and can have serious consequences on our physical and mental well-being. 

The Sleep and Society Podcast examines this topic in detail and does deep dives into what it takes to keep somewhat healthy when going against one’s own biological rhythms.

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