Macbeth: “Me thought I heard a voice cry ‘Sleep no more! Macbeth does murder sleep’ the innocent sleep. Sleep that knits up the raveled sleeve of care, the death of each day’s life, sore labor’s bath, Balm of hurt minds, great nature’s second course, Chief nourisher in life’s feast.”
Sleep, love it or hate it, we all need it. In these lines Shakespeare means that sleep “knits up” or secures what has become tangled or confused in our lives. If something is raveled it is confused or knotted. Sleep helps bring loose ends together and smooths out issues that may be on our mind before we go to sleep.
For whatever reason, Mr. Boo was considerably unraveled last night. I gave him his night medications a little before nine pm. Usually this means he will wind down by about ten pm. Not so last night. He bounced, he thumped, he hooted. Ocassionally he would settle down, only to bounce back ten minutes later. I checked on him several times throughout the night. He did not seem to really need anything. He was not hungry or thirsty, per say. He just could not settle down. At four am I went into his room to give him another dose of sleep meds and settled down with him for a while. No good. He was happy for the company but mostly just wanted to drum his feet and hands against my legs. The rhythmic thumping seemed to make him happy. At five am I decided I had enough bruises on my legs to last for a while and decided to give him his usual daily meds. This includes 25 mg more of his Lamictal than the day before. Over the next three weeks we (under the guidance of his neurologist)are titrating up his anti epileptic medicine. I am hopeful that this will help. When the office opens I will call his nurse practioner, asking for more ideas in how to help him sleep. When he is sleep deprived he is much more likely to have a seizure. Seizures throw off his wake/sleep cycle, creating a perfect storm.
So, here we are at 6:30 in the morning. Boo has had his meds. The dog (also an epileptic) has had his. I have had mine and am busily guzzling coffee. Boo is happily stimming in his room with his iPad. I have the song “Teddy Bear Teddy Bear, turn around” playing on repeat in my head because this is what Boo has playing on repeat on his device. This could be a long day. Peace out y’all, and be kind to one another. Be good people. Some of us are seriously sleep deprived. When in doubt about what to do, offer coffee.