Okay so at this point it’s happened enough that it’s a real pattern. I have always had insomnia and trouble sleeping. I’ve pulled all-nighters many, many times throughout my life. I know it’s not healthy but it just happens sometimes. But I’ve noticed something strange: if I pull an all-nighter before a day of big exertion, I do not crash in the following days??
It’s known thing that sleep deprivation can mask CFS symptoms. Because being severely sleep deprived pumps your body with adrenaline. So that part is to be expected. But what confuses me, is that the effect is “true.” As in, there is no rebound. I just don’t crash. Three days ago I had my tilt table test for POTS, unfortunately I couldn’t sleep because I was so nervous. It screwed up the results because the sleep deprivation also dampened my autonomic response. But I also walked 2x my regular steps, rode in the car for 2 hours (which has always crashed me in past), was upright for 10 minutes for the test, and ate fast food afterwards breaking my diet, and I just…recovered. Felt like shit that day, slept, woke up, normal ever since. No PEM. That’s one example but it’s happened several times before. I had been couch bound for 10 months, but on a whim begged my friend to take me down to the ocean. Again, so nervous I didn’t sleep. I sat upright for 2 hours on a bench and with her and talked until I stopped being able to form sentences. Usually, that’s a really bad sign. But that time, I just went home, slept, woke up fine, zero blowback.
It’s so odd. It makes me wonder about the process of PEM. Like maybe it is some kind of immune response, and having a different crisis (the sleep deprivation) distracts my immune system? Or maybe the chemicals that my body makes to try to make up for the lack of sleep, also makes up for the broken energy processes in my body?
I’m definitely not advocating anyone try to test this, I would never do it purposefully. But it’s really weird when it happens.