Living
Tossing and turning
Many who find quality sleep elusive don’t think to seek medical help


Getting a good night's sleep sometimes requires medical intervention. (Photo from the George Grantham Bain Collection via the Library of Congress)
For longer than I can remember, I never really slept well. The last year and a half I have been particularly noticing sleep issues and the profound side effects of sleep deprivation. I didn’t fully realize the effects of sleep deprivation until I sought medical assistance and read extensively on the subject. I hope my story puts you to sleep as well.
A column last year on insomnia focused on remedies but the effects of sleep deprivation are also worth covering.
There were many nights that I had trouble falling asleep — my brain would often race uncontrollably and I felt “wired.” And if and when I finally fell asleep, I would wake up just about every hour. After several hours of this, I would get up in fatigue and frustration usually in the middle of the night.
I often woke up with aches and pains throughout my body, frequent headaches and overall fatigue. But I lived with this reality for some time thinking it would get better. I found myself falling asleep in meetings, not having the energy to work out and crashing most afternoons. I was also relying on caffeine quite a bit — a quadruple skim cappuccino was my afternoon mainstay to get me through the rest of the day.
I also had difficulty focusing, reading and remembering simple things such as someone’s age or recent events and conversations. My motor skills felt off as well and I frequently lost coordination — not good for a personal trainer. And I knew my brain chemistry was awry and was affecting my moods and emotions because I was an emotional rollercoaster.
After trying just about every sleep remedy you can imagine, from chamomile tea, meditation, melatonin and prescription medication to lighting candles, dimming lights and warm milk, I had exhausted the gamut of remedies — nothing seemed to work. Finally, I sought out a sleep specialist at George Washington Hospital and a standard sleep study was ordered.
The sleep study has been interesting and the knowledge I have gained about the effects of sleep deprivation have made me feel less crazy. I was relieved that I had a diagnosis because I feared I would be told there was nothing wrong and that I really was losing my mind. But I came to realize that sleep deprivation is a valid and major medical problem that requires medical treatment.
I have now been under the care of a sleep specialist for about four months. My first sleep study was about three months ago and it was discovered that I snored and had severe sleep apnea, an obstructive airways disorder that causes abnormal pauses in breathing or instances of abnormally low breathing. As a result, I stopped breathing on average 30 times per hour, which caused me to wake up frequently gasping for air. The doctor also told me that sleep apnea is hereditary but that both it and insomnia can be treated.
The first course of action was a new medication for me — Trazadone, an old-school anti-depressant that has sleep-inducing qualities and is purported to be non-addictive. And I was scheduled for a second sleep study so that I could be fitted with a Continuous Positive Airway Pressure machine (CPAP). A CPAP machine uses mild air pressure to keep airways open. This is the conservative approach; the alternative is surgery. I do know a few people who’ve had the surgery and swore by the results, but I am not ready to get invasive just yet.

Getting a good night's sleep sometimes requires medical intervention. (Photo from the George Grantham Bain Collection via the Library of Congress)
I finally got my CPAP machine on Oct. 12 and I am currently prescribed both Ambien and Trazadone per my doctor’s recommendation. Thankfully, I’m beginning to sleep better than ever before. And while admittedly, the CPAP machine is quite cumbersome and takes some getting used to, it’s far better than not sleeping. I’ve been wearing the CPAP through the night since the first night and I even use it while napping. I eventually hope to eliminate the medications.
If I only knew then what I know now, I certainly could have been far better off and suffered less. I believe I was both ignorant and in denial and my self-will was telling me I could handle this and snap out of it. My free-will often runs amuck and it certainly did in this case.
Everyone seems to know about my sleep issues because I share them frequently and people would notice because I looked tired all the time — they could see the exhaustion in my face. Through my frequent sharing I uncovered the wide-spread truth that insomnia and sleep deprivation is actually quite common and from what I can tell, most people grin and bear it or dismiss it and don’t seek medical assistance. That’s the biggest mistake I made for so long.
So today my life is profoundly different and I am awake at the wheel. I wake up refreshed and rejuvenated. I am much more focused, have great energy, beginning to work out again and accomplishing more in my life. Sleep deprivation virtually stagnated my life and all that has changed for the better.
So if you are suffering from insomnia and sleep deprivation, my best advice is to seek medical attention because it could treat your problem. There are about 15 centers in the D.C. area that address these issues. Isn’t it time you got some sleep?

As the spring market hits its stride, we are beginning to see more inventory and an increase in days on the market in parts of the DMV. This may result in professional home inspections becoming routine parts of contract offers again. A thorough home inspection can help catch safety issues early and is an opportunity to learn about the operation and maintenance of items in your home.
Pay attention to flickering lights, frequently tripped breakers, and discolored outlets—these are signs of potential electrical hazards. Outdated wiring, overloaded outlets, and faulty appliances can lead to electrical fires.
Structural issues are often overlooked until it’s too late. Crumbling foundations, weak or damaged stairs, loose railings, and uneven flooring can cause trips and falls. Water damage from leaks or flooding can weaken the integrity of floors and walls, creating a risk of collapse.
Toxic chemicals can pose serious threats to health and safety, often without obvious warning signs. Understanding and addressing these risks is crucial for maintaining a safe living environment for you and your loved ones.
Household products such as cleaners, pesticides, air fresheners, and even cosmetics can emit volatile organic compounds (VOCs). These compounds, when inhaled regularly, can cause a range of health issues including headaches, respiratory problems, hormonal disruptions, and in some cases, even cancer. To minimize these risks, homeowners should opt for low-VOC or VOC-free products, ventilate regularly, and consider investing in an air purifier.
Formaldehyde is another common toxin found in pressed wood products, insulation, and certain paints. Long-term exposure can lead to chronic respiratory problems and has been linked to cancer.
Radon gas, another possible carcinogen, is prevalent in the DMV. Your home inspector can do a radon test or there are DIY kits available at many hardware stores. If levels are above EPA standards, a professional remediation firm can install a system that extracts the radon and vents it safely outdoors.
Carbon monoxide (CO), a colorless, odorless gas, is produced by gas stoves, heaters, and fireplaces. Exposure can lead to headaches, dizziness, nausea, and even death. Install CO detectors near bedrooms and ensure that all fuel-burning appliances are properly maintained and ventilated.
Additionally, older homes may still contain asbestos in insulation, floor tiles, or roofing materials. If disturbed, asbestos fibers can become airborne and are highly dangerous when inhaled, leading to serious diseases such as mesothelioma, so when renovating an older home, it’s critical to have materials tested for asbestos before beginning work.
Mold and mildew thrive in damp, poorly ventilated areas such as bathrooms, basements, and around leaky pipes. While some molds are harmless, others can cause allergic reactions or respiratory problems and aggravate conditions such as asthma. Black mold (Stachybotrys chartarum) is notorious for producing mycotoxins that may lead to severe health issues.
Signs of mold include musty odors, visible growth on walls or ceilings, and excessive humidity. Preventing mold growth requires controlling moisture levels—using dehumidifiers and vapor barriers, fixing leaks promptly, and ensuring adequate ventilation. Professional mold remediation may be necessary for severe infestations.
Though banned in residential paints in 1978, lead-based paint still exists in millions of older homes. Lead exposure is especially dangerous for children, causing developmental delays, learning difficulties, and behavioral issues. Adults are not immune – lead can lead to high blood pressure, kidney damage, and reproductive problems.
Even dust from deteriorating lead-based paint can be hazardous. The EPA recommends professional lead testing for any home built before 1978, especially if renovations are planned. Certified abatement professionals can safely remove or encapsulate lead paint.
Improper use of heating equipment, fireplaces, unattended candles, and cooking accidents are common sources of home fires. Smoke alarms and fire extinguishers are essential for early detection and response. Test smoke detectors monthly and change batteries at least once a year.
Homes that are safe for adults may not be safe for children or pets. Small objects, unsecured cabinets, toxic plants, and open staircases can pose significant risks. Childproofing measures such as outlet covers, safety gates, and cabinet locks, along with safe storage of chemicals and medications, are essential precautions.
The good news is that many of these risks can be mitigated with awareness and action. Here are a few simple steps to enhance home safety:
• Conduct a thorough safety audit using checklists available online.
• Ensure proper ventilation to reduce indoor air pollutants.
• Regularly check for leaks and signs of water damage.
• Keep cleaning and chemical products out of reach of children.
• Educate all household members about emergency procedures, including fire escapes and first aid.
Our homes should protect us, not pose threats to our well-being. By identifying and addressing these toxic and unsafe issues, we can transform our living spaces into truly safe havens.
Valerie M. Blake is a licensed Associate Broker in D.C., Maryland, and Virginia with RLAH @properties. Call or text her at 202-246-8602, email her via DCHomeQuest.com, or follow her on Facebook at TheRealst8ofAffairs.
Advice
I make more money than my partner and getting resentful
She’s taking advantage of a joint credit card

Hi Michael,
I make a fair amount more money than my girlfriend does and I’m happy to contribute more to our life (we are both in our 20s and living together).
But Meg doesn’t seem to care how much money she spends and then asks me to front her when she’s running low. She seldom pays me back.
Last week she had a big night on the town with her best friend (formerly her girlfriend) for the friend’s 30th birthday. She hired a limo and spent a lot on drinks and dinner. She put the entire night on our joint card which we are only supposed to use for shared household expenses, because she had maxed out her own card. Of course I will wind up paying for it. (And I am slightly jealous. Why am I paying for her evening out with her former GF?)
I pay for all sorts of stuff all the time because her credit card gets too big for her budget.
And somehow I almost never end up getting her share of the rent, which is already prorated according to our incomes.
She always tells me she’ll pay me back but her tab pretty much just keeps getting bigger.
If I bring this up with her, she tells me I am cheap because I make a lot and we’re a couple; and if she made more, she’d have no problem sharing everything with me.
Am I just being ungenerous? I don’t know. Sometimes I think she’s an ingrate, but then I think if you’re in love, you shouldn’t be thinking of money, just taking care of the person you love.
Also, although I make more than she does, I’m by no means rich. I have my own student loans, and paying for the bulk of our lifestyle stretches me thin some months.
Michael replies:
For starters: Most couples must contend with some version of your struggle with Meg, because most couples have some income disparity.
Do you maintain a lifestyle that both of you can afford? That works for some relationships where the lower earner may not want to feel indebted to the partner who makes more. Other couples work out a system where they pay for expenses in proportion to their income. And in some instances, the higher earner may have a “what’s mine is yours” philosophy and the lower earner is OK with that.
What matters is that both partners come to a mutual agreement and are comfortable with the arrangement. In other words, they collaborate.
That’s not the case with you and Meg. You sound resentful, angry, and feeling like Meg is taking advantage of you.
It’s great to be generous in your relationship, but it’s also important to have a boundary when you think it’s important to have a boundary. Yet you’re continuing to subsidize Meg even when you have trouble making your own ends meet.
Important question: Have you told Meg that you’re stretched thin some months? If not, I’d be curious as to how you’ve made that decision. If so, I’d be curious as to Meg’s response.
If you don’t want to keep serving as Meg’s piggy bank, what is stopping you?
There’s a great saying in psychotherapy: If it’s hysterical, it’s historical. Meaning, our “big” actions and reactions have their roots in our history.
Think about your life history: How does it make sense that you are acting like a powerless victim?
Is not having a boundary an old and familiar dynamic for you? Were there important players in your life—for example, your parents—who insisted it was their way or the highway? Or perhaps you learned as a kid that if you ever said “no” to your friends, there’d be negative consequences?
Now ask yourself what might be keeping you stuck in a relationship of resentment. Are you re-creating an old and familiar dynamic? Sometimes we keep putting ourselves in the same miserable situation, over and over again. What’s familiar can be comfortable, even if it’s miserable; and we may be trying to get some understanding of the dynamic and some power over it, to finally get it right.
I’m just speculating here, to encourage you to think for yourself why you are staying in the dynamic you describe. You haven’t mentioned anything positive about your relationship, or about Meg.
Another possibility: I wonder if you might be so fearful of being alone that you’re willing to tolerate all sorts of treatment in order to stay in your relationship. Or perhaps you don’t think you deserve to be treated any better than this.
Again, if this is the case, where might this belief be coming from? Understanding why we are stuck in behaviors that keep us miserable can help us to get unstuck.
You have an opportunity to do something different here: Set a boundary and take power over your life. Perhaps if you did so, Meg would surprise you by shifting her stance, which would be good news if you have some good reasons to stay. Or perhaps she would not. Your challenge now is to get some sense of what’s holding you back, if you want something different for yourself. And unless you act on your own behalf, you will stay in this position.
One more point to consider, regarding Meg’s dinner date with her ex: Whether or not anything is going on, I take your jealousy as a sign that you don’t trust Meg. And without trust, you can’t have a decent relationship.
Michael Radkowsky, Psy.D. is a licensed psychologist who works with couples and individuals in D.C. He can be found online at michaelradkowsky.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it to [email protected].
Real Estate
April showers bring May flowers in life — and in real estate
Third time’s the charm for buyer plagued with problems

Working in the real estate sector in D.C. can be as uniquely “D.C.” as the residents feel about their own city. On any given day, someone could be selling a home that their grandmother bought, passed on to the relatives, and the transfer of generational wealth continues. In that same transaction, the beginning steps of building of generational wealth could be taking place.
Across town, an international buyer could be looking for a condo with very specific characteristics that remind them of the way things are “back home.” Maybe they want to live in a building with a pool because they grew up by the sea. Maybe they want a large kitchen so they can cook grandma’s recipes. Maybe they will be on MSNBC once a month and need to have a home office fit for those Zoom sessions where they will be live on air, or recording their podcast. Perhaps they play the saxophone and want a building with thick walls so they can make a joyful noise without causing their neighbors to file a cease-and-desist order.
What I found fascinating was getting to know my buyers. Why were they purchasing their property? What did they want to do with it? Was this their grandmother’s dream that they would have a place of their own someday? Did they finally think they would write that award-winning play in the home office? What dreams were going to be fulfilled while taking part in this transaction?
Somedays, the muck and paperwork slog of navigating home inspection items and financing checklists could get to be distracting at best, and almost downright disheartening at worst.
One of my clients was under contract on THREE places before we finally closed on a home. One building was discovered to have financing issues, and the residents were not keeping up with their condo fees. Another building had an issue with the title to the unit, which meant the seller could not sell the home for at least another year until that legal snag was resolved. As the months rolled by, she was losing heart and feeling defeated. When we finally found the third home, everything seemed great – and then about two weeks before the settlement, the rains came down and the windows leaked into the bedrooms.
Another delay. (Our THIRD). This time, for several more weeks.
I think she wanted to pack a suitcase, go to the airport, get on a plane somewhere and never come back. What ultimately happened? The building repaired the windows, the seller’s insurance replaced the hardwood floors, and she bought her first condo, which she still enjoys to this day.
As Dolly Parton says, “If you want the rainbow, you’ve got to put up with a little rain.” And finally, after months of looking, waiting, and overcoming obstacles, the rainbow peeked out from behind the clouds.
Joseph Hudson is a referral agent with Metro Referrals. He can be reached at 703-587-0597 or [email protected].