Reddit mentions of Mpow Foam Earplugs 60 Pairs with Aluminum Carry Case, 34Db SNR Ear Plugs, soft Earplugs Noise Reduction for Hearing Protection, Hunting Season, Sleeping, Working, Shooting, Travel-Blue

Ah, sleep, thy delicious embrace eludes me.

There are a LOT of ways to approach this.

First, sleep environment. It needs to be dark (like blackout dark) and quiet. I set up a cot in the cellar, covered the windows, and wear ear plugs (those soft foam ones that go inside the ear like these, but a different brand. I don't know what your sleeping setup is or what the options are, but it should be dark and quiet when it is time to sleep.

CAFFEINE: None within 6 hours of sleep time. I push it sometimes and have caffeine up until 4h prior, but go gently. Caffeine will keep you awake when it is time to sleep. I understand sometimes you need to drink caffeine no matter what right up to the end of the shift, but when that happens I just plan on not being able to sleep for a while when I get home.

FOOD: make sure the food before sleeping has more fat and less carbs. High carb meals before sleeping make the blood sugar spike and then crash, leading to terrible sleep quality. I'm a big fan of a chunk of cheese and dark chocolate with a glass of whole milk before sleeping.

MELATONIN: I personally only use this when resetting my sleep schedule to regular hours; i.e., going to sleep at night. No sense tickling the pituitary during the day. This also takes a few days to really have any effect, and the effect is mild. If your fiance uses a beta blocker, then melatonin can have a significant effect (beta blockers blockade pituitary melatonin production even at low doses).

BENADRYL: dangerous! If you can't get to sleep within about 20 minutes of taking this, you'll be in a sort of loopy dream state at best. Antihistamine-induced sleep has terrible quality anyway, besides it makes you groggy and fucks up the judgement for half the next. That said, for myself, I'll take 50mg of benadryl and a half-shot of whiskey when I am going down and have a full day off afterwards to just sleep. One of the problems with benadryl is that it loses its efficacy the more you use it. I don't use it more than once every 3 days at the most and even then it begins to lose its efficacy.

ALCOHOL: Speaking of alcohol, don't. Keep alcohol intake to a minimum. It has the obnoxious habit of waking you up with the CNS depressant effect starts to wear off (about 4 hours after a drink). If alcohol is used, keep it to very small amounts (half an ounce or less, half a beer, etc).

NIACIN: This actually works well for sleep. Low-dose or no-flush is best if you don't like the itchy flushing skin reaction. I take a fairly large dose right before I hit the pillow and it helps a lot with sleep quality. YMMV.

VALERIAN: 5 capsules before bed. It is mild, but it works. Can make you groggy the next day. Doesn't seem to damage sleep quality too much.

ROUTINES: Sleep is a habit. Habits have triggers. Develop a consistent set of triggers. Brush teeth, take a shower, stretch, meditate for 2 minutes, then go to bed. A series of actions that are routinely performed before sleep program the brain to go to sleep.

And for you, I would say, the best approach is to be clear that you'll support her decision in whatever way you can, regardless of what path she decides to take. Most likely, she will charge through this and suffer each wound as it comes, never quite healing before the next injury. You should understand that this is what is going on. This process sort of burns the soul out of you (more or less depending on the program and the patient population). Yet at the same time, if medicine is your calling, you simply cannot quit.

If she is really struggling, some programs will let you take some time out. Some. Malignant programs do not (and plenty of non-malignant programs as well).

Good luck, I wish both of you the best of luck and good health.

Yeah, as a young adult coming out of my teenage years and I'm actually starting to care about my long term body I wanted to make sure I start protecting self, could you give me a link (prefer amazon if possible) because I ordered these yesterday https://www.amazon.com/gp/aw/d/B07BQKT5Y3

Well you're probably asleep because I'm writing this at 2 a.m. Natural nightowl here! I suggest you protect yourself, invest in some $20 earplugs. These should do fine, but also do some custom research on your ear type as what I linked should last a couple years. Though the disposablee foam ones work too more earplugs. These save me when I want to sleep in late like past 11 a.m. without outside construction or cars waking me up.

https://www.amazon.com/Mpow-Aluminum-Protection-Reduction-Sleeping/dp/B07BQKT5Y3/ref=sr_1_4?ie=UTF8&qid=1535972309&sr=8-4&keywords=earplugs

> Don't reuse open-cell foam in your ears

What about these, are these open-cell?

Unfortunately, you can only get a certain level of protection from ear plugs. The highest protection level I know of is 34db, available on Amazon here. 32db is pretty easy to find on amazon or at your local gun store.

When I shoot, I wear 32 db plugs under 33db ear muffs. That doesn't give 65db. Probably something close to 40db.