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Can't nap? No coffee? Try coughing.


I agree with Dr. Rebecca Smith-Coggins' suggestions, but when I'm on the highway, a parking place (for a nap) or a fast-food resource (for coffee) is not available ("Driving While Drowsy: How to Stop," The Rest of Your Life, August 2005, p. 87).

That is the time to start coughing. The increased intrathoracic pressure is transiently transmitted to the superior vena cava superior vena cava
n. Abbr. SVC
A large vein formed by the union of the two brachiocephalic veins and the azygos vein that receives blood from the head, neck, upper limbs, and chest, and empties into the right atrium of the heart.
 and cerebral venules and capillaries, perhaps leading to a brief increase in oxygen availability. This will buy a lucid moment and a little time to avoid disaster.

Leonard M. Roberts, M.D.

New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 
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Title Annotation:LETTERS
Author:Roberts, Leonard M.
Publication:Clinical Psychiatry News
Article Type:Letter to the editor
Date:Nov 1, 2005
Words:96
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