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From Page One sleep from A1


Owens quotes a poll by the Na- tional Sleep Foundation, which shows 90 percent of parents think their teens gets enough sleep at least several nights a week, revealing what researchers see as a striking “awareness gap.” More sleep cops would be better, she argues — or at least rules that get teens in bed by, say, 10 or 11 p.m. “There’s definitely a discon-


nect,” she said.


Best intentions In the Hopkins family, with sons ages 14 and 17, summers mean more freedom about when to unplug. During the school year, it’s a rush to get out of the house by 7 a.m. to get to DeMatha Catholic High School in Hyatts- ville on time. “I think they need to be in bed by 11,” Hopkins says.


Still, she usually falls asleep be-


fore they do, and sometimes their best intentions about heading to bed go awry. “I get sidetracked by other


things,” says Teddy, a rising sen- ior who says he thinks about get- ting to bed around 10 p.m. But then he might start gaming. Or chatting with friends on Face- book.


Time gets away. Experts say the math of teen sleep is improbable — with su- per-early starts to school days, with so many activities packed into teen lives, with the circadian rhythms of adolescents leaving many unable to get to sleep be- fore 11 or midnight. Add to that: texting and Face- booking and gaming. “Our teens have an overwhelm- ing need for sleep and an insur- mountable series of obstacles they have to navigate in order to find a quiet place and time to get to sleep,” says Helene Emsellem, author of “Snooze . . . Or Lose!” and director of the Center for Sleep & Wake Disorders in Chevy Chase, where the appointment schedule is especially busy this time of year.


She and other experts see lack of sleep as a serious problem, with studies showing links to lower school performance, re- duced cognitive abilities and


DAYNA SMITH FOR THE WASHINGTON POST


S


KLMNO


TUESDAY, AUGUST 24, 2010 Digital diversions leaving households sleep-deprived


Jane Hopkins of College Park talks about her son Teddy, 17, and his digital habits that interfere with his sleep — and hers. “If you find the perfect child who goes to bed early, will you let me know?” she asks. Experts say 80 percent of adolescents don’t get their recommended sleep — about nine hours.


mood problems, including de- pression.


But there is a wide range in how sleep issues play out in fami- ly life.


Colleen Sheehy Orme, a moth- er of three in Great Falls, has learned that sometimes even the appearance of sleep can be de- ceiving.


During the school year, her 16- year-old son often said goodnight at 10 p.m. and headed to his bed- room. “Once they were in their rooms, I thought my job was over,” she says.


One night, as Orme nudged her


younger sons, 10 and 14, toward bed, she cited their older broth- er’s good example. “Well, at least your brother is going to bed,” she told them. His siblings had a good laugh. “He’s in bed, but he’s texting,” one said. Now Orme knows: Going to bed is not the same as going to sleep. New rules have been set: No cellphones or laptops in bed.


A Pew Research Center study released in April showed that more than four of five adoles- cents say they have slept with their cellphones in or near their bed. Some wake every time their phones buzz with a new text mes- sage. Some young couples text through the night. To ward against this, some par- ents ban the devices after a cer- tain hour — insisting cellphones get handed over at 9 p.m., for example, or that they are placed on a parent’s dresser before bed.


Snoozy at school But at school, sleepy faces are a


fact of life. “It’s not just the tired thing,


but they are zoning out in class,” says James G. Fernandez, princi- pal of Albert Einstein High School in Kensington. “It’s a big problem. And if you get a substi- tute in the classroom, they all go to sleep; it’s looky here, a 40- minute nap.”


Some students have so much


trouble getting up in the morn- ings that assistant principals have been known to place a few wake-up calls — and it’s not all because of texting or homework, Fernandez says. Some of his stu- dents work jobs that leave them tired — or have parents who work multiple jobs and are not there to rouse their sleepy high-schoolers every morning. In Takoma Park, Phyllis Rattey, 46, looks at the sleep question as one of those issues that allow adolescents the opportunity to learn how to make good choices. “I just feel if you’re going to police them, they’re going to rely on that,” rather than become inde- pendent, she says. Another reality: If the clock


says 9:30 p.m. on a weekday, chances are Rattey’s head has al- ready hit the pillow. “It’s sad when your kids can outlast you,” she says. The sleep mandate can get a


little less clear when teenagers are staying up to do their home-


work. Should a parent shoo them to


bed? In Clarksburg, Lisa Winstel, 47,


says her daughter stays up to read, so in a sense she shouldn’t complain. But lately the 13-year- old is still turning the pages of her novels at 1 a.m. When Winstel gets up to insist the lights must go out, the noise sets off a chain reaction. Her 6-year-old son wakes up.


Her dog wants go outside. And by the time Winstel is back under the covers, her night’s sleep of seven hours or less is shorter still. Who said only parents of new- borns are bleary-eyed?


“I think parents are, by and


large, sleep-deprived,” she says. For all of the effort, her daugh-


ter often stays up anyway unless her mom confiscates the book. Patrolling the house at night


can take many forms. Sharon Rainey, 47, mom of a rising senior at Langley High School, says sleep became an is-


sue when her son was in about eighth grade and the need for so- cial connection took hold. “We definitely had to do some-


thing, or he would’ve been up un- til 3 a.m. talking or IMing to his friends,” she says. “I think they get energized by communicating with each other, and I think they lose track of time, and they just sort of forget.” Thus did the family computer


get located in the kitchen. A few times, she heard the sounds of the stairs creaking, as he tried to get online unnoticed. But over time, she says, he be- came more willing to unplug. Still, Rainey says that sometimes she gets up in the night and pass- es his bedroom to see whether the lights are on.


At the sound of her approach, his room goes dark. “It’s this kind of silent game we


play,” she says. “I know he’s stay- ing up too late sometimes, and he knows, too.” stgeorged@washpost.com


TOMORROWIS...


Attorney general trying an end run on legislature, abortion-rights groups say


abortion from A1


reach his conclusions about glob- al warming. “It is frightening to think of


what Cuccinelli will do next,” said Del. Adam P. Ebbin (D-Alexan- dria), House minority whip. “The public needs to understand how reckless he is. He is not working on what is important to Virginia consumers. Instead, he is focus- ing on his own extreme ideology.”


Details of the opinion $


In his legal opinion, Cuccinelli concluded that the Board of Health, which regulates hospitals and nursing homes, has the au- thority to write new regulations requiring that doctors who per- form abortions at the clinics hold hospital privileges, counselors have professional training and buildings undergo structural changes. The legal opinion is not binding, and the board must de- cide how to proceed. Cuccinelli’s opinion was a re- sponse to requests from Del. Robert G. Marshall (R-Prince William) and Sen. Ralph K. Smith (R-Roanoke), who asked whether the state has the author- ity to regulate facilities that pro- vide first-trimester abortions and the medical personnel who per- form them. The opinion applies only to first-trimester abortions. Second- and third-trimester abortions are performed in hos- pitals.


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Smith did not return phone calls seeking comment. But in a statement, he said, “This opinion clarifies any legal questions on the issue and sets the stage for regulating abortion clinics like other medical facilities.” Marshall wrote a letter to Gov.


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Robert F. McDonnell (R) on Mon- day, asking him to implement the regulations per Cuccinelli’s opin- ion. “This is a victory for women and children across Virginia,” Marshall said Monday. “We should do everything possible to ensure that every woman’s life and health and their future preg- nancies are protected by the Commonwealth of Virginia. To do otherwise is to shirk from gov- ernment’s first responsibility.” McDonnell spokesman Tucker Martin said the administration is


reviewing the opinion. “The gov- ernor is a long-standing support- er of ensuring that abortion clin- ics, and their medical personnel, are treated equally with other outpatient surgical hospitals by the commonwealth to ensure ser- vices are provided in a safe man- ner,” he said. McDonnell is expected to fill the board’s vacancies in the com- ing days. “The vast majority of Vir- ginians want to see abortions performed in a safe way,” said Victoria Cobb, president of the conservative Family Foundation of Virginia, who added that she would be pushing for the Board of Health to begin regulating the clinics.


Board members’ reaction Some board members said


they have heard about the opin- ion and look forward to dis- cussing it. Regulatory changes to the Board of Health generally take up to two years to imple- ment after public hearings and consultation with the governor’s office and secretary of health. “Recognizing the right of wom- en to make life choices in keeping with their conscience or religious beliefs, legislators in Virginia’s General Assembly have in the past refused to place burden- some regulations on abortion clinics,” board member Anna Jeng said. “As a member of the Board of Health, I shall act to up- hold that tradition and protect a woman’s right to choose.” Another board member, James Edmondson, said he did not know what the panel would do. “I’m never surprised by the things that Mr. Cuccinelli does,” he said. The Board of Health regulated


abortion clinics from 1981 to 1984, when former governor Charles S. Robb (D) ended the practice, according to the opin- ion.


Efforts in the legislature For at least eight years, anti-


abortion legislators — including Cuccinelli when he was a senator — supported bills that sought to treat abortion clinics as ambula- tory surgery centers and require that they meet hospital-type reg- ulations. They failed year after


year. The Board of Medicine reg-


ulates the doctors who perform abortions, but the clinics un- dergo fewer regulations. “The state has long regulated


outpatient surgical facilities and personnel to ensure a certain lev- el of protection for patients,” Cuccinelli spokesman Brian Gottstein said. “There is no rea- son to hold facilities providing abortion services to any lesser standard for their patients. Even pharmacies, funeral homes and veterinary clinics are regulated by the state.”


Critics of Cuccinelli, who op- poses abortion, accuse him of is- suing the opinion after he was unable to get the bills passed in a divided legislature. “He’s trying to do an end run around the Gen- eral Assembly,” said Del. David L. Englin (D-Alexandria), who fought the bill in the House. “He’s trying to create law, and the Vir- ginia Constitution doesn’t give him that authority.” But Sen. Stephen H. Martin (R-


Chesterfield) said Democrats just don’t like Cuccinelli’s opinion. “It appears to me, in these in- stances, he is giving his opinion. That’s all he can do,” Sen. Ste- phen H. Martin (R-Chesterfield) said. “They may disagree with him. They have a right to dis- agree with him.” Gottstein said opinions do not


create law. “Instead, the opinions represent the attorney general’s analysis of the current state of the law based on his thorough re- view of existing law and relevant prior court decisions.” But Kent Willis, executive di-


rector of the Virginia branch of the ACLU, said Cuccinelli’s opin- ion signals a shift in the repro- ductive rights debate in Virginia from the General Assembly to health regulatory agencies. “Legislators have consistently


rejected burdensome regulations on clinics as unnecessary and ex- pensive and as a potential vio- lation of reproductive rights,” he said. “If reason and professional medical judgment can prevail in the General Assembly, we are hopeful, even optimistic, they will also prevail at the Board of Medicine and the Board of Health.”


kumaranita@washpost.com


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