Time to test your smarts -- about sleep, sun, food, and alcohol.

Just read the following questions, pick an option and then scroll down to determine if you really know what's best for your health.

• Is it healthier to sleep an extra hour or force yourself out of bed in the morning to exercise?

• Is it healthier to spend 15 minutes in the sun without sunscreen or two hours in the sun wearing SPF 30?

• Is it better to have a second glass of wine at dinner or a sinful dessert?

What a gift it would be if it were possible to sleep through cancer, literally sleep through the entire experience -- from diagnosis through the end of treatment -- and wake up on the other end of the bad dream. Unfortunately, this isn't possible. We must be alert and aware and active in our own plans for survival. All we are typically permitted are now-and-then naps and nighttime sleep -- if we can manage to actually sleep at night.

My sleep was never disturbed during my cancer journey. Night after night, just after my head hit my pillow, my body drifted right to sleep -- only waking for brief trips to the bathroom and to get out of bed the next day. I might have had an occasional sleepless night. But for the most part, I count myself as one lucky cancer patient, blessed with restful and regular sleep.

Not all cancer patients are privileged sleepers. And with all I was enduring during my own cancer ordeal -- emotions, hospitalizations, treatments, side effects, and pain -- it's a wonder I was able to manage so well in the sleep department.

Sleep is critical for maintaining strength and energy while fighting cancer -- while living life in general really. When nighttime sleep is disrupted, interrupted, or downright impossible, normal functioning and healing are compromised. So the quest for good, quality sleep should make its way to the top of your cancer to-do list. And if you are not sure just how to begin such a quest, consider these seven strategies for sleeping through cancer -- compliments of Marie-Helene Savard, doctoral student in psychology, and Dr. Josee Savard, associate professor and researcher of psychology at Laval University Cancer Research Center in Quebec, Canada.

• Set aside at least one hour to relax before going to bed.
• Go to bed only when you feel sleepy -- which is not the same as fatigue.
• If you can't fall asleep or can't go back to sleep after 20 or 30 minutes, get out of bed and leave the bedroom. Do something else -- and only go back to bed when you feel sleepy again. Repeat as necessary.
• Get up at the same time every day -- regardless of how much sleep you got. Use an alarm clock to wake.
• Use your bedroom only for sleep and sexual activities. Avoid reading, working, watching TV, or listening to the radio in the bedroom.
• Avoid napping. If you must take a nap, do so before 3:00 PM and for less than one hour.
• Keep realistic expectations about sleep -- avoid worrying about the amount of sleep you should have or the amount of time it takes you to fall asleep -- and try to become tolerant of your lack of sleep.

Sweet dreams.

Less tends to go wrong for the patient during morning surgery, according to an analysis by Duke University Medical Center researchers, who studied the records of 90,159 surgeries to determine when most surgery patients experienced unexpected adverse events related to their anesthesia. Of these, they found 2,693 cases where error or harm occurred. Patients undergoing surgery in the afternoon most often had more trouble with postoperative pain, nausea and vomiting.

There might be several factors in these time-related problems, including afternoon fatigue among health care providers caused by swings in the circadian rhythms that influence normal biological ups and downs over the course of a day, and hospital work schedules.

Welcome back from the weekend! Here is a review of what we were talking about during the second week in July in our other health blogs.

From The Cardio Blog:

• Bucindolol: experimental heart failure drug.
• Mammograms can find heart health problems.
• Eggs: bad or not bad for heart health -- which is it?
• The clock of life and time of day determines heart health.
• Extreme obesity raises mortality rate in women.
• Austrailian stem cell research innovates new heart treatment.
• Public physical activity program helps weight loss, lower blood pressure.
• Tuna imported from Latin America has highest mercury level.
• Eating less helps slow aging process.
• Teens helped to learn healthy diet habits with household food rules.
• Volunteer work helps seniors stay active and healthy.
• Working overtime worse for womens health.
• Aging and single living combined linked to higher heart disease risk.
• Tubby kids motivated to exercise by reward of TV time.
• Humidity and high temps linked to rise in summer heart attacks.
• Comedian Red Button dies of vascular disease.
• Migraine aura linked to increased heart attack stroke risk.
  

From The Diabetes Blog:

• Martial arts black belt uses youth group to fight diabetes.
• FDA approves GlaxoSmithKline diabetes drug.
• Pink Floyd Syd Barrett dies from diabetes complications.
• Update on fatal NC car crash involving diabetic driver.
• Major study links Type 2 diabetes and glaucoma risk.
• Life insurance industry plays catch-up.
• A1c Champions program trains diabetes mentors.
• Danish study confirms suspected diabetes, multiple sclerosis link.
• Debate continues on virtues, shortcomings of inhalable insulin, Exubera.
• Blogger's advice to T2 diabetics: follow in footsteps of movie producer Weinstein.
• Diabetes, obesity blamed for sky-high US kidney failure rates.
• Canadians await approval of inhalable insulin.
• Lifestyle ed could greatly reduce diabetes onset in older Americans, say researchers.

To your good health! To a great week!

Laugh. Joy. Love & Respect. Choose Happiness. These are the words that appear on the heart-shaped charms on my breast cancer bracelet made by Brighton. I wear it every day because of the uplifting messages that dangle around my wrist and also because one of the charms is a watch -- a real watch, in the shape of a heart with a pink background and inscribed words that say "Live in the Moment." Just before I received this bracelet from my friend -- whose own mother lost her breast cancer battle recently -- I was in desperate need of a watch. I hadn't needed one for the past four years because as a stay-at-home mom, my schedule was dictated not by the clock but by the needs of two rowdy little boys. But I got a job at a preschool and now time is very important. I have to be at work on time. I have to attend meetings and events. I have to chart the departures of children.  I have to leave my job at a certain time. A watch became necessary and just before my job started, my bracelet arrived in the mail. A perfect gift. Perfect timing. A perfect way to stay in tune with the passage of time. A perfect way to stay motivated on my breast cancer journey.

Another charm on my bracelet reads, "Wherever you go, go with your heart." Whenever my bracelet jingles and jangles on my arm, I am reminded to do just this. To go with my heart. To follow my heart. To feel peace in my heart. This bracelet helps me.  It works like a charm.