Cowlitz County, Washington’s above-average rates of obesity, substance abuse and smoking make the population more susceptible to sleep disorders, reports The Daily News Online.

Dr. Amy Meoli remembers driving the wrong way of one-way streets in medical school. Back then, there were no limits on how many hours medical students could work, and she was constantly sleep-deprived.

“A few years later, when I was actually caught up in a normal sleep pattern, I realized oh yeah — I was really impaired,” said the new medical director of PeaceHealth St. John’s sleep center.