Got my diagnostic, MSLT, and CPAP titration results

[Beej]

Gotta love patient portals.

I requested the reports and voila!

Here

Thoughts?

[robysue]

Looks like you're going to get an invite to officially become a hosehead.

[Beej]

um ... I already am on a CPAP as the profile to the left notes.

I was more wondering if anything unusual jumped out as odd, like the reduced fragmented REM (apparently, 20% of the time is usually REM, according to 1 online post)

[justMongo]

I would have my cardiologist put a monitor on me and further investigate the PVCs.

[Beej]

I'm actually wondering if the Vivactil (protryptilline) is causing the reduced REM and possibly the PVCs. It is a tricyclic antidepressant and those are known for potential cardiac arrhythmias. It'll depend on the frequency/intensity of the PVCs. Most folks do have a occasional ectopic beat or two.

I'm going to talk with my neurologist, too, as I was just put on lamotrigine for vestibular migraine with aura (no headache, just vision issues and nasty vertigo attacks). I might be able to stop the Vivactil, as the lamotrigine also acts as a mood stabilizer in bipolar disorder. I didn't think I had that, but if you take prednisone (d*mn asthma flares) and become manic, that suggests a type 2 or 3 bipolar disorder.

[Sleeprider]

I was more wondering if anything unusual jumped out as odd, like the reduced fragmented REM (apparently, 20% of the time is usually REM, according to 1 online post)

Are you kidding? A sleep latency of 4 minutes in a clinical setting...wow!

Mine was a sleep latency of 84 minutes with sleep efficiency of 42%. You're living in high cotton bro!

Joking aside, you seem to be already using an optimum pressure.

[Beej]

Sleeping was never the problem.

Waking up and staying up was the problem. I missed most of a couple of decades between the sleep disorder, the low thyroid, and some other things.

I sometimes bang my hand on the headboard of my antique bed. The carving on it sometimes nicks my knuckles, so I figured I must be moving around some.

To sleep, perchance to dream ... except I almost never remember dreams. Maybe 4 times in all my decades.

And there really can be a limit to how much caffeine you can drink to stay awake. It used to be a 2 liter of diet Coke, 9 flights of stairs, and I could fall asleep on that in under 15 minutes. I took work home and worked through lunch to get work done.
Then I got on the protriptyline. Waking up without a headache? Priceless. That worked for a long time. Then several rounds of steroids for the d*mn asthma flares added a good 50+ pounds over the decades and it evolved into the obstructive apnea I have now. *sigh*