12-30-2016, 02:19 PM
(This post was last modified: 12-30-2016, 02:30 PM by Beej.)
docs
I asked the ENT if he saw anything obstructive in my sinuses. Nope.
So, nothing to be done with those for the apnea.
*sigh*
I wrote the neurologist about the apnea concerns with the lamogitrine. His response was REM sleep is good and continue titrating the dose up.
I wrote the sleep doc and haven't gotten any response; it is a holiday period, so he may be taking time off.
It has been 7 days with the max pressure at 13 cm and last night's AHI was 5.7 on ResScan and 6.42 on SleepyHead. Time to go up another notch, I guess. How much should I increase at one time (the machine does increments of 0.2 cm).
ResScan overview
SleepyHead last night
Note: I'm an epidemiologist, not a medical provider.
RE: docs
It depends on how much change you can tolerate. Some people find a 0.5 change a lot, some don't notice a 1.0 change.
RE: docs
OK.
Previously, I'd found that sneaking up 0.2 cm at a time was pretty much undetectable from night to night. I hadn't tried a full cm of pressure. I'll see what it does.
And today is the first dose of lamogitrine at 100 mg.
Y'know, it says I'm in REM, but I never (maybe 6 times in decades) remember the dreams.
Note: I'm an epidemiologist, not a medical provider.
RE: docs
Does your sleepyhead reports show/hint that you are waking during REM sleep ?
I have no trouble changing 2cm at a time. I started with very small changes and worked up to this without problems. But that is just me.
RE: docs
(12-30-2016, 04:11 PM)Beej Wrote: Y'know, it says I'm in REM, but I never (maybe 6 times in decades) remember the dreams.
Generally dreams while in REM phase of sleep are not remembered unless you wake up while they are in progress.
Ed Seedhouse
VA7SDH
Part cow since February 2018.
Trust your mind less and your brain more.
12-31-2016, 05:05 PM
(This post was last modified: 12-31-2016, 05:25 PM by Beej.)
RE: docs
(12-31-2016, 06:50 AM)kwhenrykerr Wrote: Does your sleepyhead reports show/hint that you are waking during REM sleep ?...
That is when I'll get a run of numerous obstructive apneas, some hypopneas, RERAs, and some centrals, so yes, having some waking even if I don't know it.
Note: I'm an epidemiologist, not a medical provider.
RE: docs
Had the SDHC card uploaded at the doc's office. He is of the opinion I should set it back to the original Rx of 7.00 CM with no other levels for a week. He thinks I was doing fine with that before I get the 2nd machine.
He also indicated that setting the pressure too high could suppress the respiratory drive.
Note: I'm an epidemiologist, not a medical provider.
RE: docs
"could suppress the respiratory drive"
I was told that also. It has not suppressed the respiratory drive. I feel better.
RE: docs
"could suppress the respiratory drive" == might lead to central apneas
Which is why the advice is to raise pressure slowly and check your charts for CAs, because raising pressure is how you eliminate the OAs -- and not everybody is susceptible to CAs with increasing pressure anyway
RE: docs
(01-03-2017, 10:02 PM)pholynyk Wrote: "could suppress the respiratory drive" == might lead to central apneas
Which is why the advice is to raise pressure slowly and check your charts for CAs, because raising pressure is how you eliminate the OAs -- and not everybody is susceptible to CAs with increasing pressure anyway
Good point, something to look for with Sleepyhead. 
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