(08-16-2016 05:50 PM)JenJen Wrote: Hello all, I am newly dx with moderate sleep apnea. I have been with my Resmed autosense x 15 days approximately. I'm in love with the machine. I have been walking around in a stupor for about 5 years clueless as to why my fatigue was so severe.
I still fight fatigue around 10:30 in the morn and 2 pm in the afternoon. I get up at 0500 every morning and work as a nurse until all the cases are done.
Is your sleep pattern anything like mine?
When I'm home (which is most of the time), I frequently take naps any time after about 10:00 and or 14:00 and then I start to bed anytime after about 20:00... then I'm up n' down like a pogo stick....
I just can't seem to get it all together.. my sleep is fragmented badly,
I wake up because a fly farts.
(08-16-2016 05:50 PM)JenJen Wrote: I have yet to visit with the physician that will be managing my sleep apnea. I have tweaked my settings from orig 5-15 cm to 7-16 automatically adjusting. I have my events down to just one event per night.
I am scheduled to meet with the sleep physician in October.
My question for you all is what should I expect from this meeting?
Will he be busting my theoretical balls for changing my settings?
Your comment made me hear this:
Mother, do you think they'll drop the bomb?
Mother, do you think they'll like this song?
Mother, do you think they'll try to break my balls?
Ooh, aah, mother, should I build the wall?
I won't address the aspect of how your physician may or may not react.. because only their hair dresser will know for sure
(08-16-2016 05:50 PM)JenJen Wrote: If I am still feeling fatigue at certain time points, would he be the one that prescribes me Provigil or nuvigil?
Rhetorical question on:
Are there any specific questions that I should ask at that visit?
Are there any specific responses that I should be prepared for when I go?
Any other information that you think I need to know would be greatly appreciated. I am currently using sleepyhead as well as Resscan. I read all I can about sleep apnea as well as the latest journal articles.
Thanking you in advance for any and all advice.
Is the Dr. prescribing your ?PAP someone certified in sleep or are they your primary care?
My Primary care (an internist) initially took a whack at ordering my ?PAP after getting my titration. After they saw some of my sleep sessions / patterns and seeing how fragmented it is, like the ones above, they immediately referred me back to a sleep specialist for assistance.
My primary stated bluntly they would be remiss to prescribe any medication to assist me sleeping and would leave that to my sleep specialist.
My Sleep specialist is basically dead set against using any form of chemical assistance to assist keeping me asleep until all other options have been completely exhausted.
As it was put to me; using sleep chemicals for sleep fragmentation in patients with sleep disturbed breathing issues it's a drastic step and while it might work and it's FDA approved, they've seen all kinds of side effects that are almost worse than the daytime sleepiness.
At least when I get up, I'm clear headed, able to drive at a moment's notice and otherwise function outside of a fog, which is what this Dr. expressed his major concerns.
Considering I live alone, no family or support within several states, if I took some of these chemicals, they'd restrict my driving for 14 days until I could demonstrate I was very lucid after awakening at any time within my sleep period. Isn't that just grand? but it's for mine and everyone else s safety.
I can only imagine they've seen some really bad reactions and they are just being abundantly cautious and safe.
Oh, my sleep specialist pulled my data and when I got this new machine on 8/15, the settings have been re-jiggered... so it's going to take a few days to see what's really going on.. but it seems the fragmentation is still continuing.
Rhetorical question off
There is a study (I posted it here a while ago)
about some new product that's being trialed... that might help some of us with fragmented sleep.. but I don't know all the parts to the puzzle...
While my AHI's seem to be fairly good with some of these new settings on this machine, (in the range of 0-1 / n hours sleep) its the fragmentation that's the problem.
No I don't seem to have Narcolepsy