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docs - Beej - 12-30-2016
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
RE: docs - chill - 12-30-2016
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 - Beej - 12-30-2016
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.
RE: docs - kwhenrykerr - 12-31-2016
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 - eseedhouse - 12-31-2016
(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.
RE: docs - Beej - 12-31-2016
(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.
RE: docs - Beej - 01-03-2017
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.
RE: docs - kwhenrykerr - 01-03-2017
"could suppress the respiratory drive"
I was told that also. It has not suppressed the respiratory drive. I feel better.
RE: docs - pholynyk - 01-03-2017
"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 - kwhenrykerr - 01-04-2017
(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.
