New doc and "CPAP fasting" before sleep study
Re: New doc and "CPAP fasting" before sleep study
Also, are they booting you out early? The idea behind CPAP hysteresis is that the airway swells after an extended period of being subjected to respiratory events.
If your sleep period is cut short, then that important period would be absent from analysis.
If your sleep period is cut short, then that important period would be absent from analysis.
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Re: New doc and "CPAP fasting" before sleep study
Let's see, add 3 hours of Jet Lag to a DSPS...kaiasgram wrote:Oh god -- how much would the RT flight cost from Sacramento and would the SS be complimentary?Sludge wrote:kaiasgram wrote:I've never heard of a sleep center/hospital that would conduct a sleep study for someone with a start time of 2 a.m.
...do they sell melatonin by the pound?
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Re: New doc and "CPAP fasting" before sleep study
Sludge wrote:Also, are they booting you out early? The idea behind CPAP hysteresis is that the airway swells after an extended period of being subjected to respiratory events.
If your sleep period is cut short, then that important period would be absent from analysis.
_________________
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Re: New doc and "CPAP fasting" before sleep study
Sludge wrote:Let's see, add 3 hours of Jet Lag to a DSPS...kaiasgram wrote:Oh god -- how much would the RT flight cost from Sacramento and would the SS be complimentary?Sludge wrote:kaiasgram wrote:I've never heard of a sleep center/hospital that would conduct a sleep study for someone with a start time of 2 a.m.
...do they sell melatonin by the pound?
_________________
Machine: AirSense 10 AutoSet with Heated Humidifer + Aifit N30i Nasal Mask Bundle |
Mask: Aloha Nasal Pillow CPAP Mask with Headgear |
Additional Comments: SleepyHead-now-OSCAR software on Mac OSX Ventura |
Re: New doc and "CPAP fasting" before sleep study
Is he at least having you keep a sleep log for the preceding week or so?kaiasgram wrote:
I mean, if you're no better on CPAP for years, then the likelihood is that there are other issues, so let's REALLY mess up your sleep so we can...
we can...
I am such a wet blanket...
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Re: New doc and "CPAP fasting" before sleep study
Yeah, you are, but you're a really smart wet blanket. And I'm paying attention.Sludge wrote:Is he at least having you keep a sleep log for the preceding week or so?kaiasgram wrote:
I mean, if you're no better on CPAP for years, then the likelihood is that there are other issues, so let's REALLY mess up your sleep so we can...
we can...
I am such a wet blanket...
_________________
Machine: AirSense 10 AutoSet with Heated Humidifer + Aifit N30i Nasal Mask Bundle |
Mask: Aloha Nasal Pillow CPAP Mask with Headgear |
Additional Comments: SleepyHead-now-OSCAR software on Mac OSX Ventura |
Re: New doc and "CPAP fasting" before sleep study
There are other documented issues and one in particular has relevance for sleep integrity. Just not clear what exactly the impact on my sleep is since I haven't had a sleep study. Weird ANS stuff.Sludge wrote:I mean, if you're no better on CPAP for years, then the likelihood is that there are other issues
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Mask: Aloha Nasal Pillow CPAP Mask with Headgear |
Additional Comments: SleepyHead-now-OSCAR software on Mac OSX Ventura |
Re: New doc and "CPAP fasting" before sleep study
Now there's a thought!Sludge wrote:Let's see, add 3 hours of Jet Lag to a DSPS...kaiasgram wrote:Oh god -- how much would the RT flight cost from Sacramento and would the SS be complimentary?Sludge wrote:kaiasgram wrote:I've never heard of a sleep center/hospital that would conduct a sleep study for someone with a start time of 2 a.m.
...do they sell melatonin by the pound?
Ask the new guy where he thinks your melatonin peak might be since you're a raging DSPS.
Then the follow-up question re: sleep study start/stop time would obviously be...
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Re: New doc and "CPAP fasting" before sleep study
See section on DSPS 12.3.5:
http://www.aasmnet.org/resources/practi ... hythm2.pdf
If you're allowed to sleep your normal time, you'll be...
...normal.
http://www.aasmnet.org/resources/practi ... hythm2.pdf
If you're allowed to sleep your normal time, you'll be...
...normal.
You Kids Have Fun!!
Re: New doc and "CPAP fasting" before sleep study
He did actually talk about a way of testing melatonin levels -- salivary analysis if I recall correctly. It was an intense hour-and-a-half consultation.
He wanted to send me to Stanford (sans balloon manometry ) but even if he could get my insurance to cover it, I couldn't afford Stanford, and though I've heard they're more accommodating around sleep times, I don't know if they'd accommodate my raging DSPS.
He wanted to send me to Stanford (sans balloon manometry ) but even if he could get my insurance to cover it, I couldn't afford Stanford, and though I've heard they're more accommodating around sleep times, I don't know if they'd accommodate my raging DSPS.
_________________
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Last edited by kaiasgram on Thu Apr 24, 2014 3:35 am, edited 2 times in total.
- zoocrewphoto
- Posts: 3732
- Joined: Mon Apr 30, 2012 10:34 pm
- Location: Seatac, WA
Re: New doc and "CPAP fasting" before sleep study
I've never heard of a sleep lab that deals with odd sleep times. I normally go to sleep between 4 and 6am and get up between noon and 3pm. One of the reasons I waited so many years to get a sleep study is that my mom was expected to sleep at 10pm and was sent home at 5am. Why bother?Sludge wrote:http://www.atsjournals.org/doi/abs/10.1 ... 1jHUPldV8E
OK butkaiasgram wrote:He wants to pick up anything that might be causing my ongoing exhaustion and wants to eliminate any confounds.
why is the sleep center not testing you during your "normal" sleep period? "IMHO", if you take a DSPS person and toss 'em in a strange place with all that junk and end up with an SE of 50%, that data can hardly be called valid.kaiasgram wrote: -- with my delayed sleep phase issues I will need to be good and tired to be able to sleep so early at the hospital. Three days off PAP ought to get me there...
When I did finally get my sleep study, I did take an Ambien for that night. And they hooked me up at 10pm but were willing to wait until midnight for a real attempt at sleep. I actually went to sleep a little after 11pm. They woke me up at 8am to go home. So, much nicer than the place my mom went to.
My sleep study went very well. I did a split night study with 2 1/2 hours of diagnosis phase and about 6 hours of titration phase. I was asleep most of the time. Plenty of data and the titration phase was my best night of sleep in many years. The determined my recommended pressure was a range of 11-17. I spend most of my nights between 11 and 13. And I have occasional spikes into to the 15 range and rare spikes into the 16s. I have been up to 16.9 several times and 17 maybe 10 times in 2 years. I rarely have an ahi above 2, usually below 1, and I have had really good success with cpap treatment.
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Who would have thought it would be this challenging to sleep and breathe at the same time?
Re: New doc and "CPAP fasting" before sleep study
OTOH, Jason does full-boat HSTs, don't he?
Just throwin" it out there...
Just throwin" it out there...
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Re: New doc and "CPAP fasting" before sleep study
That's why you need to go to a sleep center.zoocrewphoto wrote:I've never heard of a sleep lab that deals with odd sleep times.
Labs do OSA. Centers do sleep (overly simplistic, but what the hey?)
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- zoocrewphoto
- Posts: 3732
- Joined: Mon Apr 30, 2012 10:34 pm
- Location: Seatac, WA
Re: New doc and "CPAP fasting" before sleep study
Sludge wrote:That's why you need to go to a sleep center.zoocrewphoto wrote:I've never heard of a sleep lab that deals with odd sleep times.
Labs do OSA. Centers do sleep (overly simplistic, but what the hey?)
I've never seen a reason to change my DSPS. And the sleep lab did fine for diagnosing and treating my sleep apnea.
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Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Resmed S9 autoset pressure range 11-17 |
Who would have thought it would be this challenging to sleep and breathe at the same time?
Re: New doc and "CPAP fasting" before sleep study
Can't PM you, 'ya know...Sludge wrote:OTOH, Jason does full-boat HSTs, don't he?
Just throwin" it out there...
_________________
Machine: AirSense 10 AutoSet with Heated Humidifer + Aifit N30i Nasal Mask Bundle |
Mask: Aloha Nasal Pillow CPAP Mask with Headgear |
Additional Comments: SleepyHead-now-OSCAR software on Mac OSX Ventura |