Sleep Hygiene/Dissenting Opinion

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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49er
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Re: Sleep Hygiene/Dissenting Opinion

Post by 49er » Sun Mar 24, 2013 6:58 am

Hmm, it sounds like you're reading her book. Or are you getting the information off of her website?

Do you have more information on the total ASV Care Plan? I tried doing a google search but nothing came up.

49er
mollete wrote:
49er wrote:By the way, Krakow has suggested that people with insomnia get sleep studies because he feels that a high percentage of them have sleep breathing disorders.
Krakow operates his place like GG accuses Stanford (although interestingly, SU had a comment about Stanford-- "aggressive scoring", I believe)-- everybody who walks in gets a dx of SDB (except at Maimonides they all get ASVs).

The Total ASV Care Plan was adopted after exposing the Expiratory Instability ruse.

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49er
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Re: Sleep Hygiene/Dissenting Opinion

Post by 49er » Sun Mar 24, 2013 7:01 am

I would greatly appreciate it if you stopped calling me honey. That is extremely demeaning.

Fair point that I made inferences that I shouldn't have.

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mollete wrote:
49er wrote:..that means he is an idiot also.
BTW, honey, don't put words in my mouth (posts). While I disagree with Maimonides aggressive approach, at worst it would be entrepreneurial. In the Expiratory Instability issue, his technicians should have chimed in about waveform interpretation.

Krakow has been renown in PTSD and the like, I'm just not crazy about SDB management.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Sun Mar 24, 2013 7:05 am

49er wrote:I would greatly appreciate it if you stopped calling me honey.
Well don't infer that I consider people idiots.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Sun Mar 24, 2013 7:09 am

mollete wrote:
49er wrote:I would greatly appreciate it if you stopped calling me honey.
Well don't infer that I consider people idiots.
Because even people I think are idiots I don't call idiots.

I call them FnAHs.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Sun Mar 24, 2013 7:27 am

Also, her rationale behind taking thyroid supplements is not clear. While using objective data is mentioned, there does not appear to be documentation that it was used. And certainly, if she's taking too much thyroid supplement, that could certainly be aggravating the daylights out of her insomnia.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Sun Mar 24, 2013 7:30 am

She does not mention submitting a Sleep Log at Stanford. I would be flabbergasted if they did not ask for that, and totally baffled if they did not use the data.

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49er
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Re: Sleep Hygiene/Dissenting Opinion

Post by 49er » Sun Mar 24, 2013 7:37 am

Mollette,

Todzo was 100% correct about your intentions. You just want to ramble on about Ms. Greene and have no intentions of engaging in a respectful discussion.

Like I said, I was a stupid fool for responding to your posts and I am now going to bow out of discussing anything with you.

The floor is all yours.

49er

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Sun Mar 24, 2013 7:51 am

mollete wrote:Krakow operates his place like GG accuses Stanford (although interestingly, SU had a comment about Stanford-- "aggressive scoring", I believe)-- everybody who walks in gets a dx of SDB (except at Maimonides they all get ASVs).
That said, Stanford initially gave GG a dx of UARS, which was later withdrawn.

Interestingly, there is an anectdotal report on an association between Hashimoto's and SBD.

Wouldn't THAT be a kick in the pants if all of GG's problems (she has a LOT of somatic complaints) were due to UARS, and an aggressive ASV attack would fix everything?

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SleepingUgly
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Re: Sleep Hygiene/Dissenting Opinion

Post by SleepingUgly » Sun Mar 24, 2013 8:08 pm

mollete wrote:That said, Stanford initially gave GG a dx of UARS, which was later withdrawn.
Withdrawn and replaced with what?
Interestingly, there is an anectdotal report on an association between Hashimoto's and SBD.
I had searched for this kind of information, but more specifically, I wanted to know if there was an association between Hashimoto's BUT STILL EUTHYROID and sleepiness or other sleep issues. It's clear that with full blown Hashimoto's there can be SDB, but what about Hashimoto's antibodies in the presence of a still functioning thyroid? What does that do to a person?
Wouldn't THAT be a kick in the pants if all of GG's problems (she has a LOT of somatic complaints) were due to UARS, and an aggressive ASV attack would fix everything?
I haven't been following this thread carefully or read her book, but her only sleep complaint is insomnia, right? I have heard that SDB can cause insomnia through various means, including shifting peak melatonin to later and later in the night.

BTW, I think I said Stanford scores liberally. Great, now that testosterone boys thread is going to want to put Stanford on testosterone so they can score "aggressively" again.

mollete, why did you never scoop up my baggage and get to work unpacking my problems? Have I not demonstrated sufficient need, unbridled tenacity, minimal if not nonexistent hysteria, mastery and comfort with all 4 letter words (albeit need a decoder to understand your neologisms)? AND I totally would have let you call me "honey" (it's way better than being called "Mrs." in my book). So why not me? Hmmm...?
Never put your fate entirely in the hands of someone who cares less about it than you do. --Sleeping Ugly

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Mon Mar 25, 2013 4:12 am

SleepingUgly wrote:
mollete wrote:That said, Stanford initially gave GG a dx of UARS, which was later withdrawn.
Withdrawn and replaced with what?
The actual report showed 0 UARS events, but at the F/U visit the guy said:
" We can’t exclude (UARS) 100 percent, but it’s unlikely.” He tells me that I have psychophysiological insomnia...

Greene, Gayle (2008-02-09). Insomniac (Kindle Locations 5435-5436). University of California Press. Kindle Edition.
I imagine that's as close as she's going to get to "Ooops!"
Last edited by mollete on Mon Mar 25, 2013 4:35 am, edited 1 time in total.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Mon Mar 25, 2013 4:33 am

SleepingUgly wrote:mollete, why did you never scoop up my baggage...
No prob!

Here we go!

Image

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Mon Mar 25, 2013 4:45 am

49er wrote:So you're going to use one example of negativity to trash her book and not mention the number times where she praised sleep professionals for being extremely dedicated.
If she likes a "sleep professional" (as defined as "acknowledging her"), they are "extremely dedicated".

Those that don't get skewered.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Mon Mar 25, 2013 4:49 am

SleepingUgly wrote:
Interestingly, there is an anectdotal report on an association between Hashimoto's and SBD.
I had searched for this kind of information, but more specifically, I wanted to know if there was an association between Hashimoto's BUT STILL EUTHYROID and sleepiness or other sleep issues. It's clear that with full blown Hashimoto's there can be SDB, but what about Hashimoto's antibodies in the presence of a still functioning thyroid? What does that do to a person?
About to find out. Starting the chapter on thyroid.

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mollete
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Re: Sleep Hygiene/Dissenting Opinion

Post by mollete » Mon Mar 25, 2013 5:42 am

mollete wrote:
SleepingUgly wrote:
Interestingly, there is an anectdotal report on an association between Hashimoto's and SBD.
I had searched for this kind of information, but more specifically, I wanted to know if there was an association between Hashimoto's BUT STILL EUTHYROID and sleepiness or other sleep issues. It's clear that with full blown Hashimoto's there can be SDB, but what about Hashimoto's antibodies in the presence of a still functioning thyroid? What does that do to a person?
About to find out. Starting the chapter on thyroid.
SOSO.

"TSH not thorough enough, do Tn testing."

blueh2o
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Re: Sleep Hygiene/Dissenting Opinion

Post by blueh2o » Mon Mar 25, 2013 10:33 am

I wish I had mollete's energy (and knowledge). Check out NSJT's post on UARS and Flow Limitations for good stuff applicable to those of us who can't sleep with or without xPAP, oral devices, sleep hygiene, CBT and so on and so forth...