My Sleep Study Results

[jimbud]

Pugsy.

Got any of that popcorn left?

JPB

[Morbius]

Check out his snoring index. It's 0.0.

Some background:
-I snore a fair amount

"Fair amount" is meaningless.

If we were to use a measure of snoring that is clinically relevant we could use the STOPBANG definition:

Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?

That said. now we have objective data that says there is no snoring.

From the bogus people.

But seriously, snoring is a problem only if it's a problem.

[palerider]

Yawn, instead of trying to prove who is smarter why don't we help the OP...

YOU could best do that by not posting again here, ever.

[zonker]

Yawn, instead of trying to prove who is smarter why don't we help the OP...

YOU could best do that by not posting again here, ever.

erm, wouldn't it be to the OP's advantage to know who is smarter?

just sayin".

(this isn't aimed at you, pr. geer1 is on my foe list so i'm using you to get to him. sorry.)

[palerider]

Yawn, instead of trying to prove who is smarter why don't we help the OP...

YOU could best do that by not posting again here, ever.

erm, wouldn't it be to the OP's advantage to know who is smarter?

just sayin".

(this isn't aimed at you, pr. geer1 is on my foe list so i'm using you to get to him. sorry.)

it probably would.... Morbius is orders of magnitude more knowlegable than geer1, period, full stop.

[Morbius]

That said. now we have objective data that says there is no snoring.

Further, the HST only showed 76 snores all night.

I would submit that snoring is not an issue. Maybe even "not".

[Morbius]

And I am not saying he has nothing either but could this be bad sleep from something not related to airway issues?

Looking at the OP's first post in the thread, as well as the sleep architecture of the NPSG there appears to be a significant sleep maintenance issue.

tAG4QAe.jpg (60.05 KiB) Viewed 733 times

The report lists WASO at 0.0 but that can't be, although I do not know what software that is.

With only 4.9 hours of sleep, if the study is a representative night no wonder he's tired.

There's that REM rebound at the end of the night, as well as even SWS just prior to awakening. A real sleep laboratory would NEVER have awoken a patient during SWS. It would be important (critical) to see how that played out.

He sleeps like a rock, but starting at 3:43AM. Check the medicine cabinet.

[slowriter]

There's that REM rebound at the end of the night ...

How does that present in the hyponogram? That there's only the one REM stage earlier in the night, and the long REM at the end? So more the former?

[Morbius]

There's that REM rebound at the end of the night ...

How does that present in the hyponogram? That there's only the one REM stage earlier in the night, and the long REM at the end? So more the former?

The latter, but perhaps I'm not understanding your question.

[slowriter]

There's that REM rebound at the end of the night ...

How does that present in the hyponogram? That there's only the one REM stage earlier in the night, and the long REM at the end? So more the former?

The latter, but perhaps I'm not understanding your question.

I'm asking is it only the length of that particular REM stage (what I read your reply to mean), or also the effectively missing REM stages that preceded it?

Is that more clear?

Or if more straightforward, the more general question: how do you identify REM rebound in a hypnogram?

[Morbius]

I'm asking is it only the length of that particular REM stage (what I read your reply to mean), or also the effectively missing REM stages that preceded it?

The former is due to the latter.

His REM% is somewhat high at 26.9%, but more important(ly), the huge majority of that is in that single block instead of dispersed over 4 or 5 cycles.

IMO, REM was being suppressed by something.

[4638675696]

Thank you everyone for your replies! Please see the below and let me know what you think I should do next. My insomnia has been rougher lately and I would like to seek help soon. Should I still move forward with an Resmed Airsense 10 Autoset for Her?

I have been using the Oura Ring for 11 nights now and have posted my results in the following Imgur link in case that it is helpful. I understand that it is not accurate like a proper sleep study, but thought this data may provide additional insight. If it makes any difference, note that I only wear it at night, putting it on when I lay down to bed and taking if off when I get up.

https://imgur.com/a/SiVHnLw

Some additional comments per some points/questions in the recent posts:

1.) Obstructive sleep apnea runs in my family and both my parents have it and my mom is probably underweight for her height. She has been helped by a CPAP, but my dad refuses to use one, snores very loudly, and regularly gasps for air and stops breathing.

2.) When others are near me while I sleep, they often complain of loud snoring. I sometimes wake up during a nap and hear the tail end of a snore/feel it in my throat and nose.

3.) I do not normally take any sleep aid (Benadryl sometimes with a cold), but per my doctor have taken a set regimen of vitamin supplements for about 5 years. At bedtime, I take Calcium-Magnesium and Glycine. I use no caffeine nor alcohol and try to eat at least 2+ hours before bedtime.

4.) I usually wake up to urinate once almost every night, have tried restricting water intake in the evenings, but it doesn't seem to help.

5.) When I wake up to urinate, that is usually when I have trouble falling back to sleep.

6.) I am often restless at night and find myself waking up frequently then most of the time falling back to sleep.

7.) I do dream about 50 percent of nights.

8.) I have a diagnosis of Bipolar II, have been off of all pharmaceutical medications for it for about 13 years, and follow a 4:1 ketogenic diet therapy prescribed by my doctor. This seems to reduce my symptoms by about 90 percent. Some people with this diagnosis who are symptomatic, have sleeping problems with hypomania and depression, but this does not typically occur for me.

[jimbud]

6.) I am often restless at night and find myself waking up frequently then most of the time falling back to sleep.


8.) I have a diagnosis of Bipolar II, have been off of all pharmaceutical medications for it for about 13 years, and follow a 4:1 ketogenic diet therapy prescribed by my doctor. This seems to reduce my symptoms by about 90 percent. Some people with this diagnosis who are symptomatic, have sleeping problems with hypomania and depression, but this does not typically occur for me.

by 4638675696 » Thu Dec 05, 2019 8:43 am

I usually fall asleep between 11PM and midnight and wake up at least once to urinate, typically around 3AM. Sometimes I am unable to fall back to sleep.
-I wake up fairly tired, am often tired during the day, and frequently have the desire to nap (and sometimes do) in the early to mid-afternoon.


by Morbius » Mon Dec 16, 2019 6:54 am
IMO, REM was being suppressed by something.

[Morbius]

Some people with this diagnosis ... have sleeping problems ... this does not typically occur for me.

Your sleep architecture can best be described as "train wreck".

OK that's a little strong, but I love that expression.

Start filling out this log:

http://yoursleep.aasmnet.org/pdf/sleepdiary.pdf

Can you get your sleep study from the lab with "reader software"?

Do you wake up with an alarm clock? Do you sleep-in on the weekends?

[Morbius]

My insomnia has been rougher lately and I would like to seek help soon.

Yeah, today would be good.