Severe mixed apnea at the age of 35

[Herbert]

As suggested by you ... turning down to 6...

That's not what I suggested.

not but you suggested to play around and see what happens, if I'm not mistaken

[Rubicon]

Obstructive apneas occurred supine.

Sorry those were all central. It's the line not the +5.

[Rubicon]

This was the control night after 3 months. Summary: Beautiful sleep structure...

Regarding the Arousal index: I asked them directly and they said its the automatic result and they didn't correct it manually, so I should not pay it any attention.

So here's the thing about lying (and they're lying because they said they Ableitung nach AASM which requires manual review)-- now everything they say becomes suspect.

So what else are they lying about?

[Rubicon]

As suggested by you ... turning down to 6...

That's not what I suggested.

not but you suggested to play around and see what happens, if I'm not mistaken

I said:

How about some DWing? CPAP 5.0 cmH2O and EPR Off.

[Herbert]

This was the control night after 3 months. Summary: Beautiful sleep structure...

Regarding the Arousal index: I asked them directly and they said its the automatic result and they didn't correct it manually, so I should not pay it any attention.

So here's the thing about lying (and they're lying because they said they Ableitung nach AASM which requires manual review)-- now everything they say becomes suspect.

So what else are they lying about?

they said explicitly only the Arousal Index was not checked. rest was checked. but you're completely right, this really undermines the trustworthiness of the report. So I guess I'm not completely wrong to doubt the results in total, also the other parts.

BTW do you confirm the "beautiful sleepstructure" from what you see on the report, or are they openly lying about that too?

[Herbert]

As suggested by you ... turning down to 6...

That's not what I suggested.

not but you suggested to play around and see what happens, if I'm not mistaken

I said:

How about some DWing? CPAP 5.0 cmH2O and EPR Off.

ok, I wanted to start slowly with turning it down. I can go to 5.0 to check it.

[Rubicon]

And I wouldn't call Night 3

Beautiful sleep structure

but we'll get to that in a minute (or maybe tomorrow. Can't spend all day on the 'net y'know)(although I suppose I could, but it's probably not good for my mental health).

Speaking about mental health, how's yours? Specifically, are you presently on or have ever been on antidepressant medication? Your first 2 NPSG strongly suggest that.

[Herbert]

And I wouldn't call Night 3

Beautiful sleep structure

but we'll get to that in a minute (or maybe tomorrow. Can't spend all day on the 'net y'know)(although I suppose I could, but it's probably not good for my mental health).

Speaking about mental health, how's yours? Specifically, are you presently on or have ever been on antidepressant medication? Your first 2 NPSG strongly suggest that.

absolutely not. I've never been on ADs despite having had some issues with anxiety in the past. what exactly makes you think that I was on AD during the first study? which parameters?

PS: I appreciate the time you spent here to explain those things to me.

[Rubicon]

BTW do you confirm the "beautiful sleepstructure" from what you see on the report, or are they openly lying about that too?

Well, it's definitely inaccurate (I wouldn't translate schone schlafstrukter as "beautiful sleep structure", but they're certainly implying normal, and it's not).

REM is low, Sleep Efficiency is nearly horrible, first REM is a little early (but not SOREM), WASO isn't great, there's a missing REM period (probably because of the WASO block so I'll give them that) and they woke you too early and missed final REM (or you could say TIB is too short).

Other than that, it's beautiful!

[Herbert]

BTW do you confirm the "beautiful sleepstructure" from what you see on the report, or are they openly lying about that too?

Well, it's definitely inaccurate (I wouldn't translate schone schlafstrukter as "beautiful sleep structure", but they're certainly implying normal, and it's not).

REM is low, Sleep Efficiency is nearly horrible, first REM is a little early (but not SOREM), WASO isn't great, there's a missing REM period (probably because of the WASO block so I'll give them that) and they woke you too early and missed final REM (or you could say TIB is too short).

Other than that, it's beautiful!

okay this leave room for Interpretation. does it means it's hopeless bad, or supposedly only bad because they woke me up too early. also I guess sleeping in this "environment" also plays a role.

[Herbert]

also what about the AD topic.

[Rubicon]

they said explicitly only the Arousal Index was not checked. rest was checked.

I'll bet they didn't do that either (for instance, the Desaturation Module is pretty accurate, so most, or a lot anyway, of people don't check it). But I think the lies aren't limited.

I don't know what software that is, but computerized arousal scoring isn't accurate to begin with, and using it at all raises questions.

So you should take it other way. Your NPSGs show basic TWA and your downloads look to show a lot of arousals. IMO the arousal count is actually accurate or even under-reported.

Regardless, if they said it's wrong have them rescore the report and send you the amended copy.

[Rubicon]

Hmmm. I can't find erwachen.

[Herbert]

Hmmm. I can't find erwachen.

it means waking up or awakening to be more precise

[Rubicon]

Hmmm. I can't find erwachen.

it means waking up or awakening to be more precise

Yes I know. There should be a category for that.