How to determine Good Sleep?
Re: How to determine Good Sleep?
The MSLT indicates you are objectively not sleepy. Need to keep that in mind.
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Re: How to determine Good Sleep?
I second what Pugsy said! What medication would that even be? Thanks!Rubicon wrote: ↑Tue Sep 06, 2022 8:19 amNeed long report to quantify arousals and awakenings and look at the histogram.
"Nonspecific sleep architectural impairment" huh? I guess that sounds a little flashier than TWA.
You have the long report for the original diagnostic?
IMO you need to decide if a better approach might be taking a long-acting sleep-oriented medication rather than a sleep-friendly ADM and cut out the middle man. Run it by Grewal since you're paying her all this money.
And these are the only documents I have in my “MyChart” app.
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Re: How to determine Good Sleep?
That was a big takeaway for me as well. I am fatigued, and I am tired. But I am not sleepy.
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Re: How to determine Good Sleep?
This was the response I got about sleep medication: https://www.dropbox.com/s/uflur1lv1uqdo ... M.png?dl=0
Re: How to determine Good Sleep?
So what do they want to call it when you aren't sleeping in a normal way when in your own bed?Billymadison420 wrote: ↑Tue Sep 06, 2022 10:44 am
This was the response I got about sleep medication: https://www.dropbox.com/s/uflur1lv1uqdo ... M.png?dl=0
Duh.....
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Re: How to determine Good Sleep?
That makes NFS.Billymadison420 wrote: ↑Tue Sep 06, 2022 10:44 am
This was the response I got about sleep medication: https://www.dropbox.com/s/uflur1lv1uqdo ... M.png?dl=0
"Normal" patients routinely have sleep efficiencies of 90+% in the laboratory setting.
In your own bed it was already shown that you have TWA. The NPSG showed exactly what it was predicted to show.
Really need the detailed report re: arousals, awakenings and histogram to make the case.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.
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Re: How to determine Good Sleep?
Rubicon wrote: ↑Tue Sep 06, 2022 11:21 amThat makes NFS.Billymadison420 wrote: ↑Tue Sep 06, 2022 10:44 am
This was the response I got about sleep medication: https://www.dropbox.com/s/uflur1lv1uqdo ... M.png?dl=0
"Normal" patients routinely have sleep efficiencies of 90+% in the laboratory setting.
In your own bed it was already shown that you have TWA. The NPSG showed exactly what it was predicted to show.
Really need the detailed report re: arousals, awakenings and histogram to make the case.
I get the sense that they don’t look at my CPAP data at all.
I don’t understand what else I can do. This is an extremely experienced doctor at Jefferson University. If she’s not taking me seriously then who would?
How would I get the detailed reports?
Re: How to determine Good Sleep?
How was your sleep quality in the laboratory compared to a typical night at home?Billymadison420 wrote: ↑Tue Sep 06, 2022 11:33 amI get the sense that they don’t look at my CPAP data at all.
Did they ask you that specific question in the AM after the NPSG?
Ask them for it.How would I get the detailed reports?
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.
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Re: How to determine Good Sleep?
Rubicon wrote: ↑Tue Sep 06, 2022 12:16 pmHow was your sleep quality in the laboratory compared to a typical night at home?Billymadison420 wrote: ↑Tue Sep 06, 2022 11:33 amI get the sense that they don’t look at my CPAP data at all.
Did they ask you that specific question in the AM after the NPSG?
Ask them for it.How would I get the detailed reports?
I would say that my sleep quality was worse than at home. But regardless I still feel incredible fatigue weather at home or whether in a lab.
Last edited by Billymadison420 on Tue Sep 06, 2022 12:25 pm, edited 1 time in total.
Re: How to determine Good Sleep?
What does that mean? She's been around a long time?Billymadison420 wrote: ↑Tue Sep 06, 2022 11:33 amThis is an extremely experienced doctor at Jefferson University.
She's not boarded in Sleep Medicine.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.
Re: How to determine Good Sleep?
There were 2 parts to that question.Billymadison420 wrote: ↑Tue Sep 06, 2022 12:21 pmRubicon wrote: ↑Tue Sep 06, 2022 12:16 pmHow was your sleep quality in the laboratory compared to a typical night at home?Billymadison420 wrote: ↑Tue Sep 06, 2022 11:33 amI get the sense that they don’t look at my CPAP data at all.
Did they ask you that specific question in the AM after the NPSG?
Ask them for it.How would I get the detailed reports?
I would say that my sleep quality was worse than at home. But regardless I still feel incredibly fatigue weather at home or whether in a lab.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.
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Re: How to determine Good Sleep?
Rubicon wrote: ↑Tue Sep 06, 2022 12:24 pmThere were 2 parts to that question.Billymadison420 wrote: ↑Tue Sep 06, 2022 12:21 pmRubicon wrote: ↑Tue Sep 06, 2022 12:16 pmHow was your sleep quality in the laboratory compared to a typical night at home?Billymadison420 wrote: ↑Tue Sep 06, 2022 11:33 amI get the sense that they don’t look at my CPAP data at all.
Did they ask you that specific question in the AM after the NPSG?
Ask them for it.How would I get the detailed reports?
I would say that my sleep quality was worse than at home. But regardless I still feel incredibly fatigue weather at home or whether in a lab.
My apologies. Yes they did ask.
Can my sleep doctor infer the disordered breathing, that you all referred to as sleep/wake/Junk, from the CPAP machine data just the same as you can?
Re: How to determine Good Sleep?
Why would she want to? She has a sparkly new NPSG to look at.Billymadison420 wrote: ↑Tue Sep 06, 2022 12:25 pm
Can my sleep doctor infer the disordered breathing, that you all referred to as sleep/wake/Junk, from the CPAP machine data just the same as you can?
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.
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Re: How to determine Good Sleep?
I guess because my CPAP is at home. It seems she is disregarding in lab results because of the wires and such.Rubicon wrote: ↑Tue Sep 06, 2022 1:01 pmWhy would she want to? She has a sparkly new NPSG to look at.Billymadison420 wrote: ↑Tue Sep 06, 2022 12:25 pm
Can my sleep doctor infer the disordered breathing, that you all referred to as sleep/wake/Junk, from the CPAP machine data just the same as you can?
Re: How to determine Good Sleep?
What is she disregarding? I don't understand your point. You got 7.76 hours of sleep @ 85.9% (a little low as far as efficiency goes, but told them you sleep better at home) and a normal MSLT, so IMO she thinks you're fine there.Billymadison420 wrote: ↑Tue Sep 06, 2022 1:08 pmI guess because my CPAP is at home. It seems she is disregarding in lab results because of the wires and such.Rubicon wrote: ↑Tue Sep 06, 2022 1:01 pmWhy would she want to? She has a sparkly new NPSG to look at.Billymadison420 wrote: ↑Tue Sep 06, 2022 12:25 pm
Can my sleep doctor infer the disordered breathing, that you all referred to as sleep/wake/Junk, from the CPAP machine data just the same as you can?
However, sleep disruption is there, they said it's there. You need those values if you want to make a case for anything. And I'm talking about >100 arousals, a bunch of awakenings (number will vary based on length, and we only got 71 minutes of WASO to work with).
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.