How to determine Good Sleep?

Pugsy wrote: ↑

Tue Aug 02, 2022 8:42 am

Call your second and now primary sleep doctor and explain all of what you just said above.
You need more help right now than we can offer from where we sit.

I don't know that your medication is all that much of a factor or not...but it might be...that's all I know.
There are other options for anxiety or stress related issues that could be implemented on a short term basis.

lynninnj wrote: ↑

Tue Aug 02, 2022 8:26 am

Billymadison420 wrote: ↑

Tue Aug 02, 2022 8:12 am

I am not really sure what to do. I am close to a nervous breakdown. I need sleep badly. I haven't had good sleep in over a year. I know it is probably in part to having Tinnitus. While I have adjusted fully during the day, at night it keeps me awake. Am I sure of this. No. I am not totally sure that is the case, but I am just looking for things at this point.

I had 3-4 days with CPAP where I felt a bunch better. That was on the mirtazpine. I don't know if I have Narcolepsy on top of this like I mentioned in my original thread. I am calling my sleep specialist today to move up my appt.

I am taking care of my dying mother with ALS. I have to be present in my marriage. i have a full time job. I can't cope any longer feeling like this. I feel like I need to go on temporary disability.

I am also worried because of the TInnitus I will always have sleep trouble. I have habituated so much and its not a problem during the day, but it could be at night.

I am sorry to vent. I have been feeling this way for over 16 months now. I need help

Billy I’m still pretty new here but I know a couple things.

Sometimes antibiotics can cause tinnitus. Sometimes working in a loud environment can be the problem. I lost my mom in December and I can only imagine the stress you were going through right now. I know my blood pressure was up and when it was I could hear it pulsating in my ears. That just made the anxiety even more stressful. I wouldn’t be surprised if your blood pressure is high.

I think if it is the CPAP will probably help lower your blood pressure. Just have to get over that magical hump!

I wouldn’t be surprised if the sore on your nose what is keeping you awake. Someone posted info for newbies among the stickies at the top of this board. One suggestion was a product called Lanisoh which is basically 100% lanolin may help heal a sore a little faster. It may also help keep newly forming issues from becoming full-blown issues with the skin. You can find a tube of the stuff at Walmart in the breast-feeding section it cost about $10 for tube. A little bitty bit of this covers a large area. I don’t think he would want to put it on right before bedtime but you would want to put it on first thing the morning after you shower and shave or do whatever. It keeps the moisture in it does not add moisture to the skin. It may interfere with the seal if you try to put it on right before you go to sleep.

It sounds like you’ve got a lot of stuff going on. Nobody likes to hear it’s all in your head but in a way some of it is. And the lack of sleep is making everything more difficult for you. maybe you need to see if you can find a way to bring in an outside health aide to give yourself a little bit of a break if you were being the primary caretaker. I really don’t know the situation but if you are still working maybe take a couple of days off I just go to a hotel room for a night or some thing. I don’t know if that’s possible for you but it sounds like you need a break.

It’s easy to say don’t give up but don’t give up.

clownbell wrote: ↑

Mon Aug 01, 2022 9:54 pm

Bill - You asked what SWJ means? I'm sure Pugsy has a better definition, but TO ME it means when you are neither completely asleep nor completely awake, but in the grey area in between.

BTW, I believe the experts would prefer all your issues going in the SAME post so they can see your history without wasting time hunting through multiple threads.

Billymadison420 wrote: ↑

Tue Aug 02, 2022 1:46 pm

clownbell wrote: ↑

Mon Aug 01, 2022 9:54 pm

Bill - You asked what SWJ means? I'm sure Pugsy has a better definition, but TO ME it means when you are neither completely asleep nor completely awake, but in the grey area in between.

BTW, I believe the experts would prefer all your issues going in the SAME post so they can see your history without wasting time hunting through multiple threads.

I am sorry I will stick to one thread from now on. It makes complete sense.

Pugsy wrote: ↑

Tue Aug 02, 2022 2:08 pm

Billymadison420 wrote: ↑

Tue Aug 02, 2022 1:46 pm

clownbell wrote: ↑

Mon Aug 01, 2022 9:54 pm

Bill - You asked what SWJ means? I'm sure Pugsy has a better definition, but TO ME it means when you are neither completely asleep nor completely awake, but in the grey area in between.

BTW, I believe the experts would prefer all your issues going in the SAME post so they can see your history without wasting time hunting through multiple threads.

I am sorry I will stick to one thread from now on. It makes complete sense.

Ignore what clown said. If it had been a problem I would have said something to you.
Did you see my response to clown?

Pugsy wrote: ↑

Wed Aug 03, 2022 8:22 am

AHI is lower because not so many false positive SWJ flagged events but what is flagged....arousal related.
You may have slept a little more soundly (not so many false positives) but I haven't had a chance to go and scroll through each breath yet to count arousals....which obviously you don't remember....but please note that we don't always remember arousals and it doesn't mean they didn't happen.

Billymadison420 wrote: ↑

Wed Aug 03, 2022 8:29 am

Pugsy wrote: ↑

Wed Aug 03, 2022 8:22 am

AHI is lower because not so many false positive SWJ flagged events but what is flagged....arousal related.
You may have slept a little more soundly (not so many false positives) but I haven't had a chance to go and scroll through each breath yet to count arousals....which obviously you don't remember....but please note that we don't always remember arousals and it doesn't mean they didn't happen.

Sore is doing better! Almost healed. I used the larger Nasal attachment which doesn't rub up against it. I do feel a bit better today. It's weird. I feel a mixture of clear/awake, and heavy/tired. Sunken eyes, the body is tired. But I also feel awake and not sleepy. Hard to describe.

Pugsy wrote: ↑

Wed Aug 03, 2022 8:57 am

So scrolling through the flow rate.
Looks like actual sleep happened around 10:26 or thereabouts.
very minor irregular blips scattered up to around 10:55 where there was a bigger arousal but you went back to sleep fairly quickly.
Very minor blips up to the flagged Hyponea which upon further review...could be a real asleep hyponea. There is a large inhale just prior to the hyponea flag but I am leaning asleep for the hyponea.
Then a one minute segment of arousal breathing at about 11:44.
12:00...short arousal segment...
12:15 and 12:18 a couple of little blips or irregularities
again at 12:31 and 12:33 and 12:34 and 12:45 and 12:50 and very brief at 1:00 and 1:23 and 1:47 and

some vague can't put my finger on it irregularities up to 2:15 when there was an obvious arousal breathing segment that was short lived.
Then 2 minutes of very irregular breathing just prior to the CA flag at 2:19....definitely arousal related flag.
Back to sleep at 2:20....
at 2:52...the flagged hyponea...definitely arousal but again back to sleep a minute later.

And so it goes pretty much the rest of the night.
You did sleep more soundly as the amount of arousal segments were reduced in both numbers and duration.

Doesn't surprise me...your body finally catching up from being so sleep deprived from the prior nights.
You probably won't feel great today but I bet you feel better than yesterday.

Let us know what the doc says.