IMO the new study needs to be done with what you do now. Meds, sleep schedule, caffeine, THC, everything.
I don't entirely disagree with this statement; however, there's the issue of SSRIs suppressing REM sleep (at least, the
data shows that during initiation of the medication it suppresses REM - It does appear that REM sleep comes back after a few months. It's unclear if REM sleep returns
to the pre-medication baseline.) There's the possibility of the MSLT being a false negative for narcolepsy if REM is suppressed.
Which, as you know, narcolepsy is what my MD is hellbent on diagnosing me with.
I also wanted
to keep you updated on the HLA-DBQ1*0602 testing. I am going
to get the test done once I start a new job - it's $800 out-of-pocket without insurance. If that's negative, then I'll be certain that I do not have Narcolepsy type 1. That specific HLA is associated with WBCs (white blood cells). It causes your WBCs
to attack the neurons that produce hypocretin. Regarding Type 2 Narcolepsy, I'm of the opinion that it has nothing
to do with Narcolepsy at all. It's either an entire disorder all on its own, or a known disorder that's causing people
to present with narcoleptic-like symptoms. N1 is a diagnosis based on the body attacking the hypocretin-producing neurons in the lateral hypothalamus. It can be diagnosed by testing the CSF for hypocretin. If hypocretin is low or not present, then the diagnosis is made. N2 is a diagnosis of exclusion.
Did you adjust the filters?
Yes, I've messed around with the gain
to make things somewhat coherent. I wouldn't even say I have a basic understanding of Polysomnograms. I don't have formal education on
how to interpret them, so my opinion holds little value at this time. I'm doing my best
to educate myself, but it's difficult
to learn something in such a short amount of time with no guidance.
IMO your sleep is much worse that the report indicates. It's considerably overscored, with a lot of Wake scored as N1, and N1 scored as N2.
From your experience, do you notice any patterns or signs that indicate the cause of my poor sleep?
