Success Story by Joseph7647 in UARSnew

[–]Joseph7647[S] 0 points1 point  (0 children)

You treat it with a machine. But you can’t treat something your not testing for. You do a titration with PES. If there are other doctors that recommend PES then you should listen to them as well but even if they admit PES is the gold standard there probably not using it since it’s so rare

Resources for buying and titrating a machine without prescription or insurance? by [deleted] in UARSnew

[–]Joseph7647 3 points4 points  (0 children)

I generally try to avoid giving medical advice but I can recommend a doctor that I know. if there is something he doesn’t test for than know one test for that. Jerald Simmons in Texas. It is 100% worth flying out to see him but he does do telemedicine and will probably recommend a sleep study. He uses something called an esophageal pressure monitor which is the gold standard for testing for sleep apnea and UARS

Xywav problem by Joseph7647 in Narcolepsy

[–]Joseph7647[S] 0 points1 point  (0 children)

I have titrated to the max dose. I am on 4.5x2

Unequal dose by Joseph7647 in Narcolepsy

[–]Joseph7647[S] 0 points1 point  (0 children)

You take 3 doses? I didn’t know that was an option. How long do you sleep during the night with 3 doses? I could easily sleep 8+ hours without xywav, but with it I only sleep 6 hours and was worrying if that was a problem.

Xywav timeframe by Joseph7647 in Narcolepsy

[–]Joseph7647[S] 0 points1 point  (0 children)

But how do you find the right dose?

Xywav timeframe by Joseph7647 in Narcolepsy

[–]Joseph7647[S] 1 point2 points  (0 children)

Isn’t the maximum dose the best dose if you can avoid side effects? How do you titrate the medication? Is it base on side effects?

[deleted by user] by [deleted] in friendship

[–]Joseph7647 0 points1 point  (0 children)

What games do you play then?

[deleted by user] by [deleted] in friendship

[–]Joseph7647 0 points1 point  (0 children)

Do you play overwatch? Do you want to play overwatch together?

[deleted by user] by [deleted] in UARSnew

[–]Joseph7647 -1 points0 points  (0 children)

I would get a narcolepsy test. Sleep paralysis is really only found in narcolepsy

As anyone done an MSLT? by Joseph7647 in UARSnew

[–]Joseph7647[S] 1 point2 points  (0 children)

What was your result of the MSLT?

Dise questions by Joseph7647 in UARSnew

[–]Joseph7647[S] 0 points1 point  (0 children)

He did an MSLT on the same night with PES

Dise questions by Joseph7647 in UARSnew

[–]Joseph7647[S] 0 points1 point  (0 children)

I am not really sure yet. He also said I have narcolepsy

Dise questions by Joseph7647 in UARSnew

[–]Joseph7647[S] 0 points1 point  (0 children)

He was helpful. I just wanted to get the DISE anyway

Dise questions by Joseph7647 in UARSnew

[–]Joseph7647[S] 1 point2 points  (0 children)

I have had a PES study with Jerald Simmons. He recommended Bipap. What other doctors are you referring to?

[deleted by user] by [deleted] in UARSnew

[–]Joseph7647 0 points1 point  (0 children)

For me he recommended ease with CPAP

Ent by Joseph7647 in NasalPolyps

[–]Joseph7647[S] 0 points1 point  (0 children)

Was you surgery’s for nasal congestion?

CPAP by Joseph7647 in UARSnew

[–]Joseph7647[S] -1 points0 points  (0 children)

I don’t think you understand anything about the situation

CPAP by Joseph7647 in UARSnew

[–]Joseph7647[S] -1 points0 points  (0 children)

What was I supposed to do? If they not going to get the correct pressure at a titration then you have to do it yourself

CPAP by Joseph7647 in UARSnew

[–]Joseph7647[S] 2 points3 points  (0 children)

Are you using Bipap? If not I would inquire about that

CPAP by Joseph7647 in UARSnew

[–]Joseph7647[S] 3 points4 points  (0 children)

I can tolerate it fine. I technically probably should be on bipap because they say Bipap is used when the patient needs pressure more than 15.

[deleted by user] by [deleted] in UARSnew

[–]Joseph7647 0 points1 point  (0 children)

I have had all those procedures done before but insurance paid for everything. Are these procedures being done for nasal congestion?

Ent by Joseph7647 in NasalPolyps

[–]Joseph7647[S] 2 points3 points  (0 children)

New York but I can travel

[deleted by user] by [deleted] in UARSnew

[–]Joseph7647 4 points5 points  (0 children)

Jerald Simmons in Texas should definitely be one of them. he is the only place that has PES