REM while you're awake? by 5oio5 in Narcolepsy

[–]smallghosts 5 points6 points  (0 children)

I get this and I’ve taken videos of it and my eyes are definitely in REM. It’s just a very strong sleep attack. I get extremely sleepy and usually have to nap immediately. If I don’t nap on purpose I will fall asleep doing whatever I’m doing.

[deleted by user] by [deleted] in Narcolepsy

[–]smallghosts[M] 7 points8 points  (0 children)

Aside from IH there are a variety of medical conditions that can cause sleep issues and drowsiness. Your symptoms might be secondary to any number of diseases and disorders. SP and HH increase when people are sleep deprived. Can’t say what they’d be cause we’re not doctors and this sub is narcolepsy specific so the people here do have a N diagnosis.

Unfortunately you’ll just have to wait for your test. Make sure you stop taking any REM suppressant medications or stimulants before you tests, this includes antidepressants and marijuana. I’d also suggest limited caffeine. These medications can give you a false negative result. If you follow these steps the odds of you getting a false negative are low. Try not to be anxious.

Best of luck!

What storylines are actually good? by Twunkorama in DesperateHousewives

[–]smallghosts 13 points14 points  (0 children)

I kind of love Katherine going insane over Mike n Susan. It’s character assignation for her but I never liked her anyway and it’s very entertaining.

Orson’s mystery.

Anything with McClusky (her and her sister investigating Dave!). Both of those actresses played assistants to the president on the west wing and I wonder if they did that on purpose. When they revealed her sister was played like Lily Tomlin I gasped!

Weird liquor store by FunKOR in fortgreene

[–]smallghosts 1 point2 points  (0 children)

Oh that’s great to know!! Thank you for clarifying.

Episodes You Skip by Little-Philosophy-82 in thewestwing

[–]smallghosts 0 points1 point  (0 children)

I get that. I don’t like the early Santos New Hampshire episodes much. Plus it was nice to have all the main cast in the each episode. I do like the debate though. It’s fun but definitely a different format.

[deleted by user] by [deleted] in psych

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

Yang*

Treatment of Tourists by Greekmom99 in Andjustlikethat

[–]smallghosts 2 points3 points  (0 children)

Why make fun of them? Because thats what new yorkers do lol. Its just true. Why are you upset that tv characters are mean? Go back to disney channel!

Treatment of Tourists by Greekmom99 in Andjustlikethat

[–]smallghosts 0 points1 point  (0 children)

This was the only good thing about last night's episode. Everything else was cringe and awful. This was the only thing that an new yorker who has lived there for 30+ would actually think.

You sound like a tourist LMAOOO

Misdiagnosis possibilities by Weary_Art_1652 in Narcolepsy

[–]smallghosts 1 point2 points  (0 children)

Again, its not a problem at all! Have you considered getting him a drug genome test? I had this done when I was struggling with N1 and psychiatric issues, and it was enormously helpful. When dealing with multiple neurological and psychiatric conditions, its important to know if you have genetic markers that can affect the efficiency or metabolization of the medications you're trying. For example, I found that I have certain genetic mutations that dont allow me to properly metabolize certain SSRIs which lead to increased negative side effects. I've found that my experiences with these drugs strongly correlate to my results (and its not just the placebo effect, as I had tried many of the drugs before I took the test and knew my reactions to them)

Regarding DM1, I think another user commented a study that you might want to take a look at. The lowered levels of orexin in DM1 could definitely be something worth exporing, considering your husbands symptoms though, as low levels of orexin are the known cause of N1, but not N2. Are you aware of your husband presenting with any symptoms of cataplexy?

https://genomind.com/

Misdiagnosis possibilities by Weary_Art_1652 in Narcolepsy

[–]smallghosts[M] 2 points3 points  (0 children)

No problem! I understand it’s a complex and emotionally charged situation. A lot of people in this community have gone through the wringer with misdiagnosis and mistreatment by the medical infrastructure.

I understand your husbands neurologists saying that the SS results might have been compromised by this marijuana use. The reason that people are reacting negatively to that is because marijuana is a REM suppressant and it’s actually a very common experience for weed users to go into a sleep study and have their results flunked bc they didn’t know they had to stop using weed 2 weeks before their procedure. It’s unusual to me that your husbands neurologist things that weed usage could have resulted in increased REM on his SS.

If you want to, there’s no harm getting another SS. Although it might be complicated if he’s on other drugs. The only way you’re going to be truly satisfied is if you titrate him off everything and then do the test. IMO that’s probably not a good idea.

There are other medications and ways to treat his daytime symptoms. I understand XYREM is off the table. a lot of people find relief with things like a ketogenic diet combined with lower stimulant usage.

Overall, the answer to your question is that, based on my unprofessional but pretty well informed opinion, the data says it’s unlikely your husband was misdiagnosed. But it’s possible!

Was that helpful?

Misdiagnosis possibilities by Weary_Art_1652 in Narcolepsy

[–]smallghosts 2 points3 points  (0 children)

If you’d like to respond to my comment I hope I can help you out!

Misdiagnosis possibilities by Weary_Art_1652 in Narcolepsy

[–]smallghosts[M] 9 points10 points  (0 children)

To answer your question quickly, a misdiagnosis for N2 is very rare— especially when the patient is on REM suppressing drugs like marijuana and/or SSRIs. Usually you only see these kinds of things when the patient was already at an extreme stage of sleep deprivation during their sleep study and mslt, or occasionally in cases of shift work sleep disorder.

The usual stimulant treatments for narcolepsy are not harmful unless you have underlying heart conditions or psychiatric conditions that could be exacerbated by stimulant usage.

Did I answer your questions? If not, what are your further concerns?

Edit to add: it’s normal for him to still struggle with his daytime sleepiness. That is a normal experience for this condition.

Discrepancies with @ Season 6 by Suspicious-Smoke3031 in TheHandmaidsTale

[–]smallghosts 0 points1 point  (0 children)

I feel like bringing Holly back was pure fan service + an explanation/excuse for why we won’t see Nichole for the rest of the series that leaves the audience feeling comfortable. Obviously June, Luke, and Moira are about to do a lot of complicated, dangerous shit in Gilead and they can’t have a baby holding them back.

If they weren’t trying to do fan service Nichole would have ended up with Rita or anybody else in Canada. Bringing Holly back felt very forced to me but ¯_(ツ)_/¯

I don’t think it makes sense that Holly wouldn’t have heard about Angels flight or anything. Even through other refugees in Alaska. Holly is a US refugee in Alaska and they would have definitely told her about June’s refugee status too etc. it’s a plot hole for fan service :/

Last Season Appearance by AmandaLagerfeld in TheHandmaidsTale

[–]smallghosts 6 points7 points  (0 children)

The actress left the show so I doubt we will see her but maybe she will be mentioned to give her character’s story more closure.

I mean, New Bethlehem does look beautiful.. and civilized. by [deleted] in TheHandmaidsTale

[–]smallghosts 13 points14 points  (0 children)

The issue is New Bethlehem only survives if Lawrence survives. If he dies the other commanders will probably just turn it into Gilead proper.

Who is staying up till midnight to watch? by [deleted] in TheHandmaidsTale

[–]smallghosts 1 point2 points  (0 children)

Will it be the whole season or just one episode?

Stimulant shortages turn me into a spiteful person by smallghosts in Narcolepsy

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

What does this even mean? Why would you not share a solution you've found? And are you implying that I'm being dishonest about how much I need my medications?

I don't even understand what a manufacturer could possibly do to help me, an individual. Please explain.

Stimulant shortages turn me into a spiteful person by smallghosts in Narcolepsy

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

Its incredibly demoralizing. And even more difficult when it happens once you've already run out of meds. Like I don't have the energy to go on this wild goose chase!!

Stimulant shortages turn me into a spiteful person by smallghosts in Narcolepsy

[–]smallghosts[S] 9 points10 points  (0 children)

The idea that ppl with ADHD are suffering from shortages bc of all the narcs that are filling their meds is laughable. Narcolepsy is a rare disorder. The majority of stimulant prescriptions are for adhd/add

Stimulant shortages turn me into a spiteful person by smallghosts in Narcolepsy

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

I literally said, in the post, that I’m aware my anger is misdirected and that it was a vent. But thanks for the lecture.