Tuesday, March 17, 2026

Although we've had some rain and a lot of wind, I lucked out as far as being woken up by thunder this time around.

For the last couple of sleeps, my nose has been clear. I was surprised Fitbit gave me a score of 90 for sleep because my sleep was very fragmented. I only got 53 minutes of deep sleep, too. I definitely have to do a combination of clonazepam/melatonin next time around. I feel like I'm in a catch-22 because I don't want to take clonazepam every time I sleep, yet if I don't, my sleep is going to be fraggy.

I ended up napping for the typical 90 minutes I usually nap for when I do nap. I did it without the CPAP and suffocated awake along the way. My nose is clear, so that tells me that the suffocation is definitely from OSA (yes, it's almost certainly OSA and not CSA), while my nose was interfering with treatment before I had surgery. The only way I might be able to sleep without suffocation, or at least a lot less of it, would be on the big wedge pillow, but I don't want to do that (most suffocation occurs in my favorite position on my stomach). Unless a miracle happens with my weight and it really is connected to that, we need to figure out how to get a new one in about 4 years when this one dies.

I'm not going to do it the next time I sleep because I need to get more solid sleep and catch up on energy before I do anything that could risk waking me up, but I've had three successful sleeps on a pressure setting of 7, so in a day or so I'll jump to 7.6 and see how I do. I'm still expecting not to be able to go over 7. It's like something doesn't want me fully treating my sleep apnea any more than my thyroid.

I'll have to have Tom double-check it, but I just measured my neck at 15", yet I swear they said it was 16" when they measured at the office. I guess it depends on where on the neck you measure. I gave AI my weight, and it said that greater than 15" is risky, while 13 to 15 is moderately risky, and 13" is less risky. In other words, I would have to lose roughly 40 pounds to get a good chance of reversing my sleep apnea. I just don't see that happening, but I'm going to make one last-ditch effort to try my damnedest to make it happen.

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