Hello. I am scheduled for an overnight sleep study next week, followed by the mslt. I got a call from the sleep lab today, and I was told that the mslt is a possibility, not a certainty. It depends on what the overnight shows.
I have been using CPAP for almost 5 years. I started because of excessive daytime sleepiness. My pressure prescription hasn't been changed, which is why we're sort of starting over. I have always had a problem with falling asleep. Work is the worst place. It seems the harder the brain has to work, the more likely it is to check out on me.
Over the last year or so, the daytime nodding off has gotten worse again, which is why I'm getting the mslt, too.
My question is, what would the techs see in the overnight that would cause them to decide the mslt isn't necessary? If I get bad sleep at my current pressure and it gets better with a change? If I take a really long time to go into REM? I'm just wondering. If we don't do the mslt, I get a day off work to do nothing.
I don't have cataplexy, and if I have hallucinated, I'm not aware of it. When I nod off, I seem to dream right away, because I'll wake up and think how silly the things I was just thinking or dreaming about are in connection with the task I was trying to do at the time. Maybe that's a hallucination. Or a daydream that followed me into my little mini-nap.