Why Do I Wake Up At 2am On The Dot Now That I Am Using My Cpap Machine

I keep taking my CPAP mask off in my sleep. How do I stop?

You are probably working with a doctor who is a Sleep Specialist to counter obstructive sleep apnea, and possibly snoring as well. I encountered similar problems with removing my CPAP (continuous positive airway pressure) mask during sleep.When I asked my doctor about this problem his first suggestion was to try a different style of mask. I went through about a dozen different masks all to no avail.He then suggested I try an “oral appliance” (sometimes known as a “dental appliance” or “Orthoapnea.”)(Image courtesy of Wikimedia Commons. Tool shown is used to adjust tension.)This device looks and sounds more cumbersome and intrusive than it actually is. It fits comfortably into the mouth. Oddly enough, after I had worn it overnight a few times I began to miss it if it wasn’t in my mouth.It keeps the airway free by holding the tongue down slightly. If you decide to get one you will have to get a prescription from your doctor and give it to dental specialist who will make a mold of your mouth and make the device from that. It will have to be adjusted with a small tool that is included every night for a week or two until a proper fit is achieved.This really solved my problem with the masks, though it is not guaranteed to work for everyone. The ideal solution for sleep apnea is still a CPAP or BPAP breathing machine and a traditional plastic mask.For more information on oral appliances see this article from the American Sleep Association: Sleep Apnea Oral Appliances - Research & Treatments | American Sleep Assoc

Sleep Apnea: How do you avoid waking up with a CPAP/APAP machine in the middle of the night, taking it off, and then sleeping (without it) again?

Sleep Apnea: How do you avoid waking up with a CPAP/APAP machine in the middle of the night, taking it off, and then sleeping (without it) again?i always seem to do this. :/One answer is to “tape it on” or to use some other way to affix the mask so that it requires more conscious thought (e.g., being more awake) to remove.If you are waking up and taking it off consciously then the answer is simple, “Don’t do that.” Don’t give yourself permission to do this unless you FEET ARE ON THE GROUND.I don’t take my mask off until my feet are on the ground AND the machine has been turned OFF. (The nasal pillows deflate which makes it slightly more comfortable to remove.)Similar for putting it on (to get a better fit): Don mask, turn on machine, lie down. Always in that order.I even recommend that beginners never take of the mask to refit it without going through the whole sequence — it trains one to STOP FIDDLING with the mask.Get it on, get it right, leave it alone.If your mask isn’t fitted well enough AND comfortable enough to do that then CORRECT the SITUATION.(Hint: A Resmed P10 is worlds better than 98% of the masks available — for almost everybody.)But the above is just one person’s set of answers so my real recommendations is that you VISIT Apnea Board Forum to ask the very nice people there for help, ideas, and opinions.They will help you for free with most any OSA/CPAP etc. probably you can think up.

What was the defining moment in your marriage when you knew it was over?

I was 21yrs old when I got married( We had know each other for 5 yrs) After 3 months I found that I was pregnant. We were happy and in love. Soon he started physically and emotionally abusing me. Yes! While I was pregnant. At first I would stand up to him but soon discovered that my injuries would be less if I didnt. Not that it made any difference. He would poke and prod me until I would say something and then he would beat me.Fast fowarding to baby number 2 ( 1 and half years later) u know what they say, the abuse only gets worse with time. I sometimes ended up in the emergency room or x-ray room or being patched up by my local doctor. Each time, I found my pain and tears being questioned ( by his family) as to what did I do to provoke him? there must be something I did wrong.Years turned into a decade. Me suffering from anxiety and depression, he, lashing out on the innocent kids and I. My life was a lie. A happy love story for all to see. Inside, I was dying. I was a master at hidding bruised ribs and blue marks.After 12 yrs, he decided to leave to work away from home. Didnt even care about how my kids and I would cope. What was suppose to be a few months became 5 years. He was free from us. He saw us every 3 weeks and became a visitor in his home. I, on the other hand grew from crying myself to sleep, to reporting a dead body found in my yard. With no concern from him. Oh! Did I mention inbetween it all. I lost my darling mum to cancer and my dad to a heart attack ( all before I was 30yrs) My sister was all I had and she was helpless to save me.I was a teacher at a high school, a mother off two teenagers, a wife to a bachelor. (Not to forget a failure as an Indian daughter-in-law)Oneday I was speaking to a loved one and she asked me, why was I STILL MARRIED? I said, its because I didnt want to be a single parent…then I realised I had been from the day my babies were born…so I left.

What was the most inappropriate thing that happened to you when staying at a hotel?

The hotel clerk gave me the wrong key! I was traveling across the country, coming back from a conference in L.A. I was given my key for the night and just wanted to get to bed. I have never been given the wrong key before in my life and was not prepared for what I saw as I entered what I thought was my hotel room.I walked in and heard a woman in a sexy voice say, “Ooohh, you’re back!” She giggled. I walked farther into the room and as I turned the corner, I saw a woman who looked to be in her late thirties, spread-eagled on the bed, completely naked, blindfolded, and tied up!I was frozen to the floor. But then the woman said, “Jerry? Jerry, is that you?” I noticed that she was a very attractive woman with a curvy figure, nice boobs, and a well manicured, “lawn”. She seemed to be well-to-do.I decided to let her know what happened. I said, “No, ma’am. This isn’t Jerry.” She seemed to get excited and said “Who are you? What’s our secret password?”I said, I didn’t know and must have been given the wrong card. I told her I would go. She asked me if I knew Jerry. I said no. I had just been given the wrong key card. She asked me if I would remove her blindfold. I did. She looked at me through squinted eyes. I could tell she had been blindfolded for awhile. She looked me up and down, and asked again, “Are you sure you don’t know my husband, Jerry?” I said, “No. I have never met him, to my knowledge.” Mind you, we are having this conversation as I am standing over her in her birthday suit. She looked more disappointed than embarrassed about being naked in front of a stranger that had just entered her hotel room. I asked her if she wanted me to cover her and untie her. She said, “Yes, my arms are starting to lose circulation.”I got a towel and covered her. Then I untied her as I explained what happened. As I was finishing, the guy, Jerry came through the door. He looked at me suspiciously, but then Karen, the woman, told him what happened. He got pissed and called the hotel desk. He ripped the woman a new one. I told Jerry and Karen I was sorry, and I would be going.Jerry told me to wait a minute. He said he appreciated me not taking advantage of his wife and looked in his cooler. He pulled out a nice cold one and said,”It’s on me, huh?”I said thanks and left. I went back to the hotel desk to get the right key card and I met the woman was in tears. She was right to be, because shortly after that, I heard she got fired.

You wake up tomorrow and it's 6:00 AM, September 11, 2001. You have three hours before the attack. You were magically transported back in time and you remember what happened then. What do you do?

I go to sleep tonight.I wake up, Everything is sort of blurry & monochrome. I'm looking around.Somehow, I realize that it's 11th September, 2001. And it's 3 hours before the attack.What do I do????I fuckin CRY.Cause that's what I could do, you know why???Cause I'm freaking 11 days old! How the fuck could I possibly do something????I don't think anyone would believe a baby who came out in this cruel world literally 11 days ago.Maybe I cry a little more.I could roll over in my ever so small bed. But that's the most I could do.Any suggestions???? Could anyone tell me how an 11 day old baby could save thousands of people?????I hate being an infant.*Cries*But wait a minute, could I point at things???? I mean, could an 11 day old baby take his finger & point at various things????If I could, then I could try to do something!I could point at various things but still, I don't think anyone would take me seriously!I sure would try, I would point at a random book & cry the fuck out so that someone would give that book to me.Then I could point at different words in the book and let the people around me connect the dots.Again, I don't think that anyone would take a baby seriously but I would try it anyway.Or maybe I could try to speak, considering I have the brain of the 15 year old me, I could at least try to speak.Oh wait, I have the brain of the 15 year old me. Which means I know about the paradoxes & complications of changes in history.No, no, no! This can't happen!I would do NOTHING!!!!Because changing history could result in many things including the end of the world. Yes, I know I'm sounding like an insensitive & arrogant asshole but yeah, that's what it is.If we change the history, then everything could be different. Many people existing today would've not born & everything would've been different.I'm sorry for killing thousands of people but as bad as it sounds, I would do nothing.Who knows, saving thousands could lead to killing millions. This could be the best or the worst thing that has ever happened. That's too much of a risk.Sorry, but even if I had not been an 11 day old infant, I still wouldn't have done anything.Changing history is not good & is definitely not safe.People don't create circumstances, the circumstances create people.

I legitimately do not hear the alarm clock in the morning, even after sleeping 7 hours. What drastic measures can I take to actually wake up?

I can see that a lot of folks here are focusing on the alarm clock peice of this equation. I would argue that maybe your alarm clock isn’t the problem.It may be that 7 hours simply isn’t enough for you. If you are a heavy sleeper and just don’t notice the alarm in the morning, then it may be a good idea to consider pushing your bedtime forward to give yourself more time to sleep so that you wake up naturally around the time your alarm clock would go off. If you are in the deepest stages of sleep still when your alarm goes off, then it is certainly possible that the alarm would not be loud enough to pull you out of it. This probably means you need to give your body and mind more time to naturally progress to lighter stages of sleep before your alarm clock will be effective.The other option you might try is talk to your doctor about getting a sleep study done. It is possible that the reason you aren’t waking up in the morning is that you aren’t getting a restful enough sleep at night. If this is due to something like sleep apnea, special equipment can help you get a better night’s sleep and wake up more readily in the morning.Make sure you’ve got good sleep habits too, i.e.: no screens before bed; consistent bed and wake times every day; make your bed a sanctuary for sleep, not a multi-purpose space; don’t exercise, drink caffeine, or eat a heavy meal right before bed; etc…Most of all, do something sooner rather than later to improve your sleep. Bad habits and sleep debt compound fast and they can have a lot of negative effects on your health!Best of luck my friend!

Does someone with ADHD experience the passage of time differently to someone without it?

I was diagnosed with inattentive-type ADHD when I was in my 40s. I have written a couple of humorous articles on the topic, and yes, time issues are very real to the person with ADHD.When I have an appointment or need to be somewhere at a specific time, I typically begin getting ready at least two hours before I need to be there because I know that somewhere along the line I’m going to lose a chunk of time. I’ve had mornings where I was getting ready for work and lost almost an hour, when I could have sworn that the last time I looked at the clock was only 10 minutes ago. I’ve been late and nearly lost my job more than once in my career.The first thing people need to understand is that ADHD is not a difference in behavioral preference. Instead, ADHD can be partially attributed to a difference in how the brain is structured. What may look like behavioral choices — laziness, sloppiness, and forgetfulness — are likely due to differences in brain structure.ADHD brains are also wired differently. The brain has a default mode network (DMN) that controls the brain functions when it’s awake but in “resting state”. The DMN is what is active when you daydream, recall memories, and perform other task-irrelevant activities. When a person is handed a cognitive task to perform, the DMN deactivates and the appropriate attention pathways light up, if you will, to accomplish the task. But in ADHD the “daydream” mode doesn’t quiet down when the attention circuits are kicked on. So people with ADHD can tell their attention circuits to pay attention to the task at hand, but the circuits that link to the DMN fail to send the signal to shut down.When you think about the fact that our brains process 400 billion pieces of information every second, it’s pretty easy to see how the ADHD brain can become overwhelmed and lose track of time, forget a person’s name, turn in work that is sloppy or incomplete.By the way, it took me approximately 1.5 hours to finally complete this, due to my ADHD… just sayin’.

What do Indian students hate the most?

75% ATTENDANCE RULEThe idea basically states that the student is eligible for writing final exams because he/she has attended 75% of the total coursework,failing to meet the required criteria will attract penalities ranging from few hundreds to thousands of rupeesBasically we have to sit in that mindless lecture and do nothing!!And if you don’t obey you have to pay money?You are prohibited from talking,eating and surfing the internet!!I’d be a prisoner instead!!INDIAN PARENTS AND THE NEVER ENDING RAT RACEGet good marks in 10th standard life is set!!Get good marks in 12th standard life is set!!Get good Cgpa in B.tech life is set!!Get a good job life is set!!Get a good wife/husband life is setHave kids life is set and pass it on!!The trend of engineering and medical has been killing million dreams every year!!COMPARISION TO OTHER KIDSDekho sharmaji ke ladke ko 98% aaye aur thumhe bus 95%? usse dekh ke sikh!!Translation:See Sharma uncles son scored 98% and you only scored 95%? learn from him!!Eventually the student resorts to mugging up answers for petty marksINDIAN EDUCATION SYSTEMSchools and colleges are now a fully fledged business who mass produce Robots rather than responsible citizens of the countryThis Education system was worlds no.1 back in the 80’s and even countries like America wanted to adopt it,few days ago i was learning about a floppy disc included in my course work (ironically this is the age of booming technology!!)The system is outdated which kills hobbies and creativity and out of box thinking in the children which adds up to the next pointSTUDENT SUICIDESIndia is one of the most depressed countries in the world!!RESERVATION SYSTEMThere are 3300+ engineering colleges in India.(Medical,army,CA,management colleges etc are excluded)only 4 make it to the top as we are least involved in terms of “Research”——————————————————————Edit:COACHING CENTRES(I want to add this one)Wake upStudy for 2hoursBreakfastLectures from 9am to 12pmLunchLectures from 1pm to 4pmTuition from 4pm to 6pmThen go home fresh up then study from8pm to 10pm and solve mcq’sThis was the routine during my coaching classes!!Forget about hobbies and creativity!!FOOTNOTES:The Rising Cost of College1.5 Million Engineering Pass Outs in India Every Year, Fewer Getting HiredOver 80% of engineering graduates in India unemployable: Study | Gadgets NowAIB : Honest Engineering Campus Placements | Part 03

What are some of the best investment strategies?

Value investing. It works for permanent reasons that are unlikely to go away and has worked over most long periods of time.Source: Brandes, https://www.brandes.com/docs/def...First:Make sure you truly have a long-term, 5+ year time horizon. For more, see How and Why to Be a Long-Term InvestorDon’t expect something as unrealistic as having amazing returns every year. Value investing works over the long-term in part because it doesn’t work all the time!Value Investing works as follows at a high level:Find companies that have sufficiently predictable long-term economic characteristicsUnderstand their fundamentals, including performing a structural industry analysis, understanding the nature and magnitude of any sustainable competitive advantage, assessing the management team and the balance sheet.Estimate a range of intrinsic values for the businessInvest in companies trading with a meaningful margin of safety to your estimate of intrinsic valuePut together a portfolio of such investments that is sufficiently concentrated so that you are not diluting good investments with mediocre ones, but sufficiently diversified so that no one mistake can permanently impair your portfolio beyond recoveryThe above is not easy to do, and most people are better off not doing this themselves. As a matter of fact, a good number of people are likely to be better off with a simple dollar-cost-averaging strategy using low-cost index funds from a reputable firm such as Vanguard. Unfortunately, as I wrote in The Low Cost of Inaction: Don’t Just Do Something, Stand There! right now the market is not offering either attractive overall returns or plentiful individual opportunities (see charts below), so you should be careful regardless of the path that you choose.

What are some good habits to follow?

In no particular order:Floss before going to bed. To ensure that you don't have junk stewing in your teeth for 8 hours.Drink a glass of water first thing in the morning and last thing at night.Perform kegels every day. Read more on why this is awesome."Eat the frog". Write down 1 task that you must absolutely perform in order for the day to be a success, and do it first when you get to work.Send 1 call/text/email to an old friend or colleague that you haven't spoken with in a while. Over one year, that adds up to 365 reignited relationships (or 61 relationships reignited six times apiece).End the day with fewer emails in your inbox than you started with. Repeat until you get to inbox zero.Give away / donate one item in your household every single day. Repeat until you have an uncluttered, restful home.Answer one question on Quora per day. Work on your writing ability while contributing to the organization of the world's knowledge.Walk to and from work, if possible. Exercise! Sunshine!Eat at least one fruit or vegetable each day. Sure, you should probably eat a half-dozen servings of each. But things can get really screwed up when you are eating zero fruits and veggies. Start small and be consistent.Express gratitude. My days go so much smoother when I remind myself: "dude, you could just as easily have been born in a Sudanese refugee camp. You're one lucky mo-fo."Spend at least 20 minutes reading something that is completely unrelated to your career (or "personal development"). Creative thinking requires varied inputs. If you have monofocus (e.g. only read about startups all day), you're severely limiting the amount of interesting ideas you can come up with.Get uncomfortable at least 1x per day (ideally 3x or 5x). By "get uncomfortable" I mean "summon the courage to do something that makes you anxious". Speak up during the work conference call. Say hi to the pretty girl or fella standing next to you in line. Run 4 miles instead of 3. Et cetera. Remember: "Everything you've ever wanted is on the other side of fear." - George Addair