@modernpolymath Hoo boy, that was a LOT. Sorry for the very long responses in turn, I am working through some thoughts. Thank you SO MUCH for all of this good information. Here we go:
I looked up the tests for IH, I've done overnight sleep tests but not the naps. I will totally bring this up to my sleep doc. Very curious if the naps would find anything interesting or useful.
Yeah, I have a gastroenterology appointment in May. It's funny that you and I had discussed Crohn's a long, long time ago, but I never considered it for myself until recently. I've got SOME sort of IBD, for sure, but we'll see what exactly. Very interesting that there's some sort of connection between IBD and sleep issues? Makes sense inasmuch as, if you're not properly absorbing nutrients, you'd be tired, but I wonder if there's more connection than that?
I had NO IDEA narcolepsy was potentially autoimmune! Fascinating! My pain doc told me at some point that she usually sees autoimmune disorders come in threes. I've had rheumatoid arthritis my whole life, and was just diagnosed with Hashimoto's thyroiditis, so gotta find number 3. Likely Crohn's. It totally makes sense, if your immune system is gonna erroneously attack one thing, why shouldn't it attack all the things?
Have you been able to stay off of the Remicade? I know biologics are super rough, so even if going off of it didn't help your fatigue, I hope you are able to do okay without it.
I will do some more research on the modafinil. The liver toxicity language was starting to get too technical for me when I was digging before, but I'll stick with it this time, lol.
Ohhhh. Thank you for the heads up. I'm between birth control methods right now. I was on Depo Provera for like... eight years? Then got a new gyno and she didn't want to continue it. Apparently long term use causes bone density loss, and since osteoporosis runs rampant in my family, I saw the wisdom in discontinuing. She suggested the arm implant, but, uh... I have... a Major Problem with picking at any sort of blemishes or weird spots on my skin, so I am Concerned that I would not leave it alone. ://// Really stupid, I know. But I'll bring up the modafinil interference at my next appointment so that we can make a decision with that in mind. I have GOT to restart birth control ASAP. My last period sent me to the ER. 🙃 Fucking love endometriosis.
Oh. Well, shit. I very much ruin my routine on weekends; I tend to not take the modafinil (or drink coffee) and sleep through either Saturday or Sunday. Wahhhh. I'll, uh. Have to seriously consider stopping that.
... to be fair, staying awake on the weekend would improve my mental health. Like. Being only ever at work or in bed means that I do basically nothing wrt leisure activities, which weighs really heavily on me, lol. It would be nice to like, play a video game. Make art. Read a book.
HMMMM. Never even considered that since I'm not hypermobile... though as I say that, I'm reminded that my physical therapists tend to comment on my flexibility... but I've never dislocated anything and my skin isn't stretchy. I will do some digging. I've got a friend with EDS, I'll see if she'll let me pick her brain a bit.
So you did 23&Me? Did it find anything else useful? I am deeply skeptical of the DNA testing trend, but like, if it has actual medical uses, I may reconsider?
Again, thank you so much for all the info. You're giving me a lot to investigate, think about, and potentially act upon. Which I've desperately needed.













