Any Connection with Severe Restrictive Airway with OSA?

[2Tim215]

I was just curious if anyone else here had a Severe Restrictive Airway diagnosis and if there is any connection with Severe Obstructive Sleep Apnea? I hate waiting on results! I have an Xray scheduled for tomorrow and have to see a pulmonary specialist as I failed my Spirometry test today. Appreciate all replies, this is a new one for me!

[PaulaO2]

I think it would depend on where the restriction is. In reading, it seems to be more located in or near the lungs vs in the throat where Sleep Apnea happens. However, I could see where having it would make the nightly O2 drops worse.

[Dawei]

Tim--I find it called "Severe Restrictive Lung Disease". As Paula wrote, it's definitely something that can occur in the lungs rather than the throat where obstructive apnea occurs. Many pulomonologists are also sleep specialists, so the doc you saw will be quite familiar with sleep apnea as well as everything related to the lungs.

[2Tim215]

Tim--I find it called "Severe Restrictive Lung Disease". As Paula wrote, it's definitely something that can occur in the lungs rather than the throat where obstructive apnea occurs. Many pulomonologists are also sleep specialists, so the doc you saw will be quite familiar with sleep apnea as well as everything related to the lungs.

Yes, you are correct, I believe that is what my primary care doctor meant, he had it as, "Severe Restrictive Airway Disease" for the Pulomonologist. Thought I would hear from them today with my breathing difficulty, I didn't!
Anyone here able to interpret Lung xrays???
Right now I am more comfortable with my AutoSet on, even when awake! I just don't want to show 24 hours of sleep on my compliance!

[Dawei]

So, you need a radiologist STAT! Sorry, I can't help you there, Tim. Interesting that your autoset helps you breath well when awake. Perhaps it's an indicator that supplemental O2 will also help. Patience is called for, and I know that's difficult.

[trish6hundred]

Hi 2Tim215, I sure hope you find out about your test results, soon. Have you asked about suplemental oxygen at night?
I look forward to hearing your updates, best of luck.

[2Tim215]

Hi 2Tim215, I sure hope you find out about your test results, soon. Have you asked about suplemental oxygen at night?
I look forward to hearing your updates, best of luck.

My Doctor wrote a script to my DME for supplemental oxygen and they denied it until I do an overnight oximetry test. I have almost two months now of reports showing that even on CPAP at night I am low 90's hitting into the higher 80's throughout the night. I figured this is part of the reason I'm tired during the day. My oxygen has been running 93-95 during the day lately. My new AutoSet has brought my heart rate up almost ten points. I was running 53-55 I believe and now I'm consistently in the 60's every night and starting to get 70's during the day. Biggest problem is shortness of breath and fatigue. Sort of depressing but doing my best to get through it. I thought it was all due to my severe obstructive sleep apnea. I was surprised at this new one, severe restrictive lung disease. I seen on my xray requisition it says lung disease. I do have an inhaler that they sent home with me in case I get panicky! I can't believe my Doctor prescribed the oxygen and it was denied? I'll be getting some answers tomorrow for sure! Thank you for your replies!

[PaulaO2]

Who denied it? The DME or your insurance? If the DME denied it, they can't do that. They are a supplier, not a doctor. That's like going to a sofa store and having them say they can't sell you a leather one until you can prove your can't won't damage it.

I suppose they can say they need the okay from insurance so that they know they'll get their money. If that is their answer, then contact your insurance yourself and confirm.

Sorry if I'm not making sense. I am not firing on all cylinders I think. Few fries short of a happy meal. Not the sharpest knife in the drawer. Or, in Southernese, "bless her heart, she ain't right".

[2Tim215]

Who denied it? The DME or your insurance? If the DME denied it, they can't do that. They are a supplier, not a doctor. That's like going to a sofa store and having them say they can't sell you a leather one until you can prove your can't won't damage it.

I suppose they can say they need the okay from insurance so that they know they'll get their money. If that is their answer, then contact your insurance yourself and confirm.

Sorry if I'm not making sense. I am not firing on all cylinders I think. Few fries short of a happy meal. Not the sharpest knife in the drawer. Or, in Southernese, "bless her heart, she ain't right".

It was the DME that denied it. My doctor faxed over the prescription directly to them and they said they couldn't provide the oxygen until I have an overnight oximetry study. Hope this isn't another DME money maker scam at the expense of me breathing comfortably! My wife works at our local hospital, she agrees, the Doctor calls the shots, not the DME's! The prescription was only for supplemental overnight oxygen, not full time or day use. It was to be used with my CPAP. Appreciate the replies, very stressed, going to bed! Hope everyone has a good night, I'll update tomorrow.

[TheWerkz]

It was the DME that denied it. My doctor faxed over the prescription directly to them and they said they couldn't provide the oxygen until I have an overnight oximetry study. Hope this isn't another DME money maker scam at the expense of me breathing comfortably!

Tim,

I'm betting the DME has been denied payment from an insurance company and now to make sure they get paid they want a SpO2 study, of course it could be a scam if the study has to be done only at their lab.

Ren