(03-25-2016 03:23 PM)Dottydog Wrote: I think he's scared of the diagnosis. It doesn't help that when he finally got the courage up to talk to his doctor they told him that if his snoring didn't wake up then it wasn't sleep apnea so he is now using that as his argument.
We have just had one of the worst arguments of our 30 year relationship and after a very tense time he is now looking at second hand cpap machines online and doing snore tests questionnaires. I'm tempted to send the oximetry results to the GP to see if he is still happy with his advice......
I'm sorry. this must be very stressful for you.
Not a good combination - what sounds like a stubborn, likely scared, person with significant symptoms, and a GP who is clearly, what shall I say, ignorant about sleep apnoea and unhelpful...
Also not a good combination - oxygens below 70% with a pulse of 200. *Seriously* not good, but it sounds as if sadly you know that already.
The ideal, proper, route given those oximeter data is of course a GP referral for an urgent appointment with a competent sleep doctor and then a home-based, or sleep laboratory, diagnostic test as soon as possible. But this route doesn't seem to be viable at the moment for him.
So - my first suggestion is for you to go with your partner to see a different doctor soon. Doesn't have to be a GP to write a referral letter for a sleep doctor. Could even (why not) be his dentist, or anyone else medical. Go directly to a sleep doctor privately if you can afford it - likely to be quicker.
Second suggestion - there are commercial organisations in some countries that offer direct access to home testing & consultation with their company doctor. Other people on the forum will know more about that route than I do.
However - given your partner's reluctance, the usefulness of his GP, and the objective urgency (pulse rate, oxygen levels) I'm going to be a devil's advocate and suggest that your partner buying a machine to try, without a sleep test, could possibly be (third choice) the best way forward in the circumstances.
Providing he (1) chooses a good auto-adjusting (APAP) machine with full data capability - very useful article at:
then (2) downloads Sleepyhead CPAP analysis software and learns how to manipulate it (it's very user-friendly):
and (3) finds a mask that might suit him (lots of threads on this forum)
Then (4) asks for early and frequent advice from this forum as to suitable machine settings. Given no formal diagnostic test it will be particularly important to establish early on via Sleepyhead what proportion of any apnoeas he is still having are central (clear airway) apnoeas, and what proportion obstructives. If he has lots of centrals he may need to see a cardiologist or pulmonologist soon.
and (5) continues to use the oximeter each night to obtain important information
- he could start very soon the treatment he seems highly likely to need (based on your descriptions of oxygen levels and snoring etc).
And maybe if all goes well when he starts CPAP/APAP treatment and he feels much better because of it, your partner might then be in the right frame of mind to have the energy to find another doctor to refer him for a proper diagnostic test (which will not be affected to any significant degree by the fact he has already started APAP).
Please bear in mind that my comments are *not* medical advice just a non-specialist personal opinion. It's up to you and your partner to decide on the way forward. I just don't think it would be a disaster if he starts using a machine without a diagnostic test first.
I wish, wish, I had taken some action when my partner gently mentioned for decades that I stopped breathing during sleep. It would have been good to have been diagnosed and treated with CPAP *before* my heart attack and subsequent crazy heart rythyms...
Hope things work out for you both
My current pressures: Auto-ASV. EPAP 11-14. PS 3-10