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[CPAP] Newbie
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jkendall49 Offline

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Posts: 3
Joined: Feb 2016

Machine: Respironics System 1 560P
Mask Type: Nasal mask
Mask Make & Model: F&P Eson med
Humidifier: Respironics System 1
CPAP Pressure: 6-12
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: California

Post: #1
Newbie
New to this forum. And to CPAP.

After seeing my doc for a possible upper chest infection (lung x-ray clear) and complaining of gasping for breath during sleep, I was sent to the sleep lab for testing. Home test overnight diagnosed as severe apnea, AHI=38.

When the chest infection cleared up, I no longer had symptoms, but started CPAP treatment at the direction of the lab and my doc.

I am learning about all the good stuff available with sleepyhead (and the not-so good from the supplied dreammapper), but question #1 before going too far:

My AHI is under 5 every night .. . currently averaging about 2.9.

Just a quick starter question for the experienced...

Is this low AHI from CPAP treatment, or because I was symptomatic only during illness?
03-29-2016 12:35 PM
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FrankNichols Offline

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Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #2
RE: Newbie
Well, there is a way to test that, I don't recommend it but you could simply turn the machine down to almost 0 help breathing and see what happens, but I think that is not smart. You should have gone through a titration sleep study to determine how to setup your machine (and if it would help) if so, then I assume your question is whether that study was negatively influenced by your chest infection and the doctor didn't notice? Well, it's possible, if that happened you need a new doctor. Personally I would give the doctor the benefit of the doubt and assume they took it into consideration. If you don't think so, then I would recommend a new sleep study to verify you need the CPAP machine.

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
03-29-2016 12:52 PM
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OpalRose Offline

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Posts: 3,326
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: Newbie
Yes, it would be reasonable to assume that your AHI of under 5 is from Cpap treatment.
When you are able, filled out your profile, machine, mask, pressure, etc.
How long have you been on Cpap?

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03-29-2016 12:56 PM
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0rangebear Offline

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Posts: 348
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #4
RE: Newbie
Many people experience episodes of OSA for only a short period. This can be the result of an upper respiratory infection that causes nasal congestion, along with swelling of the throat, or tonsillitis that temporarily produces very enlarged tonsils. The Epstein-Barr virus, for example, is known to be able to dramatically increase the size of lymphoid tissue during acute infection, and OSA is fairly common in acute cases of severe infectious mononucleosis. Temporary spells of OSA syndrome may also occur in individuals who are under the influence of a drug (such as alcohol) that may relax their body tone excessively and interfere with normal arousal from sleep mechanisms.
From Wikipedia, the free encyclopedia

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
03-29-2016 03:14 PM
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robysue Offline
Wiki Editor
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Posts: 1,247
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #5
RE: Newbie
(03-29-2016 12:35 PM)jkendall49 Wrote:  Home test overnight diagnosed as severe apnea, AHI=38.
...
When the chest infection cleared up, I no longer had symptoms, but started CPAP treatment at the direction of the lab and my doc.
...
My AHI is under 5 every night .. . currently averaging about 2.9.
...
Is this low AHI from CPAP treatment, or because I was symptomatic only during illness?

The low AHI is because you are now using CPAP.

Yes, the chest infection could have made the OSA a bit worse. But a chest infection is not going to cause a person with NORMAL sleep to all of a sudden have an AHI of 38. My guess is that at best your natural OSA is well into the moderate range (15-30 events per hour.) And it could well be severe (over 30 events per hour). The CPAP is what's giving you the nice low AHI right now.

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03-29-2016 03:22 PM
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trish6hundred Online

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Posts: 6,622
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #6
RE: Newbie
Hi jkendall49,
WELCOME! to the forum.!
It sounds like you are doing well with your therapy, just stick with it.
Much success to you with your CPAP therapy.

trish6hundred
03-29-2016 05:15 PM
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PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,577
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #7
RE: Newbie
I concur with robysue's assessment of your situation, jk. Eat-popcorn


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.
INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
03-29-2016 06:11 PM
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jkendall49 Offline

New Members

Posts: 3
Joined: Feb 2016

Machine: Respironics System 1 560P
Mask Type: Nasal mask
Mask Make & Model: F&P Eson med
Humidifier: Respironics System 1
CPAP Pressure: 6-12
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: California

Post: #8
RE: Newbie
(03-29-2016 12:52 PM)FrankNichols Wrote:  Well, there is a way to test that, I don't recommend it but you could simply turn the machine down to almost 0 help breathing and see what happens, but I think that is not smart. You should have gone through a titration sleep study to determine how to setup your machine (and if it would help) if so, then I assume your question is whether that study was negatively influenced by your chest infection and the doctor didn't notice? Well, it's possible, if that happened you need a new doctor. Personally I would give the doctor the benefit of the doubt and assume they took it into consideration. If you don't think so, then I would recommend a new sleep study to verify you need the CPAP machine.
Yes, I guess that would be they way! After reviewing all the responses, I think I am over my denial!

Thanks.

(03-29-2016 12:56 PM)OpalRose Wrote:  Yes, it would be reasonable to assume that your AHI of under 5 is from Cpap treatment.
When you are able, filled out your profile, machine, mask, pressure, etc.
How long have you been on Cpap?
Thanks. I hadn't really thought through the process; it is only logical that CPAP is working. Denial gone!

Thanks
(This post was last modified: 03-30-2016 09:14 AM by jkendall49.)
03-30-2016 09:12 AM
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jkendall49 Offline

New Members

Posts: 3
Joined: Feb 2016

Machine: Respironics System 1 560P
Mask Type: Nasal mask
Mask Make & Model: F&P Eson med
Humidifier: Respironics System 1
CPAP Pressure: 6-12
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: California

Post: #9
RE: Newbie
(03-29-2016 03:14 PM)0rangebear Wrote:  Many people experience episodes of OSA for only a short period. This can be the result of an upper respiratory infection that causes nasal congestion, along with swelling of the throat, or tonsillitis that temporarily produces very enlarged tonsils. The Epstein-Barr virus, for example, is known to be able to dramatically increase the size of lymphoid tissue during acute infection, and OSA is fairly common in acute cases of severe infectious mononucleosis. Temporary spells of OSA syndrome may also occur in individuals who are under the influence of a drug (such as alcohol) that may relax their body tone excessively and interfere with normal arousal from sleep mechanisms.
From Wikipedia, the free encyclopedia

Interesting . . .Thanks
(03-29-2016 03:22 PM)robysue Wrote:  
(03-29-2016 12:35 PM)jkendall49 Wrote:  Home test overnight diagnosed as severe apnea, AHI=38.
...
When the chest infection cleared up, I no longer had symptoms, but started CPAP treatment at the direction of the lab and my doc.
...
My AHI is under 5 every night .. . currently averaging about 2.9.
...
Is this low AHI from CPAP treatment, or because I was symptomatic only during illness?

The low AHI is because you are now using CPAP.

Yes, the chest infection could have made the OSA a bit worse. But a chest infection is not going to cause a person with NORMAL sleep to all of a sudden have an AHI of 38. My guess is that at best your natural OSA is well into the moderate range (15-30 events per hour.) And it could well be severe (over 30 events per hour). The CPAP is what's giving you the nice low AHI right now.

Everyone seems to be in agreement . . .Thanks
(This post was last modified: 03-30-2016 09:18 AM by jkendall49.)
03-30-2016 09:16 AM
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