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Central Sleep Apnea Treated But Still Feeling Bad
#21
RE: Central Sleep Apnea Treated But Still Feeling Bad
(12-01-2019, 11:48 AM)Chequebook Wrote: If I doze on my back without the Aircurve I wake up with a start feeling as If I'm suffocating.

This may be out from left field, but it may not be a central apnea issue, at least not now after your ASV.  Go get a soft cervical collar.

I've been wearing one since 2014.  When I did my ASV titration I told myself I was not going to wear one and let the machine take care of everything and then I will be rid of wearing a cervical collar for good.  I have obstructive and central sleep apnea.  I aced it with 0.0 of any apneas and and AHI of 0.6.  I slept lousy and felt horrible the next day.

First day at home with my ASV I really aced it with over 8 hours of sleep, 0.0 apneas, and an AHI of 0.3.  I felt equally lousy.  The next night I went halfway through the night and said forget this and put my cervical collar back on.  I slept great and have ever since with the collar.

In reading this it occurred to me that you will only get an event if it is 10 seconds long.  I have no data to support having 9 seconds or less events without my collar, but does that one second really matter?  I chalk it up to the super quick response of my machine to head off an event before it becomes one, but it doesn't really stop a sleep disruption.  I have not spent enough time getting into Rescan/OSCAR charts, except for the obvious and I don't know if there are any anomalies to show these sub 10 seconds events.

The reality is the 10 second rule may be just an arbitrary value that is not reflective of the threshold for a sleep disruption.  I don't know how it was established years ago.  It might reflect a medical threshold that the "average" person can absorb, but if you doze on your back and start feeling like you are suffocating, my gut says it is not a central apnea issue.

John
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#22
RE: Central Sleep Apnea Treated But Still Feeling Bad
Yesterday my sleep specialist doc changed me to Pregabalin.  My first night, on 100mg, gave me undisturbed sleep, an early-ish wake up and a relatively good day.  That's promising, but I've been through so many false dawns that I'm careful over hanging anything on it.
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