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[Diagnosis] At-Home Sleep Test Filled with Flow Limitations
#1
At-Home Sleep Test Filled with Flow Limitations
So my doctor recently ordered an at-home sleep study because I was having all the classic symptoms of a sleep breathing disorder (main one being fatigue and feeling more tired after sleeping). I was able to pull the results off the Resmed ApneaLink Air device and they are attached.

OSA seems unlikely given the low AHI, but the flow limitations were plentiful and consistent throughout the night. Does anyone think there is a possibility that I have a sleep breathing disorder or can the flow limitations be ignored? Thanks in advance!


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#2
RE: At-Home Sleep Test Filled with Flow Limitations
You have RERAs of over 5/hour, The definition of RERA is a series of Flow Limitations ending in arousal. That means that you have an arousal every 12 minutes on average.

The best machine to treat these flow limits is the ResMed AirCurve 10 VAuto, a BiLevel machine. I expect the insurance and medical system to not provide that. The next best would be a ResMed AirSense 10 AutoSet. I give you a 90+% chance of failure with a PR machine..
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#3
RE: At-Home Sleep Test Filled with Flow Limitations
(02-17-2020, 05:53 PM)bonjour Wrote: You have RERAs of over 5/hour, The definition of RERA is a series of Flow Limitations ending in arousal.  That means that you have an arousal every 12 minutes on average.

The best machine to treat these flow limits is the ResMed AirCurve 10 VAuto, a BiLevel machine.  I expect the insurance and medical system to not provide that.  The next best would be a ResMed AirSense 10 AutoSet.   I give you a 90+% chance of failure with a PR machine..

Agree with all of the above.

Basically, if you have what seems to be an RDI (AHI + RERAs) of around 7, you have mild UARS.

The tricky part of this is the insurance coverage, and also finding a doc who takes it seriously.

I have UARS, and in my case what got me insurance authorization for the bilevel was an in-lab titration study that demonstrated CPAP wasn't sufficient (I did a study where first part of night was CPAP, and then the rest bilevel).

You might ask the doc about that.

Or get a prescription for one, and buy out of pocket. Gently used VAuto's, in particular, can be much cheaper than new.
Caveats: I'm just a patient, with no medical training. And my first experience with xPAP was fairly recent. So I'm somewhere along the path of a steep learning curve.
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