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[Diagnosis] I don't think I need CPAP. Am I wrong?
#11
RE: I don't think I need CPAP. Am I wrong?
(06-30-2020, 01:18 PM)dallassoxfan Wrote: Thanks for the feedback, but the thing that makes me question this all is that I had no symptoms of bad sleep. I'm NOT tired, do NOT have cognitive impairment, I'n NOT irritable, or any of the other things that drive people to talk to a doctor.

I have trouble falling asleep and always have since I was a little kid.

There's no telling how long you've had sleep apnea. One thing we know for sure, you have it now. A AHI of 11 means 11 potential sleep disturbances every hour, that's one every 5 or 6 minutes, on average. That will prevent you from reaching the deeper levels of sleep your body needs to restore itself. Left untreated you increase the likelihood of heart disease and stroke, and early death.

Of course, it makes sense that at first you may feel worse than before. You are trying to sleep with a hose blowing air into your face. But you will adapt and you will start feeling better than ever. Before you know it you'll be sleeping better and feeling much better.

It's really the only sensible thing to do.
Sleepster

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.
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#12
RE: I don't think I need CPAP. Am I wrong?
Don't want to "pile-on" here, but you could have it way, way worse. Like others have said, an AHI of 11 means you do have something wrong (although I'm curious as to how they arrived at an AHI number if you never actually had a mask attached during the study).

It sucks... well, actually, it blows, and that's the tricky part of the whole thing. But stick with it, it will get better.
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#13
RE: I don't think I need CPAP. Am I wrong?
Can't attach my sleep study report - too large. Can't link it to dropbox. Too new. Any help? can a mod do this for me?

<once attached, here are my notes>

It should be noted that there are inaccuracies on the report concerning my symptoms. There are a ton of symptoms listed that I specifically denied, yet they wound up on my record anyway. I have sent a message to my Sleep Specialist asking for a revision to reflect reality. The only valid reported symptoms were Hypertension and Difficulty falling asleep.

As an update, I'm still getting less sleep than prior to going on CPAP and am now for the first time experiencing very mild daytime symptoms as a result.

Per the myAir app, here are my stats over the last nights, from today sorted backwards.

Time slept: 6:15, 5:00, 5:45, 5:45, 5:30, 2:45, 4:45, 6:00, 6:15, 6:00, 7:15, 5:15, 4:30 (All of the nights over 6:15 were ambien nights)
Seal Leak: All data points less than 6 L/min
Events: 0,0.2, 0, 0.1, 0, 0, 0.3, 0, 0.7, 0.3, 0.1, 0.7, 0.5

I don't have OSCAR installed, because I really don't have any convenient desktop computers available. i have my phone and work computer and I can't install it on work computer.

I think I have enough posts now..

Nope.
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#14
RE: I don't think I need CPAP. Am I wrong?
managed to compress it. Attached.


Attached Files
.pdf   doc 2020-07-08 08.36.12-page-001-converted.pdf (Size: 595.32 KB / Downloads: 14)
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#15
RE: I don't think I need CPAP. Am I wrong?
You may have to do the steps I did to show the sleep study. Mine was a paper copy, and I scanned those to my PC via my network printer at home. This created images in a file on the PC that I could select each page and attach via the New Attachment section below. I had to Choose File which was each page of the report consecutively. After chosen, I had to Add Attachment and then Insert, which places it in this text box wherever the cursor is located. That needed to be done for each page. Since most of these reports are longer than 3 pages, you'd need to post 3 pages worth, then post again to include 3 more and so on until all pages were posted.

If for some reason this can't be done, as may be the case with you and your work computer and smartphone, the most important areas I know of are the event count area and the assessment area. Alternatively, you may try to take good pictures with the smartphone and post those files. Other areas are important too, such as supine vs side info, sleep stage info, and so on. Other areas may be deemed important as well depending on your situation and by who here at AB is looking at it and what they're trying to find.

Note, regardless of how you post this, redact or black out all personally identifying info you don't want showing.
Dave

OSCAR
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Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#16
RE: I don't think I need CPAP. Am I wrong?
I did manage to get it posted.
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#17
RE: I don't think I need CPAP. Am I wrong?
All of your OA events were during a REM sleep stage while you slept on your right side. If I was to guess, I bet you got into a fetal position and tucked your chin obstructing your airway. This cluster really increased the whole-night AHI and is the only reason you qualified for CPAP. Overall, the clinic had to increase your symptoms in order to ensure CPAP would be approved with a mild AHI. It may be possible for you to discontinue CPAP therapy if that is your choice. I would suggest you consider using a soft cervical collar or other aid to prevent the chin-tucking that likely caused that cluster. Read this wiki section on positional apnea, and I think you will recognize how your cluster of OA resembles what we see in our members, even when they use CPAP. http://www.apneaboard.com/wiki/index.php...onal_Apnea

Considering your poorer sleep and mild obstructive apnea that may be mostly what we call "positional", I would not be very alarmed about discontinuing therapy, and might periodically use an oximeter to monitor SpO2 and find an effective aid to prevent a chin-tuck in deep sleep. Good luck with your decision.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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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.
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#18
RE: I don't think I need CPAP. Am I wrong?
One additional note as I'm digging into the numbers. At home, I usually fall asleep and wake up on my stomach or side facing right. I never sleep on my back - its torture to me. During the study, when they let me sleep on my side, I favored my right side because the machine was on my left and if I was on my left side, I got bound up in wires.

I point this out because it looks like a lot of my poor scores were reflected supine or on the right. These are not real-world scenarios for me.
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#19
RE: I don't think I need CPAP. Am I wrong?
Well, you know your stuff! I can validate that the only time I was able to get comfortable that night was when I rolled into a fetal position on my right. I never do that, but somehow given the wires and circumstances, that was the only thing that felt comfortable.

I'm definitely going to look into the collar. Your logic is clear and it makes sense as a course of treatment.
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#20
RE: I don't think I need CPAP. Am I wrong?
The info Sleeprider presented is a path you can take if you choose to do so. A collar to prevent/reduce chin tucking or a PAP. Choose your weapon. May you win either way you decide.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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