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[Diagnosis] Questioning Obstructive Apnea diagnosis
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logandzwon Offline

Members

Posts: 8
Joined: Nov 2013

Machine: S9 VPAP auto (set to S mode)
Mask Type: Full face mask
Mask Make & Model: ResMed Quatro Air
Humidifier: ResMed H5i
CPAP Pressure: 15/9
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: South Florida

Post: #1
Questioning Obstructive Apnea diagnosis
Hello,
I was diagnosed with apnea and placed on a BiLevel. I have not been adjusting to it well and I am trying to understand exact what is going on and why. The sleep study summary and the MLST both refer to obstructive apena, but I do not actually see any obstructive events either on this studies, nor the reports SleepyHead is generating from the S9 data. Neither the S9 on screen summary, nor the detailed SL reports are showing a reduction in AHI. After the first two night I shaved clean and since then I've had the leaks under control and leak number pretty low. As of the night before last I have gotten the AHI down to high 17s, but more then 90% of all the events I've ever seen are CAs.
It seems like if anything the machine has changed my hypopneas into CAs. I'm starting to question if the OSA diagnosis is wrong, and if this treatment is proper for my symptoms and conditions. I was hopping someone could look over the studies help me understand what they are showing.

I have links to my sleep study, MSLT, and subsequent titration. I have been on the machine 6 nights, however the board doesn't allow links. So, I have removed the https part in front of the links.

Sleep Study; drive.google.com/file/d/0B_tO1l3VXrufQjE1YmZldmp2S1E/edit?usp=sharing
MLST; drive.google.com/file/d/0B_tO1l3VXrufSXAwTUxYMTVqNkU/edit?usp=sharing
Titration; drive.google.com/file/d/0B_tO1l3VXrufLS12QV9CLXh2cW8/edit?usp=sharing

Some other details about me; docs.google.com/document/d/18TF7pKQNSyFB9t30JOf1J6p97xRKKuF8yQovKme0I_E/edit?usp=sharing
(This post was last modified: 11-27-2013 12:14 PM by logandzwon.)
11-27-2013 12:09 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: Questioning Obstructive Apnea diagnosis
They probably went with the OSA diagnosis because of the hypopneas. I don't think you get that many with CSA diagnosis. Hypopnea is when the airway narrows due to partial or pending collapse. Central apnea is where the brain says there is no reason to breathe. I don't think the brain says "just take shallow breaths".

Give it another week or so. If the central events continue to rise or do not decrease, then definitely let your doctor know.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
11-27-2013 02:42 PM
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