Was the doctor pulling my leg?
So the doctor on first visit after the sleep study told me I need surgery for OSA and I said that's out of the question.
Then he gave me a prescription for a machine and I got one. Had to pay $500 out of pocket without insurance. I got the machine 2 days ago but last night the doctor sent me a copy of the sleep report. My biggest concerns are that after 32 days of continuous use (30 trial, 2 my own machine) my excessive fatigue is exactly the same.
Here are my details from the report:
He had a sleep onset in 13.1 minutes and slept for 3 hours and 52 minutes with a sleep
efficiency of 69.1 % (normal: > than 80%).
Impressions: Data analysis was performed according to the current AASM criteria.
He had a sleep onset in 13.1 minutes and slept for 3 hours and 52 minutes with a sleep
efficiency of 69.1 % (normal: > than 80%).
He had: Stage N1 sleep: 10.3 % (normal: 5.71 %)
Stage N2 sleep: 57.2 % (normal: 56.89 %)
Stage N3 sleep: 18.7 % (normal: 12.46 %)
He had 13.8 % REM sleep (normal: 23.47 %) and a REM sleep latency of 167.0 minutes
(normal: 90 to 120 minutes).
There were 2 REM periods and 11 awakenings during the night.
He had 0 obstructive apneas and 0 central apneas.
There were 12 obstructive hypopneas of which the longest was 30.9 seconds in duration.
This gave an overall apnea-hypopnea index of 3.1 per hour in total sleep time (normal: <
5 per hour). The apnea-hypopnea index in the supine position was 2.6 per hour in total
sleep time and 3.8 per hour in REM sleep.
His mean blood oxygen saturation overnight was 96% and decreased to 93% during the
respiratory events.
Soft to moderate intermittent snoring was observed throughout the night.
His EKG showed normal sinus rhythm averaging 48.3 beats per minute overnight.
Occasional Second degree AV block (Mobitz type II) observed.
There were 0 periodic leg movements during sleep giving a PLMI of 0.0 per hour (normal:
< 5 per hour).
He had 37 spontaneous arousals, 11 respiratory arousals and 0 periodic limb movement
arousals giving an overall arousal index of 12.4 per hour (normal: < 10 per hour). Four
arousals from slow wave sleep observed.
Mild alpha EEG intrusion observed.
Diagnosis:
1. Primary snoring with a few respiratory events and arousals in sleep suggestive of Upper
Airway Resistance Syndrome (UARS)
2. Reduced sleep efficiency, an increase in stages N1 & N2 sleep, REM sleep latency and
arousal index are suggestive of anxiety
3. Occasional Second degree AV block (Mobitz Type II)
My doctor didn't send me to a cardiologist and wanted to do surgery for supposed OSA. But if my AHI without the machine is 3.1 wtf. However I do know that my breathing slows down to an extremely low level. This is why I can't really meditate because my breathing reaches extremely low levels. So my question is do I have any benefits with the machine or was I a money grab? I find that my breathing slows down to extremely low levels with the Auto CPAP and it's not helping with that.
Then he gave me a prescription for a machine and I got one. Had to pay $500 out of pocket without insurance. I got the machine 2 days ago but last night the doctor sent me a copy of the sleep report. My biggest concerns are that after 32 days of continuous use (30 trial, 2 my own machine) my excessive fatigue is exactly the same.
Here are my details from the report:
He had a sleep onset in 13.1 minutes and slept for 3 hours and 52 minutes with a sleep
efficiency of 69.1 % (normal: > than 80%).
Impressions: Data analysis was performed according to the current AASM criteria.
He had a sleep onset in 13.1 minutes and slept for 3 hours and 52 minutes with a sleep
efficiency of 69.1 % (normal: > than 80%).
He had: Stage N1 sleep: 10.3 % (normal: 5.71 %)
Stage N2 sleep: 57.2 % (normal: 56.89 %)
Stage N3 sleep: 18.7 % (normal: 12.46 %)
He had 13.8 % REM sleep (normal: 23.47 %) and a REM sleep latency of 167.0 minutes
(normal: 90 to 120 minutes).
There were 2 REM periods and 11 awakenings during the night.
He had 0 obstructive apneas and 0 central apneas.
There were 12 obstructive hypopneas of which the longest was 30.9 seconds in duration.
This gave an overall apnea-hypopnea index of 3.1 per hour in total sleep time (normal: <
5 per hour). The apnea-hypopnea index in the supine position was 2.6 per hour in total
sleep time and 3.8 per hour in REM sleep.
His mean blood oxygen saturation overnight was 96% and decreased to 93% during the
respiratory events.
Soft to moderate intermittent snoring was observed throughout the night.
His EKG showed normal sinus rhythm averaging 48.3 beats per minute overnight.
Occasional Second degree AV block (Mobitz type II) observed.
There were 0 periodic leg movements during sleep giving a PLMI of 0.0 per hour (normal:
< 5 per hour).
He had 37 spontaneous arousals, 11 respiratory arousals and 0 periodic limb movement
arousals giving an overall arousal index of 12.4 per hour (normal: < 10 per hour). Four
arousals from slow wave sleep observed.
Mild alpha EEG intrusion observed.
Diagnosis:
1. Primary snoring with a few respiratory events and arousals in sleep suggestive of Upper
Airway Resistance Syndrome (UARS)
2. Reduced sleep efficiency, an increase in stages N1 & N2 sleep, REM sleep latency and
arousal index are suggestive of anxiety
3. Occasional Second degree AV block (Mobitz Type II)
My doctor didn't send me to a cardiologist and wanted to do surgery for supposed OSA. But if my AHI without the machine is 3.1 wtf. However I do know that my breathing slows down to an extremely low level. This is why I can't really meditate because my breathing reaches extremely low levels. So my question is do I have any benefits with the machine or was I a money grab? I find that my breathing slows down to extremely low levels with the Auto CPAP and it's not helping with that.
![[Image: MxxMia.jpg]](https://i.sli.mg/MxxMia.jpg)
