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[Equipment] Silent Nite and UARS
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SanditheTortie Offline

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Post: #1
Silent Nite and UARS
So I had a sleep study done back in July and that resulted in
Sleep Efficiency 93.4%
46 Abnormal Breathing events with 29 arousals
15 RERAs
Longest Event 19.3 Seconds
Apnea/hypopnea index 4.4
Apnea/hypopnea/RERA index 6.5
5 O2 levels below 90% with the lowest being 80% (I was 99% on room area during my initial visit)
Average HR 60.5 With highest being 109.0
with moderate snoring. my hubby never knew that I snored. but he sleeps like the dead burried 20 feet under.

I should note I was diagnosed with Upper Airway Resistance Sydrome, not sleep apnea, yet.

got sent to an ENT
ENT found my pallet and tonsils to both be oversized (not swollen) and recommended an oral appliance.
I FINALLY had the impressions taken yesterday and am going back on the 29th to make sure it fits and get tolf how to use it and such. (my dentist uses the silent night ones)

So other than the getting used to it which is gonna take some time, how soon should I expect to start to feel rested again?

I am a 21 year old female about 15 pounds overweight.
My dad has sleep apnea really bad.
09-19-2014 09:00 PM
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zonk Offline

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Machine: A10 AutoSet
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Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Silent Nite and UARS
Personally, I cannot have things inside my mouth, makes me choke

Here is an interesting article "Flow Limitation and UARS" by Barry Krakow MD
http://www.apneaboard.com/forums/Thread-...-and-BiPAP

Welcome
09-19-2014 10:30 PM
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SanditheTortie Offline

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Post: #3
RE: Silent Nite and UARS
I don't know if I'll have that issue yet, i never wore a mouth guard for sports and getting my teeth molded sucked, but that was mainly because I could taste the plaster or what ever they were using to mold my teeth.

I really hope this works. I'd would give my left kidney right now if it meant my airway would behave for the rest of my life.
09-19-2014 10:55 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Silent Nite and UARS
Respiratory disturbance index (RDI) http://www.apneaboard.com/wiki/index.php?title=RDI
RDI = (RERAs + Hypopneas + apneas) / TST (in hours). That is, RDI means the average number of episodes of apnea, hypopnea, and respiratory event-related arousal per hour of sleep. (TST is "total sleep time".)


From http://emedicine.medscape.com/article/295807-differential
AASM diagnostic criteria for OSA

According to the Centers for Medicare & Medicaid Services criteria for the positive diagnosis and treatment of obstructive sleep apnea,[32] a positive test for OSA is established if either of the following criteria using the AHI or the RDI is met:
AHI or RDI greater than or equal to 15 events per hour

or

AHI or RDI greater than or equal to 5 and less than or equal to 14 events per hour with documented symptoms of excessive daytime sleepiness (EDS); impaired cognition; mood disorders; insomnia; or documented hypertension, ischemic heart disease, or history of stroke
09-20-2014 02:58 AM
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trish6hundred Offline

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Machine: Resmed S9 AutoSet for Her
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Mask Make & Model: Fisher & Paykel Simplus
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CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: Silent Nite and UARS
Hi SanditheTortie,
WELCOME! to the forum.!
I haven't worn a mouth guard so I'm unable to help you with that but, hang in there for more responses to your post and best of luck to you.

trish6hundred
09-20-2014 09:52 AM
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vsheline Online

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Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
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CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #6
RE: Silent Nite and UARS
(09-19-2014 10:55 PM)SanditheTortie Wrote:  I really hope this works. I'd would give my left kidney right now if it meant my airway would behave for the rest of my life.

I sincerely wish you good luck with the Oral Appliance device.

In searching for info about the Silent Nite device, I found the following thread by a Silent Nite user that found that Silent Nite reduced her snoring and at first thought it was adequate to avoid CPAP therapy but later found she needed CPAP and was sad to have spent the money for the cheap Silent Nite device.

Cheap meaning relatively economical (around US$500, I think, which for an Oral Appliance is about a quarter the cost of some models but apparently allows only coarse adjustments) AND not very durable (lasts perhaps a year or two).

http://www.asaa.org/my-experience-with-silent-nite-sl-t30266.html

If the link doesn't work for you, I suggest copying and pasting the following into a google search bar:
my-experience-with-silent-nite-sl-t30266.html


Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 09-20-2014 12:39 PM by vsheline.)
09-20-2014 11:52 AM
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SanditheTortie Offline

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Post: #7
RE: Silent Nite and UARS
I should note I'm currently on Active duty so I am paying $0 for the silent nite and I will be becoming a dependent spouse next month (my hubby is active duty as well) so I shouldn't have to pay for anything since if this doesn't work I'm pretty sure my ENT could argue that I do need CPAP. And then insurance would cover that in full.

Tricare is truely amazing when you need "expensive" treatment. Even it means having to jump through a lot of hoops and follow a lot of rules. No copay or cost per year is for sure worth it.

And if insurance won't pay for the CPAP for whatever reason, but they will apt for the surgery that won't cost me a dime either.
(This post was last modified: 09-20-2014 02:15 PM by SanditheTortie.)
09-20-2014 02:11 PM
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SanditheTortie Offline

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Post: #8
RE: Silent Nite and UARS
****UPDATE****

I got a call today and my silent nite came in early and I get to go tomorrow to make sure it fits right Big Grin Big Grin
09-23-2014 04:37 PM
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Galactus Online

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Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
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CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
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Post: #9
RE: Silent Nite and UARS
Best of luck, hope it helps you. Let us all know, we always want to know, inquiring minds (nosy people) and all that!

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
09-24-2014 12:01 AM
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JimZZZ Offline

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Other Comments: CareFusion PureSom Ultra Chinstrap

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Post: #10
RE: Silent Nite and UARS
(09-23-2014 04:37 PM)SanditheTortie Wrote:  ****UPDATE****

I got a call today and my silent nite came in early and I get to go tomorrow to make sure it fits right Big Grin Big Grin
Please let us know whether the oral device worked for you.
09-24-2014 05:01 AM
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