Thank you in advance for all the help you provide toward personal empowerment!
I finally got a copy of my sleep study report. Please help me interpret this as my GP is an excellent doctor, but not a sleep specialist and we're trying to figure this out together (LOVE her and this is why I am still willing to drive an hour and 15 minutes to see her!).
During the observation phase of the study (114 minutes of sleep) I had:
"decreased sleep efficiency. Sleep latency was normal. REM was not achieved. Sleep architecture was notable for lack of REM sleep and increased N2 sleep."
"Increased arousals were noted. Mild desaturations were seen."
"Arousal index was 31 events per hour of sleep RDI was 49 events per hour of sleep. During supine position RDI was 19 events per hour of sleep."
"Loud continuous snoring was noted. Both apnea and hypopneas were seen."
So then they did the CPAP titration for 236 minutes of sleep.
"with a decreased sleep efficiency of 74%. Sleep latency was prolonged. REM latency was normal. Sleep architecture was notable for normal sleep stage distribution with rebound REM sleep noted."
"Compared with the fist part [of the study] there was significant improvement in sleep architecture."
"CPAP titration was performed. Sinus bradycardia was noted. The most appropriate pressure is 15 cm."
SO... during the first part I snored alot and had many disruptions. It was much better during the CPAP titraiton and I caught up on my REM sleep. My heart beat slowed (the bradycardia) which seems to be related to apnea.
The original perscription was for the CPAP at 15 cm. I've been sick with a cold/sinus infection for about 3 weeks which has made adjustment difficult and have tried 2 different masks. My GP doc agrees that I might have more success with an APAP especially since I woudl be able to make use of the better data collection abilities of the AS10 Auto. However, she wasn't sure how to write the Rx... so right now it says AutoCPAP with heated humidity and nasal mask. How do I (or the DME techs initially I guess) determine the correct range?
I've been using the AS10 CPAP sporadically for about a month, and always have AHI below 5, usually between 1 - 3 per hour. Now that I'm finally healthy again, I'm really looking forward to trying to get a machine/setting that works and being able to keep the damn mask on for more than 1 - 4 hours a night.