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Help with latest sleep study
#1
Help with latest sleep study
Hi guys,

After using my CPAP religiously for about 8 months, I haven't felt any difference in my symptoms.  I still feel tired, have brain fog, and memory issues.  The good news is that my wife can finally sleep!

Attached is my latest sleep study.  I've tried medications over the years for PLMD and RLS to no avail.

If you have any thoughts, I'd love them!

Thank you!


Attached Files
.pdf   Sleep Study 05-10-2021.pdf (Size: 33.56 KB / Downloads: 17)
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#2
RE: Help with latest sleep study
It states 5 CA to 3 Obstructive, meaning you're a bit Central heavy. With CA equal or greater than Obstructive, typically this will be interpreted as a pre-existing CA condition, well at least we'd consider that accurate most times here. Most doctors are trained to be Central blind. Apparently yours is also. If this above proves true, you're not going to succeed on CPAP or BPAP without backup rate. However a BPAP with backup rate called ASV is the Central Apnea combat specialist.

What's your OSCAR looking like? I prefer a single not zoomed view of Events, flow rate, pressure, leaks, and flow limit. All in one shot. Others may ask for different OSCAR shots with differing required aspects shown.

PS More specific, I'd consider calling your CA the idiopathic variant due to the other threads and info contained there.
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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#3
RE: Help with latest sleep study
(06-11-2021, 11:40 PM)SarcasticDave94 Wrote: It states 5 CA to 3 Obstructive, meaning you're a bit Central heavy. With CA equal or greater than Obstructive, typically this will be interpreted as a pre-existing CA condition, well at least we'd consider that accurate most times here. Most doctors are trained to be Central blind. Apparently yours is also. If this above proves true, you're not going to succeed on CPAP or BPAP without backup rate. However a BPAP with backup rate called ASV is the Central Apnea combat specialist.

What's your OSCAR looking like? I prefer a single not zoomed view of Events, flow rate, pressure, leaks, and flow limit. All in one shot. Others may ask for different OSCAR shots with differing required aspects shown.

PS More specific, I'd consider calling your CA the idiopathic variant due to the other threads and info contained there.

Thank you for the reply.  I attached my last 3 nights, including a nap.

Do you think the relative sleep stages may be an issue?

Thanks for looking!


Attached Files Thumbnail(s)
           
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#4
RE: Help with latest sleep study
I'd not know about the sleep stages. I do see the OSCAR data for 3 recent ones. Flow limits and some leaks are possible issues. If the data was accurate, the prior mentioned CA didn't appear as an issue.
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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#5
RE: Help with latest sleep study
Thank you.  Any advice for the flow limits?  I'm using a cervical collar for the leaks.
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#6
RE: Help with latest sleep study
The soft cervical collar will help if there's positional Apnea where you have problems kinking your airway. It won't really help with leaks I wouldn't think. You'd have to address mask sizing, proper adjusting of straps.

Flow limits, the best weapon the AutoSet has is EPR. You'd want to be sure to set it to full time and try setting 3.
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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#7
RE: Help with latest sleep study
I partially disagree with Dave on this one. a collar is the only thing I've found that reduces my lip leaks (can't tape, no luck with chin straps, still struggling to master the tongue suck method). otoh, I would agree that it does nothing for mask leaks.
  Shy   I have no particular qualifications or expertise with respect to the apnea/cpap/sleep related content of my posts beyond my own user experiences and what I've learned from others on this site. Each of us bears the burden of evaluating the validity and applicability of what we read here before acting on it.  
 
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