(04-01-2014 04:57 PM)tired57 Wrote:
(04-01-2014 04:27 PM)robysue Wrote: Ok---so you are self diagnosing and self treating without a formal diagnosis or help from a doc. That correct?
If that's really the case, let's start at the REAL beginning:
You say that you have not slept well for 5 or 6 years now. Other than the vague "I don't sleep well", how would you describe your sleep when you DON'T use the PAP? What, specifically, is bad about the sleep and what have you previously done to try to fix the sleep problems? Were any of the things you tried even partially successful?
I am tired all day long and can usually take a nap at anytime.
I wake up as tired as I went to sleep.
These, unfortunately, can be symptoms of any number of sleep disorders plus any number of OTHER health conditions. You should have a thorough physical exam by your PCP to rule out whether there are OTHER conditions that might be responsible for how you are feeling.
Quote:I am going to get a Ox meter that I can you all night to get 02 levels which I am sure are really low at times during the night.
Last night was the 4th night using the CPAP, THE 3RD night was the best sleep I can remember in years!
Last night I slightly raised the pressure but I had a bad night. Woke up aching all over with a bit of a head ach.
You are WAY, WAY to new to CPAP to expect any major changes YET. The fact that the third night was good is promising. But there was no reason to raise the pressure last night and I agree with PaulaO2: You need to quit changing the pressures so much. Stick with one pressure for at least a week or so and then evaluate the data. It takes a while for the brain and body to accustom themselves to the pressure and the mask.
Quote:Since you think that you have symptoms of OSA, it's also important to see if you can get a straight answer to these questions about the sleep test that you already had: What criteria were used for scoring the hypopneas? Was it the recommended standard (Rule 4.A) or was it the alternative standard (Rule 4.B)?
It's important to understand that for most people, it doesn't much matter which rule is used. But for a few people, the difference in scoring criteria can cause significantly different diagnoses. For example, if you don't tend to desat with hypopneas and you don't have many full fledged apneas, then it's possible that a sleep test will show "no OSA" under the "recommended" standard, but say that you have moderate (or even severe) OSA under the "alternative" standard. On the other hand, if you tend to desat badly with rather minor drops in airflow, it is possible that you might get an OSA diagnosis under the "recommended" standard, but be told the test shows "no OSA" under the "alternative" standard.
The short version: There are two ways to score sleep tests and for a small minority of people (including me), the "outcome" of the sleep test depends strongly on which way the sleep test was scored.