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New Member-Mild OSA
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jmcboo Offline

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Posts: 1
Joined: Aug 2015

Machine: none
Mask Type: Not using mask
Mask Make & Model: none
Humidifier: none
CPAP Pressure: none
CPAP Software: Not using software

Other Comments: AHI 5.4, RDI 13.2

Sex: Male
Location: SF Bay Area

Post: #1
New Member-Mild OSA
Hi All. This is all new to me so I have some questions. I was diagnosed at Kaiser with mild obstructive sleep apnea. The overnight test I did at home showed an AHI of 5.4 and a RDI (Respiratory Disturbance Index) of 13.2 events per cycle. No oxygen measurement was provided. My psychiatrist recommended the testing because I complained of waking up tired every morning and having a hell of a time getting out of bed. I thought it might be the depression/anxiety medication but she didn't think so. One question I have is that the AHI of 5.4 seems really low compared to what I'm seeing others report. Do you think I would benefit from treatment or not? Also, I haven't seen others report a RDI value, is this important? Another thing that I'm curious about is that I was told that acid reflux (which I do have) can be related to OSA. Do others find that the reflux problem gets better with OSA treatment? Also, I'm trying to decide whether to try the dental device before the CPAP, but the doctor said it can make TMJ (which I have) worse. I have TMJ that sometimes triggers migraines. And I wear a bite guard on top for grinding and a retainer on the bottom to hold by teeth in position - the bite guard holds the top teeth in position so that the top retainer is no longer needed. Sorry for the length of the post. I would appreciate any info you can pass on that might help. Thanks.
08-16-2015 03:52 PM
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kaiasgram Offline

Advisory Members

Posts: 242
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #2
RE: New Member-Mild OSA
Hi jm -- Your doctor is wisely paying attention to that RDI - Respiratory Disturbance Index. The RDI includes the AHI events (apneas and hypopneas) PLUS RERAs or Respiratory Effort Related Arousals. These are micro awakenings or arousals caused by compromised air flow that yank the sleeper out of deeper stages of sleep into lighter ones. So with that happening over 13 times every hour it's no surprise you wake up feeling poorly and it's worth trying PAP therapy.

Antidepressants can sometimes interfere with sleep architecture and cause or contribute to tiredness, but I'd sure treat the sleep-disordered breathing before drawing any conclusions about that.

I'm just up the road from you in the Sac area -- Kaisers in SF and Sac give out APAP machines so you'll have treatment data to look at and follow if you wish.
(This post was last modified: 08-16-2015 04:27 PM by kaiasgram.)
08-16-2015 04:24 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

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

Sex: Female
Location: Missouri, USA

Post: #3
RE: New Member-Mild OSA
Hi jmcboo,
WELCOME! to the forum.!
Since you already have TMJ, it doesn't seem like the dental device is the way to go.
Hang in there for more suggestions and answers to your questions and much success to you.

trish6hundred
08-16-2015 04:44 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #4
RE: New Member-Mild OSA
Mrs QAL and I were just talking about how my acid reflux has virtually disappeared once I started getting relief from apnea. The acid reflux is way more connected with the oxygen desaturation and CO2 saturation in the blood - than any of the normally discussed causes - diet, etc. My apnea treatment is using CPAP, but any treatment that fixes the oxygen and CO2 levels will attack that bad boy! In 9 months I have taken an antacid tablet about 4 times, once I am convinced was really used to combat a mild food poisoning.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
08-16-2015 11:48 PM
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49er Offline

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Posts: 239
Joined: Apr 2012

Machine: VPAP-S
Mask Type: Nasal mask
Mask Make & Model: Sleep Weaver Elan Soft Cloth Nasal Mask
Humidifier: H5i
CPAP Pressure: 13.6/9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #5
RE: New Member-Mild OSA
(08-16-2015 04:24 PM)kaiasgram Wrote:  Hi jm -- Your doctor is wisely paying attention to that RDI - Respiratory Disturbance Index. The RDI includes the AHI events (apneas and hypopneas) PLUS RERAs or Respiratory Effort Related Arousals. These are micro awakenings or arousals caused by compromised air flow that yank the sleeper out of deeper stages of sleep into lighter ones. So with that happening over 13 times every hour it's no surprise you wake up feeling poorly and it's worth trying PAP therapy.

Antidepressants can sometimes interfere with sleep architecture and cause or contribute to tiredness, but I'd sure treat the sleep-disordered breathing before drawing any conclusions about that.

I'm just up the road from you in the Sac area -- Kaisers in SF and Sac give out APAP machines so you'll have treatment data to look at and follow if you wish.

Ditto to what Kaiasgram said. Last year, I was diagnosed with very mild apnea at a 5.9 AHI but my RDI was 23 which put me in the moderate range as far as having sleep breathing events.

Unfortunately, my former sleep doctor didn't seem to understand the significance of the RDI. Then again many don't seem to which is why boards like this are so valuable.

Anyway, you definitely need treatment which I wish you all the luck in the world with.

49er
08-17-2015 07:28 AM
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GingerMan512 Offline

Preferred Members

Posts: 54
Joined: Jul 2015

Machine: ResMed Airsense 10 Auto
Mask Type: Nasal mask
Mask Make & Model: ResMed Airsense 10 Auto
Humidifier: Yes
CPAP Pressure: 5-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Austin Texas

Post: #6
RE: New Member-Mild OSA
(08-16-2015 11:48 PM)quiescence at last Wrote:  Mrs QAL and I were just talking about how my acid reflux has virtually disappeared once I started getting relief from apnea.

I didn't realize it until I read you comment. My reflux has gone away since I started treatment! That's yet another plus of getting treated. I'm so mad at myself for waiting so long.
08-17-2015 03:09 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #7
RE: New Member-Mild OSA
(08-17-2015 03:09 PM)GingerMan512 Wrote:  
(08-16-2015 11:48 PM)quiescence at last Wrote:  Mrs QAL and I were just talking about how my acid reflux has virtually disappeared once I started getting relief from apnea.

I didn't realize it until I read you comment. My reflux has gone away since I started treatment! That's yet another plus of getting treated. I'm so mad at myself for waiting so long.

Yeah, I hoped that many things would change, but was so pleased when I found out this one came along for the ride!

q

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
08-17-2015 11:06 PM
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