Newly diagnosed questions

[Nautica]

I got the report from my doctor and it said:

Total of 1 obstructive apneas, 9 hypopnoa, 11 central apneas and 0 mixed apneas for a total of 21 technician-scored events resulting in an overall apnea-hypopnea index of 7.3 events per hour.  The patient had 0 minutes of REM sleep therefore comment cannot be made about disordered breathing events in this stage of sleep. 

Arterial oxyhemaglobin saturation was less than 88% for .1 minutes with nadir SPO2 of 88% in non REM sleep.

Impression: Obstructive sleep apnea, mild.

There is some other information if you're looking for anything else specifically just ask but it won't let me attach the image because it is too large. 
 
I did not snore so from what I've read a hypopnea without snoring is usually considered central.

Central apnea would fit more with my profile(young female, neck circumference 13.4", no snoring) and central apnea would fit more with my other medical conditions( Intercranial hypertension, dysautonomia, cranial cervical instability plus more..all secondary to Ehlers Danlos Syndrome) so I'm confused why the impression said obstructive sleep apnea.

[Gideon]

I got the report from my doctor and it said:

Total of 1 obstructive apneas, 9 hypopnoa, 11 central apneas and 0 mixed apneas for a total of 21 technician-scored events resulting in an overall apnea-hypopnea index of 7.3 events per hour.  The patient had 0 minutes of REM sleep therefore comment cannot be made about disordered breathing events in this stage of sleep. 

Arterial oxyhemaglobin saturation was less than 88% for .1 minutes with nadir SPO2 of 88% in non REM sleep.

Impression: Obstructive sleep apnea, mild.

There is some other information if you're looking for anything else specifically just ask but it won't let me attach the image because it is too large. 
 
I did not snore so from what I've read a hypopnea without snoring is usually considered central.

Central apnea would fit more with my profile(young female, neck circumference 13.4", no snoring) and central apnea would fit more with my other medical conditions( Intercranial hypertension, dysautonomia, cranial cervical instability plus more..all secondary to Ehlers Danlos Syndrome) so I'm confused why the impression said obstructive sleep apnea.

I think it was because sleep studies almost always state Obstructive Apnea no matter what the results, this is why we like to see the full sleep study, the summaries are very often "misleading" at best.  You have over 50% Central Apnea pre-treatment.  It could be more but sleep labs typically do not score hypopneas as central.  IMHO a better diagnosis would have been Mild Mixed Apnea, Mild Central apnea, or better,  Mild Obstructive Apnea with over 50% Central Apnea.

[SarcasticDave94]

Maybe I’m not phrasing this correctly but it seems lots of pulmonary doctors knee jerk reaction to Apnea is to call it obstructive and not dive into the details. Your report text mentions obstructive as a 1, central as a 11. Yeah that’s obstructive...on the duck doctors part...

As for image attachment size, edit the current image size downward to a lower percentage and see if it’ll fit.

PS it may not be necessary to include it, but if it can be possible to post the details maybe it helps.

[Big Guy]

+1 to a hose cover. You didn't mention whether or not you have a hose hanger. When I first started SA therapy, I didn't use a hose hanger or holder, whatever you prefer to call them. I went for a few months w/o one. 

Once I started using one, it made a HUGE difference in hose management. As far as I know, I've never experienced water in the hose, or rain out as some call it. 

I tend to drool a bit when I sleep (  ), and I'm a die hard mouth-breather. That's the only moisture I have to deal with, and for whatever reason, it's not as bad as it used to be. 

Anyways, give a hose hanger some thought. They are readily available on the net. I'm a bit of a fabricator so I made my own. 

[Nautica]

I asked for the medical record from my sleep study and that's all they gave me, it only had a few other details.. Like how long it took me to fall asleep and how many arousals I had...it was a one and a half page write up.  Should there be a chart or more information with it? If so I'll call my doctor again to get everything...if so what exactly should I ask for?

I see that I still didn't get the oscar correct, I'm sorry I'll try again tomorrow.


I will look into getting a hanger for the tube too, thank you all for your help!

[SarcasticDave94]

Detailed sleep study reports are typically several one-sided pages long, have doctor opinions about the sleep study, can have charts, and the pressure tried with apnea results.

See my post on myself here: Focus on page 4 at post # 37 for an example of detailed sleep study report

http://www.apneaboard.com/forums/Thread-...put?page=4

[Gideon]

Uncharacteristically that summary had the info (centrals) that I was looking for. Normally we would be extracting that info out of the tables that are not there. Try asking the DME for the study, they have to have it for insurance verification.
of my suggestions, I like the "Mild Obstructive Apnea with over 50% Central Apnea" that I suggested above.

[SarcasticDave94]

The diagnosis darts only stick onto the diagnosis dartboard where it’s labeled Obstructive Sleep Apnea no matter what the PSG sleep study states.

[Nautica]

Your report has a lot of details, what I received was just the final page of what your report has. I'm going to call and get a copy of the full report tomorrow! 

That's strange that drs just label everything obstructive but at least now I know it is mostly central apnea, thanks for your help!

[SarcasticDave94]

I

Your report has a lot of details, what I received was just the final page of what your report has. I'm going to call and get a copy of the full report tomorrow! 

That's strange that drs just label everything obstructive but at least now I know it is mostly central apnea, thanks for your help!

You’re welcome. Always here to help. No attempt on beating the dead horse, but your full, detailed PSG (otherwise known as sleep study) is lawfully yours for the asking. Hopefully you’ll get it with no headache.