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Overnight evaluation??
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jbglasse Offline

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Post: #1
Overnight evaluation??
I had a local sleep center provide me a test at home machine The one that goes on your forehead I tested positive for sleep apnea My score was 6 and I was told very mild. The Dr wants me to come in over night in his sleep center so they can provide me a CPAP machine and adjust. Do I need to do this test? If I have sleep apnea would not the CPAP machine people do this?
02-25-2014 07:32 AM
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me50 Offline

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Post: #2
RE: Overnight evaluation??
(02-25-2014 07:32 AM)jbglasse Wrote:  I had a local sleep center provide me a test at home machine The one that goes on your forehead I tested positive for sleep apnea My score was 6 and I was told very mild. The Dr wants me to come in over night in his sleep center so they can provide me a CPAP machine and adjust. Do I need to do this test? If I have sleep apnea would not the CPAP machine people do this?

Since we don't know where you live, I will post a generic response. In the US, there has to be a script telling the "CPAP people" or DME as I call it, what the setting should be and what type of machine (CPAP, VPAP, ASV, etc.) you will need.

6 is pretty mild but there is more than just that number. What kind of events did you have? What was your O2 level? Did you have REM sleep? What is the optimal pressure setting? Just because someone has a low AHI, the pressure setting they need to keep their airway open does differ per each person. I have seen people say that their sleep study events were really low but their pressure is 15, 16, 18 and I have seen people with a larger AHI during their sleep study and their pressure is 10.

A DME cannot determine the treatment pressure needed for each patient. They don't have the data and they cannot interpret the data. A Home Sleep study doesn't provide as much data as an in lab sleep study.

The in lab sleep study is expensive. If you can get your ordering doc to write a script with your pressure on it, an Auto machine with dispense as written (no escape or escape auto if written for a resmed) and then you have the option to have a pressure range to work with.
(This post was last modified: 02-25-2014 06:18 PM by me50.)
02-25-2014 09:27 AM
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Bama Rambler Offline

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Post: #3
RE: Overnight evaluation??
Welcome.

At 6 you are kinda mild, but that doesn't mean you don't need treatment. Don't let the low numbers fool you.

Tell us more about the test and how it was performed.
Also, it probably does make sense to go to the sleep center for a titration test, and depending on the particular home test it may be advisable to have a complete test ran at a sleep center.

Did he say that they'd provide you with the machine or that they are going to see which type machine you require?

If they're actually supplying the machine it sounds like they're either associated with the DME or they actually are the DME.
02-25-2014 09:30 AM
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trish6hundred Offline

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Post: #4
RE: Overnight evaluation??
Hi jbglasse,
WELCOME! to the forum.!
It would be a good idea to go ahead and go for the test because it is more comprehensive.
Best of luck to you and hang in there for more suggestions.
Best of luck to you.

trish6hundred
02-25-2014 09:47 AM
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herbm Offline

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Post: #5
RE: Overnight evaluation??
Welcome.

Yes, tell more about the at home test specifics. EEG? Pulse Oximetry?

If an at home test showed Apnea that is enough of an indication to follow up with the recommendations of the sleep doc to get it fully diagnosed and determine what if any treatment is needed.

Can you afford the tests the sleep doc wants to do?

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
02-25-2014 09:59 AM
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retired_guy Offline

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Post: #6
RE: Overnight evaluation??
Echoing above voices that say the doc's sleep clinic study is the way to go. I tested "mild" on my side, yet through the roof on my back. But the biggest thing is my sleep doc's let me have a teddy bear for the night. That made everything worthwhile.
02-25-2014 02:15 PM
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zonk Offline

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Post: #7
RE: Overnight evaluation??
(02-25-2014 07:32 AM)jbglasse Wrote:  The Dr wants me to come in over night in his sleep center so they can provide me a CPAP machine and adjust. Do I need to do this test? If I have sleep apnea would not the CPAP machine people do this?
Titration to determine pressure with APAP such as "S9 AutoSet" at home is as good as spending a night at the sleep
The advantage of sleep lab is in diagnoses ... having someone watching over you while you sleep, wired up so they can tell if an apnea is central or obstructive, monitor O2 level during the night, and detect other sleep disorders
02-25-2014 05:07 PM
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