I new to this also, welcome aboard!! I can't speak from the experience of trying multiple masks, but I can say that for me being two weeks into treatment the Dreamwear was comfortable and easy to use from the first night.
02-04-2017, 12:28 PM
(This post was last modified: 02-04-2017, 12:30 PM by Debberz.)
CLINICAL HISTORY: The patient is a 52-year-old female with symptoms of sleep
apnea and parasomnia including sleep walking and sleep eating.
INTERPRETATION: Total sleep time was 374.6 minutes with reduced sleep
efficiency to 82.4%.
Sleep latency was prolonged to 31.5 minutes. All sleep stages were recorded.
The apnea/hypopnea index was 15.9 with minimum O2 saturation of 81% recorded
during REM sleep. The patient spent 2.8 minutes with O2 saturation below 88%.
Please note that the REM apnea/hypopnea index was 47.6.
Periodic limb movement index was 54.6 per hour with an arousal index of 2.9 per
Cardiac analysis showed no arrhythmia.
The patient had an extended EEG montage for her parasomnia. No frank
epileptiform activity is seen throughout the EEG recording. She had an
extensive alpha during sleep.
CONCLUSION: This is an abnormal overnight polysomnogram with findings of the
1. Moderately severe obstructive sleep apnea with an apnea/hypopnea index of
15.9. Normal is less than 5. Minimum O2 saturation of 81%. This seems to be
REM dominant with an apnea/hypopnea index of 47.6 during REM sleep.
2. Periodic limb movement.
3. Extensive alpha rhythm during sleep, but no frank epileptiform activity is
1. A trial of CPAP is recommended for the treatment of obstructive sleep apnea.
Other treatment options include weight management, surgical evaluation and
2. Screening for restless leg syndrome based on the presence of periodic limb
3. The patient was advised not to drive while drowsy, considering that her
Epworth Sleepiness Scale was 16. She also was advised to follow up for a sleep consult with a physician.
Good to know - I don't like the whistle of air I can hear nor the air that vents out on my hands.
WELCOME! to the forum.!
I wish you good luck with your CPAP therapy, hang in there for more responses to your post.
Notes on what it may mean. I'm still new, so if the other agree with what I've noted, it is probably accurate.
"Cardiac analysis showed no arrhythmia." <- good
"No frank epileptiform activity is seen throughout the EEG recording." <- did not look like epilepsy.
"Periodic limb movement" <- Restless leg syndrome and/or periodic limb movement can make it difficult to stay asleep if severe. Exercising earlier in the day helps some; there are also some medications which can be helpful to some.
"Moderately severe obstructive sleep apnea with an apnea/hypopnea index of
15.9. " and "This seems to be
REM dominant with an apnea/hypopnea index of 47.6 during REM sleep." <- A CPAP is in your future if you want to reduce the consequences of obstructive apnea.
I also experience more apnea during REM sleep and will have runs of OSAs numbering as many minutes of REM of more (20 minutes:20+ OSAs) ... when I sleep on my back. The obstructive apneas may reduce some if you can sleep on your side.
For daytime alertness, modafanil (Provigal) may be helpful in keeping you awake. It is not speed. It can have side effects (If I take too much, I become quite irritable.) Your mileage may vary.)
Please organize your SleeyHead screenshots like this.
I'm an epidemiologist, not a medical provider.
02-11-2017, 07:34 AM
(This post was last modified: 02-11-2017, 07:36 AM by Debberz.)
Thank you so much for the analysis.