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Sleep Test Results....IDK....
#11
(05-16-2015, 09:23 PM)retired_guy Wrote: If you have any breathing issues whatsoever, a pulmonologist would be a good thing for you. Especially since you live on cloud number 9, just above Pike's Peak. Breathing exercises can definitely be a good thing, SA or not. So if not a pulmonologist, perhaps a good respiratory therapist would be a fine idea.

I would pick up one of the little finger oximeters too. Not necessarily the recording kind, although for occasional overnight checking they're great. Just the little finger ones that sell for not many bucks. It would be interesting to see if you keep your O2 at 90+ during the day when you're out planting your summer crops.

Funny you mentioned oximeters. Been looking at some, but figured I'd get that reading with a machine. The finger ones are very reasonable, however, so may get one. Whenever I go to the doc, they always stick one on me and it's usually in the mid-90's. Of course, that's sitting down and not exerting. I have a good bit of energy in the day, but get sleepy watching TV at night, which is probably pretty normal. I asked the RT the night of the sleep study about when to see a pulmonologist and he said when you have breathing difficulty. Only time that happens is when I'm asleep! Oh well....Oh-jeez
"Freedom is the oxygen of the soul."
Moshe Dayan
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#12
(05-16-2015, 09:23 PM)retired_guy Wrote: If you have any breathing issues whatsoever, a pulmonologist would be a good thing for you. Especially since you live on cloud number 9, just above Pike's Peak. Breathing exercises can definitely be a good thing, SA or not. So if not a pulmonologist, perhaps a good respiratory therapist would be a fine idea.

I would pick up one of the little finger oximeters too. Not necessarily the recording kind, although for occasional overnight checking they're great. Just the little finger ones that sell for not many bucks. It would be interesting to see if you keep your O2 at 90+ during the day when you're out planting your summer crops.
What summer? We're still having snow here as of yesterday. And in our raised garden, the peppers and tomatoes took a hit and don't know if they'll make it or not.
"Freedom is the oxygen of the soul."
Moshe Dayan
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#13
(05-16-2015, 09:23 PM)retired_guy Wrote: I would pick up one of the little finger oximeters too. Not necessarily the recording kind, although for occasional overnight checking they're great. Just the little finger ones that sell for not many bucks.

A "recording" pulse oximeter is the type which stores data so you can download it to see what your SpO2 was while you were sleeping. The type which only displays data can't be used while you're sleeping.

The ones worn like a watch with separate finger sensor cup cost more and are more comfortable and stay on better.
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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#14
(05-17-2015, 08:15 AM)kingskid Wrote:
(05-16-2015, 09:23 PM)retired_guy Wrote: If you have any breathing issues whatsoever, a pulmonologist would be a good thing for you. Especially since you live on cloud number 9, just above Pike's Peak. Breathing exercises can definitely be a good thing, SA or not. So if not a pulmonologist, perhaps a good respiratory therapist would be a fine idea.

I would pick up one of the little finger oximeters too. Not necessarily the recording kind, although for occasional overnight checking they're great. Just the little finger ones that sell for not many bucks. It would be interesting to see if you keep your O2 at 90+ during the day when you're out planting your summer crops.
What summer? We're still having snow here as of yesterday. And in our raised garden, the peppers and tomatoes took a hit and don't know if they'll make it or not.

I remember when I lived out there that my in-laws came to visit us for 4th of July one year. It snowed. They left. Problem solved.
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#15
(05-17-2015, 09:45 AM)vsheline Wrote:
(05-16-2015, 09:23 PM)retired_guy Wrote: I would pick up one of the little finger oximeters too. Not necessarily the recording kind, although for occasional overnight checking they're great. Just the little finger ones that sell for not many bucks.

A "recording" pulse oximeter is the type which stores data so you can download it to see what your SpO2 was while you were sleeping. The type which only displays data can't be used while you're sleeping.

The ones worn like a watch with separate finger sensor cup cost more and are more comfortable and stay on better.

I thought of that. The plain oximeter only gives the readout at the time you use it. Would having a recording oximeter be redundant to what the CPAP does, though?
"Freedom is the oxygen of the soul."
Moshe Dayan
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#16
best ever breathing exercise for building up capacity and diaphragm strength is to lay flat on the floor with 3 or 4 heavy books on your stomach (center over bellybutton) then breathe in through the nose and out through the mouth concentrating on pushing the books up as you inhale and down with exhale. push all the air out of your lungs and repeat. try to achieve the 7-7-7 (7 count in, 7 count hold, 7 count out)
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#17
(05-17-2015, 10:56 AM)kingskid Wrote: The plain oximeter only gives the readout at the time you use it. Would having a recording oximeter be redundant to what the CPAP does, though?

These provide different types of data. An oximeter provides supplementary data which the 'PAP machine has no way to measure.

Best to have both, especially since you had a few central apneas during your sleep study without CPAP. Also, you sleep at high elevation (8800 ft), and high elevation increases the likelihood we may have central apneas. So I suspect you may find you will have more centrals than most patients. If we have centrals I think it is helpful to be able to verify they are not causing desaturations. If we are waking up refreshed and our centrals are not causing desaturations, then I think the centrals would likely be nothing to worry about.



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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#18
(05-17-2015, 11:29 AM)DariaVader Wrote: best ever breathing exercise for building up capacity and diaphragm strength is to lay flat on the floor with 3 or 4 heavy books on your stomach (center over bellybutton) then breathe in through the nose and out through the mouth concentrating on pushing the books up as you inhale and down with exhale. push all the air out of your lungs and repeat. try to achieve the 7-7-7 (7 count in, 7 count hold, 7 count out)

Thanks, Daria; I'll try that!
(05-17-2015, 12:12 PM)vsheline Wrote:
(05-17-2015, 10:56 AM)kingskid Wrote: The plain oximeter only gives the readout at the time you use it. Would having a recording oximeter be redundant to what the CPAP does, though?

These provide different types of data. An oximeter provides supplementary data which the 'PAP machine has no way to measure.

Best to have both, especially since you had a few central apneas during your sleep study without CPAP. Also, you sleep at high elevation (8800 ft), and high elevation increases the likelihood we may have central apneas. So I suspect you may find you will have more centrals than most patients. If we have centrals I think it is helpful to be able to verify they are not causing desaturations. If we are waking up refreshed and our centrals are not causing desaturations, then I think the centrals would likely be nothing to worry about.

Oh, okay, I didn't know that. Will have to check oximeters out more thoroughly. I think I'd probably keep the wrist one on more easily. Thanks for all the good tips!
"Freedom is the oxygen of the soul."
Moshe Dayan
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#19
(05-17-2015, 09:57 AM)retired_guy Wrote:
(05-17-2015, 08:15 AM)kingskid Wrote:
(05-16-2015, 09:23 PM)retired_guy Wrote: If you have any breathing issues whatsoever, a pulmonologist would be a good thing for you. Especially since you live on cloud number 9, just above Pike's Peak. Breathing exercises can definitely be a good thing, SA or not. So if not a pulmonologist, perhaps a good respiratory therapist would be a fine idea.

I would pick up one of the little finger oximeters too. Not necessarily the recording kind, although for occasional overnight checking they're great. Just the little finger ones that sell for not many bucks. It would be interesting to see if you keep your O2 at 90+ during the day when you're out planting your summer crops.
What summer? We're still having snow here as of yesterday. And in our raised garden, the peppers and tomatoes took a hit and don't know if they'll make it or not.

I remember when I lived out there that my in-laws came to visit us for 4th of July one year. It snowed. They left. Problem solved.

"Brevity is the soul of wit."Grin
"Freedom is the oxygen of the soul."
Moshe Dayan
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#20
When you have your titration study don't forget to ask your doc many of the questions you asked us while going over your test results. I've found that no matter how good my PCP docs intentions are he still doesn't know enough about sleep disorders. This is why I would suggest getting a sleep medicine specialist as your primary care doc.

My pulmonologist isn't approved by my insurance to be a PCP but with my complex medical history my insurance finally approved a waiver to let my pulmonologist be my PCP. This took nearly two years to get approved and becomes effective on the first of the month.

Having someone trained will help to ensure you get the proper monitoring and treatment. For example my ICU records determined that I needed asv treatment. My PCP didn't even know what asv was. My PCP is the only person approved by my insurance to order long term treatment medical equipment. This is quite a problem when your PCP doesn't even know how to file the request with my insurance.

I'm giving this information to help you avoid some of these types of issues or to at least be aware they exist. It seems you have things well in order which is quite impressive for anyone starting out.

Again I wish you good luck.
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