The sleep study came back that I had:
Severe obstructive sleep apnea (327.23) with mild associated hypoxia.
Mild underlying central sleep apnea (327.29) with worsening demonstrated while on PAP therapy
Inability to correct sleep related breathing disorder on CPAP due to significant appearance of events while on CPAP and Bilevel therapy.
Baseline Central Apnea Index 3.3 AHI 51.7 (unassisted)
5/5/0 Central Apnea Index 60 AHI 4.5 (CPAP)
9/7/0 Central Apnea Index 78.6 AHI 0.0 (CPAP)
0/0/2 O2LPM Central Apnea Index 6.5 AHI 1.2 (Oxygen)
I had no idea I had sleep apnea. No one has explained the report to me. They are blaming my apnea on my opioid pain meds, which at the time of the study, I was taking 45mg - 30mg of Morphine SR x 3 and 5mg Oxycodone x 4. They believe that taking these meds away will solve the problem.
This is what the doctor from the sleep clinic wrote to my pain management doctor:
"He did his best with oxygen alone (at the time of the study, CPAP was not effective). This may have been attributable to his medications at the time (opioids). If he has successfully, weaned off the opioid medications, and remains symptomatic, I would repeat the sleep study (can be done with portable home T3 study). This study should be done without supplemental oxygen to determine whether or not he continues to have significant respiratory events (off medications). If so, CPAP might then be helpful, if not he may be able to eliminate the need for interventions."
Would taking the opioids cause such a high AHI? The plan seems kind of flimsy. My pain management doctor has already had my wean off of most of my opioids and it is painful. Can anyone tell by the numbers I entered what it means? There was a recommendation to try PAP with Auto PAP, but apparently they don't want to do that.