(11-11-2014, 07:20 AM)laurie h Wrote: Hi, Thanks for your quick response. I went to a sleep doctor who has a very good reputation and he said that in 25 yrs of practice, i am one of his most challenging cases. lol. They had their best techs work with me and tried numerous masks and settings.
In my case, while i was in the sleep lab 3 separate nights, both the cpap and bi-pap machines increased my central episodes. Only at an extremely high setting, did it seem to help even a little and the Dr felt the risk of air leak to my eyes is not worth the risk as it did not much help.
they tried oxygen in the sleep lab and found it helped my apnea so i use it at home but still wake up 4-6 x a night with bp of 150/92 and higher.
Just wondered if anyone else here is dealing with this.
What was happening is what they call "pressure induced central apnea events". It is easy to treat and I am shocked this "doctor of 25 years" did not know this. When you further pursue this, go to another sleep doctor since he is obviously going on information that is very outdated and is not keeping up-to-date on the information in his field.
The treatment is to start at a pressure where the obstructive events are best decreased but the central events are not overly increased yet. Delicate balance. After a few months, the pressure is increased again. This is easier to do with an autoPAP. I was much like you where the pressure horribly increased my central events.
When you wake, your BP is up because you are had an apnea event. Seriously, this "doctor" needs to lose his license!
Call them, ask for a copy of your sleep study reports. Don't let them say you won't understand it or that it is a huge document. Say you want it anyway. Mention HIPPA (they know it as pronounced hip-uh). When you get it, make an appt with another sleep doctor and go there. You probably won't need another sleep study, just someone to write the prescription for the machine and the correct pressure range. INSIST on a data capable autoPAP. When you get that prescription, we'll help you figure out what to do with it.
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