(01-05-2015, 11:10 AM)mmdupas Wrote: is ASV the same as Auto A-Flex?
No. No similarity at all.
ASV is Adaptive Servo Ventilator. It detects when you stop breathing and immediately increases the pressure a large amount to make you breathe right away.
An Auto CPAP only increases your pressure very gradually, taking minutes to do so.
(01-05-2015, 07:53 AM)Tawaki Wrote: The tech said I was fine until I hit the deep sleep stage, and I would flat out stop sleeping.
I presume you meant stop "breathing", not stop "sleeping."
(01-05-2015, 07:53 AM)Tawaki Wrote: My husband is totally furious and beleves the doctors are fishing for problems. He says if I lose weight, I won't need the machine. I see a huge battle brewing.
Yeah, he's an idiot. Unfortunately, there are lots of idiots out there, including many doctors.
Our fat shaming culture loves to blame everything on weight. Weight does tend to cause apnea, but there are plenty of thin apneacs out there. Even if your apnea is caused by weight, so what? Crossing your fingers and waiting for weight loss puts you at risk in the meantime. Also, lots of people try to lose weight and don't succeed. Apnea also tends to cause weight gain.
Many people lose weight and don't cure their apnea. If you do lose weight, you need another $leep te$t, which insurance probably won't pay for.
Get the CPAP, then go ahead and lose the weight. If the weight loss cures you, you can stop later. If you get the right CPAP machine, you can use it to tell you that your apnea is cured.
Just don't have a battle. Don't discuss it. Reach over and clap your hand over his mouth and nose if he starts complaining. Tell him if he loses weight, he won't have problems breathing.
BTW, I hate the whole medical mafia. The doctors do a poor job and the DME's (CPAP salesmen) will try to screw you. Read the links in my signature line to help avoid getting screwed.
However, apnea is real. Apnea kills. When it doesn't kill, it robs you of your life from being tired and sick all the time.
When the $leep $tudy tells you that you have apnea, you've got it, unless they outright lie about it. Tell your doctor you want a copy of your full sleep study when you meet him. You'll want that even if no one is lying in the whole process.
Apnea treatment isn't especially profitable for the doctor. There are plenty of real apneacs coming through his door. Faking results would be risky. There's just not a lot of incentive to fake it. If anything, the rules lead to them not treating people who DO need it.
(01-05-2015, 07:53 AM)Tawaki Wrote: Thanks for reading this whine. I has asthma and had a severe CHI in 1990, which I think triggered this whole mess. My sleep has never been the same since.
CHI as in "Closed Head Injury?" What happened?
If it's a brain injury thing, and central apnea, no, weight loss will probably make very little difference. Weight loss mostly causes mechanical breathing problems, i.e. obstructive sleep apnea.
(01-05-2015, 07:53 AM)Tawaki Wrote: I went to the study because I have treatment resistant hypertension. I did not want to do this AT ALL. Especially after the mask fitting. I've been on a ventilator, and that triggered the panic attack remembering that episode.
Hypertension is a common side effect of untreated apnea.
Don't worry about the panic long term. You'll get used to it. Once you get a machine, you can do a number of things to get used to it. You can wear the machine while you're awake and reading or watching TV. Then consciously feel yourself breathing in and out. Lift up the edge of the mask and catch a few breaths if you get a big panic attack.
There are a few other tricks if you start. One important thing is to NOT use the ramp function to start at a low pressure and to not set your pressure too low. That can make you feel like you're not getting enough air.
You might need a sleeping pill to do the titration test with the mask. Your doctor may object because it may affect your results, but point out that the test is useless and expensive if you can't sleep. Get a pill to take in case you can't sleep without it.