In-lab sleep study

[Lazarus]

Hi everyone,
   It occurred to me that I hadn't posted the results of my in-lab sleep study here.  The behavior I've had is that I keep waking up while on CPAP, and this was observed in my in-lab sleep study attached.  I apologize for the poor quality of the document, but this is the best I've been able to get from the doctor's office.  If anyone has any thoughts on it, I'd love to hear them.

In another thread, I discussed how I was diagnosed with an elevated right hemidiaphragm and underwent phrenic nerve reconstruction surgery.  So it's possible I don't have sleep apnea, and have sleep disordered breathing as a result of diaphragm malfunction.  However, after the surgery, and after measured improvement in diaphragm  movement and phrenic nerve signal, I'm still waking up in the night.  I haven't been on CPAP since the surgery (it never worked for me, and I was never able to sleep for more than 30 minutes with it in the past).

Still searching for clues with this study, done pre-surgery.  Thoughts anyone?

[Lazarus]

Ok so what do I need to do to get the PDF to attach?

[Dormeo]

Try scanning the document and attaching the scan?

[Lazarus]

   


   


First two of 32 pages

[Lazarus]

Pages 3 - 5

   

   

   

[Lazarus]

Pages 6 - 

   

Page 14 (only including the relevant pages):

   

[Lazarus]

Sorry the document is not more legible. This is the best the incompetent uninterested bureaucrats at the doctor's office could do.

[jdougc]

great job .

[SarcasticDave94]

Looks like 1 Obstructive Apnea, 1 Central Apnea, 11 Hypopnea during the diagnostic. You had 4 extra Central Apnea during Titration. Your test was 158.5 minutes of sleep. Average event was 22.8 seconds.

Given this, you're possibly borderline needing CPAP.

[Dormeo]

Looks like you had a split study -- no PAP during the first part of the night, then PAP at various settings during the second part of the night.

Your respiratory numbers were not, on the whole, significantly better with PAP. To some extent, that is understandable; you were probably having more arousals caused by using the PAP machine and gear.

Your O2 levels, however, were much better with PAP.

I'd recommend that you get a recording O2 monitor to see how your O2 levels are doing these days. It'd be nice if your doctor would provide you with one to use for at least a few nights; otherwise, if you can afford it, try getting one on line. You want one that will let you review your results in the morning for the previous night.

If your O2 levels stay at 90 or above all night, with maybe just a few brief dips lower, then good. If they drop for longer periods, though, you should talk with your doctor.

One other thing. It's normal to wake up off and on during the night. We often don't remember these wake-ups, but they happen. What messes with our ability to get the rest we need are wake-ups so frequent that we don't progress through the normal progression of sleep stages during the night.