If that was the case, how could that sleep study have reported only one Central all night and severe Obstructive apnea? Can home sleep studies seriously be that unreliable?Morbius wrote:Or (and this is the absolutely key point) everything is central, and not obstructive.BleepingBeauty wrote:I have the report, and that's what it says. I have to believe it was monitored. If it's impossible that there was no snoring during his study, I guess that means the equipment simply failed in some way to report it.
Upload everything I have? I don't have any wave form data from the 11th (that bad night at 11); Encore will only allow me the wave form data from the previous night, so the 11th is long gone. Or maybe I'm missing something re: how to get the data now?So upload everything you have. Looking at the bad night at 11 could offer more clues. Clearly, without knowing if it's central or obstructive, or a split (most likely-- I'm still thinking big central component although less than a minute ago...)
...because the EF is normal. It sure would have helped if it were 40% (helped me anyway. Horrible for him).
Okay, I'll ask my neighbor to send me my recording oximeter. Again, I'm not sure if Dad will tolerate yet another piece of equipment to wear all night, but I'll do my best to impress on him that it's important.Absolutely need oximetry data. If that mess is still causing wicked desats (and it should) we need to attack this in a big way.
I don't know if it's even possible to have another covered diagnostic study done, with their insurance. I believe the insurance would have covered an in-lab titration, but Dad's level of confusion and general state of mind made that impossible. If it means paying for another study OOP, I'm sure my mother will absolutely refuse to do it. But I'll speak to Dad's GP office on Monday and see what they say... I'd really rather not deal with the insurance company directly, considering the bullshit I've been through with them already.And what is sleep and wake is certainly not clear either. Given the situation, one would imagine that 25% of the sleep time is wake. Or more. Or less.
Dial wingin' is hopeless without at least one more bit of data- effort channels. So the BEST answer is get more home studies with the CPAP on. Use something like ApneaLink Plus or NoxT3.
<snip>
I'll ask about getting an O2 concentrator for Dad when I speak with his doc's office. Oy, one more thing for my mother to crank about...Morbius wrote:However, with that wicked PB you got there, there's got to be at least some increased chemoresponsiveness.
Or darn, forgot:
Low or wax/wane O2 sats could generate that PB, so supplemental O2 could fix some stuff.
Thanks again, Dave.