justinjustin wrote:Other sleep docs/labs actually told me they weren't certain UARS *exists* as a valid diagnosis, which is not up for debate anymore.
Yet, it really does not matter if UARS is a valid diagnosis or not. The key to RERAs is "arousals", and If the NPSG is scored correctly, and you're looking at ~>100 arousals for the night, then everyone should know that there's at least something underfoot. Therefore, they should not only be looking at SDB, but "sleep" as well. Consequently:
justinjustin wrote:I can offer one powerful anecdote that he provided treatment after the failure of 3 previous sleep studies, 3 sleep doctors, 2 ENTs, 2 naturopaths, endocrinologist, 3 surgeons and other medical professionals could not.
sleep studies do not fail (only the people looking at them). ENTs and surgeons only want to hack and slash, I have NFI how an endocrinologist would help (unless he was investigating "fatigue", which is a different ballgame), I could have told you about naturopaths and saved you the trip, and if the sleep doctors were running OSA assembly lines then the result(s) was (were) for a foregone conclusion.
justinjustin wrote:my treatment with ASV and his titrated settings are giving me more relief than any CPAP/APAP/BiPAP I've used.
I think ASV (particularly the ResMed version) can be an effective comfort measure.
Albeit a very expensive one.
sludge wrote:Therefore, they should not only be looking at SDB, but "sleep" as well.
barry wrote:A consecutive series of patients were included who met research diagnostic criteria for an insomnia disorder at intake; an objective diagnosis of SDB (obstructive sleep apnea [OSA]: AHI > 5 or upper airway resistance syndrome [UARS]: RDI > 15 and AHI <5); completed a full night or split-night titration PSG with standard PAP therapy; and completed a full night or split-therapy titration with ASV therapy.