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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
sleep_apnea_suffer
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Re: Hypopnea vs Apnea

Postby sleep_apnea_suffer on Sun Nov 12, 2017 11:43 am

I wonder who writes garbage like this?
www(dot)ncbi(dot)nlm(dot)nih(dot)gov/pmc/articles/PMC2564770/

Jesus christ. Who gives these doctors degrees is beyond me. Mild or not, it's still makes you feel awful.

sleep_apnea_suffer
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Re: Hypopnea vs Apnea

Postby sleep_apnea_suffer on Sun Nov 12, 2017 11:48 am

xxyzx wrote:
TedVPAP wrote:
xxyzx wrote:
TedVPAP wrote:
sleep_apnea_suffer wrote:I am confused at hell at the sleep report I have been given. I did a sleep test and it found out that I had mild apnea, with no OSA/Central or REARS. I still have hypnoea but don't have OSA anymore. The strange thing is that the conclusion says that I have mild OSA. Why are these people who interpret these home sleep tests, mix the two up together(Hypopnea and OSAs), when are not the same thing. One is partial obstruction the other one is fully obstruction. Should I go for another test? As in Inlab sleep test?

~~~~~~~~~~~~~~~~
Since this guest post makes no sense and has made no attempt to clarify/correct, I think it is best if it is ignored until the OP corrects the obvious mistakes in sentence 2, 3, 5.
I am not trying to be a PITA but when people pose questions which obviously displays confusion (or are trolls), I do not think it is best to give advice until the confusion has been resolved. But that is just my pet peeve.

======

the post makes perfect sense
the problem is with real english vs sleep jargon

there is no confusion by the guest
the confusion is by the sleep industry using one term for two problems
he does NOT have OA
he does have hypops
he wants to know why they call that OSA when there is no apnea only hypops

the problem is AHI is used to diagnose OSA whether you have OA or not

the question makes sense
the use of AHI when there is no A is what is misleading
as is the diagnose of OSA when there is no OA


I think we all agree that OSA is determined based on A and H. The OP does not have any A but does have H, but doesn't understand why the diagnosis of OSA is still valid since A=0???? If my understanding of the OP's confusion is correct, then the answer is simply that OSA is diagnosed based on A and H as both are relevant to OSA.

========

i agree

the OP was confused because he did not have full apnea but was diagnosed with OSA based on partials aka hypops which are a lot different


Exactly. The summary of the report said that I had mild Obstructive hypopnea. I am not sure how it came to that conclusion. They keep wanting to drug me.

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Re: Hypopnea vs Apnea

Postby Pugsy on Sun Nov 12, 2017 11:53 am

sleep_apnea_suffer wrote:The summary of the report said that I had mild Obstructive hypopnea. I am not sure how it came to that conclusion.


They get mild, moderate or severe by the AHI numbers.

http://healthysleep.med.harvard.edu/sle ... ng-results

None/Minimal: AHI < 5 per hour
Mild: AHI ≥ 5, but < 15 per hour
Moderate: AHI ≥ 15, but < 30 per hour
Severe: AHI ≥ 30 per hour


Unfortunately how you actually feel doesn't get taken into account when it comes to the actual diagnosis.
And a person can feel like total crap with the "mild" numbers.

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Re: Hypopnea vs Apnea

Postby xxyzx on Sun Nov 12, 2017 12:29 pm

Pugsy wrote:
sleep_apnea_suffer wrote:The summary of the report said that I had mild Obstructive hypopnea. I am not sure how it came to that conclusion.


They get mild, moderate or severe by the AHI numbers.

http://healthysleep.med.harvard.edu/sle ... ng-results

None/Minimal: AHI < 5 per hour
Mild: AHI ≥ 5, but < 15 per hour
Moderate: AHI ≥ 15, but < 30 per hour
Severe: AHI ≥ 30 per hour


Unfortunately how you actually feel doesn't get taken into account when it comes to the actual diagnosis.
And a person can feel like total crap with the "mild" numbers.

==========

exactly

the industry doesnt care how you feel only that you are compliant

and low AHI is meaningless if you feel bad
it is only useful for a diagnosis so medicrap can give people cpaps on an objective basis

RDI and spo2 are far more meaningful to how we feel
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did. [color=#FF00FF]

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Re: Hypopnea vs Apnea

Postby xxyzx on Sun Nov 12, 2017 12:29 pm

======

the post makes perfect sense
the problem is with real english vs sleep jargon

there is no confusion by the guest
the confusion is by the sleep industry using one term for two problems
he does NOT have OA
he does have hypops
he wants to know why they call that OSA when there is no apnea only hypops

the problem is AHI is used to diagnose OSA whether you have OA or not

the question makes sense
the use of AHI when there is no A is what is misleading
as is the diagnose of OSA when there is no OA[/quote]

I think we all agree that OSA is determined based on A and H. The OP does not have any A but does have H, but doesn't understand why the diagnosis of OSA is still valid since A=0???? If my understanding of the OP's confusion is correct, then the answer is simply that OSA is diagnosed based on A and H as both are relevant to OSA.[/quote]
========

i agree

the OP was confused because he did not have full apnea but was diagnosed with OSA based on partials aka hypops which are a lot different[/quote]

~~~~~~~~~~~~~~~~~

Exactly. The summary of the report said that I had mild Obstructive hypopnea. I am not sure how it came to that conclusion. They keep wanting to drug me.[/quote]
==========

sleep industry jargon
they call is OSA when the AHI is >5
which may not have any actual apnea events

not sure about drugging you
get a new doctor fast
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did. [color=#FF00FF]

sleep_apnea_suffer
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Re: Hypopnea vs Apnea

Postby sleep_apnea_suffer on Sun Nov 12, 2017 12:40 pm

Pugsy wrote:
sleep_apnea_suffer wrote:The summary of the report said that I had mild Obstructive hypopnea. I am not sure how it came to that conclusion.


They get mild, moderate or severe by the AHI numbers.



None/Minimal: AHI < 5 per hour
Mild: AHI ≥ 5, but < 15 per hour
Moderate: AHI ≥ 15, but < 30 per hour
Severe: AHI ≥ 30 per hour


Unfortunately how you actually feel doesn't get taken into account when it comes to the actual diagnosis.
And a person can feel like total crap with the "mild" numbers.

I understand that but these doctors don't want to help out the patient. They don't realize that CO2 is a toxic gas that we expire when we breath out. If you breathe shallow, it is going to have detrimental effects if it goes on for days/weeks/months or even years.

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Re: Hypopnea vs Apnea

Postby xxyzx on Sun Nov 12, 2017 12:51 pm

sleep_apnea_suffer wrote:
Pugsy wrote:
sleep_apnea_suffer wrote:The summary of the report said that I had mild Obstructive hypopnea. I am not sure how it came to that conclusion.


They get mild, moderate or severe by the AHI numbers.



None/Minimal: AHI < 5 per hour
Mild: AHI ≥ 5, but < 15 per hour
Moderate: AHI ≥ 15, but < 30 per hour
Severe: AHI ≥ 30 per hour


Unfortunately how you actually feel doesn't get taken into account when it comes to the actual diagnosis.
And a person can feel like total crap with the "mild" numbers.

I understand that but these doctors don't want to help out the patient. They don't realize that CO2 is a toxic gas that we expire when we breath out. If you breathe shallow, it is going to have detrimental effects if it goes on for days/weeks/months or even years.

========

nonsense

shallow breathing is not a problem unless the RR and Vt dont adjust to maintain spo2 levels and instead you get desats

shallow breathing while sleeping is normal and is not a problem per se

you overlook the normal RR increase when the Vt goes down so there is no CO2 problem
it is clear on my sleepyhead graphs that that happens
if yours doesnt then you have other problems that are not normal
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did. [color=#FF00FF]

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