My poor, neglected sleep study
My poor, neglected sleep study
Hi all,
I hope someone with more sleep study experience is willing to weigh in on my sleep study report. My PCP received it last September, but never followed up with me about it. I finally obtained a copy myself and while there are zero OAs, the rest of the data suggests to me that my sleep is craptastic and could use some help. I just want some knowledgable feedback before scheduling a specialist visit.
Let me know if I miss anything of importance in the data below; I only have the scanned report, so I can't copy and paste.
TST 374.5
Sleep onset latency 38.5
REM latency 200.0
Sleep efficiency 73.8%
Wake 94/20.1%
N1 79/21.1%
N2 236/63%
N3 37.5/10%
REM 22/5.9%
Arousals 157
Arousal index 25.15/hr
OA 0
Central 17
Mixed 1
Hypopneas 181
AHI 31.88
RERA 46
RDI 39.25/hr
Thanks for any feedback. It feels like I've just had one thing after another this year. I need to know wether I'm adding a sleep specialist to my to-do list!
Chris
I hope someone with more sleep study experience is willing to weigh in on my sleep study report. My PCP received it last September, but never followed up with me about it. I finally obtained a copy myself and while there are zero OAs, the rest of the data suggests to me that my sleep is craptastic and could use some help. I just want some knowledgable feedback before scheduling a specialist visit.
Let me know if I miss anything of importance in the data below; I only have the scanned report, so I can't copy and paste.
TST 374.5
Sleep onset latency 38.5
REM latency 200.0
Sleep efficiency 73.8%
Wake 94/20.1%
N1 79/21.1%
N2 236/63%
N3 37.5/10%
REM 22/5.9%
Arousals 157
Arousal index 25.15/hr
OA 0
Central 17
Mixed 1
Hypopneas 181
AHI 31.88
RERA 46
RDI 39.25/hr
Thanks for any feedback. It feels like I've just had one thing after another this year. I need to know wether I'm adding a sleep specialist to my to-do list!
Chris
Re: My poor, neglected sleep study
Maybe seem like an irrelevant question (tho' it's not) but do you sleep mostly on your back?
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Re: My poor, neglected sleep study
Schedule that follow up....ASAP
374 minutes total sleep time is a little over 6 hours (6.23 hrs)
Over 5 AHI earns you the diagnosis.
and you are at the low end of enough to make the "severe" category.
http://en.wikipedia.org/wiki/Apnea%E2%8 ... pnea_index
RobySue's blog might help you understand what your report says
http://adventures-in-hosehead-land.blog ... -test.html
374 minutes total sleep time is a little over 6 hours (6.23 hrs)
divide total number of hyponeas (181) over that 6.23 hours and just the hyponea index (hourly average) is 29Hypopneas 181
AHI 31.88
Over 5 AHI earns you the diagnosis.
and you are at the low end of enough to make the "severe" category.
http://en.wikipedia.org/wiki/Apnea%E2%8 ... pnea_index
RobySue's blog might help you understand what your report says
http://adventures-in-hosehead-land.blog ... -test.html
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- chunkyfrog
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Re: My poor, neglected sleep study
Have you had any communication with your doctor?
Or maybe you need a new doctor . . .
Or maybe you need a new doctor . . .
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- grayghost4
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Re: My poor, neglected sleep study
Are you currently on pap therapy ? Looks like you should be.
If you're not part of the solution you're just scumming up the bottom of the beaker!
Get the Clinicians manual here : http://apneaboard.com/adjust-cpap-press ... tup-manual
Get the Clinicians manual here : http://apneaboard.com/adjust-cpap-press ... tup-manual
Re: My poor, neglected sleep study
Well assuming you know nothing about sleep studies, I probably know twice as much as you.
So with AHI of 31, I would say you have moderate yo severe sleep apnea. Since you had no OA and 17 CA, I would guess you have central sleep apnea. I would then guess that you need an ASV machine like I use.
I would do some more reading here and choose either the AirCurve 10 or the PRS One 960 with heated tube humidifier.
I would than march into my PCP office and ask why I hadn't heard from him and demand a prescription for the exact machine I had chosen and mask of my choice, and any additional paperwork my insurance company might want.
I would than contact the insurance company and ask for a list of in network DMEs and for details on what and how they pay. After complying with insurance requirements I pick a DME and request they provide my new equipment. Any static and I would call the next DME on the list, until I got what I wanted.
Next, come back here and ask for help getting setup and adjusted for your best possible therapy.
Obviously if you don't take charge no one will.
Good luck
So with AHI of 31, I would say you have moderate yo severe sleep apnea. Since you had no OA and 17 CA, I would guess you have central sleep apnea. I would then guess that you need an ASV machine like I use.
I would do some more reading here and choose either the AirCurve 10 or the PRS One 960 with heated tube humidifier.
I would than march into my PCP office and ask why I hadn't heard from him and demand a prescription for the exact machine I had chosen and mask of my choice, and any additional paperwork my insurance company might want.
I would than contact the insurance company and ask for a list of in network DMEs and for details on what and how they pay. After complying with insurance requirements I pick a DME and request they provide my new equipment. Any static and I would call the next DME on the list, until I got what I wanted.
Next, come back here and ask for help getting setup and adjusted for your best possible therapy.
Obviously if you don't take charge no one will.
Good luck
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Re: My poor, neglected sleep study
No...most likely just regular cpap.bwexler wrote:Since you had no OA and 17 CA, I would guess you have central sleep apnea. I would then guess that you need an ASV machine like I use.
The AHI was high because of hyponeas which normally responds well to regular cpap. I suppose that there is a remote chance that the hyponeas might lend to more central in nature but that wouldn't be common.
Next step would be an in lab titration sleep study with cpap and see if those hyponeas respond to regular cpap before worrying about that high end ASV machine. That would also be a good time to keep a watch on the centrals...an in lab sleep titration study in this case would be what would probably be the best way to go instead of just getting apap machine and letting it find the pressure.
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Re: My poor, neglected sleep study
Awesome! Something else to make my 2015 fun and exciting.
This is the last straw with my PCP. I contacted her multiple times after I received the data to ask whether she wanted to follow up with me about the results (I knew enough to know they were bad; I just wanted to be sure I wasn't misunderstanding something) and she never replied. She's wonderful when she knows how to handle a situation, but if she finds a question annoying or out of her comfort zone she ignores it. Overlooking this problem crosses a line that is really uncool.
Thanks to my amazing luck I took a spill down our stairs and I'm currently at a rehab facility (read: nursing home) due to a fractured ankle, two busted knees, an injured hip, neck issues, and some problems with vertigo. There's a special pulmonary care unit here, so I'm hoping that my doctor is willing to call on a pulmonologist to work the titration study into my stay. I'm sure I'll look stunning with both a cervical collar and nose pillows.
I'm sure I'll be back before too long once I've done some research. Thanks for all the newbie help!
This is the last straw with my PCP. I contacted her multiple times after I received the data to ask whether she wanted to follow up with me about the results (I knew enough to know they were bad; I just wanted to be sure I wasn't misunderstanding something) and she never replied. She's wonderful when she knows how to handle a situation, but if she finds a question annoying or out of her comfort zone she ignores it. Overlooking this problem crosses a line that is really uncool.
Thanks to my amazing luck I took a spill down our stairs and I'm currently at a rehab facility (read: nursing home) due to a fractured ankle, two busted knees, an injured hip, neck issues, and some problems with vertigo. There's a special pulmonary care unit here, so I'm hoping that my doctor is willing to call on a pulmonologist to work the titration study into my stay. I'm sure I'll look stunning with both a cervical collar and nose pillows.
I'm sure I'll be back before too long once I've done some research. Thanks for all the newbie help!
- chunkyfrog
- Posts: 34377
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
Re: My poor, neglected sleep study
Ouchie! But Interesting,
A few people here have had good luck using a cervical collar in place of a chin strap.
Edit: good idea to push for titration right away.
Your broken bits need oxygen to heal!
A few people here have had good luck using a cervical collar in place of a chin strap.
Edit: good idea to push for titration right away.
Your broken bits need oxygen to heal!
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Re: My poor, neglected sleep study
So I discovered that my PCP never followed up with me because she received only 3 pages of a 10 page report. Of course, the relevant data were included in the three pages, but she was looking for the summary with a diagnosis and treatment recommendations. We're not able to obtain the CPAP while I'm at the rehab center because the expected arrival date is my last approved day here at the facility. My PCP still isn't comfortable writing the prescription for the equipment herself (?) so I'm searching for a doctor who' s a little more concerned about me not randomly dying in my sleep.
One question, since you were all so helpful before. I was planning to get the ResMed AirSense 10 For Her, but the company's description says the machine has "the first algorithm designed to treat mild to moderate sleep apnea..." Does that just mean the special "for her" setting is designed for mild to moderate problems? I need to know whether the machine is in fact OK for treatment of severe sleep apnea.
Thanks again
One question, since you were all so helpful before. I was planning to get the ResMed AirSense 10 For Her, but the company's description says the machine has "the first algorithm designed to treat mild to moderate sleep apnea..." Does that just mean the special "for her" setting is designed for mild to moderate problems? I need to know whether the machine is in fact OK for treatment of severe sleep apnea.
Thanks again
Re: My poor, neglected sleep study
I have severe apnea in REM sleep and I use that machine.
Re: My poor, neglected sleep study
The for her model also does the same "for him" mode that the other autoset does.quirkyone wrote:One question, since you were all so helpful before. I was planning to get the ResMed AirSense 10 For Her, but the company's description says the machine has "the first algorithm designed to treat mild to moderate sleep apnea..." Does that just mean the special "for her" setting is designed for mild to moderate problems? I need to know whether the machine is in fact OK for treatment of severe sleep apnea.
It also has the "just blow a fixed pressure" manual CPAP mode.
The for her also detects RERA's, which the for him doesn't.
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Re: My poor, neglected sleep study
Thanks. It's because of the RERA tracking I want that model. I'm not girly enough to care about the design. I'd probably have to hide the pink S9 under a throw pillow.