Have complete sleep study report- what ?'s to ask the doc

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
Masta
Posts: 35
Joined: Mon Jun 15, 2015 12:46 pm
Location: Aussie living in UT, USA

Have complete sleep study report- what ?'s to ask the doc

Post by Masta » Tue Jun 23, 2015 5:34 pm

I received a full report on my sleep study. All of my sleep study numbers are here:viewtopic/t106325/viewtopic.php?f=1&t=1 ... 6#p1008466

The full report with recommendations:

Polysomnogram:

Sleep quality: The sleep onset was 11.7minutes normal being 10-30 minutes. She slept for a total of 210.5 minutes out of a possible 382.3 minutes, resulting in a sleep efficiency of 55.1%, normal being greater than 90 percent. The awake time after sleep onset (WASO) was 160.1 minutes. She had mild sleep fragmentation. She had 67 arousals during the night, resulting in an arousal index of 19.1 arousals/ hour of sleep. Most of these arousals were caused by limb movements. She also had frequent periods of prolonged wakefulness.

Assessment: Obstructive sleep apnea. This patient had mild sleep apnea. Her AHI was 5.1 events/hour and her Sp 02 dropped to as low as 82%. Her AHI worsened to 9.3 events/hour while sleeping in the supine position, compared to only 4.5 events/hour when sleeping in the non supine position. Her sleep apnea contributed to sleep fragmentation, her arousal index was 19.1 arousals/hour of sleep. A split night study was not possible, according to our protocol, as she did not demonstrate moderate to severe apnea prior to 2am.

Periodic limb movement disorder: This patient had 191 limb movements during sleep, which led to 34 arousals. The periodic limb movement index was 24.8 limb movements/hour.

Decreased REM sleep: This patient was unable to obtain any REM sleep. where it is normal to spend between 20-25% of sleep time. This can be caused by anything that interrupts or fragments sleep such as pain or sleep apnea, but it also can be caused by medications, most commonly anti-depressants/psychoactive drugs.

Decreased sleep efficiency: This patient slept for only 55.1% of the available study time. It is normal to sleep greater than 90% of the study. It is not uncommon for patients to struggle during their first night in the sleep lab.

**Recommendations**:
Obstructive sleep apnea. This patient has mild sleep apnea and DOES qualify for CPAP treatment, however, a more conservative approach could be pursued. Often simply avoiding sleeping in the supine position while maximizing nasal airflow is very effective. using a mandibular advancement device may also be effective. Aggressive weight loss is usually effective if the patient has gained weight in the face and the neck. These options should be discussed with the patient. "Could" be pursued, is the magic word. I've been a walking zombie for 10yrs, I dont want to try alternatives to cpap at this point. I have tmj so I dont want to deal with a mouth device. I have spine issues, so if i do sleep on my back it isnt for long, I already try to avoid it.

Periodic limb movement disorder: This patient’s limb movement disorder should be treated only if her excessive daytime sleepiness does not improve with the treatment of her sleep apnea. My limb movement disorder was not discussed at all, or treated.

Decreased REM sleep: This will hopefully improve with the treatment of her underlying breathing disorder. An evaluation for nocturnal pain or discomfort would be helpful. Adjusting any centrally active medications may also be helpful. No evaluation for nocturnal pain or discomfort was suggested or done.

Decreased sleep efficiency: If this patient does have regular struggles with insomnia, it is important to improve sleep hygiene, control of pain or discomfort, and treat any underlying anxiety disorder. I do suffer with insomnia.

My sleep doctors signature is on this report, but he didnt follow through with the recommendations.
I have mentioned in my previous post, my doctor did not place me on cpap, he sent me home with 50mg of trazadone. he said he might do an overnight pulse ox later - im not going back to this doctor.
I am seeing a new sleep doctor/pulmonologist in a month. Is it common for a sleep doctor to see my results and not put their patient on cpap and/or not discuss the limb movement disorder?

My health concerns are: asthma, migraines, tachycardia, hypothyroidism, adrenal insufficiency, multiple spine issues/pain, depression and moderate anxiety.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Prescription: Auto 8-16. Ramp off.

User avatar
kaiasgram
Posts: 3569
Joined: Sat Jun 02, 2012 2:08 pm
Location: Northern California

Re: Have complete sleep study report- what ?'s to ask the doc

Post by kaiasgram » Tue Jun 23, 2015 11:54 pm

This:
**Recommendations**:
Obstructive sleep apnea. This patient has mild sleep apnea and DOES qualify for CPAP treatment
is straightforward. I have no idea why your doc would not honor your expressed wish to try CPAP, but at this point it doesn't matter -- given his attitude you wouldn't want him managing your CPAP treatment anyway.

Any M.D., including psychiatrists, can write a CPAP prescription. So can dentists and nurse practitioners. If you bring this report to the new doctor (or any other provider you have a relationship with), you will likely have no trouble getting a prescription and getting on with treatment.

_________________
Machine: AirSense 10 AutoSet with Heated Humidifer + Aifit N30i Nasal Mask Bundle
Additional Comments: SleepyHead-now-OSCAR software on Mac OSX Ventura

User avatar
kteague
Posts: 7781
Joined: Tue May 16, 2006 8:30 pm
Location: West and Midwest

Re: Have complete sleep study report- what ?'s to ask the doc

Post by kteague » Wed Jun 24, 2015 1:47 am

Oh my - where to start? How does a doctor know you have two sleep disorders disrupting your sleep and that you are suffering with symptoms and deteriorating and not come up with a plan of treatment for everything the test revealed? Gee doc, thanks for nothing.

First of all, you had arousals from both the apnea events and the limb movements. On any given night the severity of either disorder could fluctuate depending on which was manifesting the strongest on that night. Anyone with this dual diagnosis should be aware of the possibility (probability?) that neither of these disorders had their severity fully appreciated in the diagnostic sleep study. They can mask each other.

A titration study may be more revealing as far as your limb movements. For some people going on CPAP helps. I wouldn't try to treat the limb movements until I knew if I was one of the lucky ones. I was not one of the lucky ones. I would suggest you get established on CPAP, watching your data to be sure subpar treatment is not to blame for any continued daytime symptoms. If you continue to have fragmented non restful sleep, you will need to re-evaluate your limb movements. At that point a study while using your CPAP as usual would be best to get a real-life picture of your sleep. If someone observes your sleep, they could report, or you could record, any movements to get an idea if you might need to pursue this.

In the meantime, ask for at the minimum a ferritin level and work toward getting it up near 100. This should happen before considering any dopamine meds for your movements as those with lower levels tend to be more at risk for developing augmentation on the meds. Better to prevent that if possible. And if you take meds while starting CPAP you won't know which one helped or if the meds were really necessary. Might also want to get some other levels checked like magnesium. vitamin D, and B vitamins.

Hope that helps for your appointment. In a nutshell, arrange CPAP. Get blood tests. All this is based on personal experience - no credentialed medical expertise here.

_________________
Mask: TAP PAP Nasal Pillow CPAP Mask with Improved Stability Mouthpiece
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Bleep/DreamPort for full nights, Tap Pap for shorter sessions

JDS74
Posts: 3397
Joined: Sun Jan 23, 2011 2:57 pm
Location: South Carolina

Re: Have complete sleep study report- what ?'s to ask the doc

Post by JDS74 » Wed Jun 24, 2015 3:43 am

Did you get the pulse-oximeter you were considering? How do the number look.
What do you see in regards to the tachycardia concerns? Anything unusual or concerning in the data?
With the CMS software, you can generate very useful reports that show the whole night in detail. It might be helpful to bring a few night's data along.

Did you get the Trazodone scrip filled? Are you taking any?
My sleep doc prescribed Trazodone to see if it would help improve the quality of my sleep and we discussed self-titration of the med in the range from 12.5 mg to 50.0 mg. The tablets are easy to split into 4ths.
Trazodone interacts with other meds I am taking so cautions was an issue with dosage. I ended up with using the 12.5 mg dosage.

I would not bring up anything about the Trazodone early in this new relationship if you are not taking it. Otherwise, just include it in the list of meds you are taking. You will need to establish a level of trust with this new doctor so he can feel comfortable with you managing your apnea issues.

As kteague suggests, the primary goal should be to get the apnea under control and then work on the limb movement disorder. A titration sleep study would be a really good thing at this point to see what progress can be made with CPAP alone. If he orders one and it shows the need for a CPAP machine, and you are a Windows user, then I would press for an Respironics Auto CPAP like the 560. With the Respironics machines and using Encore, you can relatively easily get a handle on the frequency of arousals during sleep. The reports to study are the WaveForms reports. SleepyHead can give you similar information but this particular bit is more difficult to get to. I use both SleepyHead and Encore exactly because of these reporting differences. If you go that route, PM me and I'll show you how to tell about arousals in the Encore data. The breathing waveforms change when one happens.

Once the apnea issue is under control, then it would be time to look at the leg movement problem. My docs prescribe Pramipexole for that and it is completely under control for me.

So, first priority - get a titration study or get a scrip for an auto CPAP with full data capability like the Respironics 560.
Then ask if your oximeter data is good enough or should you have an overnight oximetry study before the titration study.

On you own, work on sleep hygiene issues especially the part about bed is for sleep, not for watching TV or reading, etc. That will be very important after you get your CPAP machine and have any issues with keeping the mask on all night.

Links for information about Sleep Hygiene

Info on Sleep Hygiene
Sleep Hygiene Recommendations
Sleep Hygiene Tips

Hope this is helpful and best wishes.

_________________
Mask: Oracle HC452 Oral CPAP Mask
Humidifier: DreamStation Heated Humidifier
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.

User avatar
Masta
Posts: 35
Joined: Mon Jun 15, 2015 12:46 pm
Location: Aussie living in UT, USA

Re: Have complete sleep study report- what ?'s to ask the doc

Post by Masta » Wed Jun 24, 2015 11:58 am

kaiasgram wrote:This:
**Recommendations**:
Obstructive sleep apnea. This patient has mild sleep apnea and DOES qualify for CPAP treatment
is straightforward. I have no idea why your doc would not honor your expressed wish to try CPAP, but at this point it doesn't matter -- given his attitude you wouldn't want him managing your CPAP treatment anyway.
Thank you for responding, I agree with you 100%.
kteague wrote: In the meantime, ask for at the minimum a ferritin level and work toward getting it up near 100. This should happen before considering any dopamine meds for your movements as those with lower levels tend to be more at risk for developing augmentation on the meds. Better to prevent that if possible. And if you take meds while starting CPAP you won't know which one helped or if the meds were really necessary. Might also want to get some other levels checked like magnesium. vitamin D, and B vitamins.
kteague, Thank you for responding I agree with you about my old sleep doctor ignoring both my sleep disorders. It makes no sense why he would send me home with medication, instead of addressing my problems. My Ferritin is 80 ng/mL (reference range: 15 - 150), I had it checked in April. My Vit B C, D and Magnesium are good (I supplement). Iron is also good. Im hoping cpap will help, I'm at my wits end.
JDS74 wrote:
Did you get the pulse-oximeter you were considering? How do the number look.
What do you see in regards to the tachycardia concerns? Anything unusual or concerning in the data?
With the CMS software, you can generate very useful reports that show the whole night in detail. It might be helpful to bring a few night's data along.
The CMS-50F from Cooper Med is arriving tomorrow. I'll post some readings once I have 7 days worth of data.
JDS74 wrote: Did you get the Trazodone scrip filled? Are you taking any?
My sleep doc prescribed Trazodone to see if it would help improve the quality of my sleep and we discussed self-titration of the med in the range from 12.5 mg to 50.0 mg. The tablets are easy to split into 4ths.
Trazodone interacts with other meds I am taking so cautions was an issue with dosage. I ended up with using the 12.5 mg dosage.
I did get the Trazadone prescription filled. I'm keeping a sleep journal on what the medication has done. I have not woken up refreshed from being medicated on Trazadone. I have used a pill cutter to cut the pill.

Night 1: took 25mg. Had the longest sleep I've had in a long time. 8hrs 58min. woke up very groggy, I couldnt function for 6hrs afterwards. (I usually sleep approx 6hrs per night).
Night 2: didnt take medication, had appts the following day. was exhausted.
Night 3: took 25mg. Had another night of long sleep 8hrs 43mins. Woke up less groggy than the first night, but still very groggy, wouldnt drive.
Night 4: took 25mg. Sleep 7hrs, 2mins, woke up less groggy.
Night 5: took 25mgs. Slept 5hrs 50mins. Didnt wake up very groggy.
Night 6: took 37.5mg. Slept 8hr 38min. Woke up so tired couldnt function.
Night 7: didnt take any medication, was so tired. Slept 1hr 20mins, stayed awake for 4hrs, slept another 2hrs 9mins. Exhausted.
Night 8: didnt medicate. slept 6hrs 48mins
Night 9: didnt medicate, slept 2hrs 10mins
Night 10: took 25mg, slept 6hrs 15mins. woke exhausted.
Night 11: didnt medicate. slept 6hrs 35mins
Night 12: didnt medicate. slept 6hrs 31mins
Have given up on Trazadone for now. Taking 25mgs I get the same amount of sleep if I dont take it, without having to deal with the morning grogginess of the medication.
JDS74 wrote: If he orders one and it shows the need for a CPAP machine, and you are a Windows user, then I would press for an Respironics Auto CPAP like the 560.
I am a windows user. I truly dont have any idea what cpap machine and tech specs are the best for me, so thank you for your recommendation. Im pretty sure my insurance wont pay for my cpap machine. If im going to be purchasing the machine and equipment, I'd rather pay a bit more for it now, getting some additional features versus having to upgrade later. So if you have any other suggestions in the Respironics line, or any other brand, please let me know.

JDS74, I appreciate the links you shared on Sleep Hygiene.

To all of you, Thank you for the information and the direction on which steps I should take and in what order I should do them, I appreciate your help. I am a little overwhelmed because the c-pap world is new to me, I feel like I'm cognitively impaired due to lack of sleep. I'll keep you in the loop with what happens.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Prescription: Auto 8-16. Ramp off.

JDS74
Posts: 3397
Joined: Sun Jan 23, 2011 2:57 pm
Location: South Carolina

Re: Have complete sleep study report- what ?'s to ask the doc

Post by JDS74 » Wed Jun 24, 2015 2:18 pm

Trazodone has a serum half-life of between 6 and 9 hours for healthy young people. At older ages, the time gets longer. So a 25 mg dose taken at 10:00 PM still has 12.5 mg circulating at 7:00 AM in the morning. It won't be completely out of your system until the afternoon. I had the same experience. So, if you want to try again with the 25 mg dosage, i suggest taking it earlier in the evening so it mostly out of your system by 9:00 in the morning. Taking the med at dinner time gets half out by 3:00 am and maybe 80% or so by 9:00 AM.

Just a thought.

_________________
Mask: Oracle HC452 Oral CPAP Mask
Humidifier: DreamStation Heated Humidifier
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.

musculus
Posts: 222
Joined: Tue Feb 26, 2013 8:35 am

Re: Have complete sleep study report- what ?'s to ask the doc

Post by musculus » Thu Jun 25, 2015 8:41 am

Masta wrote:I received a full report on my sleep study. All of my sleep study numbers are here:viewtopic/t106325/viewtopic.php?f=1&t=1 ... 6#p1008466

The full report with recommendations:

Polysomnogram:

Sleep quality: The sleep onset was 11.7minutes normal being 10-30 minutes. She slept for a total of 210.5 minutes out of a possible 382.3 minutes, resulting in a sleep efficiency of 55.1%, normal being greater than 90 percent. The awake time after sleep onset (WASO) was 160.1 minutes. She had mild sleep fragmentation. She had 67 arousals during the night, resulting in an arousal index of 19.1 arousals/ hour of sleep. Most of these arousals were caused by limb movements. She also had frequent periods of prolonged wakefulness.

Assessment: Obstructive sleep apnea. This patient had mild sleep apnea. Her AHI was 5.1 events/hour and her Sp 02 dropped to as low as 82%. Her AHI worsened to 9.3 events/hour while sleeping in the supine position, compared to only 4.5 events/hour when sleeping in the non supine position. Her sleep apnea contributed to sleep fragmentation, her arousal index was 19.1 arousals/hour of sleep. A split night study was not possible, according to our protocol, as she did not demonstrate moderate to severe apnea prior to 2am.

Periodic limb movement disorder: This patient had 191 limb movements during sleep, which led to 34 arousals. The periodic limb movement index was 24.8 limb movements/hour.

Decreased REM sleep: This patient was unable to obtain any REM sleep. where it is normal to spend between 20-25% of sleep time. This can be caused by anything that interrupts or fragments sleep such as pain or sleep apnea, but it also can be caused by medications, most commonly anti-depressants/psychoactive drugs.

Decreased sleep efficiency: This patient slept for only 55.1% of the available study time. It is normal to sleep greater than 90% of the study. It is not uncommon for patients to struggle during their first night in the sleep lab.

**Recommendations**:
Obstructive sleep apnea. This patient has mild sleep apnea and DOES qualify for CPAP treatment, however, a more conservative approach could be pursued. Often simply avoiding sleeping in the supine position while maximizing nasal airflow is very effective. using a mandibular advancement device may also be effective. Aggressive weight loss is usually effective if the patient has gained weight in the face and the neck. These options should be discussed with the patient. "Could" be pursued, is the magic word. I've been a walking zombie for 10yrs, I dont want to try alternatives to cpap at this point. I have tmj so I dont want to deal with a mouth device. I have spine issues, so if i do sleep on my back it isnt for long, I already try to avoid it.

Periodic limb movement disorder: This patient’s limb movement disorder should be treated only if her excessive daytime sleepiness does not improve with the treatment of her sleep apnea. My limb movement disorder was not discussed at all, or treated.

Decreased REM sleep: This will hopefully improve with the treatment of her underlying breathing disorder. An evaluation for nocturnal pain or discomfort would be helpful. Adjusting any centrally active medications may also be helpful. No evaluation for nocturnal pain or discomfort was suggested or done.

Decreased sleep efficiency: If this patient does have regular struggles with insomnia, it is important to improve sleep hygiene, control of pain or discomfort, and treat any underlying anxiety disorder. I do suffer with insomnia.

My sleep doctors signature is on this report, but he didnt follow through with the recommendations.
I have mentioned in my previous post, my doctor did not place me on cpap, he sent me home with 50mg of trazadone. he said he might do an overnight pulse ox later - im not going back to this doctor.
I am seeing a new sleep doctor/pulmonologist in a month. Is it common for a sleep doctor to see my results and not put their patient on cpap and/or not discuss the limb movement disorder?

My health concerns are: asthma, migraines, tachycardia, hypothyroidism, adrenal insufficiency, multiple spine issues/pain, depression and moderate anxiety.
Why not explain your situation and ask this doctor for a CPAP prescription? Switching doctor takes time and another sleep study might be needed.

_________________
Mask: Quattro™ Air Full Face Mask with Headgear
Additional Comments: sleepyhead

User avatar
Masta
Posts: 35
Joined: Mon Jun 15, 2015 12:46 pm
Location: Aussie living in UT, USA

Re: Have complete sleep study report- what ?'s to ask the doc

Post by Masta » Fri Jul 24, 2015 3:12 pm

I was informed to stick to one thread in order to make it easier on those helping me. So here goes....

I met with my new sleep doctor yesterday. I took my CMS-50F Pulse Oximeter and 2 weeks worth of pulse ox recordings printed out with me to my appt. My new sleep doctor/pulmonologist reviewed my sleep study results and my cardiac mri stress test before my consult. He said I have mild sleep apnea based on my overnight sleep study results (my results are in the link in my signature below). I asked if he would have automatically placed me on cpap based on my results, he said no, he meets with every patient to review their sleep study results, then he asks what symptoms they have. he said some patients with mild sleep apnea have allot of symptoms while some people with moderate sleep apnea have no symptoms.

He reviewed my CMS-50F pulse ox readings, he said the the printouts I provided, look very similar to other pulse ox readings he has seen before, so he accepted the CMS-50F as a decent device to use. I explained that I purchased the pulse ox from a medical supply store. My minimum Sp02 of 80 most night suggests sleep apnea as well, (he quickly skimmed several nights of results, he looked at the pulse ox strip charts, and saw I had events). Because of my symptoms, my pulse ox readings and my willingness to try cpap he wrote a prescription for cpap for me.

He suggested 2 options, one was to do a titration study, the other option was for him to order a new Cpap machine and I do a trial with it at home to see if it helps my symptoms. He wasnt too keen on doing a titration study. So I asked if I could suggest a machine that I had already researched (I wanted a Resmed Airsense for Her). He said he prefers to stick to one model, because he and his coworkers, nurses etc know how to read the machines program. He said he would order a Resmed Airsense Auto for Her (I was so happy he suggested that model), I asked for the heated tubing, he said ok He also said my data would be accessible to him over wifi. My hubby doesnt feel comfy with my data going over wifi, so ill be taking the SD card with me to my appts. My sleep doctor wants to see me after i have been on cpap therapy for 6 weeks, he thinks by 6 weeks ill know if cpap is helping me or not. I said i dont mind seeing him after 6 weeks of therapy, but i think ill need longer than 6 weeks to see results (im a slow healer) i said im giving myself a minimum of 3mths or longer, he was ok with that.

I was given a prescription and a copy (for my records) to take to a DME for:
1. Apap set range 4-16
2. Resmed Airsense 10 Autoset for Her.
3. Heated humidification - climate control.
4. Please fit and provide patient with mask of patients choice.
5. Length of need: Lifetime. Please supply the following Cpap/Bipap supplies. Tubing with integrated heating. 1 x every 3mths combination oral/nasal mask etc etc.

I have already met my deductible so I know ill be paying for 20% of my insurances contracted amount for everything on the prescription.

I took my prescription to the DME after my consult. They will contact my insurance to get everything approved, then they will contact me to set up a 1hr appt for a mask fitting and instructions etc.

Some issues that I have a concern with, are:
1. I tried to discuss my PLMD with my new sleep doctor, I asked what his thoughts were on it. He said there isnt much he could do. He said he would look into my Iron and Ferritin. I gave him my latest blood Ferritin and Iron blood test results done in April, he said that test results were good. I said I have read that sometimes cpap helps PLMD, and sometimes it doesnt. He said some medications cause it, he did not review my medication list because the nurse had taken my list out of the room to scan into their computer system. I asked the doctor if, once I get established on cpap, would he consider doing another overnight study if i didnt feel well rested, to see if the PLMD was still an issue, he said "NO". he said there are some medications available for the PLMD, but they have side affects eg: nightmares, daytime drowsiness. He doesnt seem too interested in getting the PLMD sorted out.

2. I discussed my new diagnosis of tachycardia and the medication im on for it. He said sleep apnea doesnt cause tachycardia, but it can cause heart related problems. I explained that my cardiologist said some of my medications can cause a fast heart rate eg: thyroid medication and steroids. he dismissed my heart problem.

3. I plan on downloading Sleepyhead so I can keep track of my cpap therapy. Can the CMS-50F Pulse Ox be used with Sleepyhead? If so, how do I get the program to work with the data I download from the pulse ox unit?

I plan on giving cpap my all. I'm aware it might not help with my symptoms and/or it might take some time (months) to feel like cpap is helping. I also am aware that finding the right mask might be a challenge.

So far, I know I have to purchase distilled water, a retractable reel hose hanger thing for over my bed, and for convenience- mask wipes for quick daily cleaning from amazon.com (I will deep clean everything once a week by soaking in water & baby shampoo). I dont know if I can use a snuggle skin hose insulator with the heated tube that ill be getting with my machine.

If there is any advice on how to pick a mask(there is a recliner at the DME), and if there are other accessories I can purchase, to help with using the cpap machine. please let me know.

I'd like to say a big THANK YOU to all here who contribute with helpful advice. I have read so many posts, in order to get informed for my consult, without you guys and the help you provide, I wouldnt have gotten the help I received yesterday (i think i would have given up and not pursued cpap after dealing with my first sleep doctor , who was very inappropriate with me during both consults).

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Prescription: Auto 8-16. Ramp off.

User avatar
Krelvin
Posts: 1977
Joined: Tue Jun 06, 2006 5:23 pm
Location: Metro Phx Area - Dry Heat!

Re: Have complete sleep study report- what ?'s to ask the doc

Post by Krelvin » Fri Jul 24, 2015 3:28 pm

Note: Data is not sent over WiFi, but instead over a cellular network. It doesn't use your home network at all.

It only send basic info and you can still use Sleepyhead or ResScan on your own.
Current Settings PS 4.0 over 10.6-18.0 (cmH2O) - Resmed S9 VPAP Auto w/h5i Humidifier - Quattro Air FFM
TNET Sleep Resource Pages - CPAP Machine Database
Put your equip in your Signature - SleepyHead v1.0.0-beta-1
Kevin... alias Krelvin

HoseCrusher
Posts: 2744
Joined: Tue Oct 12, 2010 6:42 pm

Re: Have complete sleep study report- what ?'s to ask the doc

Post by HoseCrusher » Fri Jul 24, 2015 6:32 pm

You have to start somewhere, but many find that a minimum of 4 is too low.

Check your data. If you spend most of the night at 5 then it is OK. If you are spending most of the night at a pressure higher, you may want to adjust the minimum up a little.

Also, if you decided to use ramp, 10 minutes is long enough. You don't need to ramp over longer than that.

_________________
Mask: Brevida™ Nasal Pillow CPAP Mask with Headgear
Additional Comments: Machine is an AirSense 10 AutoSet For Her with Heated Humidifier.
SpO2 96+% and holding...

User avatar
palerider
Posts: 32299
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Have complete sleep study report- what ?'s to ask the doc

Post by palerider » Fri Jul 24, 2015 10:06 pm

HoseCrusher wrote:You have to start somewhere, but many find that a minimum of 4 is too low.

Check your data. If you spend most of the night at 5 then it is OK. If you are spending most of the night at a pressure higher, you may want to adjust the minimum up a little.
fwiw, this is pretty much what I recommend, start out at defaults (usually 4-20) and then check the data, it's possible, though rare, that 4 is all that's needed as a baseline.... check the data and adjust after a night, two at the most, and start zeroing in on what is needed for a baseline.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.