Is it a high possibility that my severe fatigue and other symptoms are caused by sleep apnea? WatchPAT ONE home study sh

[GrumpyHere]

pAHI, peripheral arterial tone (PAT) apnea hypopnea index;

pRDI, peripheral arterial tone respiratory disturbance index;

analogous indeces for AHI and RDI.

Indirectly measured via PAT instead directly measuring air movement.

WatchPAT is coded as a type 4 home sleep test.

The WatchPAT Home Sleep Apnea Test is clinically validated with an 89% correlation to PSG5. The PAT signal is an approved measure in the 2017 AASM HSAT Clinical Practice Guidelines for Adults with OSA.

https://www.itamar-medical.com/professi ... with%20OSA.

[ozij]

Thank you, Grumpy!

[Dylanmatthew]

pAHI, peripheral arterial tone (PAT) apnea hypopnea index;

pRDI, peripheral arterial tone respiratory disturbance index;

analogous indeces for AHI and RDI.

Indirectly measured via PAT instead directly measuring air movement.

WatchPAT is coded as a type 4 home sleep test.

The WatchPAT Home Sleep Apnea Test is clinically validated with an 89% correlation to PSG5. The PAT signal is an approved measure in the 2017 AASM HSAT Clinical Practice Guidelines for Adults with OSA.

https://www.itamar-medical.com/professi ... with%20OSA.

I have sleep apnea and the home study proves it.

[Dylanmatthew]

pAHI, peripheral arterial tone (PAT) apnea hypopnea index;

pRDI, peripheral arterial tone respiratory disturbance index;

analogous indeces for AHI and RDI.

Indirectly measured via PAT instead directly measuring air movement.

WatchPAT is coded as a type 4 home sleep test.

The WatchPAT Home Sleep Apnea Test is clinically validated with an 89% correlation to PSG5. The PAT signal is an approved measure in the 2017 AASM HSAT Clinical Practice Guidelines for Adults with OSA.

https://www.itamar-medical.com/professi ... with%20OSA.

If I don't have sleep apnea why did I wake up in a panic and stood up immediately/gasping for air the other night?

[Dog Slobber]

If I don't have sleep apnea why did I wake up in a panic and stood up immediately/gasping for air the other night?

While waking up in a panic, gasping can be a symptom of Sleep Apnea, it can also be a symptom of *many* other things as well.

Absolutely not being able to explain the cause does not mean that the explanation must be Sleep Apnea.

By the way, nobody here has said you don't have Sleep Apnea, but perhaps you should also consider other causes as well.

[Dylanmatthew]

If I don't have sleep apnea why did I wake up in a panic and stood up immediately/gasping for air the other night?

While waking up in a panic, gasping can be a symptom of Sleep Apnea, it can also be a symptom of *many* other things as well.

Absolutely not being able to explain the cause does not mean that the explanation must be Sleep Apnea.

By the way, nobody here has said you don't have Sleep Apnea, but perhaps you should also consider other causes as well.

Mr Grumpy said the home study doesn't mean I have sleep apnea.

Anyways, I have been trying evernight to use the machine. I end up waking up and taking it off in my sleep with no memory of it.

I suffer from anxiety but not sure that is why I woke up in a panic as I didn;t feel stressed or anxious and fell asleep right away. very odd. ....

Weeknights my sleep is poor and I often wake up at night and can't fall back asleep. like at 1am or

[Julie]

You MAY have apnea, but you Definitely have anxiety, and whether it or apnea or the man in the moon are working together or not is for your doctors to sort out - we are busy with Cpaps.

[GrumpyHere]

By the way, nobody here has said you don't have Sleep Apnea, but perhaps you should also consider other causes as well.

Mr Grumpy said the home study doesn't mean I have sleep apnea.

Dog Slobber is right.

I am actually confused as to how you believe I said so
(SOK ‘cause I am easily confused )

I was explaining the origin of pRDI term.

And what is a pRDI?

[ozij]

A week ago, Dog Slobber wrote the following:

Post some graphs so we can see your device settings.
Describe the problems you having and we'll solve them, one problem at a time. ie:
Feeling air starved - increase minimum pressure
Trouble exhaling - Turn on/up EPR/Flex, maybe cap maximum
Feeling congestion - adjust humidity
Anxiety - wear it while watching tv
Poor sleep quality - Sleep Hygiene
Aerophagia - cap Max pressure
more..... but need feedback
You're feeling bad, feeling bad about yourself, use this topic to get started on why you haven't been successful.

I'd start with:
Pressure: 7-14
Ramp: Pressure 6, 15 minutes (we can adjust this depending on how you feel about pressure and time to fall asleep)
Humidity: 4 (don't know if you have a heated hose) Once again we can adjust but we need feedback
Mask: Stick with your p10
Flex: 3
We aren't interested in optimizing (yet), we're interested in acceptance.

Check back regularly, don't start another topic. Give feedback.

A week has gone by, and your response is:

I am trying to grasp all this. I just want an answer on why my fatigue is so bad...

So here's an answer to the only thing you want to know:
Nobody on this forum can tell you why your fatigue is so bad. This forum is not a reliable source for an answer to this question. If that's all you want, you had better go through a thorough medical check.

whether it or apnea or the man in the moon are working together or not is for your doctors to sort out - we are busy with Cpaps.

[babydinosnoreless]

pAHI, peripheral arterial tone (PAT) apnea hypopnea index;

pRDI, peripheral arterial tone respiratory disturbance index;

analogous indeces for AHI and RDI.

Indirectly measured via PAT instead directly measuring air movement.

WatchPAT is coded as a type 4 home sleep test.

The WatchPAT Home Sleep Apnea Test is clinically validated with an 89% correlation to PSG5. The PAT signal is an approved measure in the 2017 AASM HSAT Clinical Practice Guidelines for Adults with OSA.

https://www.itamar-medical.com/professi ... with%20OSA.

If I don't have sleep apnea why did I wake up in a panic and stood up immediately/gasping for air the other night?

Go ask a doctor. I have a diagnosis of severe sleep apnea with a lab sleep study AHI of 141.3 evens per hour. And I have never woken up in a panic gasping for air.

[zonker]

+1

[GrumpyHere]

Rubicon discovered scoring problems on the second test.

Thus there is doubt as to whether you have sleep apnea.

More important, if you have only 9 desaturations you can't have an RDI or pRDI of 15.5, the most it can be is 1.4 because hypopneas require a 3% or 4% drop (depending on which rule you use). WatchPAT itself says that's how it should be scored:



It appears to me that whoever reviewed this record...

...didn't.

Rubicon's review of your WatchPAT test is in line with the results of your first ApneaLink Air AHI result of 1

Here is where I did my 1st home sleep study, the Resmed ApneaLink Air. (results: https://imgur.com/a/ac8s5TH.)
I didn't believe this test & believed I wasted my money as the ENT wouldn't let me do any more sleep studies after my perfect AHI 1 result.

Consider exploring other causes to your disturbed sleep as several members have suggested.

As Pugsy often says

Tweaking the cpap/apap machine...that only helps resolve sleep issues related to airway issues. It can't fix sleep problems caused by anything other than the airway or sleep apnea issues.

I find it curious that you're willing to risk the side effects for antidepressants but not for Flonase.

I went to several general doctors & had many blood tests taken. Last testing done late 2020. (Blood tests for anyone interested https://imgur.com/a/XR9ws6a).
My doctor says I am depressed and should try out various anti-depressants. I have tried a few with no luck. I asked him to refer me to an ENT/Sleep Specialist. They did a nasal endoscopy and noticed it was very difficult to go up my right nostril, left was cramped as well. Was only told to try Flonase. (I never did, afraid of side effects.)

[chunkyfrog]

Before starting cpap, my moderate to mild OSA left me feeling like dog poop.
My titration study was a complete eye-opener!
I doubt I had slept decently for years !
APAP was/is my miracle!

[KittyMom22]

Before starting cpap, my moderate to mild OSA left me feeling like dog poop.
My titration study was a complete eye-opener!
I doubt I had slept decently for years !
APAP was/is my miracle!

Do many people have titration studies? I didn't.

Flonase makes my nose bleed copiously, so I hear the OP on that.

[robysue1]

Before starting cpap, my moderate to mild OSA left me feeling like dog poop.
My titration study was a complete eye-opener!
I doubt I had slept decently for years !
APAP was/is my miracle!

Do many people have titration studies? I didn't.

It really depends on your insurance requirements and the sleep doc's personal preferences.

Some people believe that a few weeks of titration on an APAP set in a pretty wide range gives a better indication of the pressure(s) needed to treat a particular patient's apnea. The idea is to look at the 95% pressure level: That's a pretty good indicator that the minimum pressure needs to be no more than one or two cm below the 95% and if a person is going to use a fixed CPAP machine, the pressure level is typically set right at the 95% pressure level from the APAP used to tirtrate.

But the amount of data gathered from an in-lab titration study exceeds that gathered on the APAP simply because in the lab its much easier to distinguish between "real" events and "false" events. The tech has the data from the EEG and the belts to determine when you are actually asleep (no events are scored during WAKE epochs) and whether you are making an effort to breathe when events do occur. The tech also has access to the recordings and can hear when you are snoring and see when you are obviously in respiratory distress and increase the pressure appropriately. But the down side is that it's only one night of data and we don't sleep the same every night: Some nights are inherently better or worse in terms of the apnea, and in an in-lab titration study, the tech can't really determine whether it was a particularly good or bad night for you in terms of your sleep. (That's part of why they ask you whether you think the night was worse, better, or about the same as a typical night's sleep in your own bed.)