My Official Titration Study

[caffeinatedcfo]

No surprises here. I told the tech this would be the range he would end up with LOL! I find it humorous that he say 10cm "may not be optimal" yet his instructions to me were to set my S9 to CPAP mode and 10cm.




What is clinical correlation towards the end? They were closed for the day when I called back.

[jdm2857]

I believe that "clinical correlation" is explained in the next sentence. It means that you should be followed to make sure that
the pressure determined in the lab is working for you in real life.

[PreemieNrsTiffy]

Clinical correlation recommended is just a cover their tushie way of saying "okay, so how does the patient look/feel?" A classic example would be a patient who has an EKG showing the arrhythmia "Sinus bradycardia" which can be very serious or completely innocuous and normal for some. It just means a normal but slow heart rate. As we all know, some athletes have slow heart rates (in the 40's) and are perfectly fine. Most average citizens however if they try to walk around with a heart rate that low will be dizzy and passing out. The clinical correlation would be to compare the patient's "arrhythmia" to their clinical picture, how they state they feel, their skin tone/color and their blood pressure.

So your clinical correlation would be to take the information gathered in your titration study, factor in how you state you feel after so many weeks on such and such pressures on your APAP. Some of your numbers were not as good on the titration study, so they would want to take in account how you say you feel even though some of those numbers aren't as good.

[kteague]

While I wouldn't give it attention unless you feel there is a need, keep in mind that you had an increase of limb movements on CPAP. May or may not mean anything, just something to remember if you have persistent issues with sleep quality or restless sleep you might want to take another look.

[Sheriff Buford]

I think it is a hit-n-miss thang' when doctors prescribe a pressure setting. They are close... but the pressure can probably go either way. My study recogmended a pressure of 13 ... but possibly a 14. At the same time, the pressure can fluctuate as stuff in your life changes (overall health, weight, sickness and some traumatic events). At 14 cm/h2o, I ended up with with the least events. It is so refreshing to see how you have licked this sucker... Makes my day!!

Sheriff

[caffeinatedcfo]

Thanks everyone. I didn't sleep as well that night as I was having some other physical issues that day (i.e. neck stiffness, knees were sore) as I had started exercising again. Funny that they noted limb movements as the tech commented that I was boring to watch as I "didn't move." I poke fun at them, but actually my sleep doc and this lab have been excellent to work with. LOL

Update: I just remembered that during my initial sleep study, the tech advised me the next morning that my leg wires detached in the night, but he didn't want to wake me to fix them because there hadn't been much movement visually or recorded. They did not detach the second study so it probably just recorded more.

[Kenwood]

Great news!!!

[Denial Dave]

great work.... I agree that you might want to keep a eye on the increase in PLM during CPAP.

I had 101 PLM's in my pre-mask up study, but they were virtually eliminated once they started me on CPAP.

While I wouldn't give it attention unless you feel there is a need, keep in mind that you had an increase of limb movements on CPAP. May or may not mean anything, just something to remember if you have persistent issues with sleep quality or restless sleep you might want to take another look.