Need Help understanding results

[ebuck11]

n

[Pugsy]

Welcome to the forum.

See if Robysue's blog about understanding the sleep report clears things up for you.
http://adventures-in-hosehead-land.blog ... -test.html

Apnea+ hypopnea
average duration (sec) 31
total duration (min) 51
total 99
per hour 12.9

AHI of 12.9 earns you an OSA diagnosis considered mild in terms of numbers.

Looks like mainly hyponeas and not too many obstructive apneas but hyponeas are just as important. They are still flow reductions and can cause sleep disruptions and oxygen level drops.

OA.....air flow reduction of at least 80% that lasts at least 10 seconds
Hyponea....air flow reduction of 40 to 79% that lasts at least 10 seconds

[tan]

Not sure why even experienced people keep referring to AHI exclusively, while overlooking another obviously available metric in the report: RDI, which is 28.5 (UPDATED: the originally posted "21" is incorrect), which arguably worsens sleep even more than mild OSA, here is the study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881892/
That RDI metric is also mentioned in Robysue's report explanation. Come on, Pugsy, you are better than most of those clueless degenerates calling themselves sleep doctors.

All in all, the total metric, arousals per hour, stands at 30 events per hour, which to me looks like severely disrupted sleep

[Pugsy]

Not sure why even experienced people keep referring to AHI exclusively, while overlooking another obviously available metric in the report: RDI, which is 21, which arguably worsens sleep even more than mild OSA, here is the study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881892/
That RDI metric is also mentioned in Robysue's report explanation. Come on, Pugsy, you are better than most of those clueless degenerates calling themselves sleep doctors.

All in all, the total metric, arousals per hour, stands at 30 events per hour, which to me looks like severely disrupted sleep

Because I expect people to read all links I post....and the RDI is covered in RobySue's blog.
I expect people to engage brain and actually think.

And AHI is what the bulk of the medical profession uses.
And right now I can barely type because I am so dizzy....They got the short version instead of my usual novel because that's all I can muster up right now.

I wanted to point out that OSA is real and we weren't dealing with just UARS alone.

[Miss Emerita]

Ebuck, good on you for persevering! You have sleep apnea, and you are in need of treatment with a PAP machine. I hope that will be the next step from your medical professionals after they review your sleep study.

Looking ahead, I think many people on this site would recommend that you state you want a ResMed Airsense 10 Autoset For Her machine. Given the number of hypopneas you are showing, I suspect that is especially important for you, because this machine has algorithms that are said to do an especially good job with hypopneas (and flow limitations, which are kind of like baby hypopneas).

When you get your machine, I hope you'll continue to post so the people here can help you get going as smoothly as possible. It'd be good if you stayed with this thread so your informative first post will be easy to see.

[zonker]

Hi everyone,
<snip>
Please don't be mean.

welcome to the zoo!

us? mean? where would you get THAT notion?

right now, you are reading terms and numbers that mean less than nothing to you. frankly, a lot of it means nothing to ME either and i've been at this for 4.5 years. but that's just me. you, on the other hand, may soak these things up on the fly and be giving out advice before you know it.

what i do is rely on the kindness of strangers. and there are many more strange than this bunch!

once you get your machine and start your cpap journey, you'll get even more help here. you'll be able to supply the experts here with more data pertinent to you. we are each of us just that much different. what works for me may not necessarily work for thee. but in the main, there are certain tweaks to be made in your therapy that will help you narrow in on what will need to be done.

but, enough of that. i'm putting the cart before the horse.

let's just say that you've got this. you can do this. stick with us and we'll help you through.

good luck!

[ebuck11]

n

[ebuck11]

n

[ebuck11]

n

[ebuck11]

Hi everyone,
<snip>
Please don't be mean.

welcome to the zoo!

us? mean? where would you get THAT notion?

right now, you are reading terms and numbers that mean less than nothing to you. frankly, a lot of it means nothing to ME either and i've been at this for 4.5 years. but that's just me. you, on the other hand, may soak these things up on the fly and be giving out advice before you know it.

what i do is rely on the kindness of strangers. and there are many more strange than this bunch!

once you get your machine and start your cpap journey, you'll get even more help here. you'll be able to supply the experts here with more data pertinent to you. we are each of us just that much different. what works for me may not necessarily work for thee. but in the main, there are certain tweaks to be made in your therapy that will help you narrow in on what will need to be done.

but, enough of that. i'm putting the cart before the horse.

let's just say that you've got this. you can do this. stick with us and we'll help you through.

good luck!

Zonker! hi.. thanks for being so nice. I will figure out how to upload my data when my machine arrives. Be great to get some help along the way.. Yes, the kindness of strangers is pretty special, thanks so much for your words or encouragement.. I don't feel so alone now.

[Pugsy]

I don't put all my eggs in the AHI only basket...too many variables but it is a starting point.
My own AHI was only around 12 or 13 but my oxygen levels went in the toilet at the low 70s....and in REM my AHI is 5 time worse than non REM but the overall AHI was a measly 12. Doesn't sound all that horrible on the face of it but it can be extremely disrupting to sleep as well as cause a lot of desats which is really bad. Normally we spend 20% of our nights in REM....so I had some times where thing were pretty severe.

Do some reading and come back with more specific questions if you need anything clarified.

I took the time to pay special attention to the hyponea thing because a lot of people think "only hyponeas" and pooh pooh them off saying they don't really have OSA because it was all hyponeas. Nothing is further from the truth.
Your RDI is also significant as tan pointed out.

You've got enough going on to warrant at least trying cpap to see if it helps you sleep and/or feel better.

BTW....sleep apnea is no longer something that only fat old men can get....lots of skinny women have it as well but the medical profession is still in the dark ages thinking "only fat old men".

[zonker]

Zonker! hi.. thanks for being so nice. I will figure out how to upload my data when my machine arrives. Be great to get some help along the way.. Yes, the kindness of strangers is pretty special, thanks so much for your words or encouragement.. I don't feel so alone now.

hat-tip.gif

it's why i'm here. i don't make with the expert advice. i'm the cheerleader.

carry on!

[Miss Emerita]

Congrats on the machine! When you get it, be sure you know what your settings are (pressure range and EPR, or exhalation pressure relief). Let us know, in case someone here notices something odd about them. (It happens!)

Finding the right mask takes patience and perseverance, for the simple reason that everyone's face and sleep habits are different. From what you've written so far, I predict you will do well in your quest, whether it's immediately or after a couple of rounds of "nope, not this one." Ideally you will be able to try them on at the DME office while you are hooked up to a machine, and best of all if you can lie down in your preferred sleep posture to see how they do.

[tan]

Not sure why even experienced people keep referring to AHI exclusively, while overlooking another obviously available metric in the report: RDI, which is 21, which arguably worsens sleep even more than mild OSA, here is the study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881892/
That RDI metric is also mentioned in Robysue's report explanation. Come on, Pugsy, you are better than most of those clueless degenerates calling themselves sleep doctors.

All in all, the total metric, arousals per hour, stands at 30 events per hour, which to me looks like severely disrupted sleep

Hi Tan,

Thanks for posting! I've read so much you've written!. I feel like my sleep is really disrupted, but my feelings and the sleep study results have been so down played by everyone. I feel like it's only large men who are allowed to have sleep apnea in Australia. Everyone seems to point to mental health... which is so annoying. Thanks for taking me seriously.

a smaller portion of your problems (12 AHI, mild apnea) can be attributed to obstructions and larger portion (28.5 RDI, almost severe UARS) is kinda complex obstructive-mental (simply put, your brain makes you wake up at a slightest hint of flow limitation, when it shouldn't normally happen). APAP should definitely help with the apnea.

When it comes to UARS, it's more complicated. I vaguely remember that Sludge/Morbius/Muffy/NotMuffy/Guest/StillAnotherGuest, who happens to know way more than our collective brain here, once mentioned that one could increase your pressure to 57 (intended as sarcasm at Krakow's treatment method) or one can reduce sensitivity through meds. Or lifestyle changes. Or combination thereof. In either case, there is one metric for UARS treatment: feeling good (no sweating/anxiety, normal blood pressure, no cold hands and feet) and that "feeling good" should manifest almost immediately, provided the treatment is working and absent of other health issues.

[ebuck11]

n?