Root cause of my OSA?

[Pugsy]

2. Your response above is defensive, unprovoked and quite rude. I'm going to assume that's out of character for you, and so I hope that all is well with you.

Well we are even, I thought your response to me was quite rude, defensive and unprovoked. Maybe we were both wrong in our thoughts.

[loopib]

For what it's worth, I appreciate both of your inputs. After having read this forum for a few years, I think everyone means well but intended tone and perception thereof gets lost. Thank you both, and will keep you posted with further experiments in nights to follow!

[chunkyfrog]

Just out of left field, there could be other factors other than those discussed in this thread.
Even moderate alcohol consumption could increase OA's.
No need to confirm or deny--just privately assess whether this could be adjusted.
Just trying to help . . .

[zonker]

Just out of left field, there could be other factors other than those discussed in this thread.
Even moderate alcohol consumption could increase OA's.
No need to confirm or deny--just privately assess whether this could be adjusted.
Just trying to help . . .

interesting. i'm coming to a point where i'm thinking of starting my own thread regarding my obstructive events.

so i don't want to hijack this thread, but....

how much alcohol consumption is considered "moderate"?

[loopib]

Just out of left field, there could be other factors other than those discussed in this thread.
Even moderate alcohol consumption could increase OA's.
No need to confirm or deny--just privately assess whether this could be adjusted.
Just trying to help . . .

Agreed. I stopped consuming alcohol since my diagnosis in an attempt to rule out every single other variable.

[jimbud]

Just out of left field, there could be other factors other than those discussed in this thread.
Even moderate alcohol consumption could increase OA's.
No need to confirm or deny--just privately assess whether this could be adjusted.
Just trying to help . . .

Where have you formed that opinion from?

Again, where are you forming your opinion from?

JPB

[chunkyfrog]

Alcohol is known to be a CNS depressant--central apnea risk.

[jimbud]

Alcohol is known to be a CNS depressant--central apnea risk.

by SleepyPaolo » Fri Feb 21, 2020 6:35 pm

I didn't know that's rare, where have you formed that opinion from?

Again, where are you forming your opinion from?

Another one of my attempts to be funny. Fallen flat.
Sorry. I believed you from the first.
And from personal experience.

[chunkyfrog]

You have never been drunk, passed out, etc?
Alcohol is NOT harmless.
What it does to germs--it will do to your brain.
If you do not agree, fine.
Enjoy your excesses. Accept the consequences.
Clarified for any poor fool allowing their wishes to carry them into oblivion.

[jimbud]

You have never been drunk, passed out, etc?
Alcohol is NOT harmless.
What it does to germs--it will do to your brain.
If you do not agree, fine.
Enjoy your excesses. Accept the consequences.
Clarified for any poor fool allowing their wishes to carry them into oblivion.

I have been trying to agree.
I agree. I agree. I agree.

My first post to you was a sarcastic use of SleepyPablo's rude comment to Pugsy.
My second post to you was an apology for the first post.
This post to you is to hopefully clarify my meaning in the first two posts to you.

I agree with you. O.K.?

JPB

[chunkyfrog]

Oh, that.
We're good.
Beer's on me.

[loopib]

Wanted to post an update with some experimentation I've done since my last post.

As a reminder: I'm an otherwise healthy (weight, vitals, etc) late 20s male with mild/moderate OSA diagnosis, with last PSG showing no full obstructions/centrals/etc and all hypopneas. I have been struggling with day-time fatigue/depression/appetite despite CPAP use for 3+ years. I suspect my deviated septum is causing nasal congestion at night, which causes me to mouth breath (have been a chronic night mouth breather with post-nasal drip since childhood), which causes my tongue to fall back into my airway.

First night after my last post, I slept without CPAP but instead with my upper body elevated in an attempt to help drain my sinuses and prevent nasal congestion. I made a makeshift adjustable bed by propping the top third of my mattress at a 45+ degree incline. It's not clear if this helped but my back was definitely sore in the morning. Sleeping on a steep incline might take getting used to! Next couple of nights I slept on my side on a long couch with pillows keeping my head elevated. Got some great sleep, most likely due to the couch not allowing me to roll over on my back like I can in my bed.

Then I decided to go back to my normal bed with CPAP but fix the pressure in different amounts, first at my initially titrated level of 8cm, and then the lowest possible at 4cm last night. My AHI (according to the CPAP) actually got slightly lower! More importantly, I feel really refreshed waking up this morning! It seems that while the humidifier in the CPAP might have been helping nasal congestion, the CPAP overall has been of no help at best or even making things worse!

I've attached some OSCAR results below. Curious to hear your thoughts. Thanks in advance!

[loopib]

Just bumping this up.

[SleepyPaolo]

This might offend pugsy and I'm sorry if it does, but I just wanted to show personal experience which might help you.

My issue was also flow limits (not as bad as yours) and hypopneas.

I'm not going to make any claims that might offend anyone's knowledge, I'm just going to let the graphs do the talking. Both setups produce similar results for me for weeks at a time.
I have also seen many people with similar results over on apneaboard forum.
You can guess which is the better night's sleep.

No EPR.jpg (505.42 KiB) Viewed 737 times

With EPR and fixed pressure.jpg (468.05 KiB) Viewed 737 times

[chunkyfrog]

. . . I had a tonsillectomy, turbinectomy, and a UPPP. . . .

With all those surgeries, I am confused.
You mention a deviated septum.
Why was that not fixed?
Deviated septum is quite often a significant obstruction.
I have bad thoughts about your surgeon's motives.