Can apnea cause panic attacks? Is this apnea?

[Fejsbukpejdz]

Hello everyone... I took out my improvised mandible prosthesis device and I'd be damn this O2 started dropping like crazy. My brother wakes me up every time ti drops towards 91%. If he would stop doing that I have no clue how I could NOT get some panic attacks?!

I am lucky I have someone next to me to see all this and show me.

ALL of this is while I'm on my side and tilted 30 degrees as well as head stretched!!

He said on my back I can not even get 5 minutes of sleep.

I found a local shop for CPAP and APAP machines and I am about to buy one. I can not wait for sleep study.

I just wonder is home titration even a thing? Would we be able to do it on our own?

What is APAP? Does it need titration?

At this point, money is not an issue.

How much does it cost? Our parents are rich and even though we didn't want to be spoiled brats we moved on our own abroad to live in a foreign country and build our lives, our parents will support me in this situation.

So price is not na issue.

What is the easiest and fastest way to get some air?

Is APAP the same like CPAP or it doesn't require titration?!

Thank you all so much

Each drop in O2 was actually stopped by him, just to let you know what was going on because I know some people will get hooked on "Well drops are within normal range". None of them reached 90% because he would slap my face and move my head and stretch it or pull my mandible forward.

What is the easiest and fastest way to get some air?

Is APAP the same like CPAP or it doesn't require titration?!

Thank you all so much

[Julie]

Home is ok if you use Oscar, the way specified in the Stickie notes here. And we can help you get set up with starting pressures, etc. as well - you wouldn't be the first to do this at all.

Apap means you get to have pressureS vs one fixed number... I'm not the best at explaining it but others will do so, and it's way better than just plain Cpap - lots more info on your therapy, plus Apap machines can be run as plain cpaps should it be an issue at some time (rarely ever is), but cpaps only do one pressure.

[Miss Emerita]

Okay I have polysomnography tomorrow night. It will be some devices doctor will hook me up to at my home. I managed to convince her to do it asap. What do you guys think?! Is that the same as sleep study I was supposed to have at some clinic?

What is the difference?

If it is really a polysomnographic study, that is the gold standard. It would include one or more things that go on your head to measure your brain waves. Quite a few home studies here in the US don't include anything to measure brain waves, though they measure O2 sats, respiration, sleep position, and heart rate. Polysomnographic studies give more accurate information about sleep stages and some other aspects of sleep. But even the lesser kind of home study can provide information worth acting on.

Please ask in advance whether you should wear your mandibular device and your backpack during the study.

Once you get your sleep report back, you can blank out your person information and post it here. If your daytime sleepiness turns out to be caused by sleep-disordered breathing, people here can advise you about what kind of machine to buy, and they can help you find your best settings. But I hope the sleep doctor will work with you in a helpful way.

In case you are still interested, here is some information about the interrelation between insomnia and depression:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548844/

[Julie]

Don't think it's a good idea to wear any device while testing... will skew results of what is OSA related and not. Patients are titrated in labs while wearing Paps, but that's because the lab has technology to account for them - we don't, at home.

[Fejsbukpejdz]

Well I wore this mandibular device thing and got 2 hours of proper sleep I feel soo relieved literally. I can literally feel when I managed to get a deep sleep stage.

I agree I will not wear anything.

I am lying flat on my back during this polysmonography thing and then second half of the night I'm going to lay on my side.

I am not gonna tilt my bed, not gonna stretch my head not gonna protrude my mandible.

I want this as horrible AS IT IS without any adjustment.

I was wondering what is Oscar?

And is there a way for me to connect their device on my computer somehow and have the data download to my computer so I can see things for myself as well?!

What do you guys think?

[Fejsbukpejdz]

Don't think it's a good idea to wear any device while testing... will skew results of what is OSA related and not. Patients are titrated in labs while wearing Paps, but that's because the lab has technology to account for them - we don't, at home.

I just want to make sure this is purely obstructive and not central apnea.

If it is obstructive completely, I am driving tomorrow to Vienna and buying the machine.

[Fejsbukpejdz]

https://www.habel-medizintechnik.at/hom ... -autocpap/

Can this one be used with OSCAR?

REMSTAR DREAMSTATION AUTOCEPAP

I assume it is a APAP machine? It says Autocepap

this one I can buy in a store just 10 minutes away from my home.

[Pugsy]

Yes, the Phillips Respironics DreamStation Auto CPAP machine is compatible with the OSCAR software so you can easily monitor your own results.

See if they might have a ResMed AirSense 10 AutoSet machine...it's also an apap and works with OSCAR and an excellent machine.

[Fejsbukpejdz]

Yes, the Phillips Respironics DreamStation Auto CPAP machine is compatible with the OSCAR software so you can easily monitor your own results.

See if they might have a ResMed AirSense 10 AutoSet machine...it's also an apap and works with OSCAR and an excellent machine.

Do you know what do I need to conduct polysmonography on my own? My brothers a final year medical student and if we'd know what software is needed and if it all has to be compatible with the device from the same manufacturer?

Or does one simply buy a polysm device and then connect electrodes to it from whatever producer and use whatever software one wants?!

I would like to monitor my sleep connected to other activities once I finish CPAP thing.

For example I will try to have 2 or 3 hours of physical work in the morning, sex before sleep and some food.

I want to have those cycles of routine behavior in a day as a must so I can see if such lifestyle will further fix my sleep. Sure I could be persistent and see if I feel better after half a year of such behavior but even then it's all subjective isn't it?

Now if I can see and prove that my sleep is more regular then I'd keep doing it even for more than a year even if I don't feel any improvement subjectively. I'd know that statistically my sleep is better.

I think just the way people without sleep apnea can mess up their sleep with bad habitsz so can people with apnea who got CPAP.

I figured out that once I realized I got apnea, I tend to forget about other things and oversimplify sleep to a simple mechanical opening of airways.

So I assume I have to work on other things as well as soon as I get this machine

[Fejsbukpejdz]

This forum is so helpul

[Pugsy]

I am sorry but you have asked some questions that I can't answer especially since you are in a different part of the world than I am and how things get done in one country is often different.

You can't do a polysmonography (what we call a sleep study) on your own. No way that I know of.

You can buy a cpap/apap machine and mask and treat yourself but the data off the machine isn't a substitute or the same as the data from a sleep study.
While cpap/apap machines offer some data it isn't the same data as a sleep study obtains.

[Fejsbukpejdz]

I got a handy tutorial and apparently polys. Devices record everything on flash memory cards, that is if they are not used for live monitoring.

I will just copy the data from the memory card she gives me

I also got one manual on what is needed and how to do polysmonography on your own.


It is actually pretty simple to record it all


Buying the gear might be expensive and also analysis of the data might me hard

Still recognizing sleep stages and so on should be easy.

If I manage to do this I can share results here and make tutorial video how to do sleep study. Maybe I'll fail but I'll try...

[Julie]

You are unnecessarily heading into a bad situation. Lots of people I'm sure have apnea where you are and don't fool themselves into thinking they can diagnose themselves (especially for such a technical thing) and expect to be able to then treat themselves. There should be many qualified medical people where you are who can test you with the right equipment, etc. and then tell you where to go from there. You are making things much more complicated for yourself and asking for trouble. Certainly I've never heard that Austria lacks medical experts.

[Miss Emerita]

You are getting way ahead of yourself. Let's see what happens with the polysomnographic study you've been scheduled for. Later on, if you feel the same need to study your sleep cycles, you can look into the Dreem device. But one thing at a time.

[khauser]

I'm not sure if anyone has said it, so just in case, YOU CAN KILL YOURSELF if you self-treat without at least an understanding of what is going on. For example, a cpap (or apap, just generically xPAP) can help a lot with Obstructive apneas, but if set up wrong can CAUSE or worsen Central apneas. (Technically, a properly configured apap won't do that because it can sort-of detect when that happens and adjust, but these are just two examples).

It is not uncommon for a doctor to use an apap machine to diagnose sleep apnea. It is NOT the gold standard, as all it can do is say that certain events occurred, and were helpfully treated by the machine. But before a doctor does that, they will want to see you personally, and examine you. Some of what you describe sounds like it might be a structural issue. It may be (may be, not is) possible that you would need that addressed first, because if the machine decides to use too high a pressure to beat the issue in to submission, it could at the same time (as mentioned above) cause central apneas. Without that up front examination I don't know how effectively anyone can help you titrate at home.

A polysomnographic study, which I experienced, involves gluing what felt like a billion electrodes to your head (it was probably more like 10 or 20). Then you attempt to sleep while the sleep doctor / technician / whatever monitors you. Via the EEG, they can tell when your brain is transitioning among phases of sleep. They can correlate this to your breathing (or lack thereof) and EKG.

I remember mine well. I had barely lied down when they came back in and said "yup, you have OSA, lets get this mask on you and see if we can find the right pressure). Sounds like you would also be in that immediate camp....