Making sense of CSA... Use your LOGIC!

[remhunter]

Allow me to "import" from Wikipedia the concept first:
"...In pure central sleep apnea, the brain's respiratory control centers are imbalanced during sleep. Blood levels of carbon dioxide, and the neurological feedback mechanism that monitors them, do not react quickly enough to maintain an even respiratory rate, with the entire system cycling between apnea and hyperpnea, even during wakefulness. The sleeper stops breathing for up to two minutes and then starts again.[5] There is no effort made to breathe during the pause in breathing: there are no chest movements and no struggling. After the episode of apnea, breathing may be faster (hyperpnea) for a period of time, a compensatory mechanism to blow off retained waste gases and absorb more oxygen. There are symptoms that one can find for central sleep apnea as follows..." (end of the quote).

Now imagine for one moment that you meet face to face with a bear in the backyard... you feel stressed and the adrenaline levels goes to the top of the roof. Your blood will change somehow making it more prone to coagulation in case of bleeding occurs.... adrenaline levels allow you an extra mile in energy so you run faster. Now... Let's use another example less wide and sweeter: You begin to enjoy donuts and desserts more and more and thrive for sugar more and more. Your pancreas begin to face the rush in glucose and start producing insulin to keep up with the high levels of glucose. The body tries to ADAPT itself to cope with each and every example.

Let's assume that you snore and begin to reduce the amount of air and therefore the amount of oxygen in the circulating blood. As in the case of insulin before, the body tries to ADAPT to the missing oxygen circulating and the only way to do it is by having to choose between 2 processes taking place at the same time. One is in the brain, as you know, the other is in the lungs. Given the importance and life threatening results of interrupting the sleeping process (REM) a sacrifice must be done and the blood factors change to make the breathing to decrease the intensity. There are no perfect solution or choice for our body and something has to suffer... Missing oxygen could cause heart risks and other illness IN THE LONG TERM but absence of REM could cause death in just days. (it will continue)

[BlackSpinner]

Wrong

[remhunter]

(resuming)
Those blood factors mentioned before are like miniature sensors that send a signal to our brain to begin a breathing push. They act exactly like the insulin sensors we have in the body only that insulin helps glucose to reach the cells and the brain cells while the ones controlling the level of oxygen could interrupt some unknown region of the brain collapsing the REM process. It's true that diabetes mellitus is inherited and runs in families while the type 2 could be obtained by anyone abusing the sugary products for years. The same way could happen with CSA... as LOGIC dictates. It is possible that in some strong snoring and sleep disordered families the damage has been so advanced that genes encoded the process and CSA could appear in any moment at the first sign of OSA. However since the CSA process begins with a decrease of the oxygen level in the blood by making sure that this doesn't occur using AUTO PAP machines with a reasonable range of pressures capable of dealing with fluctuations, the process could be skipped and CSA never appear again.

[NeedHelp2]

Wrong

Is there any more info available than this?

[grumpycat12]

Who cares about the cause if the treatment (use of a Xpap) is the same?

[NeedHelp2]

Who cares about the cause if the treatment (use of a Xpap) is the same?

Me.

[remhunter]

Wrong

I don't know what's worse.... you or my apnea?

[Julie]

You are using pure speculation though to make some of your points and then taking off from there to come to conclusions... not scientific and not good for that much. Sorry.

[BlackSpinner]

Wrong

I don't know what's worse.... you or my apnea?

Truth always hurts if you were wrong, doesn't it. Not my fault. Try and think a bit more before you make another ass of yourself.

[remhunter]

yes exactly!

Prevent the occurrence of the first will undeniably stop the second from happening... My point in trying to make sense in all this discussion is that the more complex and obscure the sleep experts are trying to make it look the easier they can ask for your money and charge abusively the insurance companies and the medicare.

The second point is that delaying the simple cure of OSA which always comes years before by allowing everyone the acquisition of PAPs doesn't make any sense! When you are young you live with your family, they know if you snore or not. Later on in life you may have a partner (I don't want to go into the gay discussion here but even gays and lesbians have ears) Which means that someone is always close to you to let you know: "HEY, YOU SNORE!" It is at that moment when you should get help... medical or on your own but both should be valid in this case.

Who cares about the cause if the treatment (use of a Xpap) is the same?

[oak]

the more complex and obscure the sleep experts are trying to make it look the easier they can ask for your money and charge abusively the insurance companies and the medicare.

I dont understand your point. Do you think CPAP is a sham? Have you been burned by someone in the sleep medicine field? You seem very angry.



delaying the simple cure of OSA which always comes years before by allowing everyone the acquisition of PAPs doesn't make any sense!

Could you clarify this? You can have sleep apnea and not snore. I do. You can have mild apnea that may not require CPAP. What is your point?

[remhunter]

you're right and snoring may or not occur but it is in itself a sign of breathing obstruction nonetheless.
I haven't been burned by anyone and I'm not angry at anyone here however yes... I'm angry at one thing only and that is the monopoly the business of healthcare system in this country that prevents me the purchase of an AUTOPAP wherever and whenever I want with my own money. You're right I damned furious
However.... You are not to blame for it and no one here could change the way things are. I'm sorry to hear you suffer from apnea, so do I but I will find the way to IGNORE the regulations and federal laws prohibiting me the purchase of what I WANT and go along with my life.... how about you?

the more complex and obscure the sleep experts are trying to make it look the easier they can ask for your money and charge abusively the insurance companies and the medicare.

I dont understand your point. Do you think CPAP is a sham? Have you been burned by someone in the sleep medicine field? You seem very angry.



delaying the simple cure of OSA which always comes years before by allowing everyone the acquisition of PAPs doesn't make any sense!

Could you clarify this? You can have sleep apnea and not snore. I do. You can have mild apnea that may not require CPAP. What is your point?

[oak]

I am confused by your posts. Sorry

[Pugsy]

I don't understand the purpose of the rant here but I have a problem with the medical diagnostic information being presented by the OP in this and the other thread. It is bordering on somewhat dangerous as it is presented and not accurate in some aspects.
Lots of speculation based on a small set of facts and conjecture that has gone too far and quite frankly all the conjecture and stories confused me and I think I know what was trying to be said.. I got lost real fast.
Too much story telling and too little fact presentation to suit me and in a manner that is potentially dangerous if a newbie sees it and thinks it's the gospel...which it is far from being.

Is there any more info available than this?

Did you see my recent post in remhunter's other thread? If not..read it and see if your questions are answered and if not let me know in that thread and I will try to clarify things.

[Stormynights]

I got lost too.