Re: DME appointment on Tues, at home. Feeling wimpy and scared.
Posted: Sat Mar 28, 2015 9:37 am
I'm going out on an errand. Will respond asap. Thank you again for your hugs and kindness. I'm glad your mom is doing better.CPAP By Proxy wrote:I mentioned that I slept one night with mom's APAP to convince her that it wasn't going to kill her (she's 84). I slept like a LOG! It leaked a little but it didn't wake me. It went up to about 10 and I had about 3.3 apneas per hour. So, I asked my doc for a home sleep study. I had an AHI of 33. So now, I'm not in the CPAP by Proxy category anymore. I'm on APAP.
I use the same equipment mom does (Airsense 10 machine and the F10 for her mask). Right from the beginning, I have had no problems. The most important thing it has done for me is take away the FOG I was living in. I had such a hard time thinking and remembering anything. (I just thought it was all the stress I was dealing with) The fog went away almost immediately. I've been so busy worrying and caring for mom, I haven't really dwelt on my therapy. It works, I'm glad I discovered that I had OA because I KNOW most of mom's problems stem from untreated OA.
I understand your problems with sleeping on your side. This all started for us when Mom fell and broke her hip last August. It took a LONG time to get everything sorted out. She was in two different hospitals (actually 3 if you count the one night she spent in the rehab hospital). The first hospital released her (to a rehab hospital, essentially a care home) without realizing she was in acute congestive heart failure. I'm just stymied by this as the very next day, when they weighted her at the rehab hospital, this normally 113 lb little lady weighted 143lb, she was retaining 30 lbs of fluid and could barely breathe. So, off she went to another hospital. They got a cardiologist and a pulmologist on board and determined that she also had Atrial Fibrillation and severe right atrial enlargement along with the CHF. And, without a doubt, the afib and the right atrial enlargement were caused by her untreated OS which she has probably had for years.
Mom's hip has done a fairly good job of healing, however, she can't sleep on her left side because it hurts. And, she can't sleep on her back because then she has tons of OA. But, she is adjusting. She sleeps with a backpack full of towels so that she won't roll over on her back. Me, I toss and turn and sleep on both sides and my back, but not on my stomach. Just not a sleep position for me. I think others here are stomach sleepers and will probably have some advice for you.
One other thing I wanted to say, mom is doing well on the therapy, for the most part. The FIRST thing I noticed when she started therapy is that her mind is BACK! I really thought she was in the beginnings of senile dementia. NOT! It was the lack of O2 at night. Now that she isn't desaturating every night, she is really with it. She is even back to driving (but only around our small town).
I was really worried about our first meeting with the DME guy too. But, it turned out really well. He was very helpful and cooperative. I also insisted that we get the autoset model so that I could track mom's therapy with ResScan software. (I didn't tell the DME I was going to do that). They had no objections to giving her the latest Resmed autoset. Altho the DME is slower than a snail when shipping supplies, on the whole, I haven't had any other problems with them.
I REALLY recommend tracking your therapy with software. Having the feedback every morning REALLY helps mom. She sits at the computer with me every morning and goes over whatever happened during the night. We did make changes to her therapy. It was set to 4 to 20. She had tons of apneas while the machine built up pressure so, little by little, I raised the bottom pressure. That brought down the number of apneas considerably. It is now set to 10 to 17. I eventually brought down the top pressure because she couldn't handle 20 cm H20. That mask would go flying across the room every time!!
On a good night her AHI (at her current settings) is 5.5. On a not so good night, it's around 9 to 10. (That would be considered mild sleep apnea). We HAD to make some sort of compromise because mom just couldn't breathe OUT (even with EPR set to 3) when the pressure got up to 20.
You can handle all of this. I didn't have any knowledge of sleep apnea or dealing with doctors and etc. I've learned! You will too.
((HUGS))