CPAPtalk.com

svs enchanter you went to lots of work to add this info
they sedated me both studies
sure hope you get more sleep then that soon gl

Sonnyboy wrote:

Enchanter wrote:

Papit wrote:Enchanter, the pictures you sent omit about 1/3 or more of every page. We really need better pictures.
Every lab report I have seen includes a paragraph entitled INTERPRETATION and another entitled DIAGNOSIS and another entitled RECOMMENDATIONS. May we see them please?

Papit, I'm showing you everything except my personal info. Do you want the comments? I gave all the numbers

Enchanter,

Use a black marker pen to omit personal information such as name, birthdate, facility, doctor.

Then you need to provide an exact copy through scanning the whole page or taking a picture of the whole page.

You need to provide a copy of each page of the document.

Your interpretation of what is needed is not what is wanted, let the experts see everything and let them decide what is pertinent.

yea but what's next after that? It's never enough. I mean my pics have everything. I posted in the post above everything else it SAYS.

Janeet1 wrote:svs enchanter you went to lots of work to add this info
they sedated me both studies
sure hope you get more sleep then that soon gl

Oh I'm SUPPOSED to be done. That was the 2nd study. My 4th study was on Friday and the tech said I did good enough. Now I have to wait for that report. But the doctor's assistant says that this lab is the worst they've dealt with and she is going to file a complaint. But the people at the lab were nice.

Well I have to go somewhere right now. Maybe I'll take a whole picture of everything later and cross out certain things.

But I worked hard to make sure all the necessary info was on there. I really don't know what you guys need. I'm not trying to sound like a pesk, but it seems like it's never enough. It's not my fault the person didn't fill in the blanks. U see for yourself that it's blank. See, I can't even make this stuff up, there's proof. Now all u people who think I'm some troll see that I'm not making anything up, this is just ridiculous stuff that is happening to me.

Enchanter wrote:Patient's split night study failed on 4/25/15. The patient complains of fatigue, daytime somnoience, loud snoring, and disrupted sleep. Patient's medical history include allergies, impotence, mental issues, and depression.

Physical Interpretation: Unsuccessful overnight polysomnogram with markedly low sleep efficiency with the need for a repeat study with sedation

The patient was started on CPAP and titrated to an ending pressure of 11 cm water, however given the poor sleep consolidation, this titration is not valid. There were no abnormalities of the EKG, EEG or EMG noted.

This patient with signs and symptoms consistent with the diagnosis of sleep apnea would benefit from a full overnight polysomnogram with the use of sedation. As such the patient should be sedated approximately 15 to 30 mg of Restoril on the next attempt of his study. He would also benefit from a mask desensitization prior to the study. It would be best if the patient was dropped off and picked up in light of the usage of sedation for the overnight polysomnogram titration of CPAP.

CPAP pressure of 8,9, 10, 11, and 12 cmh20 were tested. Complex apnea was noted during titration. Patient does not benefit from any of the CPAP pressure applied. Poor sleep efficiency and poor tolerance. Snoring was not noted. ResMED F 10 full face mask large size was used and a heated humidifier was utilized during the titration.

Which report was this information from? From Friday night?

cancun wrote:

Enchanter wrote:Patient's split night study failed on 4/25/15. The patient complains of fatigue, daytime somnoience, loud snoring, and disrupted sleep. Patient's medical history include allergies, impotence, mental issues, and depression.

Physical Interpretation: Unsuccessful overnight polysomnogram with markedly low sleep efficiency with the need for a repeat study with sedation

The patient was started on CPAP and titrated to an ending pressure of 11 cm water, however given the poor sleep consolidation, this titration is not valid. There were no abnormalities of the EKG, EEG or EMG noted.

This patient with signs and symptoms consistent with the diagnosis of sleep apnea would benefit from a full overnight polysomnogram with the use of sedation. As such the patient should be sedated approximately 15 to 30 mg of Restoril on the next attempt of his study. He would also benefit from a mask desensitization prior to the study. It would be best if the patient was dropped off and picked up in light of the usage of sedation for the overnight polysomnogram titration of CPAP.

CPAP pressure of 8,9, 10, 11, and 12 cmh20 were tested. Complex apnea was noted during titration. Patient does not benefit from any of the CPAP pressure applied. Poor sleep efficiency and poor tolerance. Snoring was not noted. ResMED F 10 full face mask large size was used and a heated humidifier was utilized during the titration.

Which report was this information from? From Friday night?

No Cancun, this was the 2nd titration test I did. Friday will be the conclusive test. I mean I did that one and the tech said it's enough but we gotta wait. This was the only test they had for me available. Now why is that? I don't know.

Enchanter wrote:Well I have to go somewhere right now. Maybe I'll take a whole picture of everything later and cross out certain things.

But I worked hard to make sure all the necessary info was on there. I really don't know what you guys need. I'm not trying to sound like a pesk, but it seems like it's never enough. It's not my fault the person didn't fill in the blanks. U see for yourself that it's blank. See, I can't even make this stuff up, there's proof. Now all u people who think I'm some troll see that I'm not making anything up, this is just ridiculous stuff that is happening to me.

It's okay. Calm down. Cross off the parts with your name and stuff. People are trying to help you now. They know you really went for the tests now. Let them help! That report said you needed to be on a med to sleep so why did the doctor refuse to give you any?

postitnote wrote:

Enchanter wrote:Well I have to go somewhere right now. Maybe I'll take a whole picture of everything later and cross out certain things.

But I worked hard to make sure all the necessary info was on there. I really don't know what you guys need. I'm not trying to sound like a pesk, but it seems like it's never enough. It's not my fault the person didn't fill in the blanks. U see for yourself that it's blank. See, I can't even make this stuff up, there's proof. Now all u people who think I'm some troll see that I'm not making anything up, this is just ridiculous stuff that is happening to me.

It's okay. Calm down. Cross off the parts with your name and stuff. People are trying to help you now. They know you really went for the tests now. Let them help! That report said you needed to be on a med to sleep so why did the doctor refuse to give you any?

I don't think you are a troll, I was just surprised why they gave you such a hard time about taking an Ambien when that report clearly stated that you should be sedated and even stated what sedative should be subscribed. You definitely need better doctors.

Papit wrote:I was looking for your help, PR. I don't know his machine. Ok, so he has no bilevel to use. My post was to get the ball rolling and I laid out my reasoning.

You've seen the Pressure Distribution section now. Do you agree or not that 11 is a reasonable setting to begin with the fixed pressure that his machine does have?

from an inconclusive test that the technicians said provided no useful data?

no thanks.

Papit wrote:.
Some report! "Patient does not benefit from any CPAP pressure applied . . ."
Really?

Enchanter wrote: . . .
Pressure Distribution
IPAP 8... Duratoin 22.2 min, sleep (min) 6. #CA 11, #0A 0, #MA 0, #HYP 1, #RERA 0, AHI 120.0, RDI 120
IPAP 9, Duration 15.8 min, sleep minutes 8.9, REM 0, NREM 8.9, #CA 13, #OA, 0, #MA 0, #Hyp 0, AHI 87.6, RDI 87.6
Ipap 10, Duration 174.4 min, sleep 36.5 min, REM 0, NREM 36.5, #CA 20, # HYP 30, AHI 82.2, RDI 82.2
Ipap 11, Duration 33.7 REM 0, NREM 33.7, #hyp 10, AHI 17.8 RDI 17.8
Ipap 12, Duration 5.3, sleep 0.4 min, REM 0, NREM 0.4, #CA 1, AHI 150, RDI 150

you're getting worked up over a period of *half an hour* out of the whole thing, and the only time that he didn't have any centrals, which is more likely due to the duration, and not the pressure.

Papit wrote:Enchanter, the pictures you sent omit about 1/3 or more of every page. We really need better pictures.
Every lab report I have seen includes a paragraph entitled INTERPRETATION and another entitled DIAGNOSIS and another entitled RECOMMENDATIONS. May we see them please?

not when no good data is recorded, as in this case.

cancun wrote:

postitnote wrote:

Enchanter wrote:Well I have to go somewhere right now. Maybe I'll take a whole picture of everything later and cross out certain things.

But I worked hard to make sure all the necessary info was on there. I really don't know what you guys need. I'm not trying to sound like a pesk, but it seems like it's never enough. It's not my fault the person didn't fill in the blanks. U see for yourself that it's blank. See, I can't even make this stuff up, there's proof. Now all u people who think I'm some troll see that I'm not making anything up, this is just ridiculous stuff that is happening to me.

It's okay. Calm down. Cross off the parts with your name and stuff. People are trying to help you now. They know you really went for the tests now. Let them help! That report said you needed to be on a med to sleep so why did the doctor refuse to give you any?

I don't think you are a troll, I was just surprised why they gave you such a hard time about taking an Ambien when that report clearly stated that you should be sedated and even stated what sedative should be subscribed. You definitely need better doctors.

The Ambien controversy occurred some time ago. At that time many forum members were telling Enchanter to fire the doctor because he refused to prescribe Ambien.

Enchanter appears to have difficulty processing the information he is receiving. As many people have already said, Enchanter needs an advocate to accompany him to doctor appointments. Clearly there is not enough information to criticize the doctor at this point.

This is exciting...

"There were no abnormalities of the EKG, EEG or EMG noted. "

Time for a small celebration. Your heart, brain, and muscles are not abnormal.

Enchanter wrote:Patient's split night study failed on 4/25/15.

Physical Interpretation: Unsuccessful overnight polysomnogram with markedly low sleep efficiency with the need for a repeat study with sedation

This patient with signs and symptoms consistent with the diagnosis of sleep apnea would benefit from a full overnight polysomnogram with the use of sedation. As such the patient should be sedated approximately 15 to 30 mg of Restoril on the next attempt of his study. He would also benefit from a mask desensitization prior to the study.

CPAP pressure of 8,9, 10, 11, and 12 cmh20 were tested. Complex apnea was noted during titration.

If the interpretation of the study done in April suggested another study WITH SEDATION, why all the hand-wringing over whether or not to take a sleep aid? Several people here suggested that you do just that, but you never seem to listen to anyone. Why, exactly, are you here on the forum? You ask a million questions, and the answers that are offered are repeatedly ignored by you.

COMPLEX APNEA probably indicates that you'll need a more sophisticated machine than the one you had donated to you, but USING SOMETHING IS BETTER THAN USING NOTHING. Use the damned machine, FFS.

MASK DESENSITIZATION could very easily have been accomplished before your most recent study. Many posters here encouraged you to wear the mask and use the machine during the day, while relaxed in front of the tv or while reading, so you could get used to it. But that never happened.

You've been on this forum for almost three months now and haven't gotten very far. Have you bothered to read ANYthing in the archives? There are many thousands of posts and tons of information to be gleaned for whatever issue you have around apnea and its treatment. Do you think you're the ONLY one who's ever had a problem? (Clue: You're not that kind of special.) The key to solving an issue is to LEARN about the solution and TAKE THE ADVICE THAT'S GIVEN.

You seem content to wallow in whatever problem you're experiencing and seek sympathy for it. Thus far, you have some people here (way too many, if you ask me) wrapped up in this fruitless drama you bring to the forum, itching to help you and prove (to those of us who [oh, the horror!] question you) that you really ARE this helpless and anxious and needy.

You've proven several times over that you would rather complain or make excuses for everything you AREN'T doing for yourself. So, knock yourself out with the whining about how everyone and everything's against you, the doctor wouldn't prescribe you a sleep aid, the lab sucks and the personnel there are incompetent, they won't give you your reports, you can't make an appointment to see the doctor yet (and on and on and on). And keep sabotaging yourself, too (you took apart the assembled mask you were given and then couldn't put it back together properly for days on end, once again delaying any progress you could have made).

"The sky is falling! Oh, woe is me!" Cry me a river...

Originally, I thought your screen name was a play on the word "enchanting" but I was wrong.

http://dictionary.reference.com/browse/enchanting

The definition of "enchanter" is

https://en.wikipedia.org/wiki/Enchanter

Big difference there. Enchanter is a good screen name for you.

BleepingBeauty wrote:

Enchanter wrote:Patient's split night study failed on 4/25/15.

Physical Interpretation: Unsuccessful overnight polysomnogram with markedly low sleep efficiency with the need for a repeat study with sedation

This patient with signs and symptoms consistent with the diagnosis of sleep apnea would benefit from a full overnight polysomnogram with the use of sedation. As such the patient should be sedated approximately 15 to 30 mg of Restoril on the next attempt of his study. He would also benefit from a mask desensitization prior to the study.

CPAP pressure of 8,9, 10, 11, and 12 cmh20 were tested. Complex apnea was noted during titration.

If the interpretation of the study done in April suggested another study WITH SEDATION, why all the hand-wringing over whether or not to take a sleep aid? Several people here suggested that you do just that, but you never seem to listen to anyone. Why, exactly, are you here on the forum? You ask a million questions, and the answers that are offered are repeatedly ignored by you.

COMPLEX APNEA probably indicates that you'll need a more sophisticated machine than the one you had donated to you, but USING SOMETHING IS BETTER THAN USING NOTHING. Use the damned machine, FFS.

MASK DESENSITIZATION could very easily have been accomplished before your most recent study. Many posters here encouraged you to wear the mask and use the machine during the day, while relaxed in front of the tv or while reading, so you could get used to it. But that never happened.

You've been on this forum for almost three months now and haven't gotten very far. Have you bothered to read ANYthing in the archives? There are many thousands of posts and tons of information to be gleaned for whatever issue you have around apnea and its treatment. Do you think you're the ONLY one who's ever had a problem? (Clue: You're not that kind of special.) The key to solving an issue is to LEARN about the solution and TAKE THE ADVICE THAT'S GIVEN.

You seem content to wallow in whatever problem you're experiencing and seek sympathy for it. Thus far, you have some people here (way too many, if you ask me) wrapped up in this fruitless drama you bring to the forum, itching to help you and prove (to those of us who [oh, the horror!] question you) that you really ARE this helpless and anxious and needy.

You've proven several times over that you would rather complain or make excuses for everything you AREN'T doing for yourself. So, knock yourself out with the whining about how everyone and everything's against you, the doctor wouldn't prescribe you a sleep aid, the lab sucks and the personnel there are incompetent, they won't give you your reports, you can't make an appointment to see the doctor yet (and on and on and on). And keep sabotaging yourself, too (you took apart the assembled mask you were given and then couldn't put it back together properly for days on end, once again delaying any progress you could have made).

"The sky is falling! Oh, woe is me!" Cry me a river...

Originally, I thought your screen name was a play on the word "enchanting" but I was wrong.

http://dictionary.reference.com/browse/enchanting

The definition of "enchanter" is

https://en.wikipedia.org/wiki/Enchanter

Big difference there. Enchanter is a good screen name for you.

Yes, Enchanter's chosen name is quite interesting and possibly revealing.