Tremendous success with MAD device, no longer need CPAP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Pugsy
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Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Tremendous success with MAD device, no longer need CPAP

Post by Pugsy » Fri Feb 03, 2017 1:08 pm

sc0ttt wrote: I think it's reasonable for someone who's honest with themselves
It's hard to be honest with one's self when in up the De Nile river but maybe if they could really be honest about things...maybe but
I know how I am and I am not in Denial...and I still try to convince myself it's okay to take a nap sitting up on the couch without cpap.
It's really hard to be that honest with one's self.

For me...I wouldn't totally trust myself and I would want a sleep study done with the MAD device so that I knew for sure but hey...that's just me being me because I know first hand the excuses I would use to not do something. I do it and I know better. because I snore and wake myself up when sitting totally upright on the couch. I know it's not a smart thing to do but I will do it anyway.
But maybe someone else isn't as bad as I am.

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MrGrumpy
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Joined: Fri Mar 21, 2008 12:12 am
Location: North Carolina

Re: Tremendous success with MAD device, no longer need CPAP

Post by MrGrumpy » Fri Feb 03, 2017 1:57 pm

It is important to remember that these prescription MAD devices are only FDA approved for mild to moderate obstructive sleep apnea. Not the moderate to severe obstructive sleep apnea end of it. My impression is most of the posters on this forum are elderly or older and have very complicated forms of sleep disordered breathing. Also a lot of the posters here sound as if their OSA is more in the moderate to severe end of it. Hence a prescription oral appliance would not work for most of the people on this forum, going by their own postings.

My last sleep study in June, my AhI had dropped into the 9s. That is mild obstructive sleep apnea. There are people out there who fit into this area where a lot of doctors dont want to bother with them because their apnea is not even moderate or high mild end (14 AHI). For this group, they may tolerate a prescription oral appliance better. Or not in some cases.

CPAP is still the gold standard for all degrees of sleep apnea, but the simple fact is, under 50% can tolerate CPAP with consistency...or at all. There is a need for alternatives.
Id be dead by now if I didn't use my CPAP gear every night.