How Important is the Sleep Study? Self-treat user looking for opinions

Fetou · Post by **Fetou** » Wed Aug 08, 2018 5:42 am

(this is a continuation of post on prior page, hit image limit)

: Sleepyhead Capture Aug07 2ndOA.JPG (468.42 KiB) Viewed 11692 times

^
Posting one more. Not sure what happened on this one, but I'm leaning towards SWJ or sleep stage transition?

Pugsy · Post by **Pugsy** » Wed Aug 08, 2018 5:55 am

The last one I would lean towards SWJ because it looks like post arousal breathing preceding it.

The others...you have multiples of one image and I couldn't follow your thoughts very well but here's my thoughts on the zoomed in stuff in the other post.

The one at 00:22 appears real with a little arousal breathing afterwards and you went back to sleep. Probably don't remember the arousal.

The OA flagged at 21:36 looks like maybe not quite asleep yet breathing...
Th 21:41 OA and hyponea I am scratching my head over but it appears to me that you went to sleep had those 2 events and continued sleeping.

Fetou · Post by **Fetou** » Wed Aug 08, 2018 6:08 am

Pugsy wrote: ↑
Wed Aug 08, 2018 5:55 am
The last one I would lean towards SWJ because it looks like post arousal breathing preceding it.

The others...you have multiples of one image and I couldn't follow your thoughts very well but here's my thoughts on the zoomed in stuff in the other post.

The one at 00:22 appears real with a little arousal breathing afterwards and you went back to sleep. Probably don't remember the arousal.

The OA flagged at 21:36 looks like maybe not quite asleep yet breathing...
Th 21:41 OA and hyponea I am scratching my head over but it appears to me that you went to sleep had those 2 events and continued sleeping.

Fixed the other post so it wasn't the same image over and over again lol

Agreed on the one at :22. I'm kind of hoping that is the only real event of all the flags.

When I am falling asleep, I kind of "catch myself" sometimes. Like I will be somewhat unconscious or not aware, and then all of the sudden I come into awareness and shortly after realize I'm not breathing. This happens up to once or twice during my initial transition to sleep after lying down.

palerider · Post by **palerider** » Wed Aug 08, 2018 11:32 am

Fetou wrote: ↑
Wed Aug 08, 2018 5:41 am
Sleepyhead Capture Aug07 SWJ.JPG

^ This is within the first ten minutes of getting to bed. Is this just transitional SWJ?

(one of the things I don't like about forum hosted images.. there's no way to refer to them so they show up when quoting a message... :grumble:) If you look at the waveforms on the left, they're pretty sinusoidal, which is typical of awake breathing, then various irregularities, then on the right, evenness... though it doesn't look like good sleep breathing, but it looks like sleep. So, yeah, I'd say those are transitional apneas. (swj).

Fetou wrote: ↑
Wed Aug 08, 2018 5:41 am
Sleepyhead Capture Aug07 apnea.JPG
^ This one looks like a real apnea to me. It also has that similar preceding pattern that Pugsy described as a "cardio echo" on the last OA zoom that I shared.

There's something not 'right' in the waveform on the left, mouth breathing? or the palatial prolapse that someone else has been talking about? then a disturbance, apnea, and some recovery, then you're into a nice sleep breathing session.

Stom · Post by **Stom** » Wed Aug 08, 2018 11:43 am

palerider wrote: ↑
Wed Aug 08, 2018 11:32 am
(one of the things I don't like about forum hosted images.. there's no way to refer to them so they show up when quoting a message... :grumble:)

Not automatically, as far as I know, but you can copy the forum's image URL and use the image tags.

eg.

Code: Select all

[img]http://cpaptalk.com/download/file.php?id=1932[/img]

Fetou · Post by **Fetou** » Thu Aug 09, 2018 5:55 am

: Sleepyhead Capture Aug08.JPG (611.77 KiB) Viewed 11633 times

Feel clearheaded and well rested despite a shorter session than yesterday. I made it all the way through the night in one session without getting out of bed or taking off the mask at all. I think my sleep fragmentation has been improved by the significantly higher pressures that I've been on for the last five days or so.

Onto the zoom-ins:

: Sleepyhead Capture Aug08 Odd Breathing Hypopnea.JPG (539.97 KiB) Viewed 11638 times

^ The pattern on the left side of this zoom had been going for a while. Then things start to get irregular. To me, it doesn't really seem like an arousal usually does. Could this be a sleep stage transition? The pattern that emerges on the right continues for 3-4 minutes stably, and then there is an actual arousal, and it levels off into a nice breathing pattern again after that. The exhale looks so strange right around the hypopnea.

: Sleepyhead Capture Aug08 Hypopnea Pattern into OA then arousal.JPG (574.04 KiB) Viewed 11638 times

^ Right after the last zoom, this is what becomes of it. Obstructive apnea followed by an arousal.

Fetou · Post by **Fetou** » Thu Aug 09, 2018 5:59 am

(continued)

: Sleepyhead Capture Aug08 2nd OA.JPG (507.13 KiB) Viewed 11637 times

Last event happens here. It seems like there are a lot of distinct breathing patterns in the night that occur prior to OAs. Is it normal for one person to have so many different flow rate shapes within one night? A lot of the times it seems like my exhales get wonky right before an event happens.

Do you think any of these zooms calls for a tinkering with any of the settings? Or should I consider having three total events a success and not read too much into it?

Pugsy · Post by **Pugsy** » Thu Aug 09, 2018 6:08 am

Fetou wrote: ↑
Thu Aug 09, 2018 5:59 am
Do you think any of these zooms calls for a tinkering with any of the settings?

I wouldn't be changing anything if it were me. We can't make perfect breathing/flow rate patterns all night by tinkering with the settings because we don't sleep the same way each night.

Fetou wrote: ↑
Thu Aug 09, 2018 5:59 am
should I consider having three total events a success and not read too much into it?

3 events all night...I wouldn't even bother zooming in on.

I realized you are new to therapy and I would have done the same thing years ago if flow rate was available back then but it wasn't.

What I do now is if I see a cluster of something I might zoom in to see if I was awake or asleep. Most of the time it's fairly obvious it was arousal breathing and the events either were flagged right in the middle of the arousal breathing or right afterwards.
It's extremely rare for me to not remember some arousals because mine are usually related to pain....and then I know I probably have some that I don't remember. Like one that happens after REM stage is complete. I have learned to approximate when REM normally happens and eyeball the time frame for probable REM. I have never been able to really reliably distinguish REM sleep from non REM sleep by the flow rate itself. I just don't see enough difference.

Fetou · Post by **Fetou** » Fri Aug 10, 2018 7:10 am

Look at this beautiful pressure graph I got last night.

: Sleepyhead Capture Aug09.JPG (613.1 KiB) Viewed 11616 times

palerider · Post by **palerider** » Fri Aug 10, 2018 11:13 am

Fetou wrote: ↑
Fri Aug 10, 2018 7:10 am
Look at this beautiful pressure graph I got last night.

Nice!

Pugsy · Post by **Pugsy** » Fri Aug 10, 2018 11:34 am

Be careful. The aliens like to scan the forum and look for someone bragging and then they put them on the list to pay a little visit and really mess up your night.

Good job.

Fetou · Post by **Fetou** » Fri Dec 06, 2019 8:05 pm

: Prescription History.JPG (92.96 KiB) Viewed 11342 times

About a year and a half later, I've lost over 100lbs and have been able to lower my pressure a bit. Going through the self-treatment really was one of the first steps in turning my health/life around, and I recommend that any lurkers with OSA who are on the fence to take the first step towards dealing with the issue. So many issues, mental and physical, can be alleviated by treating the apnea.

zonker · Post by **zonker** » Fri Dec 06, 2019 8:33 pm

Fetou wrote: ↑
Fri Dec 06, 2019 8:05 pm
Prescription History.JPG

About a year and a half later, I've lost over 100lbs and have been able to lower my pressure a bit. Going through the self-treatment really was one of the first steps in turning my health/life around, and I recommend that any lurkers with OSA who are on the fence to take the first step towards dealing with the issue. So many issues, mental and physical, can be alleviated by treating the apnea.

well, will you look at THAT?

tens.jpg

it's been a rough day here on the forum. so it's really, really good to see someone come in with brilliant news like this. it's heartening to know that one can take charge of their therapy and their life.

well done, you!

How Important is the Sleep Study? Self-treat user looking for opinions

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