CPAP AND OXYGEN

GumbyCT wrote:I could be way out in the weeds on this but it occurs to me that the reason the O2 sats are low is because the therapy is NOT effective. So rather than the doc finding out why the therapy is NOT effective, she orders 1L O2. Done.

Keep in mind, it doesn't sound like she even knows if the O2 has any effect so far. Meaning you can fill the room with O2 but if you do NOT breath it in, why even bother?

Ready (RTQ), have you been diagnosed with other help issues (beside apnea) that would affect your O2 level only while sleeping?

Have you done any over night oximeter testing after beginning the use of O2?

Good Luck,
GumbyCT

Slinky wrote:

GumbyCT wrote:I could be way out in the weeds on this but it occurs to me that the reason the O2 sats are low is because the therapy is NOT effective. So rather than the doc finding out why the therapy is NOT effective, she orders 1L O2. Done.

Keep in mind, it doesn't sound like she even knows if the O2 has any effect so far. Meaning you can fill the room with O2 but if you do NOT breath it in, why even bother?

Ready (RTQ), have you been diagnosed with other help issues (beside apnea) that would affect your O2 level only while sleeping?

Have you done any over night oximeter testing after beginning the use of O2?

Good Luck,
GumbyCT

Good point, Gumby!

Ready, is this Internal Medicine doctor your Primary Care Physician as well? If not, you might ask your PCP to order an overnight oximetry on CPAP to see what your results are and if you are still desatting on CPAP.

You might try looking around for a sleep specialist. Since the sleep docs at my sleep clinic actually see and talk to their patients I was shocked to realize how many sleep clinics the patient NEVER sees or talks to the sleep specialist but rather the sleep specialist doctor keeps his distance from the patients and just sends his interpretation to the referring doctor, maybe even consults w/the referring doctor. I've got no use for such a sleep specialist!!!! None!

After years of having sleep doctors on staff at their sleep clinic my local hospital of choice has gone to this bit of contracting sleep specialist doctors keeping them distant from the patients and just providng results to referring doctors and consulting w/them when necessary (but the referring doctor has to contact the specialist, not vice versa). It was a cost cutting measure, this hospital is cutting back on on-staff doctors and going with contracting w/specialist groups in various departments.

"I" don't want some Prima Donna specialist hidden in the background determining my therapy w/o my having any input!!! If he isn't willing to meet w/me face-to-face to discuss my diagnosis and options - he can go piddle up a rope, I'll find someone who will!

_________________well the 2 docs are in the same office dr.heather henry is my pcp and dr.dupree is the internel speacilist. its kinda a long story but here goes about 2 1/2 or 3 years ago i was put in the hospital because of chest pains (turned out to be mostly stress) well duoree was the doc on call at the hospital. thru diffrent test he found out that i had some swelling on one of the arteries at my heart due to high blood pressure. i asked him if that would cause me to be tired and sleepy all the time,so he started asking questions and ordered the sleep study. the only result that i was told was that i had cronic osa.well did the 2nd sleep test on cpap and all i was told was i did much better on cpap.dupree ordered the machine and thats the last time i saw him, my pcp took over and year and a half with not feelin better i started telling her that i was still tired all the time and she ordered the 02 test. then she added the 02 at 1l that was 2 weeks? ago still tired. left message for dupree yesterday to call me but no luck yet

CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP