please help

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Jerome

please help

Post by Jerome » Thu Oct 09, 2008 7:53 pm

I went in for a study last week. I have apena. I went in last night for the test with the mask. Well, I absolutely freaked out. I tried the full mask that covers both nose and mouth. I started shaking uncontrollably. I have never experienced anything like it before. I am a little claustrophobic. I left. Didn't complete the test. I was embarrassed. They said they will call me with what to do. I don't know if I can go back. What should I do?

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: please help

Post by jules » Thu Oct 09, 2008 8:07 pm

have you talked to your doctor about this yet?

how severe was your apnea - there are other treatments depending on how mild it is

I imagine the lab has run into this before - will probably run into it again

I suggest you call your doctor's office or go in and talk to them and see what they can find out about what next.

gsbuck
Posts: 124
Joined: Sat Sep 08, 2007 8:16 am

Re: please help

Post by gsbuck » Thu Oct 09, 2008 8:19 pm

That's right, talk with your doctor and the sleep techs. There are many masks that should work for claustaphobia. Look thru the masks at https://www.cpap.com and you will see a lot that leave the face relatively clear. Many users use tape to keep the mouth closed instead of the full face mask that covers the mouth. Maybe tape would not trigger your claustaphobia. Hope you find a mask that works and go back for your treatment!

_________________
Mask

User avatar
kteague
Posts: 7781
Joined: Tue May 16, 2006 8:30 pm
Location: West and Midwest

Re: please help

Post by kteague » Thu Oct 09, 2008 8:33 pm

Others on here have talked about being claustrophobic and how they worked through it. If it becomes necessary, maybe taking some medication to help you through adjusting to treatment could be helpful.

Different mask styles feel different in how they deliver the air. I use nasal pillows and have them in place before turning on the machine, and I don't even feel the air entering. Don't give up on one experience.

Kathy

_________________
Mask: TAP PAP Nasal Pillow CPAP Mask with Improved Stability Mouthpiece
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Bleep/DreamPort for full nights, Tap Pap for shorter sessions

User avatar
AuntieNae
Posts: 222
Joined: Mon Sep 22, 2008 5:28 pm
Location: Waukesha, WI

Re: please help

Post by AuntieNae » Thu Oct 09, 2008 8:40 pm

Jerome
I experienced the exact same thing. I went in for a split study but when they came in with the full face mask I had a major attack of claustrophobia so they let me sleep the rest of the night off the mask. They had me borrow a mask to slowly get used to it without the air before I went back for titration. I used a Pro Basic mask because it did not cover my eyes so badly which helped. Definitely, go in to find a mask that fits and does not freak you out before you go back for the titration. If I can do it, you can too. Tomorrow will be the start of my 4th week on CPAP so I am a newbie too.
AuntieNae
S8 AutoSet II with H4i Humid, reader + software
M Series Auto w Aflex with HH, reader + software
IntelliPAP AutoAdjust with HH, reader + software
Mirage Liberty Full Face with Nasal Pillows and Head Gear
Pursleep, Pad A Cheeks~ :)
Started 9/12/08

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: please help

Post by dsm » Thu Oct 09, 2008 8:44 pm

Jerome,
As the others have said, don't feel bad about your reaction. A lot go through it. I had a very similar scare the 1st time I tried a scuba diving mask

If you need to practice putting it on while awake just to get used to it. If you have the opportunity to lay down with mask & machine a few times while not in the sleep lab - that helps greatly.

Good luck

DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

Guest

Re: please help

Post by Guest » Thu Oct 09, 2008 8:53 pm

Thanks for the advice. I will call dr tomorrow.

User avatar
birdshell
Posts: 1622
Joined: Sun Mar 26, 2006 11:58 am
Location: Southeast Michigan (Lower Peninsula)

Re: please help

Post by birdshell » Thu Oct 09, 2008 8:57 pm

What AuntieNae said...

My titration was a tougher night than the original study for several reasons, but at LEAST the tech gave me a choice between a nasal mask and a nasal pillows mask (the original Swift). I tried each for 15 minutes. The regular nasal mask made me feel claustrophobic--just a bit, that is, but it was creeping into the corners of my eyes after the first minute. I tried for a couple of minutes more, but then packed it in for the nasal mask.

The Swift was not the total answer for me, but I've continued to use the nasal pillows masks. They are the smallest and most unobtrusive masks, IMHO, and seem to work for me. There are even full-faced masks that have nasal pillows; my favorite example of that is the Hybrid.

Click Here for Nasal Pillows Masks


Following are two examples of the nasal pillows full faced mask. They both have a part that surrounds the mouth while also having nasal pillows that fit to the nose.

Click Here for Nasal Pillows Full Face Mask--Hybrid by Innomed

Click Here for Nasal Pillows Full Face Mask--Liberty by ResMed

Best of rest to you.

Karen,
Who would still be using her Liberty if she could Image
Be kinder than necessary; everyone you meet is fighting some kind of battle.

Click => Free Mammograms

MichelleFL
Posts: 200
Joined: Sat Sep 20, 2008 5:41 pm
Location: Florida

Re: please help

Post by MichelleFL » Thu Oct 09, 2008 9:34 pm

Please do give it another try. I went in for my titration a few nights ago and was scared as anything. I suffer with anxiety and panic attacks and thought this would be the worst night of my life! I choose the nasal pillow one that you see pictured at the bottom of my message. I did not panic, it felt soft and very comfy. Infact I fell asleep in 30 minutes and only awoke twice during the night.

I hope you will go back and have it done again. My tech told me the same thing that for some they cannot do it at that time but then come back another day. So don't be embarrassed they go through this all of the time.. Good luck!
Newbie to sleep apnea. Anxiety and panic attacks. If I can do it, you can too! It's not as bad as you think.. :)

User avatar
Babette
Posts: 4231
Joined: Mon Apr 30, 2007 5:25 pm

Re: please help

Post by Babette » Fri Oct 10, 2008 3:40 pm

Wow.... I thought my sleep study would be horrible too, but it wasn't. The techs were friendly, reassuring, and knowledgeable. They gave me several hours to relax and get ready to sleep before they masked me up. They wired me up first, then let me relax and get used to the environment before they masked me up. It was really a very comfortable experience.

There was a gentleman next to me at my second study who left mid-way through. They said it was like the 4th time he'd tried and left early. From what I peeped of him as I was walking past to go potty, he was severely obese. I suspect he has multiple medical issues that make him vastly uncomfortable and this was just too much for him.

I wonder if you could talk to your doc about getting some valium? It calms your nerves without putting you "out," and probably won't have much effect on your airway. It is routinely given to patients these days who suffer from a variety of doctor-related traumas. I've heard of it given out for dental patients, podiatry patients, and I've taken it for minor eye surgery. I've been told all you need to do is ask - it's regularly given out upon demand.

Can't hurt to ask your doc about it.

Good luck!
Babs

_________________
Machine: PR System One REMStar 60 Series Auto CPAP Machine
Additional Comments: Started XPAP 04/20/07. APAP currently wide open 10-20. Consistent AHI 2.1. No flex. HH 3. Deluxe Chinstrap.
I currently have a stash of Nasal Aire II cannulas in Small or Extra Small. Please PM me if you would like them. I'm interested in bartering for something strange and wonderful that I don't currently own. Or a Large size NAII cannula. :)

ractar28
Posts: 222
Joined: Wed Oct 01, 2008 3:06 pm

Re: please help

Post by ractar28 » Fri Oct 10, 2008 4:32 pm

I am so lucky that I don't have any of the issues you had. I'm simply annoyed by my mask .

There are options ranging from something that looks like a clear version of the old hockey goalie masks to the "no mask" which is nasal pillows attached to a mouthpiece. Your sleep study clinic should have mask options for you to try. Heck, first figure out if the MASK is the issue or the air being blown into your mask is the issue.

It really sounds like they could have dealt with your issues right then and there or at least have tried something different -- anything.

alnhwrd
Posts: 731
Joined: Tue Nov 20, 2007 3:58 pm
Location: Hood River, Oregon

Re: please help

Post by alnhwrd » Fri Oct 10, 2008 6:06 pm

Jerome,

Adjusting to CPAP can be very difficult. Everyone here has had that moment when the sleep techs walk into the room and want to strap a hunk of plastic and rubber to their face and/or up their nose, only to have the dinosaur part of the brain say,"Oh no your not!!". It sounds like you got a double dose of this. I am truly sorry, and hope that you will not allow yourself to get derailed. If you have OSA, you absolutely must get treatment for it. Make up your mind now that you will find a way to make it work. This therapy gets easier and easier as time goes by and you adjust to it. If a full face mask is not for you, there are many, many other choices. Others have given good suggestions, like seeing your Doc about some meds, or practicing wearing the mask, or adding some soothing smells to the air to help you sleep (Pur-Sleep). Keep on trying, and don't hesitate to bring any questions or problems here. Someone will have gone through it already.

Alan

User avatar
birdshell
Posts: 1622
Joined: Sun Mar 26, 2006 11:58 am
Location: Southeast Michigan (Lower Peninsula)

Re: please help

Post by birdshell » Sat Oct 11, 2008 12:14 am

ractar28 wrote:<snip>
Your sleep study clinic should have mask options for you to try.


Ummm, yeah...they should have a selection of masks, but believe it or not...many, many labs do not. That is a crazy concept, since labs are given a real break on the price of those masks. I have heard techs complaining that they cannot get masks for patients to try. Image

Then again, I've noticed that some techs seem to use the "one mask for all, and all for one mask, whether it is the best choice for them or not" theory of mask fitting. Of course, that could be the result of a lack of types of masks to try on us, the eventual CPAP users.

ractar28 wrote:Heck, first figure out if the MASK is the issue or the air being blown into your mask is the issue.
THAT is an awesome idea! I think I was lucky that I was given a choice of two masks with air blowing. However, I never thought about separating the two variables. Image Although it didn't for me, it really could make a difference whether they were introduced separately. Well thought out, ractar28.
ractar28 wrote:It really sounds like they could have dealt with your issues right then and there or at least have tried something different -- anything.
Once again, stick around here for a while and you will be amazed at the things that people report. However, we should recall that the field of treating sleep disordered breathing (SDB) is relatively new, and there is very little taught to sleep techs about fitting masks. In fact, is anyone really taught anything about fitting masks properly? Image

Even the cpap.com fitting guide doesn't really do the job. I went through that thinking I would really find out some good suggestions, and then found that several of the masks recommended for me had already been discarded by me as failures, while many that were not recommended have actually been my favorites.

Further, who ever thought that we would be able to actually accumulate so many masks so quickly? IMHO, this speaks to the inadequacy of determining a successful mask without actually using it for at least a week or so, and probably longer.

There must be a better way; say, custom made masks for all? LOL...although I still want to know why ski boots can be custom fitted but a health issue like a CPAP mask is much more rare.

Karen,
Who just wonders...a lot! Image

Be kinder than necessary; everyone you meet is fighting some kind of battle.

Click => Free Mammograms

Billy6
Posts: 200
Joined: Sat Aug 23, 2008 12:31 pm
Location: Chula Vista, CA

Re: please help

Post by Billy6 » Sat Oct 11, 2008 7:45 am

An alternative is to call your dentist. He can, or point you to another dentist/orthodontist who can, make a retainer-like mouthpiece that will hold your lower jaw forward, thereby opening the airway, instead of forced air holding it open.

_________________
Mask

User avatar
birdshell
Posts: 1622
Joined: Sun Mar 26, 2006 11:58 am
Location: Southeast Michigan (Lower Peninsula)

Re: please help

Post by birdshell » Sat Oct 11, 2008 8:17 am

Billy6 wrote:An alternative is to call your dentist. He can, or point you to another dentist/orthodontist who can, make a retainer-like mouthpiece that will hold your lower jaw forward, thereby opening the airway, instead of forced air holding it open.

As I understand it, the dental appliance does not manage all apneics' sleep disordered breathing (SDB). That could be just my impression....

Karen,
Who has been wrong QUITE often Image
Be kinder than necessary; everyone you meet is fighting some kind of battle.

Click => Free Mammograms