Some questions, not trying to be rude

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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jmcsmomma
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Some questions, not trying to be rude

Post by jmcsmomma » Fri Feb 25, 2011 5:31 am

just have to blurt them out before I get sidetracked by kids.

One. If I can scan my sleep study results, can someone help interpret a bit? And not laugh oir roll eyes if it turns out that my apnea is "too mild".....
Two. I switched from the s9 escape to the s9 elite, have the software, and it shows for the past four nights that my ahi has been between a 0 and a .10...this was hypopneas. the leak rate was a max 54? percent one night, with the others between 7 and 20....if I remember right. My pressure is set to 12.

If the machine really THAT good? No, not the machine, the response to the therapy, I mean. My orignal AHI was a tossup between 5.51 and 5.8, so again, would seem pretty stinkin mild. My longest apnea was 87 seconds and dropped me to 69% o2 at the determining sleep study, and 32 seconds, 86% o2 at the titration. It DOES seem that during REM my AHI was HIGH, like in the 60s, at pressures of 8-10, and 12 brought it down considerably.
Also, is it normal to still feel a little sleepy sometimes, say on a dreary day, oir around one or two in the afternoon? I used to stay in the car when my friend ran into her dr office or the store, and take a nap, but I don't do that anymore, however, waiting in the car line for my kids, I take a 5-10 minute snooze sometimes.
I have been using CPAP for 2 weeks, and once I was told about that epr, have been 100 percent compliant, using the machine an average of 7 hours per night.
OH, my ankles aren't huge anymore at night either...is this a result of getting treated?

Ok, time to start the day....one more question- Is it normal- okay to still wake up 2 or three times a night?

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ozij
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Re: Some questions, not trying to be rude

Post by ozij » Fri Feb 25, 2011 5:51 am

jmcsmomma wrote:just have to blurt them out before I get sidetracked by kids.

One. If I can scan my sleep study results, can someone help interpret a bit? And not laugh oir roll eyes if it turns out that my apnea is "too mild".....
We don't usually laugh at people... we know how miserable OSA can make you - no matter what the number.
Two. I switched from the s9 escape to the s9 elite, have the software, and it shows for the past four nights that my ahi has been between a 0 and a .10...this was hypopneas. the leak rate was a max 54? percent one night, with the others between 7 and 20....if I remember right. My pressure is set to 12.

If the machine really THAT good? No, not the machine, the response to the therapy, I mean.

Yes.
My orignal AHI was a tossup between 5.51 and 5.8, so again, would seem pretty stinkin mild. My longest apnea was 87 seconds and dropped me to 69% o2 at the determining sleep study, and 32 seconds, 86% o2 at the titration.
Nothing mild about that desaturation.
It DOES seem that during REM my AHI was HIGH, like in the 60s, at pressures of 8-10, and 12 brought it down considerably.
And nothing mild about that REM AHI either.
OH, my ankles aren't huge anymore at night either...is this a result of getting treated?
That has been reported by others too.

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rested gal
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Re: Some questions, not trying to be rude

Post by rested gal » Fri Feb 25, 2011 5:55 am

jmcsmomma wrote:One. If I can scan my sleep study results, can someone help interpret a bit? And not laugh oir roll eyes if it turns out that my apnea is "too mild".....
No one's gonna laugh. Besides, what you say farther on shows your apnea is not really "mild" at all, no matter what the overall AHI said. Even if it were "mild" -- what matters is how you felt before and after CPAP. If CPAP is helping you be awake better in the daytime, that's what really matters.
jmcsmomma wrote:Two. I switched from the s9 escape to the s9 elite, have the software, and it shows for the past four nights that my ahi has been between a 0 and a .10...this was hypopneas. the leak rate was a max 54? percent one night, with the others between 7 and 20....if I remember right.
Sounds good.
jmcsmomma wrote:If the machine really THAT good? No, not the machine, the response to the therapy, I mean.
Yup. Sounds like your response to therapy IS that good, given what you said next..
jmcsmomma wrote:My orignal AHI was a tossup between 5.51 and 5.8, so again, would seem pretty stinkin mild.
If that's all anyone ever considered...yeah mild. But......as you went on to describe...
jmcsmomma wrote: My longest apnea was 87 seconds and dropped me to 69% o2 at the determining sleep study, and 32 seconds, 86% o2 at the titration.
Dropping down to 69% SpO2 during a diagnostic PSG sleep study catapults you out of "mild" into "severe" imho...but I'm not a doctor.
jmcsmomma wrote: It DOES seem that during REM my AHI was HIGH, like in the 60s, at pressures of 8-10, and 12 brought it down considerably.
Severe in REM, imho..and that's probably one of the most important stages of sleep to need to be "normal" in. Awkward sentence, but you know what I mean.
jmcsmomma wrote:Also, is it normal to still feel a little sleepy sometimes, say on a dreary day, oir around one or two in the afternoon?
There can be other reasons for feeling that way even if CPAP is doing its part of the job perfectly the night before.
jmcsmomma wrote: like I used to stay in the car when my friend ran into her dr office or the store, and take a nap, but I don't do that anymore, however, waiting in the car line for my kids, I take a 5-10 minute snooze sometimes.
That's a great improvement. But as I mentioned, there could be other reasons for still getting slightly drowsy. Sounds like your CPAP therapy in and of itself is fine. Perhaps your sleep is still slightly disturbed for other reasons. Some possibilities, side effects of meds (if any), sleep hygiene issues, Silent GERD acting up when you're laying down, spontaneous arousals during sleep that you aren't aware of....any number of things. Nonetheless, the improvement you've noticed makes me think the CPAP part is going well.
jmcsmomma wrote:I have been using CPAP for 2 weeks, and once I was told about that epr, have been 100 percent compliant, using the machine an average of 7 hours per night.
VERY good!
jmcsmomma wrote:OH, my ankles aren't huge anymore at night either...is this a result of getting treated?
Very likely.
jmcsmomma wrote:Ok, time to start the day....one more question- Is it normal- okay to still wake up 2 or three times a night?
I think so.
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snnnark
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Re: Some questions, not trying to be rude

Post by snnnark » Fri Feb 25, 2011 6:04 am

jmcsmomma wrote: My longest apnea was 87 seconds and dropped me to 69% o2 at the determining sleep study, and 32 seconds, 86% o2 at the titration.
Imagine sitting, calmly, in a comfortable chair, relaxed as can be. Now block your nose and mouth for a minute and a half! How relaxed are you going to be after that! I wouldn't want to do that once a night let alone 5 times!
jmcsmomma wrote: one more question- Is it normal- okay to still wake up 2 or three times a night?
It should be OK unless the wake ups are a result of apneas. If they are (maybe you can write down the wake up times to compare to the software results) then a bit of tweaking may be neccessary.

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jmcsmomma
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Re: Some questions, not trying to be rude

Post by jmcsmomma » Fri Feb 25, 2011 12:17 pm

thanks guys!! ya all are awesome

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lbw
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Re: Some questions, not trying to be rude

Post by lbw » Sat Feb 26, 2011 12:56 pm

No wonder you feel sleepy if your O2 satas drop into the 60s. It can take a few months to catch up on sleep. The fact that you don't have to nap as much shows things are working for you. Sometimes we get to hung up on numbers rather than how we feel.

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