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Re: Update Please give feedback on study / Sleep study failure

Posted: Thu Sep 12, 2013 6:31 am
by marcnhl
UPDATE:

Guys, went for a 2nd study. ALSO slept like 3 hrs so they didn't titrate me (it was a split study).

The report should be in TODAY but they still told me some details on the phone: 6,7 events per hour, 17 per hour when in REM, and lowest oxygen 85%.

Just knowing that (will post details about report when I have those), do you believe that my symptoms (see below) could be relieved by CPAP, especially that 6.7/hr is considered borderline...??!!

Thanks, just looking for feedback! (so happy to at least have some results..)

-----------------------------------
OLD POST:

Hi guys,

My ENT refered me for a sleep study, having those symptoms:

extreme fatigue
depression for 2 months
waking up more fatigued than when going to bed
headaches
nasal congestion
deviated nose
sore throat
acid reflux

all blood tests were ok.

Went there last night. Slept only 2h00 total. Too nervous I guess. The lady told me that's not enough and I need to go back again....(they will cover the 2nd time).

Damn.

Could've she at least told me if she saw something or not during that 2h00...?! why not, it is frustrating

Re: Updates: Please give initial feedback/ Sleep study failure

Posted: Thu Sep 12, 2013 6:55 am
by marcnhl
details:

REM sleep time 10.3%.
Apnea and Hyp. are 2.9/hr, but if we add events from upper resistance, it goes to 6.7/hr.
17.1/hr in REM sleep, 5.6/hr in NREM.
Average O of 94.6%, minimum of 85%. BUT only 0.1% of the time below 90%.

help...??!!

Re: Updates: Please give initial feedback/ Sleep study failure

Posted: Thu Sep 12, 2013 7:21 am
by hueyville
Take your regular meds on schedule. Then take an Ambien after they get you wired up and in bed. I am guaranted 3 to 5 hours sleep with one. If they release you in less than 5 hours have a driver in case you nod off on way home. Ambien is best sleep medicine I have ever used and is non narcotic. A 10 mg diazapam may do the trick but muscle relaxant may throw numbers off cdue to relaxing muscles around airway thus making obstuctive symptoms worse. I have trouble in sleep studies too so never go without a sleep aid.

Re: Updates: Please give initial feedback/ Sleep study failure

Posted: Thu Sep 12, 2013 7:26 am
by marcnhl
please read most recent post :



UPDATE:

Guys, went for a 2nd study. ALSO slept like 3 hrs so they didn't titrate me (it was a split study).

The report should be in TODAY but they still told me some details on the phone: 6,7 events per hour, 17 per hour when in REM, and lowest oxygen 85%.

Just knowing that (will post details about report when I have those), do you believe that my symptoms (see below) could be relieved by CPAP, especially that 6.7/hr is considered borderline...??!!

Thanks, just looking for feedback! (so happy to at least have some results..)
---

details:

REM sleep time 10.3%.
Apnea and Hyp. are 2.9/hr, but if we add events from upper resistance, it goes to 6.7/hr.
17.1/hr in REM sleep, 5.6/hr in NREM.
Average O of 94.6%, minimum of 85%. BUT only 0.1% of the time below 90%.

help...??!!

-----------------------------------
OLD POST:

Hi guys,

My ENT refered me for a sleep study, having those symptoms:

extreme fatigue
depression for 2 months
waking up more fatigued than when going to bed
headaches
nasal congestion
deviated nose
sore throat
acid reflux

all blood tests were ok.

Went there last night. Slept only 2h00 total. Too nervous I guess. The lady told me that's not enough and I need to go back again....(they will cover the 2nd time).

Damn.

Could've she at least told me if she saw something or not during that 2h00...?! why not, it is frustrating

Re: Updates: Please give initial feedback/ Sleep study failure

Posted: Thu Sep 12, 2013 7:53 am
by Pugsy
You barely meet criteria for the diagnosis (if you lived in the US) but part of that is likely because of the short hours of sleep.
Your REM sleep is where you rock and roll (like me) and you probably didn't get a whole lot of REM...did you know as the night goes on we get more REM sleep stages and they last longer? So there is more potential for damage and stress to your body during REM as the night goes on. Typically 20% of the time slept is devoted to REM sleep over an entire night.

Diagnosis requirements may vary between insurance companies...some will go by the AHI or RDI combo greater than 5.0 for the entire night...some may require 15 AHI if you have other factors (like excessive daytime sleepiness).

You live in Canada...they do things a little differently than here in the US...I have no idea what Canadian requirements are.

Will cpap/apap help you feel better given that you barely meet the common requirements for diagnosis? Unknown, but it's worth a try to see. There are people on the forum with AHI in the single digits (not just in REM) who it has helped.

Hope this helps. If you don't meet criteria for your Canadian insurance to help pay for the machine...you might think about STL Mark's PR System One 560 model machine $400 for brand new plus a little more for international shipping...just to see if it helps..it sure won't hurt.
Masks....we can get you masks one way or the other if your doctor won't prescribe cpap/apap therapy.

Re: Update Please give feedback on study / Sleep study failure

Posted: Thu Sep 12, 2013 8:11 am
by kteague
marcnhl wrote: ...do you believe that my symptoms (see below) could be relieved by CPAP, especially that 6.7/hr is considered borderline...??!! Thanks, just looking for feedback!
I agree with what was already said about you don't know what it might look like if you had a full night's sleep with more REM. With your symptoms, seems reasonable to expext your condition is worse, not better, in a full night. I would hope decisions are not made on your need for treatment based on an incomplete short sleep report. Does your report show that your time in REM was supine? If not, you still probably don't have a full picture. Good luck going forward. Do I believe your symptoms could be relieved by CPAP? Yes. But just a very loose opinion based on limited evidence.

Re: Update Please give feedback on study / Sleep study failure

Posted: Thu Sep 12, 2013 8:35 am
by marcnhl
kteague wrote:
marcnhl wrote: ...do you believe that my symptoms (see below) could be relieved by CPAP, especially that 6.7/hr is considered borderline...??!! Thanks, just looking for feedback!
I agree with what was already said about you don't know what it might look like if you had a full night's sleep with more REM. With your symptoms, seems reasonable to expext your condition is worse, not better, in a full night. I would hope decisions are not made on your need for treatment based on an incomplete short sleep report. Does your report show that your time in REM was supine? If not, you still probably don't have a full picture. Good luck going forward. Do I believe your symptoms could be relieved by CPAP? Yes. But just a very loose opinion based on limited evidence.
thanks for the reply. index is 6.7/hr on back and 6.9 other positions..