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I just turned on my S9 APAP and looked at my one month latest AHI. It is 2.9 AHI for the last month. With a central apnea of 0.

Eric

SuddenlyWornOut45 wrote:I just turned on my S9 APAP and looked at my one month latest AHI. It is 2.9 AHI for the last month. With a central apnea of 0..,.

Eric

My AHI for the past month is 0.9. I don't have centrals. And so??? This is the most annoying thread (along with your other one) I've read in a long time. I'm done.

You don't seem to get that those lower AHIs are because you are treating your sleep apnea.

You don't see to get that pressure level has NOTHING to do with the severity of a person's sleep apnea.

Just do what you plan to do - then get a cpapless sleep study and come back and let us know the results. That is all we are saying.

Not likely; OP's flawed "logic", and stubborn insistence on sticking to this erroneous line of thought tells me he'd rather
die than continue wearing the mask. If it were only himself that would be harmed, I'd be like "whatever--it's your life";
but some innocent may be swayed by this raging lunacy--and more people will be harmed.
So, I say: " Go for it, bonehead; but take some responsibility that some poor sheep, clutching for straws,
will cling to your words and perish with you. Have a nice effin' day!"

Froggy makes me giggle.

I wish the best for you. For me, what seems to be the airway blockage local is beyond tonsils and every doctor I've spoken to has suggested I not get surgery. If I can just get my mask to seal and/or find one that will allow for mouth breathing I will at least have tried something. My full face mask pops loose when my mouth comes open in the night and nose breathing for me is difficult with such a clogged nasal passageway due to years of scar tissue and other issues.

Again, wishing you the best with your quest.

SuddenlyWornOut45 wrote: I dont remember my original untreated AHI. It was many years ago and I was told I had "moderate" OSA. Im 25 lbs heavier now and on a double bigger dose of klonopin so I assume now its severe OSA. (emphasis added)

In your original post you say that your target is to lose about 30 more pounds. That means your target weight is just a bit less than what you weighed when you had the original sleep test done. It also sounds like you were taking a small dose of klonopin at the time you had the sleep test done, but not nearly as much as you are currently taking.

To put it bluntly: Chances are you will have moderate OSA (if you sleep without a CPAP) after you wean yourself of the klonopin and lose the weight---regardless of what your 95% pressure level on the APAP is running at that point in time. In other words, it's reasonable to expect that as you lose the rest of the weight and wean yourself back to a much smaller dose of klonopin, the untreated OSA will return to the same level it was when you had the sleep test done----when you were both skinnier and on a much lower dose of klonopin.

Or because of the tonsil surgery, there may be some improvement due to that and if you're lucky, after reaching your target weight and weaning yourself off the klonopin, your untreated OSA MIGHT drop from moderate to the mild-to-moderate range. If you're really lucky, after reaching your target weight, your untreated OSA MIGHT drop to the way to the mild range. If you're super extra lucky, after reaching your target weight, your untreated OSA might actually be cured, and it will be safe to sleep without a CPAP---for as long as you keep the weight off.

But since your diagnostic sleep test showed an AHI in the moderate range many years ago and since OSA tends to get worse as we age (regardless of whether we keep ourselves in good physical condition), you will need to get a CPAP-less sleep study after you are at your target weight and you've weaned yourself off the klonopin and before you just simply toss the CPAP in the closet and assume that you're cured of OSA.

Again, I really hope that you are in the lucky group who manages to get their OSA cured by weight loss.

chunkyfrog wrote:Not likely; OP's flawed "logic", and stubborn insistence on sticking to this erroneous line of thought tells me he'd rather
die than continue wearing the mask. If it were only himself that would be harmed, I'd be like "whatever--it's your life"; but some innocent may be swayed by this raging lunacy--and more people will be harmed.

This is why I keep responding. I don't want his flawed "logic" based on "simple math" to persuade some damn fool that they too can just toss their CPAP aside because their treated AHI is 1.0 and they only need 5cm of pressure ....

robysue wrote: This is why I keep responding. I don't want his flawed "logic" based on "simple math" to persuade some damn fool that they too can just toss their CPAP aside because their treated AHI is 1.0 and they only need 5cm of pressure ....

And that is why I also responded...just to prevent someone else who reads this thread from being misinformed. It wasn't an attempt to change Eric's mind for sure. I could see quite early on that to attempt to use the 2 X 4 in this situation would just be wasted energy on my part.
Sometimes we just don't have big enough 2 X 4s to get a person's attention well enough.
I think Eric has been here before (and long before the tonsil removal post)...remains to be seen if things are going to go the way that I think it may go.
I have been getting several deja vue feelings lately. If this is the "Eric" I am thinking about...waste of time and energy trying to find that 2 X 4.

SuddenlyWornOut45 wrote:Reading this thread is giving me a headache. LOL

Look, I know from past experience that my APAP pressures go down about a point per mg of klonopin. I KNOW THAT FROM DOING THAT. Sheesh whats so big to understand?

Sleep docs will advise you to stay away from sedating medications and klonopin is one of the those.

My treated AHI runs not from 3 to 4. It runs from 2 to 3 typically. It is almost never 4 or even above 3. It changes day to day and typically is in the high 1s to the high 2s.

I dont remember my original untreated AHI. It was many years ago and I was told I had "moderate" OSA. Im 25 lbs heavier now and on a double bigger dose of klonopin so I assume now its severe OSA.

1) cut out klonopin
2) lose a bunch of weight
3) surgically correct my deviated nasal septum

Sheesh whats difficult to understand?

Eric

Considering how many people have pointed out many times that lower pressure does not mean less severity in sleep apnea. Nor does treated ahi have any relationship to UNtreated ahi, and you have ignored those statements. You won't address that topic.

Do you understand that lowering your pressure with good results does NOT mean that you can go without pressure and continue to have good results. If you skip a night, you will go right back to your UNtreated level of severity. And you don't even know what that is? That is scary.

Do you plan to have a sleep study when you get down to your goal of lowered pressure? Or do you plan to simply quit using cpap?

Do you truly understand that somebody with low pressure needs can have severe sleep apnea, even though their treated ahi is awesome? I have a treated ahi of less than 1, but my UNtreated ahi is 79. Huge difference.

You way overanalyze. Of course if I did all of the things I described above I'd go have another sleep study. Hell, Im seriously thinking about going to have one soon to have the Resmed VPAP auto adjusted as good as I can get it.

What kind of comment is that? To say to someone that they are too stupid to know to get a sleep study after they went off 4 mg klonopin, lost a huge amount of weight? You think Im that stupid? Thats standard sleep medicine protocol

I take it for granted I would have another sleep study by all of that. I dont have to talk about it here though.

Sheesh.

Eric

zoocrewphoto wrote:

SuddenlyWornOut45 wrote:Reading this thread is giving me a headache. LOL

Look, I know from past experience that my APAP pressures go down about a point per mg of klonopin. I KNOW THAT FROM DOING THAT. Sheesh whats so big to understand?

Sleep docs will advise you to stay away from sedating medications and klonopin is one of the those.

My treated AHI runs not from 3 to 4. It runs from 2 to 3 typically. It is almost never 4 or even above 3. It changes day to day and typically is in the high 1s to the high 2s.

I dont remember my original untreated AHI. It was many years ago and I was told I had "moderate" OSA. Im 25 lbs heavier now and on a double bigger dose of klonopin so I assume now its severe OSA.

1) cut out klonopin
2) lose a bunch of weight
3) surgically correct my deviated nasal septum

Sheesh whats difficult to understand?

Eric

Considering how many people have pointed out many times that lower pressure does not mean less severity in sleep apnea. Nor does treated ahi have any relationship to UNtreated ahi, and you have ignored those statements. You won't address that topic.

Do you understand that lowering your pressure with good results does NOT mean that you can go without pressure and continue to have good results. If you skip a night, you will go right back to your UNtreated level of severity. And you don't even know what that is? That is scary.

Do you plan to have a sleep study when you get down to your goal of lowered pressure? Or do you plan to simply quit using cpap?

Do you truly understand that somebody with low pressure needs can have severe sleep apnea, even though their treated ahi is awesome? I have a treated ahi of less than 1, but my UNtreated ahi is 79. Huge difference.

Nobody has called you stupid. But you have never stated you would get a sleep study. You don't even know your untreated ahi. And you keep talking like lower pressure equals less sleep apnea

How are we supposed to respond? Clearly, some of your statements are incorrect. And without knowing your untreated ahi, you don't know where your starting point was.

If you had said in the beginning that you were planning to have a sleep study done when you had achieved all these other things, we could have saved pages of stuff!

Hawthorne wrote:If you had said in the beginning that you were planning to have a sleep study done when you had achieved all these other things, we could have saved pages of stuff!

I did not mention another sleep study because to me, it goes without saying that I would need to do another one after I did all the stuff I described. I just take it for granted and did not mention it out of, hell I dont know...its just common sense I would be doing another sleep study.

I have known since 2007 that if you lose or gain twenty pounds or more, the usual protocol is to have a new sleep study done to reassess your pressure needs and any changes that have occurred with weight gain or loss.

This is just silly, everybody knows if you lose a bunch of weight or go off a bunch of sedating medications (or both) any sleep specialist would be committing malpractice not sending you for a new sleep study.

Eric