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Sleep Apnea?

14,048 Views | 92 Replies | Last: 10 hrs ago by Cromagnum
pagerman @ work
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AG
Getting a CPAP was an absolute life changing event.

I've had a CPAP for decades. I took mine with me when I was in Iraq (06-08) and I had had it probably 10 years prior to that.

When I originally got tested, I had to go to a sleep center in a strip mall. First night they wired you up and just recorded your sleep. Once they determined you had sleep apnea you came back and they tested you again with a CPAP to determine what the settings should be, etc.

Walking out to my car the next morning (it was early, and I'm not a morning person) I remember thinking so this is what all that stuff about "waking up refreshed" is all about. I had never felt that good from waking up, and I had gotten maybe 6 hours of sleep.

Since then the technology has gotten so much better, you can order replacement parts on line, and there are a ton of accessories available to make using it easier (heated hoses, multiple masks, humidifiers, etc.).

I have never understood the complaints about the masks, etc. I have never had an issue, and while I can technically sleep without it, it is lousy sleep and I wake up with a sore throat from snoring.

Personally I cannot recommend a CPAP highly enough in terms of the quality of sleep and quality of life.
“Socialism is a philosophy of failure, the creed of ignorance, and the gospel of envy. It's inherent virtue is the equal sharing of miseries." - Winston Churchill
KidDoc
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AG
Did my first home CPAP last night. The modern machines are pretty dang slick and easy to use and quiet. I slept all night with the nasal pillows in place. Had some mild dry throat this morning so I'm going to crank up the humidity a notch to see if that helps. Woke a few times with a mild leak from the nasal seal due to rolling over but overall wasn't bad at all.

I feel about the same as usual but I didn't start due to chronic fatigue/sleep deprivation symptoms. Mostly had issues with wife complaining then was a bit alarmed with running 88% SaO2 overnight which is not good for recovery and long term cardiopulmonary and mental recovery.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Johnny Goodbull
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AG
Mind sharing what brand/style of CPAP machine you are using?
KidDoc
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AG
Johnny Goodbull said:

Mind sharing what brand/style of CPAP machine you are using?
ResMed Airsense11 autoset

Mask is ResMed Airfit P10
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
88Warrior
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KidDoc said:

Johnny Goodbull said:

Mind sharing what brand/style of CPAP machine you are using?
ResMed Airsense11 autoset

Mask is ResMed Airfit P10


I've got the same ResMed 11 but I use the Airfit 20 mask..easy to use and has made a world of difference…I travel every other month for work so I'll be adding a travel unit after the first of the year…
Sims
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AG
This may be a bit out of direct line of the conversation but do these sleep studies give any indication or direction as to why someone is unable to fall asleep? I realize it's a "sleep" study and not necessarily a "going to sleep study," but if it could help I think it would be worth trying.

Specifically, I'm not sure my wife has slept more than 3 - 4 hours in a night in the last 3 months. During the day, it's like she is back to that period of time when we had newborns and we were just walking zombies. She was diagnosed with hypothyroidism about 10 years ago and that's managed - she gets blood drawn about every 6 weeks and her levels have been comfortable to the doctors. She's not obese, works out/walks almost daily, usually no caffeine after noon and she drinks plenty of water.

She's tried melatonin, prescribed sleep aids, cbd...anecdotally, I think I recall the 2 best nights of sleep she's had in recent memory were 1) after having several glasses of wine and 2) after taking a couple large dose ibuprofens.
KidDoc
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AG
Sims said:

This may be a bit out of direct line of the conversation but do these sleep studies give any indication or direction as to why someone is unable to fall asleep? I realize it's a "sleep" study and not necessarily a "going to sleep study," but if it could help I think it would be worth trying.

Specifically, I'm not sure my wife has slept more than 3 - 4 hours in a night in the last 3 months. During the day, it's like she is back to that period of time when we had newborns and we were just walking zombies. She was diagnosed with hypothyroidism about 10 years ago and that's managed - she gets blood drawn about every 6 weeks and her levels have been comfortable to the doctors. She's not obese, works out/walks almost daily, usually no caffeine after noon and she drinks plenty of water.

She's tried melatonin, prescribed sleep aids, cbd...anecdotally, I think I recall the 2 best nights of sleep she's had in recent memory were 1) after having several glasses of wine and 2) after taking a couple large dose ibuprofens.
Yes they can diagnose restless leg syndrome as well as OSA with a sleep study at a sleep study center.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Sims
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AG
You know it's funny you mention restless leg syndrome - my mother in law has complained about "my restless leg" since the day I met my wife. May be something to that. Maybe my wife's unwillingness to connect those dots is related to the fact she tries every day not to be like her mom
Guitarsoup
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AG
My biggest regret in life may be not doing a sleep study earlier. I feel so much better overall since getting a CPAP.

The guy at the sleep study actually woke me up and said I could go home because they had enough data. During the consult after the sleep study, they let me know I measured at 65 AHI.

I also used to take forever to fall asleep. The CPAP seems to work kind of like Pavlov's Bell. I put it on, let the air flow and my body is ready to sleep. I fall asleep so much quicker and easier than I used to.
Kool
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AG
A sleep study isn't helpful in diagnosing insomnia. Actigraphy employs a wearable that someone can use to help diagnose different sleep disorders, but not every sleep center does those. For insomnia, there are several online Cognitive Behavioral Therapy for Insomnia apps that can help. A few below:
Go! to Sleep
DrLullaby
SleepEZ
Conquering Insomnia
Stellar Sleep
Sleep Reset
A Mindful Way
Sleep School
Sleep Easy
Somly
Full Sleep
Insomnia Solved
Sleepio
CBT-i Coach
Free CBTi
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
DannyDuberstein
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AG
Anybody with a sleep study recommendation in the Plano/Frisco/McKinney/Allen area?

50 now, most of those years not as a snorer, but have become one in the last 4-5 years and more tired than I used to be. Still fit, so trying to figure if I've just become a rattly old guy or someone a cpap could help.
GeorgiAg
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AG
I finally have been able to get used to the nasal pillows for CPAP. IMHO it is much more comfortable than the full face mask.
Philip J Fry
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AG
Great to hear.
88Warrior
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Update:
Had my semi annual checkup yesterday and 6 months in with using the CPAP machine my BP is down 10 points, weight is down 10 pounds and A1C is now in the 6's… not to mention feeling 100% better!…no change to my diet or exercise routine only the CPAP so put me in the believer category…
KidDoc
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AG
I had to take a break for a few days this week. Had one night where I was having big leak problems so I kept trying to tighten up the strap. Finally got up and got a new set of nose pillows and it worked but the damage had apparently already been done. Woke up with redness and skin breakdown on both nares. All healed up now after 3 days off so started again last night.

Key point: don't overtighten your strap in the middle of the night!
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
General Jack D. Ripper
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So I've been using my nose mask CPAP for about 2 weeks. I'm up to about 7.5 of use per night. I still have some difficulty getting used to it. The only complaint is that it tickles my nose, but I'll get used to it.

Unfortunately, I can't lose weight to improve my sleep apnea. I'm already a healthy weight. I was just born with a mouth made for sleep apnea.

If anyone is snoring, I highly recommend getting a sleep test. I'm scared to say that it's changed my life at the risk things go back to my prior "normal." Previously, I was waking up in the mornings with FEAR, anxiety and dread. I really thought that I was in a years long depression.

All I looked forward to was a nap every day at lunch (but couldn't because the anxiety was out of control). I experienced constant anxiety all day. My business was stagnant and I had zero motivation or drive. All I wanted was to just get through the day. I had no motivation to exercise or engage in hobbies.

I tried everything except for medicine: Wim Hof breathing, yoga, meditation, Stoicism, Buddhism (ok, well that kind of stuck), nootropics, therapy (oh your constant rumination is OCD), CBD, consumerism, and on and on and on.

I was at a loss, so I researched the issue a few months ago. I learned that gasping for air all night and not sleeping makes a person wake up with insane cortisol levels. This lead to my fear, anxiety and dread. Also, I guess not sleeping right for years takes a toll on the body.

I seriously hope this isn't some sort of sleep apnea pink cloud, because I feel like my old self again: motivated, fearless and able to enjoy life. I woke up at 5 this morning because I didn't want to sleep anymore.
But I know no matter what the waitress brings
I shall drink it and always be full, yeah I will drink it and always be full
Cromagnum
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AG
Cardiologist and wife finally got me to do a sleep study. First night was awful like many said. CPAP and BIPAP were both very ineffective and I felt like I was smothering while trying to breathe out.

Baseline AHI of 28 and RDI of 34.6 with 45 obstructive apneas and 6 central apneas. CPAP was not tolerable. BPAP didn't do a lot better and more than 50% of my apneas were central when I was hooked up.

About to start night #2 on the ASV device.

ETA: Night 2 over. Considerably worse than the first study. The ASV conveniently waits until i just start to dose, then hits me with a full power shot of air to jar me awake. Repeat for next 4 hours, then switch back to BIPAP which fights me the rest of the night. Gonna go home and sleep "unassisted" for a few hours again.
Kool
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AG
If there is any way you can tolerate CPAP or BiPAP (the latter often easier to tolerate), then you need to do that. A lot of central events will go away eventually with PAP usage without having to go to ASV. Give it a good try with different masks, practicing breathing with it on during the evening while awake, hook up with a good respiratory therapist to work with, etc. That being said, if you have significant cardiac issues you might end up needing the ASV to control those.

IF you absolutely cannot tolerate those, see an ENT and have them look at your airway to see if there is any "low hanging fruit" to address surgically. If you do that, your pressures on CPAP or BiPAP might drop enough to where you can tolerate it. Additionally, if you have good teeth and don't have TMJ issues, an oral appliance can be a good adjunct. If you have greater than 25% of your events being central on your diagnostic study (not according to what you posted above, but mixed apneas count as centrals), you would not be a candidate for an Inspire hypoglossal nerve stimulus implant.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Cromagnum
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AG
Will have to see what the report for night 2 shows. It seems like I have a lot of central events.
GeorgiAg
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AG
Stick with it. I don't know what model you have. I have a Res Med. Mine has a mask that can detach from the hose with a pretty easy clip mechanism. When I go to bed, I chill, read, or scroll phone for a bit. But I put my mask on without the hose and just breathe through it for a while (no hose) to get used to it. Then when I'm really sleepy, I attach the hose to the mask and go to bed. This has worked better for me to get used to being Darth Vader at night.

I actually fell asleep one night with the mask on with no hose, lol. My GF said I was sleeping soundly, so she just left me with it on.

Got a 95 sleep score last night, wooo!

Keep at it, and good luck.
Cromagnum
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AG
Don't have one yet. Did the facility sleep study and they haven't prescribed me a device yet.
GeorgiAg
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AG
Cromagnum said:

Don't have one yet. Did the facility sleep study and they haven't prescribed me a device yet.


Ah. I didn't read your earlier post well. I got the at home test so I don't know what your test was like. If you ultimately get one keep in mind it gets better. For the longest time I could only wear it very short periods.
Cromagnum
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AG
Only slept about 2.5 hours during test #2 with an ASV attached and they told me it knocked out 100% of my complex apnea events. I felt like **** when I woke up so hopefully longer term use with longer sleep would feel better.
 
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