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re: Having a sleep study at the sleep clinic tonight. What to expect?
Posted on 7/26/19 at 1:09 pm to East Coast Band
Posted on 7/26/19 at 1:09 pm to East Coast Band
I understand. Just ask the doc if you had any central or mixed apnea. If you just have obstructive, honestly your insurance company would prefer if you just get an APAP. 20 year RPSGT here, happy to help you out in any way. 
2
Posted on 7/26/19 at 1:15 pm to JJ27
Also, you might not have “quit breathing” 24 times an hour. That number is inflated with hypopnea. An apnea is a cessation of airflow for at least 1 seconds. If you continue trying to breathe while this happens, it’s obstructive. If you flat out quit breathing, it’s central. If it starts out central before you try to breathe, and then finally breathe that is mixed. It requires nothing else as far as your oxygen level.
A hypopnea is a 30-90% decrease in your effort and a drop of 3-4% of your SaO2 depending on the lab. I personally use 4% when scoring. So you could literally drop effort 30%, still breathing at 70% of baseline, and drop from 100% to 96% on your oxygen and that’s an event.
Typically that’s not really the case though. It’s more like your effort drops 70% and your oxygen goes from 96 to 85. Just trying to explain what those numbers mean.
A hypopnea is a 30-90% decrease in your effort and a drop of 3-4% of your SaO2 depending on the lab. I personally use 4% when scoring. So you could literally drop effort 30%, still breathing at 70% of baseline, and drop from 100% to 96% on your oxygen and that’s an event.
Typically that’s not really the case though. It’s more like your effort drops 70% and your oxygen goes from 96 to 85. Just trying to explain what those numbers mean.
Posted on 7/26/19 at 1:30 pm to greygoose
don't know how anybody takes a sleep study without meds......
that should totally screw up the test results, might as well buy a wholesale auto titrating Cpap and three bottles of lithium
that should totally screw up the test results, might as well buy a wholesale auto titrating Cpap and three bottles of lithium
Posted on 7/26/19 at 1:34 pm to JJ27
I think the most important result is your blood oxygen level. Snoring and breathing interruptions that cause your blood oxygen to drop too far is something that needs to be fixed.
I suggest a heavy dose of alcohol (beer/wine/etc) prior to going in so you get tested in a realistic condition. It will also help you sleep.
If they recommend a cpap machine, be sure and get a prescription from the doctor so you can shop around for the best machine and not get stuck with the clinics brand and kickback.
I suggest a heavy dose of alcohol (beer/wine/etc) prior to going in so you get tested in a realistic condition. It will also help you sleep.
If they recommend a cpap machine, be sure and get a prescription from the doctor so you can shop around for the best machine and not get stuck with the clinics brand and kickback.
This post was edited on 7/26/19 at 1:50 pm
Posted on 7/26/19 at 1:35 pm to just1dawg
quote:
Wife does not like the CPAP cause it makes noise; especially when you go into deep sleep.
quote:
How loud is it? Wouldn't she rather hear the CPAP than you snoring?
I am asleep so I don't know how loud it is. But you are correct, I think she would rather hear the machine as it is the lesser of 3 evils.
- waking up with her dead husband next to her
- my snoring
- the noise from the machine
Usually it is quite when I go to sleep. I think the way it works is as I go into a deeper sleep my air passage begins to close as I relax and then the machine increases the air pressure, and the noise, to push more air through to keep the passage open.
If she wakes up when that is going on she has a hard time going back to sleep.
I should know more about how it works such as the settings, etc.; I can probably learn a lot by reading this tread.
Moving it off the nightstand seems like a good idea. Thanks
Posted on 7/26/19 at 2:09 pm to nctiger71
My nasal passages are all jacked up, i can barely breath through my nose consciously. Is there a cpap that works over the mouth or does that create danger of drowning in drool?
Posted on 7/26/19 at 2:31 pm to deeprig9
I don’t know.
Seems like greygoose and JJ27 are the experts on this subject.
Seems like greygoose and JJ27 are the experts on this subject.
Posted on 7/26/19 at 2:34 pm to deeprig9
quote:
Is there a cpap that works over the mouth or does that create danger of drowning in drool?
The cpap/apap won't matter, there are plenty of masks that are full face so you can breathe through your mouth or nose. I got one that's mouth and nose, and when I was getting used to it I found it weird to breathe through my nose wearing it so I would start out going to sleep breathing through my mouth and always wake up only breathing through my nose. Now I'm used to it and always breathe through my nose with it on, but I haven't tried other masks that are nose only, I'm just used to this one now.
Posted on 7/26/19 at 2:35 pm to nctiger71
After reading this thread, I now know who is fat.
Posted on 7/26/19 at 2:48 pm to Nawlens Gator
quote:I can't imagine this is sound advice
I suggest a heavy dose of alcohol (beer/wine/etc) prior to going in so you get tested in a realistic condition. It will also help you sleep.
Posted on 7/26/19 at 3:02 pm to East Coast Band
Little to no sleep
Posted on 7/26/19 at 5:14 pm to JJ27
I rarely can breathe through my nose so a nasal pillow likely won’t work. My unit is set to a 9 pressure and my “score” was a minimal 13.
Like I said, wife is happy that I don’t snore and I do acknowledge I get a better nights sleep. But I think I have a minimal case.
Like I said, wife is happy that I don’t snore and I do acknowledge I get a better nights sleep. But I think I have a minimal case.
Posted on 7/26/19 at 8:25 pm to Jobu93
How much is a home test?
Posted on 7/26/19 at 8:54 pm to prplhze2000
quote:
How much is a home test?
Varies depending on where you get it done. For my lab, it’s about 1/6th the price of an in lab study. Zero overhead, so it doesn’t kill labs like it was stated earlier.
Posted on 7/27/19 at 10:14 am to JJ27
quote:
understand. Just ask the doc if you had any central or mixed apnea. If you just have obstructive, honestly your insurance company would prefer if you just get an APAP. 20 year RPSGT here, happy to help you out in any way.
I shite you not, several years ago I had a doc tell me that he wasn't going to write for APAP as much as in the past. He said he was losing too much money on not re-studying his patients.
Posted on 7/27/19 at 10:19 am to Nawlens Gator
quote:
I think the most important result is your blood oxygen level. Snoring and breathing interruptions that cause your blood oxygen to drop too far is something that needs to be fixed.
I suggest a heavy dose of alcohol (beer/wine/etc) prior to going in so you get tested in a realistic condition. It will also help you sleep.
If they recommend a cpap machine, be sure and get a prescription from the doctor so you can shop around for the best machine and not get stuck with the clinics brand and kickback.
I would never use a lab that also sells equipment. There's a reason why it is forbidden by Medicare.
Posted on 7/27/19 at 10:24 am to East Coast Band
You'll be sleeping on these to see if there is any cause and effect
Posted on 7/27/19 at 10:28 am to East Coast Band
Hope you fail that test because if you can get it put on record that it’s dangerous for you to sleep without all that electronic crap it’ll help if you ever get in legal troubles. You’ll get house arrest or at the very worst be put in a special ward in jail for people with that “disorder”. You never know if you’ll snap one day man.
Posted on 7/27/19 at 10:31 am to greygoose
I snore, but have no other symptoms of sleep apnea. No headaches or fatigue. I feel rested when I wake up. What are the chances I have it?
quote:What happens if your resting heart rate is 58-62?
A person's heart rate can drop to, say 60, then immediately shoot up to double or more.
Posted on 7/27/19 at 11:47 am to East Coast Band
Someone will tickle your taint for sure.
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