Allessio77

The Medical Assistant for my doc called and told me to watch the charts for a couple of weeks and then call back if this persists or worsens. She indicated she would inform the doc of my phone call--I sure hope she does. (The doc was ready to prescribe and ASV at my original diagnostic appointment until she noticed that I took my PSG at and higher altitude than my residence (by 3500FT) and wanted to see if these central and CSR exist at the lower altitude. THEY DID AT LEAST LAST NIGHT!)

thanks George, I do have a call into the doc and am anxious to see what she says. It doesn't sound to me like something to fool around with. I will post the results of our conversation here for anyone interested in this case.

I am on my second night with my New Resmed APAP and use Sleephead to look at my data.

My AHI has decreased from 30.2 on Orig PSG to 3.6 and 75% of those events are Centrals.

I also was alarmed to notice that on the 2nd night I had 14 minutes of Cheyne Stokes...continuous. (CSR was observed on my orig PSG also).

How serious is this matter/ Should I call the doctor now or wait for more date...this is only my second night.

Teen Mom...I do believe my machine was hooked up by the DME to send data to a place where my doc might look at it. I hope I can get her to do so....and I hope the data is sufficient for her to see what is going on.

(See my comment to SLEEPTECH above about my 1st nights results).

Thanks for your interest.

I just spent my first night with the APAP. As you suggest, the device prevented most obstructive events, but the central events remained. I had a AHI of 3.6 with 21 CA, 3 OA, and 4 Hypops--so 75% of events were Centrals. If this is confirmed , how long do you think i should wait to contact the doc...I think she would have access to this info through MyAir (the Resmed cloud app).

(These results are far better than my orig PSG with an AHI of 30.2 in which I had no OA, but did have significant Ob Hypops.)

Also, you mention that an ASV might help, but is not a magic bullet...could you elaborate?

Thanks for ur comments.

Finally I get to see the doc...based on the data above she immediately prescribes an ASV machine (which is what I suspected based on all the CA's).

Then going over my Echocardiogram to see if there is a correlative heart problem, she stumbles upon the fact that I took my sleep test at a different elevation than the elevation of my residence. (I live at 3500 ft and the test was done at 7200 ft.).....SO she says I have to have another test at that lower elevation.

Seeing how dejected I must have looked, she suggest that If I take a APAP machine now and try it for a month, she will be able to tell if the CA''s are gone, or if I need a new titration for the ASV at the lower elevation. She suspects that the CA's will not be there at the lower elevation, given I don't have any heart problems or other ovious causes for the CA's.

So, that is where it stands. I will get the APAP hopefully next week, and begin to accumulate data for her to analyze.

I am very disappointed...I was looking forward to some relief from this tiredness and headaches...but if this works, it would be quicker than scheduling another 'split study' at my residential elevation (which would probably take 4-6 weeks).

Will this plan work? Can the APAP show CA's? Will the APAP relieve any of my symptoms? Does the ResMed APAP send data directly to the doc? I have my next appointment 1/10/18

Why can't anything ever go smooth? Sad.

I was hoping to get some info going into the appointment. What issues should I look to discuss? I want to be my own advocate. I will of course post the results of the appointment.

These are the results of my studies:

Original Sleep Study

Sleep Efficiency 78% REM Sleep 9.7% Apnea Events 12/hr Hypopnea Events 18/hr AHI 30/hr 0 Obstructive Events, 73 Central Apneas, 0 mixed, 111 hypopneas 0 RERA Cheyne Stockes was observed 158 desaturations Lowest SaO2 78% Average SaO2 89% 219 Arousals: 78 Respiratory, 69 Leg, 67 spontaneous, 5 snore PLMS Index 36/hr

Titration Study

Sleep Efficiency 49% REM Sleep 5.4% Apnea Events 13/hr Hypopnea Events 13/hr AHI 26/hr 0 Obstructive Events, 45 Central Apneas, 0 mixed, 43 hypopneas 0 RERA Cheyne Stockes was NOT observed 86 desaturations Lowest SaO2 87% Average SaO2 92% 152 Arousals: 53 Respiratory, 26 Leg, 70 spontaneous, 3 snore PLMS Index 3.8/hr

I go to the Doc next Wednesday...what will she prescribe? what should she prescribe?