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Nightmare

Nightmare
Joined Aug 2018
Bio

Retired nuclear reactor test operations engineer (NavSea 0989-028-5000 Manual for Control of Testing and Plant Conditions). Bicyclist, mountaineer, swimmer,

Washington Island, Wisconsin. Through Death’s Door ten miles north of the Door County Peninsula.

Nightmare
Joined Aug 2018
Bio

Retired nuclear reactor test operations engineer (NavSea 0989-028-5000 Manual for Control of Testing and Plant Conditions). Bicyclist, mountaineer, swimmer,

Washington Island, Wisconsin. Through Death’s Door ten miles north of the Door County Peninsula.

I am Doug, 69 y.o., diagnosed and prescribed a CPAP about two months ago. My initial PSG AHI ~6. At my 30 day follow up AHI 15. Cardiologist sleep doctor right away volunteered Central SA and prescribed a titration PSG in a couple of weeks and an ASV to follow.

I am very pleased as I thought it would take a year of wrangling to get the CSA diagnosis. I hope that this is check off towards Athletic Heart Syndrome. On the way I have been through a diagnosis of Neuro-Cardiogenic Hypotension that cost an amazing amount of money. The ultimate prescription was a Beta-blocker that left me trying to do chores at 45 BPM. I AMA’d off the Beta-blocker.

At my initial cardiologist’s consultation he, jokingly, prescribed “More salt, more liquids, and put on 20 pounds.” So I took that to mean more potato chips, more beer and I put on 20 pounds. That was eight years ago, and I’ve been fine on the low blood pressure front - no fainting. A recent suggestion of PVC’s that I had taken to be AFib for my thought that I could auto-convert with Valsalva maneuver. (Ah, career submariner including civilian career in nuclear power.)

My complaint that led to seeking a sleep apnea diagnosis was waking during panic attacks; diaphoresis, tachycardia, anxiety. If I had known that nocturea was a symptom I would have been here years ago! Now I am sleeping 7 hours soundly and waking gently.

I’m 6’2” 235# 45 BPM resting, ~100 miles per week vigorous maximum 140 BPM bicycling (recumbent tricycle). Lifetime mountaineer, skier, Olympic grade swimmer, and now cycling in my seniority. Trained EMT in the Eighties.