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lakechapala

lakechapala
Joined Nov 2018
Bio

Summer Canada 500 feet alt. Winter Mexico 5000 feet alt

lakechapala
Joined Nov 2018
Bio

Summer Canada 500 feet alt. Winter Mexico 5000 feet alt

The last year has been a struggle bonjour. In May 2018 I felt awful -tired, not sleeping well, needing afternoon naps. My Doctor of 30 years could not find anything wrong so I got a new Doctor who referred me immediately to a neurologist/ sleepDoctor who immediately set up a sleep study in mid July 2018. Got the results in mid September - Ahi of 67 made up principally of hypopneas and to a lesser extent obstructives ( I used to sleep on my back). I had no centrals. Then he put me on a cpap machine. A second sleep study recommended a pressure of 20. Had trouble keeping my mask on. I switched to a Resmed 10 curve v auto. I then went to Mexico where I winter at 5000 feet until April 15, then back to Toronto - 500 feet.I found that the high altitude increased my Ahi significantly and my readings were in the high twenties, and mainly centrals. I used acetazolamide which brought my AHI down to the mid teens. My sleep docs strategy is to get my centrals under 5 at 500 feet in the summer and then use acet in the winter at 5000feet. Currently my AHI is around 8 with almost all centrals and one or two obstuctives and the odd hypopnea. We are slowly reducing pressure . He has also suggested a mouth piece which I have refused. The last thing I need right now is screwing around with my teeth/mouth. I have suggested an ASV machine but he is reluctant, but will agree if I push him. My take right now with my one year of experience is that I have Treatment- Emergent Central Sleep Apnea whereby the centrals are being caused by my sleep apnea machines and the most effective treatment is via an asv machine. I also expect that I will need different settings at 5000 feet, perhaps including acet.

I feel a lot better than I did at 5000 feet but i still get brain fog and am tired. I need an afternoon snooze around 2 hours and sleep around 8 hours a day. My memory Has become worse I live in Canada, my province does not cover asv machine so I have to pay the total cost. Based on the US model, I would qualify. I wake up several times a night but I do not have shortness of breath. It usually happens when I have obstructives or a bunch of centrals. When the wind starts blowing, my wife can tell that I am having an obstructive.