Also, the report suggested I do another study, titration for CPAP or BiPap. Naturally they would suggest this, at $6500 per study. I think I’ll have met my out of pocket max so the money isn’t a big issue now I suppose. Truthfully it’s not a great experience anyway. Very clinical, uncomfortable to sleep connected to all of the wires, etc. Can I push for an auto BiPap? Would that be out of the realm of reasonable, assuming I’m going to be using a machine?
No attempt at auto CPAP yet.
So I wound up having an in lab Test. Slept pretty poorly as I rarely sleep on my back at home now with a fanny pack and tennis balls to hel/remind me, and also took a Benadryl to make sure I would sleep (sleep tech approved this).
18 central, 28 hypops for an ahi of 8.
No RERA. Longest Apneic event 17.2, mean 13.1.
Longest hypopneic 76 seconds mean 30.
Minimum O2 of 91%.
Intermittent sinus bradycardia and sinus tachycardia. I’ve had some palpitations recently and switched to a new bp drug. Valsartan from hctz.
Sleep efficiency at 73 percent. 47 awakening, 194 stage shifts and 1 rem sleep period.
Most centrals on back. 14. 1 on left and 3 on right.
Most hypopneas on back. 20 back, 7 left and 1 right.
Any thoughts? I’m troubled by the centrals. Wondering where this came from all of the sudden...seemingly.
Thanks for the input. I recall waking during the home sleep study and finding the belt around my chest slightly loose. I think I had set it up too close to my arm pits. Perhaps that looseness resulted in the system not detecting breathing effort/movement via its strain gauge.
I don’t understand why sleep studies cost what they do. My sleep doctor shared my sentiments which surprised me. Even a home sleep study through our local hospital is $1200. That’s absurd.
So far I’ve had no luck with finding anything truly economical and am thinking I might just have to buy a new one and if it’s not the treatment I need or it doesn’t work out, just sell it, likely for a fraction of what I paid.
Thanks for the input on machines. I’ll keep that in mind.
I do have an appointment with a sleep apnea dentist in two weeks so will be curious to see what he suggests. I think the appliances are between 1-2k from what I’ve read but it seems they would be less frustrating to use than a pap machine. Of course, if you spend the money and it doesn’t solve your problem, then what?!
I checked out the RERA information and it sounds like what might be getting me. As an in lab study will be all out of pocket for me right now ($4500) my doc suggested just trying an APAP for a month. My concern is that I’ve read some comments here indicating that an APAP can make centrals worse, and I had 3 of them per my sleep study. Should I be concerned about this or just assume the doc knows what’s right?
Any suggestions on which machine? Resmed or Phillips?
Thanks. I’ll take a look at that.
It seems I’m an odd case. Insignificant number of occurrences but some of those I do have are severe enough to really impact my sleep. I’ve not found a similar patient while digging around online so far.
No mention of rera in the report. Thanks for commenting.
Not sure if it matters but this was a home study over two nights. My first night I slept terribly. Maybe 2-3 hours and then awake for another 3 or so. They had me keep it and try again which yielded a 5-6 hour sleep window.
I’m a 44 yo male, a masters athlete/swimmer, 24.1 BMI, on 12.5 hctz for bp control (120/70 avg now) and just began taking a low dose of levothyroxine to treat a mildly high tsh (4.1). Back in September I began feeling fatigued, unable to concentrate at work and sometimes feeling a bit loopy or lightheaded. My md asked about my sleep but I was sure I didn’t have a problem there and wanted bloodwork done to check for anemia or vitamin deficiency. Nothing was really abnormal other than vitamin d in the upper 20’s and in December for a routine checkup my tsh had risen again to over 4 which has happened a few times in the past 4-5 years. Finally agreed to a home sleep study. Results as follows:
Hyp index 1.8
Avg sat 95
Lowest desat 90
Lowest sat 82
Min pulse 45
Max pulse 136
I know that I can slide my jaw back and more or less cut off my airway when I’m awake. I’m assuming this occurs when I sleep so I’ve been trying to sleep on my side or stomach. I do wake often at night. Sometimes with no consequence and I fall back asleep quickly. Other times I feel anxious with a heartbeat that isn’t high but feels strong and keeps me awake for hours. I do have an appointment with a sleep doctor but it’s not for another month so I’m looking for some insight. What might I be looking at for treatment? The centrals scare me a bit. Is that fear justified? Are these numbers enough to cause a person to feel fatigued and such? I’ll add that I do have days that are better than others. If I sleep well, most often on weekends, I have pretty good days. I almost thought I was through the woods this past weekend but then Sunday night I lost 2-3 hours of sleep tossing and turning.
Apologies for the long winded first post. Any assistance or advice is greatly appreciated!