Sleep Apnea?
11 years ago
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- 11 years agolast modified: 11 years ago
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Sleep Apnea
Comments (35)I went thru some old records and I was wrong about the six years. I think it's 4, which is still a long time. And yes, it has not been an easy journey for me. It is again very difficult these past few weeks. I had hoped that I would have been able to just pop on the mask, go to sleep and everything wd be fine and that didn't happen. I have insomnia along with other maladies. Just after my sosa(severe obstructive sleep apnea) diagnosis, I had surgery for a septal deviation and I don't think that was a rousing success, but I cannot recall the level of breathing difficulty I had, but it ain't perfect now. A nose spray helps occasionally. My sleep dr. calls it or me.....complex. (sounds polite, wouldn't you say?) Lars, interesting that the sleep dr. feels that the mask is not the cause of your anxiety and of course that's true, but anxiety is still a common reaction to the mask. And this kind of leads into what I was thinking in my earlier posts-about it being a young science, and believing in your own gut, and "sleep dr., just fix me-in the current imperfect state that I'm in. Yes, I have a few warts, anxiety being the one wart in the forefront now, but ..." Otoh, maybe these newly diagnosed sleep problems bring every big and little complaint, imperfection, trouble, symptom to the front and center of our worlds,--I cannot clearly articulate what I'm thinking--Is this the case that, finally, someone is paying attention and we have to spill our guts with each malady plaguing us? or should I just speak for myself, in this instance? Lars, why do you think your body is not in balance? Unless you have lab results that tell you of this imbalance? There's a lot of 'good health' in your activities, such as your wonderful hikes, and your gardening, and cooking, and jack of all around your house,--and certainly your artistic abilities to see art wherever you look, and I'm not referring to your professional work capabilities but your vision as a layperson/human -altho that's mental rather than physical. I just think you have a lot of good health showing, too. Perhaps there is a component to these sleep issues where the patient becomes more aware or somehow feels a need to discuss/ address each big and little thing? Does a sleep dx open a can of worms? And then does the sleep dr. adequately respond? or kick it to a colleague? Is it just because a forum for complaints opens up? I dunno. I don't even remember everything, The headgear used to pull my longish hair out. After sleeping with a satin shmattie over my hair, under the headgear, I finally cut my hair. I had nasal deviation surgery. I did finally start losing weight, about 40 lbs. so far and I'm eating the same! (Getting your attention, now?lol) I addressed my pulmonary problems and now take a boatload of pricey drugs. Lotta babbling on my part, here....See MoreI need help with cpap machine question.....
Comments (11)I have sleep apnea and am using a CPAP machine. Most doctors aren't versed in sleep medicine, however, a pulminologist is. A pulminologist is trained to read sleep study data and determine the proper therapeutic levels. There are a number of variations available. The treatment depends on the specific problems causing obstruction and their location. There are three types of sleep apnea, including obstructive sleep apnea (OSA), central sleep apnea, mixed sleep apnea. Obstructive sleep apnea is a disorder in which complete or partial obstruction of the airway during sleep causes loud snoring, oxyhemoglobin desaturations and frequent arousals. Obstructive sleep apnea is caused by repetitive upper airway obstruction during sleep as a result of narrowing of the respiratory passages. Central sleep apnea is a sleep breathing disorder that occurs when the brain fails to send the appropriate signals to the breathing muscles to initiate respirations. Conditions that can cause central sleep apnea include bulbar poliomyelitis, encephalitis affecting the brainstem, and neurodegenerative illnesses. A sleep test, called polysomnography is done to diagnose sleep apnea. Confirmation of the diagnosis requires making measurements while the person sleeps. There are different types of machines - some that have automatically adjustable air pressure or air pressures that are different when you breathe in than when you breathe out. There are also APAP or AutoPAP or AutoCPAP machines. These machines fine tune the amount of pressure delivered to the patient to the minimum required to maintain an unobstructed airway on a breath-by-breath basis by measuring the resistance in the patient's breathing, thereby giving the patient the precise pressure required at a given moment and avoiding the compromise of fixed pressure. There are also bBi-level pressure devices. You may or may not need humidification whether it be heated or passive. Some people need the ramp feature, others don't. Some people need to use a chin strap, others don't. There are also a variety of masks - all based on a theraputic determination. There are full face masks, nasal pillows, masks that just cover the nose, etc. The point of all of this is that there are way too many variables to monkey around and guess at what "might" work. CPAP therapy involves more than just strapping on a mask and experimenting. Different types of sleep apnea require a different course of treatment and the only definitive way to determine what one needs is to have a sleep study. Randomly guessing or experimenting and getting it wrong can be just as deadly as not using CPAP once it has been properly diagnosed. A diabetic would no sooner experiment with how much insulin they need by "trial & error." CPAP therapy should be viewed the same....See Moresleep apnea,how do you know?
Comments (9)Hi coolmama! I just got my cpap machine a couple days ago! (And you're right......the whole process is NOT cheap! Just the first sleep study was something like $1,200. The machine is close to that. I'm starting to wonder why so many people seem to have sleep apnea????? I certainly hope they've done studies that show that there actually ARE some people who sleep well, even though they snore. I'd hate to think all of this was "normal", but we're treating it like some awful affliction. Maybe its our livestyles??......too many carbs or food in general, too little activity, not paying attention to day/night???? Now that I am treating my apnea, I'm discovering there are thousands (at least) who use these machines. I just don't get it. Why????? Anyhow.......In talking with some people on sleep forums, I think a fair number of them are of normal weight. There are 2 different types of apnea.......obstructive, and central (in the brain). I think some people just have really floppy skin in the back of their throats and noses. Yes, I think big tonsils and adenoids can cause snoring. But mine were removed when I was 5, and I still snore. Alot just depends on the tone of your skin in the back of your nose/throat. Some people get their uvula removed, but I don't think that helps much. They say to never eat much before bed, and never drink alcohol then either. I did have the sleep study, which showed I had apnea (along with a few other problems), but I just couldn't go through with the next sleep study, to determine what cpap settings I needed. I found a doctor who was more flexible, and allowed me to use an "auto" PAP machine, which adjusts to each breath, rather than needed to be pre-set, and I didn't have to have the second study.......so keep that in mind if you don't have money for everything. But the whole process is definately not cheap. Also......I was told that even if I fix my snoring, I might still be exhausted all day, because of other problems (fibromyalgia, etc.). Is your husband on meds that might make him sleep deeper or relax more than usual? I always like to try to understand human behavior in terms of evolution. (I hope I'm not offending anyone). But when you think about it, its probably good to snore loudly, to ward off any animals that might be coming too close to the cave at night!! Maybe we're making the wrong connections here, and our daily fatigue has more to do with the rest of our lifestyles??? Sorry for rambling!...See MoreAnyone have sleep apnea?
Comments (14)The stay is overnight. They hook you up to a lot of electrodes and put sensors near your nose to measure your breathing. It's hard to sleep with all of that gear on but you don't have to sleep the entire night for them to get enough data to make a diagnosis. All of the sensors that are hooked to you are measuring your body movements, brainwave activity, eyelid movement, breathing patterns, etc. If your diagnosed with sleep apnea, then you go back for the same overnight study but this time in addition to all of the sensors you also wear one of the CPAP masks, or nasal pillow systems. The technician will determine the amount of air flow that is needed to prevent you from having the apneas....See More- 11 years ago
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