No Apnea, but plenty of Hypopneas
Question:
That is what I was told were the results of my 3rd sleep study. This study was radically different from the first two because 1. I had an Oral Appliance in 2. I had Ambien on board (don’t know how much) lowest O2 still went down to around 83% RDI: 11 So, my question is, does it really "matter" to make any kind of distinction between apneas and hypopneas when the results (bad sleep) and the remedy (cpap) are the same? bk
Response:
bruce_k…@hotmail.com (bk) wrote: >That is what I was told were the results of my 3rd sleep study. >This study was radically different from the first two because >1. I had an Oral Appliance in >2. I had Ambien on board (don’t know how much) >lowest O2 still went down to around 83% >RDI: 11 >So, my question is, does it really "matter" to make any kind of >distinction between apneas and hypopneas when the results (bad sleep) >and the remedy (cpap) are the same?
I can’t think of anything, they both indicate airflow problems, usually with arousals, and CPAP will eliminate them. Tom
Response:
I was on ambien, klonipin and oxycontin. Most, not all, of mine were hypopneas but I still was diagnosed with osa. The interesting thing I learned was that my index was not high enough, by iteself, to lead to the diagnosis (14) but that, combined with my daytime sleepiness, was. I think it’s something like 20 apnea, 30 mixed (apnea/hypopnea) or 10 with EDS leads to OSA diagnosis. Does this sound right to anyone? This is based on the govt codes for medicare. – Hide quoted text — Show quoted text -bruce_k…@hotmail.com (bk) wrote in message <news:3cac76cd.8938502@News.CIS.DFN.DE>… > That is what I was told were the results of my 3rd sleep study. > This study was radically different from the first two because > 1. I had an Oral Appliance in > 2. I had Ambien on board (don’t know how much) > lowest O2 still went down to around 83% > RDI: 11 > So, my question is, does it really "matter" to make any kind of > distinction between apneas and hypopneas when the results (bad sleep) > and the remedy (cpap) are the same? > bk
Response:
mpri…@twcny.rr.com (margaret) wrote: >I was on ambien, klonipin and oxycontin. Most, not all, of mine were >hypopneas but I still was diagnosed with osa. The interesting thing I >learned was that my index was not high enough, by iteself, to lead to >the diagnosis (14) but that, combined with my daytime sleepiness, was. > I think it’s something like 20 apnea, 30 mixed (apnea/hypopnea) or 10 >with EDS leads to OSA diagnosis. Does this sound right to anyone? >This is based on the govt codes for medicare.
The new Medicare rules became effective on the first of the month, but some insurance companies seem to have been following them since they were initially published. You need an AHI of 15 or greater, or between 5 and 15 when accompanied by "documented symptoms of excessive daytime sleepiness, impaired cognition, mood disorders or insomnia, or documented hypertension,ischemic heart disease or history of stroke." http://www.talkaboutsleep.com/disability/Medicare_CPAP.htm Tom
Response:
Fro bob This is a message for Margret. I have sleep apnea, RLS/ or PLMD. I have used Klonpin for over two years. Klonipin is a bad drug. It will cause daytime sleepyness. Check it out. Xanax is a similar drug and might be useful, Ccheck it out. Both of these drugs are Benzodiazepine and are Class IV controlled drugs. – my drugist will only let me order a one month supply. They are referred as anxiety drugs margaret" <mpri…@twcny.rr.com> wrote in message
news:21b145b1.0204050550.1f5194cf@posting.google.com… I was on ambien, klonipin and oxycontin. Most, not all, of mine were hypopneas but I still was diagnosed with osa. The interesting thing I learned was that my index was not high enough, by iteself, to lead to the diagnosis (14) but that, combined with my daytime sleepiness, was. I think it’s something like 20 apnea, 30 mixed (apnea/hypopnea) or 10 with EDS leads to OSA diagnosis. Does this sound right to anyone? This is based on the govt codes for medicare. bruce_k…@hotmail.com (bk) wrote in message
<news:3cac76cd.8938502@News.CIS.DFN.DE>… – Hide quoted text — Show quoted text -> Thatil is what I was told were the results of my 3rd sleep study. > This study was radically different from the first two because > 1. I had an Oral Appliance in > 2. I had Ambien on board (don’t know how much) > arrugXana > lowest O2 still went down to around 83% > RDI: 11 > So, my question is, does it really "matter" to make any kind of > distinction between apneas and hypopneas when the results (bad sleep) > and the remedy (cpap) are the same? > bk
Response:
On Sat, 6 Apr 2002 04:10:03 -0500, "Robert L" <bnj…@infi.net> wrote: >I have used Klonpin for over two years. Klonipin is a bad drug. It will >cause daytime sleepyness. Check it out. Xanax is a similar drug and might >be useful,
Xanax has the advantage that it clears out faster. >Both of these drugs are Benzodiazepine and are >Class IV controlled drugs. – my drugist will only let >me order a one month supply.
That’s partially because they’re dangerous in overdose. >They are referred as anxiety drugs
All the benzos have a degree of antiseizure and anxiety effects. Some are marketed as antiseizure drugs, but medical cynics say it’s more what the marketing department wanted when they did the Phase III studies. — Things would be a lot happier on Sesame Street if they’d just toss some Zoloft in Oscar the Grouch’s trashcan. 
Response:
Tom Devlin wrote: > bruce_k…@hotmail.com (bk) wrote: > >So, my question is, does it really "matter" to make any kind of > >distinction between apneas and hypopneas when the results (bad sleep) > >and the remedy (cpap) are the same? > I can’t think of anything, they both indicate airflow problems, > usually with arousals, and CPAP will eliminate them.
While they may make no difference to the patient, the clinician might find the distinction valuable. I imagine they can fish around for interesting correlations if they have the data. And it may be a way of determining severity? I would think 7 apneas/hr would be more destructive than 7 hypopneas/hr, say.
Response:
Otter Perry <otter…@earthlink.net> wrote: >> >So, my question is, does it really "matter" to make any kind of >> >distinction between apneas and hypopneas when the results (bad sleep) >> >and the remedy (cpap) are the same? >> I can’t think of anything, they both indicate airflow problems, >> usually with arousals, and CPAP will eliminate them. >While they may make no difference to the patient, the clinician >might find the distinction valuable. I imagine they can fish >around for interesting correlations if they have the data. >And it may be a way of determining severity? I would think 7 >apneas/hr would be more destructive than 7 hypopneas/hr, say.
The difference would probably affect your blood oxygen level, but anything that causes an arousal will fragment sleep. My blood oxygen levels weren’t at all that bad, but I was a walking zombie from the constant interruptions. Tom
