Sleep Study Results

Question:

I know the other day I saw a list explaining various results of a sleep study.  However, I can’t find it.  I don’t even know if it was here that I seen it. What is: Blood gas shows a PCO2 of 41. also: Deep saturation of 85%. Thanks, Linda

Response:

Thanks!  Linda

Response:

What is: Blood gas shows a PCO2 of 41. That’s normal.  The normal CO2 levels are 35 – 45. I have never heard of deep saturations are… but my guess is that it is the O2 saturation… which should be above 90.  a drop to 85 would typically occur during an apnic spell.  Not severe though.  85 is pretty mild.

Response:

I also meant to mention that as CO2 (carbon dioxide rises.. this indicates a more long term respiratory failure.  The respirations are not sigificant to exhale the CO2 out of the body… so it accumulates.. until a buffer system corrects it (to a certain extent)  Enough time has had to elapse for significant amounts of CO2 to build up in the in the body.  Increased CO2 causes acidosis… Ph of 7.35 – 7.25 is normal.  as CO2 increases… unless there is no compensation… the increased CO2 can cause the Ph to drop below 7.25… which is unhealthy.  Death can occure when Ph drops below around 7.0 (Not sure of the exact value)

Response:

normc <no…@socal.rr.com> wrote in news:1110753562.75ee88080e65b805a1f4624cc073acf0@teranews: – Hide quoted text — Show quoted text -> Walter wrote: >> Please help me interpret these results. This test was taken in >> February and of course a CPAP tritration study was recommended. I had >> the titration test done this past week and I am waiting on results. >> The tight-lipped technician would only say that he was able to adjust >> the machine to prevent snoring and apnea. > Most are required by the law, and their boss, to be > tight-lipped.  If any legal problems arose from their making > any statements to you regarding your tests, the entire > operation could be sued for practicing medicine without a > license. >> The first test was ordered by my GP and there was no consultation >> with either him or the sleep doctor, only that I should go through >> the second test. > It was the same way with me in 2000.  When I had EDS > problems after using cpap for a while, I was annoyed that my > internist had not checked off the box on the referral form > indicating that I should have an appointment with the sleep > doc.  So I immediately made one.

<<snip>> >> c)This study certainly missed my self diagnosed REM issues. I know >> for a fact that I often start dreaming within 10-20 minutes of >> falling asleep because I check the clock if I wake up unexpectedly >> and it also happens even when I doze off in the chair. > This may be an example of why self-diagnosis, without > knowledge, can sometimes be a significant problem. > I would be more willing to accept the result of your, or my, > polysomnogram (PSG) as evaluated by a (hopefully) certified > sleep doc.

Perhaps diagnosis was the wrong term. I definitely have the described symptoms, but the circumstances under which they usually occur obviously didn’t happen during the test. – Hide quoted text — Show quoted text ->> My GP recommended this test because during a routine checkup I >> complained about falling asleep watching TV or when sitting still and >> memory/concentration issues, along with the occasional waking up >> feeling panicky, which I presume was from me stopping breathing. >> During the titration study, I seemed to tolerate the CPAP and mask >> quite well and fell asleep quickly. I did fight with the mask for >> about twenty minutes in the middle of that night because of leaks, >> but that was it. However, I can’t really proclaim that I felt any >> more rested than normal, > Some people do and some people don’t. >> but perhaps it was because I was awakened a couple of hours earlier >> than is normal for me. >> I’m wondering if the mild OSA is really worthy of CPAP therapy. I am >> presently losing weight and I am hoping that will improve things. > Loss of weight did it for my wife, but, unfortunately not > for me, and I’ve lost far more weight than she has.  However > my AHI and pressure requirement went down. > She never went on cpap and no longer snorts, snores, or > gasps for breath.  One of these days I’ll put a recording > oximeter on her finger, for the night, and see what the > result are. >> Please note that I do plan to ask all of these questions of the >> doctor before we choose the next step, but I thought this a good >> place to get some experienced opinions. > Good thinking.  I do hope you are referring to the sleep doc > who wrote the summary report of your PSG, and not your GP.

Yes, the sleep doc. For the money they are getting paid for this procedure, he ought to treat me to dinner as we discuss it! – Hide quoted text — Show quoted text -> Although I think my internist (subspecialty nutrition) knows > everything I need to know about eating, diabetes, heart and > kidney (refers to specialist when required), etc. etc., he > didn’t and doesn’t know enough about sleep apnea. > However, sometimes one’s opinions may interfere with one’s > actual experiences, so be cautious.  Some doctors don’t > think much of newsgroups because or erroneous opinions.  So, > you still need to use your own good thinking, with a good > deal of knowledge…. and be cautious about that you say to > a sleep doc about what someone said in a newsgroup. > Often the knowledge can be obtained here, because the poster > provides the source of their information, so you can read it > yourself and make your own judgments on fact or opinion. > What you have to watch out for are statements made with > great authority that do not provide any source references at > all. > I have to admit, I do have some concern that this might be a "racket" >> on the part of the sleep study facility, > Interesting.  So did I.  One of the first questions I asked > here is, "Does everyone who takes a sleep test, get > diagnosed with apnea?" >> since they also apparently sell >> and/or provide the CPAP equipment and do all the diagnosis and >> recommendations. > Ditto with my lab.  They later stopped doing this because it > is not legal for a Medicare approved facility to do so. > HTH.

Thanks a bunch for your comments normc. Much appreciated. -Walter – Hide quoted text — Show quoted text ->> Thanks for reading! >> -Walter

Response:

—–BEGIN PGP SIGNED MESSAGE—– Hash: SHA1 On Sun, 13 Mar 2005 14:35:32 -0800, normc just had to say: : Interesting.  So did I.  One of the first questions I asked : here is, "Does everyone who takes a sleep test, get : diagnosed with apnea?" What was the answer :-) —–BEGIN PGP SIGNATURE—– Version: GnuPG v1.0.6 (SunOS) Comment: For info see http://www.gnupg.org iD8DBQFCNPCUiWpNXp94yboRAnlKAKCMFOjWLv9WnbxiuvN6dwBbGWlxZACfbzx3 eem6wVcym97ItA3BI0B3Wfw= =Z7Qu —–END PGP SIGNATURE—–  -Mike Ekholm — Mike Ekholm, UNIX System Admin  -  ekh…@ekholm.org web: http://www.ekholm.org blog: http://blog.ekholm.org AIM: Nalez31337       ham: KC0MPU      irc: Nalez ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ UNIX – The Swiss army knife of software.

Response:

Mike Ekholm wrote: > —–BEGIN PGP SIGNED MESSAGE—– > Hash: SHA1 > On Sun, 13 Mar 2005 14:35:32 -0800, normc just had to say: > : Interesting.  So did I.  One of the first questions I asked > : here is, "Does everyone who takes a sleep test, get > : diagnosed with apnea?" > What was the answer :-)

Well, let’s face it; it wasn’t too intelligent of a question. All the people here had been diagnosed with one sleep disorder or another, mostly apnea.  I don’t recall anyone indicating they knew someone who had a PSG and sent home to live happily ever after <g>. – Hide quoted text — Show quoted text -> —–BEGIN PGP SIGNATURE—– > Version: GnuPG v1.0.6 (SunOS) > Comment: For info see http://www.gnupg.org > iD8DBQFCNPCUiWpNXp94yboRAnlKAKCMFOjWLv9WnbxiuvN6dwBbGWlxZACfbzx3 > eem6wVcym97ItA3BI0B3Wfw= > =Z7Qu > —–END PGP SIGNATURE—– >  -Mike Ekholm

Response:

On Sun, 13 Mar 2005 14:35:32 -0800, normc wrote: >Interesting.  So did I.  One of the first questions I asked >here is, "Does everyone who takes a sleep test, get >diagnosed with apnea?"

I know at least two people who didn’t: Case #1 was alpha intrusions. Case #2 was just a really noisy sleeper. I suspect the initial questioning that comes up with (a) big neck, and (b) EDS is a pretty good indication of what they’re going to find. When my Mom reported that one of my sister-in-laws was having a sleep study, I thought about her neck structure… I was just about positive she would come out a Hoover Head, and I was right!

Response:

An oxygen saturation of 82% is well below normal. While it’s not life-threatening (unless you have severe cardiac disease or a high risk for stroke), your saturation should stay well above 90%. "Sinus bradycardia" refers to heart rates below 60 bpm. Most people’s heart rates will slow down by 10-20 bpm compared to waking rate, so a rate down to 50ish is no big deal; this is common. Some dreaming occurs in NREM as well.

Response:

Leon <f…@email.com> wrote in news:H4-dnR5J6LxSDavfRVn-ig@comcast.com: > An oxygen saturation of 82% is well below normal. While it’s not > life-threatening (unless you have severe cardiac disease or a high risk > for stroke), your saturation should stay well above 90%. > "Sinus bradycardia" refers to heart rates below 60 bpm. Most people’s > heart rates will slow down by 10-20 bpm compared to waking rate, so a > rate down to 50ish is no big deal; this is common. > Some dreaming occurs in NREM as well.

Thanks Leon. I guess I took some comfort during the first study because they didn’t rush in during the middle of the night and strap a mask on me because they were concerned about something. I didn’t know you could dream during NREM. I will be sure to ask the doc about it. Thanks again.

Response:

"Gary Rimar" <m…@garyrimar.com> wrote: >I did eventually gain the weight back, put myself back on the CPAP machine >(not really the way to do it), and will be going back this Tuesday for a >retitration.

So how did it go? Tom

Response:

"Mike Ekholm" <ekh…@ekholm.org> wrote in message

news:4234f097$0$15549$892e0abb@auth.newsreader.octanews.com… > —–BEGIN PGP SIGNED MESSAGE—– > Hash: SHA1 > On Sun, 13 Mar 2005 14:35:32 -0800, normc just had to say: > : Interesting.  So did I.  One of the first questions I asked > : here is, "Does everyone who takes a sleep test, get > : diagnosed with apnea?"

I was tested for apnea and had it bad.  Went back for the titration test. Was given a level.  Was told "here is the list of durable medical equipment providers your insurance company will work with – pick one and we’ll see you in a year for your recheck." In a year, was told I was still at the same pressure and to come back in a year. In that year, lost 75 pounds and went back for the recheck.  Was told that I no longer had apnea, and that I didn’t need to come back if I didn’t have sleep problems. I did eventually gain the weight back, put myself back on the CPAP machine (not really the way to do it), and will be going back this Tuesday for a retitration. So, to answer your question, had I kept my weight off, and had my sleep not been disturbed, I’d not be doing this yearly for the rest of my days. Having said that, my sleep lab provider and their techs are very honest and good people.  Your mileage may vary. Gary

Response:

On Sun, 13 Mar 2005 17:22:39 GMT, Walter wrote: >a)How big a deal is the 82% oxygen desat? He really does’t say how long >or often it happened, only that it happened during REM.

It’s a matter of concern but 82% isn’t extremely low. >b)Sinus bradycardia. What’s up with that?

You’re showing periods of slow heart rate, that’s all it is. >I’m wondering if the mild OSA is really worthy of CPAP therapy. I am >presently losing weight and I am hoping that will improve things.

It may, it may not. >I have to admit, I do have some concern that this might be a "racket" on >the part of the sleep study facility, since they also apparently sell >and/or provide the CPAP equipment and do all the diagnosis and >recommendations.

There are various anti-kickback statutes that apply to the provision of medical services. Ever notice how chain optical shops invariably have "an independent doctor of optometry next door?" It’s because a corporation is not allowed to practice medicine, but they’re allowed to dispense medical products. Another good one: Patients can notice what clinical laboratory the doctor prefers and buy stock in it… but the doctor can’t.

Response:

Walter wrote: > Please help me interpret these results. This test was taken in February > and of course a CPAP tritration study was recommended. I had the > titration test done this past week and I am waiting on results. The > tight-lipped technician would only say that he was able to adjust the > machine to prevent snoring and apnea.

Most are required by the law, and their boss, to be tight-lipped.  If any legal problems arose from their making any statements to you regarding your tests, the entire operation could be sued for practicing medicine without a license. > The first test was ordered by my GP and there was no consultation with > either him or the sleep doctor, only that I should go through the second > test.

It was the same way with me in 2000.  When I had EDS problems after using cpap for a while, I was annoyed that my internist had not checked off the box on the referral form indicating that I should have an appointment with the sleep doc.  So I immediately made one. – Hide quoted text — Show quoted text -> Here is the report from February: > ================================================= > Sleep Latency: "Lights Out" at 22:22. Patient in supine position, > exhibiting sleep onset stage I at 22:53, a latency of 30.2 minutes. An > average sleep latency for a 43 y/o male = 11 minutes. > Total Sleep Time: Patient’s total sleep time was 4 hours 58 minutes out > of 6 hours 54 minutes of total recording time. Sleep efficiency = 72.1 %. > An average sleep efficiency for a 43 y/o male = 91%. Patient spent 153.6 > minutes (51.4%) of the night in supine position and 145 minutes (48.6%) > of the night on right lateral side. > Sleep Stage Summary: Sleep stages I, II, SWS, and REM were observed while > patient slept in both aforementioned positions. A total of 4 cycles of > REM were observed during the night, the first of which occurred from > 00:48 – 01 :00 while patient slept in supine position. REM latency = 115 > minutes. An average REM latency for a 43 y/o male = 80 minutes. The > remaining 3 cycles of REM sleep occurred from 02:28 – 02:42 (right); > 03:45 – 03:53 (right); and from 04:47 – 05:17 (supine). > Sleep Architecture: >                    Duration (min)  % TST > Wake After Sleep:  80.5     > Stage 1:           35.5                    11.9 > Stage 2:           137.5                   46.1 > Stage 3:           44.5                    14.9 > Stage 4:           21.5                    7.2 > REM:                       59.6                    19.9 > Respiratory Events: Patient exhibited 2 obstructive apneas and 1 central > apnea of which the longest duration was 24.7 seconds. There were 54 > obstructive hypopneas of which the longest was 102.8 seconds in duration. > This gave an overall apnea-hypopnea index of 11.5 per hour in total sleep > time (normal: < 5 per hour). The apnea-hypopnea index in the supine > position was 21.1 per hour in total sleep time and 31.2 per hour in REM > sleep. > Oxygenation: The lowest oxygen desaturation associated with patient’s > respiratory events fell to 82.0% during REM sleep. Patient’s average > resting room air SpO2 was 96.6%. > PLM activity: There were 0 periodic leg movements during sleep giving a > PLMI of 0.0 per hour (normal: < 5 per hour). > Arousals: The patient had 53 spontaneous arousals, 34 respiratory > arousals and 0 periodic limb movement arousals giving an overall arousal > index of 17.5 per hour (normal: < 5 per hour). > Snoring Summary: Mild to moderately loud throughout the night while > patient slept in both positions. > Cardiac Rhythm: A normal sinus rhythm was observed in EKG tracing during > the night with no apparent cardiac arrhythmias being evident. Avg. HR = > 61.6 bpm. Low HR= 49.0 bpm. High HR: 92.0 bpm. > Impression: > 1. mild OSA, with AHI-11/hr but moderate oxygen desaturations to 82% > 2. moderate snorinq > 3. preserved sleep architecture > 4. no PLMs > 5. occasional sinus bradycardia during sleep > 6. mildly prolonged sleep latency@30mins > =========================================================== > Things I don’t understand: > a)How big a deal is the 82% oxygen desat? He really does’t say how long > or often it happened, only that it happened during REM. > b)Sinus bradycardia. What’s up with that? Is it a symptom of apnea or > just a concidence? > c)This study certainly missed my self diagnosed REM issues. I know for a > fact that I often start dreaming within 10-20 minutes of falling asleep > because I check the clock if I wake up unexpectedly and it also happens > even when I doze off in the chair.

This may be an example of why self-diagnosis, without knowledge, can sometimes be a significant problem. I would be more willing to accept the result of your, or my, polysomnogram (PSG) as evaluated by a (hopefully) certified sleep doc. > My GP recommended this test because during a routine checkup I complained > about falling asleep watching TV or when sitting still and > memory/concentration issues, along with the occasional waking up feeling > panicky, which I presume was from me stopping breathing. > During the titration study, I seemed to tolerate the CPAP and mask quite > well and fell asleep quickly. I did fight with the mask for about twenty > minutes in the middle of that night because of leaks, but that was it. > However, I can’t really proclaim that I felt any more rested than normal,

Some people do and some people don’t. > but perhaps it was because I was awakened a couple of hours earlier than > is normal for me. > I’m wondering if the mild OSA is really worthy of CPAP therapy. I am > presently losing weight and I am hoping that will improve things.

Loss of weight did it for my wife, but, unfortunately not for me, and I’ve lost far more weight than she has.  However my AHI and pressure requirement went down. She never went on cpap and no longer snorts, snores, or gasps for breath.  One of these days I’ll put a recording oximeter on her finger, for the night, and see what the result are. > Please note that I do plan to ask all of these questions of the doctor > before we choose the next step, but I thought this a good place to get > some experienced opinions.

Good thinking.  I do hope you are referring to the sleep doc who wrote the summary report of your PSG, and not your GP. Although I think my internist (subspecialty nutrition) knows everything I need to know about eating, diabetes, heart and kidney (refers to specialist when required), etc. etc., he didn’t and doesn’t know enough about sleep apnea. However, sometimes one’s opinions may interfere with one’s actual experiences, so be cautious.  Some doctors don’t think much of newsgroups because or erroneous opinions.  So, you still need to use your own good thinking, with a good deal of knowledge…. and be cautious about that you say to a sleep doc about what someone said in a newsgroup. Often the knowledge can be obtained here, because the poster provides the source of their information, so you can read it yourself and make your own judgments on fact or opinion. What you have to watch out for are statements made with great authority that do not provide any source references at all. > I have to admit, I do have some concern that this might be a "racket" on > the part of the sleep study facility,

Interesting.  So did I.  One of the first questions I asked here is, "Does everyone who takes a sleep test, get diagnosed with apnea?" > since they also apparently sell > and/or provide the CPAP equipment and do all the diagnosis and > recommendations.

Ditto with my lab.  They later stopped doing this because it is not legal for a Medicare approved facility to do so. HTH. – Hide quoted text — Show quoted text -> Thanks for reading! > -Walter

Response:

Please help me interpret these results. This test was taken in February and of course a CPAP tritration study was recommended. I had the titration test done this past week and I am waiting on results. The tight-lipped technician would only say that he was able to adjust the machine to prevent snoring and apnea. The first test was ordered by my GP and there was no consultation with either him or the sleep doctor, only that I should go through the second test. Here is the report from February: ================================================= Sleep Latency: "Lights Out" at 22:22. Patient in supine position, exhibiting sleep onset stage I at 22:53, a latency of 30.2 minutes. An average sleep latency for a 43 y/o male = 11 minutes. Total Sleep Time: Patient’s total sleep time was 4 hours 58 minutes out of 6 hours 54 minutes of total recording time. Sleep efficiency = 72.1 %. An average sleep efficiency for a 43 y/o male = 91%. Patient spent 153.6 minutes (51.4%) of the night in supine position and 145 minutes (48.6%) of the night on right lateral side. Sleep Stage Summary: Sleep stages I, II, SWS, and REM were observed while patient slept in both aforementioned positions. A total of 4 cycles of REM were observed during the night, the first of which occurred from 00:48 – 01 :00 while patient slept in supine position. REM latency = 115 minutes. An average REM latency for a 43 y/o male = 80 minutes. The remaining 3 cycles of REM sleep occurred from 02:28 – 02:42 (right); 03:45 – 03:53 (right); and from 04:47 – 05:17 (supine). Sleep Architecture:                         Duration (min)  % TST Wake After Sleep:       80.5     Stage 1:                35.5                    11.9 Stage 2:                137.5                   46.1 Stage 3:                44.5                    14.9 Stage 4:                21.5                    7.2 REM:                    59.6                    19.9 Respiratory Events: Patient exhibited 2 obstructive apneas and 1 central apnea of which the longest duration was 24.7 seconds. There were 54 obstructive hypopneas of which the longest was 102.8 seconds in duration. This gave an overall apnea-hypopnea index of 11.5 per hour in total sleep time (normal: < 5 per hour). The apnea-hypopnea index in the supine position was 21.1 per hour in total sleep time and 31.2 per hour in REM sleep. Oxygenation: The lowest oxygen desaturation associated with patient’s respiratory events fell to 82.0% during REM sleep. Patient’s average resting room air SpO2 was 96.6%. PLM activity: There were 0 periodic leg movements during sleep giving a PLMI of 0.0 per hour (normal: < 5 per hour). Arousals: The patient had 53 spontaneous arousals, 34 respiratory arousals and 0 periodic limb movement arousals giving an overall arousal index of 17.5 per hour (normal: < 5 per hour). Snoring Summary: Mild to moderately loud throughout the night while patient slept in both positions. Cardiac Rhythm: A normal sinus rhythm was observed in EKG tracing during the night with no apparent cardiac arrhythmias being evident. Avg. HR = 61.6 bpm. Low HR= 49.0 bpm. High HR: 92.0 bpm. Impression: 1. mild OSA, with AHI-11/hr but moderate oxygen desaturations to 82% 2. moderate snorinq 3. preserved sleep architecture 4. no PLMs 5. occasional sinus bradycardia during sleep 6. mildly prolonged sleep latency@30mins =========================================================== Things I don’t understand: a)How big a deal is the 82% oxygen desat? He really does’t say how long or often it happened, only that it happened during REM. b)Sinus bradycardia. What’s up with that? Is it a symptom of apnea or just a concidence? c)This study certainly missed by self diagnosed REM issues. I know for a fact that I often start dreaming within 10-20 minutes of falling asleep because I check the clock if I wake up unexpectedly and it also happens even when I doze off in the chair. My GP recommended this test because during a routine checkup I complained about falling asleep watching TV or when sitting still and memory/concentration issues, along with the occasional waking up feeling panicky, which I presume was from me stopping breathing. During the titration study, I seemed to tolerate the CPAP and mask quite well and fell asleep quickly. I did fight with the mask for about twenty minutes in the middle of that night because of leaks, but that was it. However, I can’t really proclaim that I felt any more rested than normal, but perhaps it was because I was awakened a couple of hours earlier than is normal for me. I’m wondering if the mild OSA is really worthy of CPAP therapy. I am presently losing weight and I am hoping that will improve things. Please note that I do plan to ask all of these questions of the doctor before we choose the next step, but I thought this a good place to get some experienced opinions. I have to admit, I do have some concern that this might be a "racket" on the part of the sleep study facility, since they also apparently sell and/or provide the CPAP equipment and do all the diagnosis and recommendations. Thanks for reading! -Walter

Response:

I’ve just been given my results from the overnight sleep test i had done on December 20th.  I have 60 apneas per hour and one third of my snores reach 100 decibels or more. I’ve got to go and collect a CPAP machine and bring it home with me because they don’t have any appointments to have it done in time before I have bariatric surgery in March otherwise. I can’t collect it until January 27th & I can’t wait. I know there are elements to the treatment I might have to try hard to get used to…but I just can’t wait to feel alive again! Would anyone please share their test results and let me know how quickly you felt refreshed after treatment. Thanks Jane in Rotherham, South Yorkshire

Response:

I had 70 arousals an hour, my oxygen saturation dropped to 40% (39% during REM). For the titration, snoring stopped at 10 cm pressure and began again at 12 or 14 cm pressure. I’m on Bi level PAP with an Oxygen feed of 2 liters a minute. While I don’t feel 100% my old self yet (started xPAP in late September 1999) I felt a lot better over the first day or two, and had no trouble staying awake at work. I also kept my mask on all night which doesn’t happen for everyone right away. Your results may vary depending on  your own experiences. jane01 wrote: > I’ve just been given my results from the overnight sleep test i had done on > December 20th. >  I have 60 apneas per hour and one third of my snores reach 100 decibels or > more.

<snip> – Hide quoted text — Show quoted text -> Would anyone please share their test results and let me know how quickly you > felt refreshed after treatment. > Thanks > Jane in Rotherham, South Yorkshire

Response:

On Sun, 16 Jan 2000 01:39:50 -0000, "jane01" <jan…@breathemail.net> wrote: >I’ve just been given my results from the overnight sleep test i had done on >December 20th. > I have 60 apneas per hour >I’ve got to go and collect a CPAP machine and bring it home with me because >they don’t have any appointments to have it done in time before I have >bariatric surgery in March

IT IS CRITICALLY IMPORTANT that any doctor doing surgery KNOWS the result of that sleep study and that you’re on CPAP. As in, "What they don’t know can KILL you." On me, the doctor who read the study STRONGLY RECOMMENDED that I wasn’t to have any surgery that wasn’t a DIRE EMERGENCY until I had fully stabilized. >Would anyone please share their test results and let me know how quickly you >felt refreshed after treatment.

RDI of 87… I was refreshed when I had the titration.

Response:

jane01 <jan…@breathemail.net> wrote in message

news:38812268_3@news1.vip.uk.com… > I’ve got to go and collect a CPAP machine and bring it home with me because > they don’t have any appointments to have it done in time before I have > bariatric surgery in March otherwise. I can’t collect it until January 27th > & I can’t wait. I know there are elements to the treatment I might have to > try hard to get used to…but I just can’t wait to feel alive again!

    Jane, how about waiting on that surgery?  Some people experience weight loss as a result of starting CPAP.  This kind of surgery can be pretty awful to recuperate from and then the eating regimen that you are on is bizarre. And too much of the time people who have this surgery eventually get back to eating just like they used to and gain the weight back. Jo

Response:

Hey Jane, I was up round 85 events per hour and within days felt a notable change. There are several factors that will need to be followed up. Making sure your pressure is set right, how your sinuses adjust ( I had a deviated septum and had always breathed through my mouth once on cpap I struggled quite a bit until I had the deviated septum corrected  then it was a dramatic improvement again. Good luck!

Response:

I got my results from the sleep study. In the section about heart rate data were some things I do not understand. Mean HR, LHR min, and HHR max. there were colums WK, REM, NREM. The REM is REM sleep, the NREM is nonREM sleep.  What is WK? Is the LHR lowest heart rate? Is the HHR highest heart rate? Could someone please help me? I don’t see my doc for about another two months.

Response:

>I got my results from the sleep study. In the section about heart rate data > were some things I do not understand. Mean HR, LHR min, and HHR max. > there were colums WK, REM, NREM. The REM is REM sleep, the NREM is nonREM > sleep.  What is WK? Is the LHR lowest heart rate? Is the HHR highest heart > rate? > Could someone please help me? I don’t see my doc for about another two > months.

all the options you suggested seem logical, I would guess that WK is wake – as in what your heart rate was when you were not asleep — Beth in Australia (I am not a qualified medical professional and unless I quote sources anything posted by me is my opinion only and you should always check with your doctor) ============================================= Sleep Disorders Newsgroup FAQ Website http://talhost.net/sleep Newsgroup archives http://www.talhost.net/sleep/archives.htm =============================================

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