pooped wrote:pseudonym, thanks for the reply. i am a little confused by the data you provided. based on my studies, RDI either equals AHI, or is AHI + RERAs/hr. some doctors measure for RERAs and include them in the RDI, as they are a form of repiratory disturbance. others don't. it sounds to me like you have a ton of hypopneas and definitely have OAS. the other respiratory disturbances are similar to hypopneas, but less severe -- you are aroused before you stop breathing. the remedy (whole or partial) is the same -- CPAP.
pooped wrote:it sounds to be like your sleep remains quite fragmented, and you need some medicine. i've taken every sleep med under the sun, including many off label medications. one thing that i find effective, that is said not to interfere with sleep architecture is flexeril. i take 20 mgs. it really helps me, because i have a lot of body pain, as a consequence of some issues with my cervical spine and shoulders.
can you describe the PES for me? that's a means of measuring RERAs. i dont think that was used on me.
pooped wrote:My confusion about your results is that an AHI does not include respiratory disturbances, so, based on your AHI and RDI, it appears you have some form of OSA as well as UARS. I have read that you do not need RERAs to be diagnosed with UARS, unless your arousal index is on the lower end. No doubt, yours is not on the low end.
I believe that your RDI is higher than your AHI because it is the index of your hypopneas plus your other respiratory disturbances (that are not apneas or hypopneas). But the bulk of your RDIs are hypopneas.
pooped wrote:I'm glad you dont have pain -- it would not be easy, with your lack of delta sleep, which is required to heal at a normal pace. Incidentally, flexeril is not a pain medicine, per se, it's a muscle relaxant, and not a terribly strong one, IMO at least. But it does make you sleepy, and a little looser. I suppose it could be problematic for some with breathing issues. Some experts suggest that it encourages delta-stage sleep. Given your medication experience, I assume you tried seroquel -- not sure what that does to delta, but it's the only thing that consistently knocked me out and kept me asleep, though it dummied me in the morning.
pooped wrote:I wish you the best re your follow-up. I'm interested to hear what more you learn, if you wish to share.
pooped wrote:Hey Pseudonym, just just checking back in.
So, I was dianosed with a severe case of UARS. RERAs were ~ 35.
I am now on the APAP. It's going pretty well. I have the Swift Mirage Nasal Pillows mask, and I finally found a way to ensure that I keep my mouth closed -- I used my cervical collar. Not the most ergonomic, but it works, and I am not waking up to a sore throat.
Incidentally, I dont know how accurate the APAP machine is (Respironics, S8), but, so far, it's reporting that I have an avg. AHI of around 7. That doesn't surprise me that much, as I do have hypopneas during REM, and I am probably having more REM now that my sleep is less fragmented. Hopefully, as I acclimate, the AHI will drop.
Anywho, hope all is well for you. Look forward to hearing about your follow up.
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