New  member here and  not sure what my results  mean exactly   the doctor told me this is the worste case of sleep apnea he has ever encountered here are the results they gave me over the phone i suppose i will receive a paper version in the mail soon  they were calling to schedule a second sleep study  my first sleep study friday the 25th of july they ordered me on  oxygen monday the 28th of july

 total sleep time was 315 minutes
 REM sleep was only 19 minutes during that 315 min timeframe
 AHI or RDI was 92 per hour
 stopped breathing a total of 481 times during the 315 min study
 had 410 arousals during the study
 oxygen level dropped to 69 at one point during the study


  I go for my second sleep study  next thursday  is the second any different than the  first ? they mentioned surgery  is there any way to know if i need the surgery or not  are these results typical ? he seemed worried about the oxygen which i guess explains me waking up with severe headaches  all the time and tunnel/blurry vision . I am 38 years old 257 lbs 5 ft 11 and been a smoker since i was 9  have had this problem for at least 15 years but just recently noticed it getting worse within the last 2 years and decided it was time to get it checked out as i am always sleepy and fall asleep driving frequently and have no energy.Beat my fiance  in my sleep, sleep walk,sit up and  just get violent and then fall back on bed and sleep  and dont remember anything . thanks for any advice  you can give in advance !

An AHI of 30 average events per hour is the threshold for severe sleep apnea, so yeah, you have it pretty bad.  Believe it or not there are those with higher AHI numbers than you.  The oxygen prescribed is no doubt a result of your really low oxygen levels.  I'm not sure how much surgery will help, but whatever procedure you have done it's pretty likely you'll be on CPAP afterward.  I've been on CPAP for two months now and finally starting to feel the results and starting to drop weight.  I'm 54 and similar weight and size as you and couldn't lose weight for nothing.  If you do searches on the internet you'll see why.  Also do some searches in these forums regarding surgery.  Unless you have some problem that would make CPAP difficult, you might want to pass.  In any case, these forums are a huge source of information.  I still consider myself a newbie, but I learn quick.


_________________
REMStar Pro M w/ c-flex and heated humidifier
ResMed Swift LT nasal pillow
Encore View Software
12 cm H20, 13 cm H20
CPAP start date: June 4, 2008

edit double post

The titration study is the same as the evaluation study EXCEPT - you will be fitted w/a mask and they will administer pressurized air at various levels thu out the night as you sleep to determine the pressure you need to reduce or eliminate the breathing events you experience.

I certainly would NOT be any too quick to jump into any surgery, especially if you think it will be some "quick fix". Ain't a gonna happen! Surgery to straighten a deviated septum I might consider but show me the films first and let me see for myself. Turbinate surgery? I'd have to learn a heck of a lot more about that as I'm not sure just what is entailed. Tonsilectomy? Well, yeah, IF my tonsils are REALLY large (and I can see for myself) or I have a lot of tonsil and throat infections, etc. Uvula? No way! Jaw advancement? Not likely! Bariatric surgery? Not much value w/o an entire lifestyle change I haven't been willing to understake so far. What they take out they can't put back in and every surgery creates some scarring. And I'm not talking visible scars or cosmetic worries. I mean tissue scarring that can cause as many problems as the surgery corrected or cured. Adhesions. Surgery is a result of medical failure. I'll try the medical route first, thank you!!!


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.