Hello
I just got the results on my latest sleep study and welcome any suggestions or advice. I was diagnosed with severe sleep apnea back in 2002. I have had the uppp surgery. This was my fourth study (3 without cpap and 3 with titration)since 2002. I have a bi pap and a cflex. Just got a new cfex on Monday.I have Blue cross insurance. I wanted to get the A flex machine but sleep center my insurance wont pay for it. My last six  studies show me spending 55-80% in stage two. Of the last six studies the highest I spent in delta (3-4) was 4.7% in one study. The  time in delta without cpap is 0.3--2.6--0.3-
Time in delta with cpap 4.7 (after surgery) and 1.4 (missing other result)
Here are some numbers from previous tests. Odd numbers are without cpap, Even numbers = titration

Can anyone make sense of all these numbers. I feel like !@#! every day. I work 12 hr (5-5) rotating shift work.Ambien to fall asleep,provigil to keep up.(as needed)
Height 5' 7  weight 180 age 52   Use machine with gel mask and feel worse.

      Stage 1    Stage 2   Delta      Rem    Apneas    Hyponeas    Arousals    Awakenings

1      12.7         86.5         0.3      0.5         331         83               361           45  
2      na             na           na       na         16           78               128           23
3      10.5         71.7          2.6      15.2      13           157             200           28
4      15.3         50.1         4.7      27.8       26           12                59           12
5      31.8         56.8         0.3      11.1       309         58               428           51
6      14.9         66.0         1.4      17.7        11          37               122           48

Here are some results from the latest study

AHI= 41.6   AI= 53.9
Some central apneas was seen at many pressure settings
30 obstructive--12 central, longest 47.6 seconds
110 obstuctive hyponea, longest 58.6 seconds
Apnea Hyponea index in supine = 59.8 per hour
54 spontaneous arousals, 161 resp. arousals and 0 plm
Low 02 was 80.0
High 02 was 100 Average is 95
Sleep Latency = 9.7
Stage 1 = 10.7%
Stage 2 = 59.7%
Stage N3 = 6.3%
Rem = 23.4


Titration Results

33 spontaneous arousals
24 resp. arousals
3 plm
Index of 22.2 per hour
No snoring heard past 7cmH20
Low 02 was 92.4
Rem sleep latency was 36.0 minutes

Stage 1 was  4.3%
Stage 2 was 33.0%
Delta was  0.3
Rem was 62.3%

Thank You
Woke me to do titration

jim70769 wrote:

Hello
I just got the results on my latest sleep study and welcome any suggestions or advice. I was diagnosed with severe sleep apnea back in 2002. I have had the uppp surgery. This was my fourth study (3 without cpap and 3 with titration)since 2002. I have a bi pap and a cflex. Just got a new cfex on Monday.I have Blue cross insurance. I wanted to get the A flex machine but sleep center my insurance wont pay for it. My last six  studies show me spending 55-80% in stage two. Of the last six studies the highest I spent in delta (3-4) was 4.7% in one study. The  time in delta without cpap is 0.3--2.6--0.3-
Time in delta with cpap 4.7 (after surgery) and 1.4 (missing other result)
Here are some numbers from previous tests. Odd numbers are without cpap, Even numbers = titration

Can anyone make sense of all these numbers. I feel like !@#! every day. I work 12 hr (5-5) rotating shift work.Ambien to fall asleep,provigil to keep up.(as needed)
Height 5' 7  weight 180 age 52   Use machine with gel mask and feel worse.

      Stage 1    Stage 2   Delta      Rem    Apneas    Hyponeas    Arousals    Awakenings

1      12.7         86.5         0.3      0.5         331         83               361           45  
2      na             na           na       na         16           78               128           23
3      10.5         71.7          2.6      15.2      13           157             200           28
4      15.3         50.1         4.7      27.8       26           12                59           12
5      31.8         56.8         0.3      11.1       309         58               428           51
6      14.9         66.0         1.4      17.7        11          37               122           48

Here are some results from the latest study

AHI= 41.6   AI= 53.9
Some central apneas was seen at many pressure settings
30 obstructive--12 central, longest 47.6 seconds
110 obstuctive hyponea, longest 58.6 seconds
Apnea Hyponea index in supine = 59.8 per hour
54 spontaneous arousals, 161 resp. arousals and 0 plm
Low 02 was 80.0
High 02 was 100 Average is 95
Sleep Latency = 9.7
Stage 1 = 10.7%
Stage 2 = 59.7%
Stage N3 = 6.3%
Rem = 23.4


Titration Results

33 spontaneous arousals
24 resp. arousals
3 plm
Index of 22.2 per hour
No snoring heard past 7cmH20
Low 02 was 92.4
Rem sleep latency was 36.0 minutes

Stage 1 was  4.3%
Stage 2 was 33.0%
Delta was  0.3
Rem was 62.3%

Thank You
Woke me to do titration

Hi Jim,

I remember a friend I met while doing shift work for a TV station.  She recommended that I move on from the shift work lest I have trouble with concentration and possibly falling asleep at the wheel later in my life (I was in my late 20s at the time).  I think I should have listened to my friend.

It is very hard on our poor little bodies to jumble their circadian rhythms every few weeks.  Hard when we are young, eventually impossible to live with as we get older.  If I were you I would consider that the time I had that I was capable of doing shift work is coming or has come to an end.

People I have talked to who have had the uppp surgery have stories that go something like this:

Found sleep apnea, had the uppp and things were great.

time marches on.

Things are not so great anymore - back to the doctor.  Re-do the operation or CPAP (the understanding of the UPPP surgery long term effects became more known and the CPAP technology and understanding improved).  Things better.

time marches on.

Things not so good again - back to the doctor.

Two things are happening I think in your case.  I think you would do well to see an ENT to check the current structure of your throat.  Scars from the operation have a tendency to grow and that would be bad for you.  The shift work amplifies the effects of OSA being very stressful.  It also amplifies the tendency to put on weight and lessens activity.

A couple of questions:  How does your weight track with the apnea?  How does your stress level track with the apnea?  How much closer are you to a "normal" retirement age?  How is your blood pressure doing (good to get a monitor I think)?  Have you been tested for diabetes lately?  What do you do for exercise and relaxation?

May we both find work we can do!

Todzo

I still have another 15 yrs until I can retire. Quitting my job is not an option. No college and I make 33 per hr with great benifits. I work as a plant operator. Had an appointment with the nuerologist this morning. Was very impressed with her. They have me comming in for another sleep study in November and told me to plan on staying over so they can test me for narcolepsy. Have been talking to my boss about working more nights then days. I seem to function a little better on nights and get more sleep (not that it helps) Yes I have been tested for diabeties and that was negative. Have had everything tested. As far as weight I have been between 170-180 the last 20 yrs. Dr did tell me my neck is a little large 17.5  Normally we work nights,days,nights, days etc. Body never gets used to the switching, hopefully I can make some changes that will help. Ill keep you updated, need to get back to work.

I've been on the cpap for over 12 years on my second cpap machine ......I average 6 to 7 hours of sleep everday.  I have finially been able for the last 12 yrs actually wake up on time to get to work no matter what the time i start.  It takes some people a day or up to a few months to get use to the mask.  in other words get on the cpap machine already and enjoy life.