I just did my titration sleep study this past Thursday. It was a total bust. I should have cancelled it and didn't. About an hour before I was to leave for the sleep clinic my sister in law called from Maine (we are in Michigan). My hubby's brother had been taken off life support and it was just a matter of time. I didn't want to leave my hubby alone after receiving the call but he insisted that I could not cancel at such a late hour and that I have the titration study done. Against my better judgement I did go.
I would swear I did NOT sleep a wink all night except for a short 5-10 minute doze about 1-2 AM. I woke up from that short dozing breathing easier than I was able to breathe all night once we started the "pressure". Shortly after that "nap" it got more and more uncomfortable trying to breathe. It became an effort to breathe. So I just started breathing thru my mouth, it was easier and more comfortable. We had tried 3-4 masks and ended up deciding to go w/the nasal pillows. It was early morning before I had enough sense to tell the tech that it was too uncomfortable and too much effort to breathe and that it was easier to breathe thru my mouth. She said I shouldn't even be able to breathe thru my mouth but I could -and much more comfortably! So we tried again when she told me I should tell her when it was an effort and uncomfortable to breathe w/the mask on which I started doing.
I don't understand this "ramping" bit at all. She tried to explain it. I just really wasn't "with the program" and wasn't grasping what she was trying to tell me. It was an effort to exhale so I asked her to turn the pressure down. It turns out according to her that I was having more problems at 5 than at 6 or 7. I never had any problem w/inhaling at any pressure, but exhaling WAS. It was too much effort and uncomfortable, feeling like I wasn't able to breathe sufficiently. Why would it be harder to exhale at a pressure of 5 than at 6 or 7?
While I swear I did NOT sleep other than that short 5-10 dozing "nap" about 1-2 AM my tech insisted that I did drop into stages 1 & 2 sleep twice during the night. But never got more than that nor reached any other stages of sleep. I have never had such a bad night of sleep that I can ever remember in my life!
I can't imagine that we learned ANYTHING of any value from this titration study at all! Will they still try to script a C-PAP for me based on this titration study? After two previous sleep studies, one about 1998 and one early this year the pulmo said "he" would have suggested a Bi-PAP rather than a C-PAP, but last night only the C-PAP was tried. I was told that I would be contacted by the DME supplier w/in 24 hours of this study to bring out the equipment and I told them NOT to order ANYTHING until I saw the entire report and graphs and talked to the sleep study doc who is only in this clinic once every 3 weeks. The sleep docs at this sleep clinic alternate.
So, what do you sleep RTs think? Was this titration study sufficient? I will be able to pick up the report and graphs, etc. Tuesday or Wednesday. I was unable to get a flight for both of us and was fortunate to purchase the last seat on a flight from here to Maine for my hubby so he will have to go to the funeral alone but will be staying with a favorite brother and sister in law and will have 4 brothers and 1 sister plus the in laws there plus a favorite nephew.