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Diane545
Member

USA
188 Posts

Posted - Dec 15 2017 :  10:27:47 AM  Show Profile  Reply with Quote
would like your opinion on sleep apnea test. I have emphysema and use 02 at night. I had a all night test and they did not put O2 on me at all and never put a Capp on during test. Everyone I talked to that had sleep apnea said, they put cpap on after couple hours to see improvement. My concern is my pulmo (she also heads sleep study) called and said I have mild speed apnea. I should come in and get fitted with cpap. My 02 dropped 77. When I told her they never put 02 on she was not happy as she ordered test to be done with 02. I told her they never put Cpap on and she said thatís how she does test. My problem is I donít want to use it if I donít have to and kind feel she is pushing it on me. How do I know if it was just lack of 02. I go in next week and will ask for copy test. Did you wear you 02 and did they put cpap on when you got tested? Please any help on this would be appreciated.

Roadrunne98
Member

USA
213 Posts

Posted - Dec 15 2017 :  11:39:54 AM  Show Profile  Reply with Quote
I#65039; was told if you have 02, you donít need the sleep apnea test , or wear that cap. I#65039; wear my 02 24/7 though. Before you get out of bed, with your finger pulse ox ,take it and see what it is. Mine is in the nineties.
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tsainta
Contributing Member

USA
1737 Posts

Posted - Dec 15 2017 :  12:03:23 PM  Show Profile  Reply with Quote
A major point: you cannot accurately measure your deep sleep blood sats by checking when you wake. The reading you get then is not related at all to your sats when you are deeply asleep. You can accurately measure your sleeping minimum sats ONLY by wearing a monitor while you sleep.

My pulmo, who also runs the sleep clinic, uses oxygen as prescribed, but not a CPAP for the test. He also believes that all advanced COPDers would benefit from a CPAP or BiPAP, regardless of whether they have sleep apnea or not. He sees the benefit as giving the lungs an assist and relieving them of effort for a while.

Tony-CA

50% of dealing with COPD is common sense.
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Jocopd
Member

USA
93 Posts

Posted - Dec 15 2017 :  2:02:22 PM  Show Profile  Reply with Quote
In sleep apnea you actually stop breathing or your airways becomes so blocked (loud snoring) that you stop breathing or cannot get air at all. Doesn't matter what the o2 level is cause you aren't getting ANY. A CPAP machine forces air into your lungs all night and keeps you breathing.

Low oxygen while you sleep is not stopping breathing but is damaging organs that need oxygen to function and stay active like your brain, heart etc. You can use oxygen concentrator at night to keep the o2 level up.

You can have both and then you might use a BIPAP machine. The test found you have mild apnea - that means you had 5-14 episodes of interruptions in breathing in an hour. They may not have put you on a cpap machine during the night because they knew at that point that you needed it. I mean if you had 14 an hour that means you stopped breathing once every 4-5 minutes. I understand your Dr concern about the o2 at night since you kind of need that already and have been tested for that previously. But it did not affect how many times you stopped breathing which is what the test was about. Since she is wanting you to get fitted for the mask and machine then you should prob do it. After all it takes most people a few weeks to get the hang of sleeping with the cpap machine. I would get it if I were in your shoes.

Edited by - Jocopd on Dec 15 2017 2:05:04 PM
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Diane545
Member

USA
188 Posts

Posted - Dec 15 2017 :  4:42:27 PM  Show Profile  Reply with Quote
Thanks for helping me understand about difference in 02 and sleep apnea during test. I am going to have her go over my report so I have better understanding. Just thought it was weird cause even the tech said usually if they notice sleep apnea they will come in and put mask on. Although Dr said she doesnít do it that way would have been good to see the difference. My husband had test VA and they put mask on Fter couple hours sleep to show how it helped. I have done research on COPD and sleep apnea and seems like pro and con with people COPD. It doesnít seem to accurately prove the effectiveness of using cpap especially for some types lung disorder, medications and general symtons suffered by patients. I would like to know if it really helped improve the quality of life. Just wearing the 02 is an inconvenience especially when going out down.
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PennyPA
Contributing Member

USA
5841 Posts

Posted - Dec 15 2017 :  7:12:57 PM  Show Profile  Reply with Quote
Copd and sleep apnea aren't really related. You can die from undiagnosed sleep apnea.

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faybees
Member

USA
138 Posts

Posted - Dec 16 2017 :  12:25:25 PM  Show Profile  Reply with Quote
I would not have done the test without o2. I would have been dead by morning.

fay beech
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MDC
Member

374 Posts

Posted - Dec 18 2017 :  7:26:15 PM  Show Profile  Reply with Quote
Just had test done Friday night and did not sleep long enough to interpret. Nurse said they could not give you any information, the sleep Dr had to interpret it.

However prior to test she told me that if i showed any signs of sleep apnea they would put cpap on me and start titrating it.

When I asked how I did while asleep she said I cannot tell you but winked and said remember I said I would wake you and put on mask if you appeared to have sleep apnea, and smiled. Pretty good answer for me..lol

I thought it would be good for me and wanted one. Now I will wait and talk to Pulmo in Jan at appt and see if we reschedule or not. Mine was done with 02.

Mike

Knowledge is knowing a tomato is a fruit.
Wisdom is knowing not to put it in a fruit salad.
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jmrommes
Contributing Member

1774 Posts

Posted - Dec 18 2017 :  8:51:56 PM  Show Profile  Reply with Quote
When I was very heavy and before I lost weight, I had sleep apnea and used the C-pap with O2 at night. It made a huge difference in how good I felt the next day. Once I started using the C-pap, I never got sleepy after lunch (before I was a disaster waiting to happen, especially if I was driving), I had much more energy and was able to work much more productively without getting tired. It made a big difference.

Exercise not only lets me live, it enables me to have a life.
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Diane545
Member

USA
188 Posts

Posted - Dec 19 2017 :  10:12:43 PM  Show Profile  Reply with Quote
Thanks for your help. After doing some research I found there are all different stages of sleep apnea. My score was 12 which is mild. I do not have many of the symtons except snoring. My dr said, it was up to me if I wanted a cpap. I think I am going to work harder at exercising and losing weight. I am in weight watchers and lost 6 lbs. I have about 15 to go and hope this will help.
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Sokcap48
Senior Member

USA
866 Posts

Posted - Dec 20 2017 :  11:06:55 AM  Show Profile  Reply with Quote
Diane congrats on your weight lose that is great. I agree with you 12 is very mild, they usually donít treat 10 or below. Your additional weight lose may very well take care of the problem. Omce you reach your weight goal you may want to get rechecked just to be onthe safe side.

Paul-Ut
The Journey Continues.
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