Wife's CPAP Experience

[Sleeprider]

Okay, like MS wasn’t worth mentioning until now? By any chance is there a copy of her diagnostic sleep test with personal information redacted?

[Jay51]

Thank you for those.  My instructions were probably not that good either.  Please try 2 more uploads like the last 2 you just posted, but start in the middle of the biggest purple cluster on both charts (so Central Apneas start the 3 minute zoom and end the 3 minute zoom - nothing but central apneas in these new uploads).  

Your wife probably has a Neurologist if she has been diagnosed with MS.  Neurologist would be the person to talk to about CSR.  Showing Neurologist these same OSCAR charts with the CA's will give them more information to give either a positive or negative diagnosis of CSR.

The copy of her sleep study would be helpful like Sleeprider stated.

[Sleeprider]

Sorry to be so short with last reply, but I was on the phone, and I have fat thumbs. MS makes a difference, and she probably qualifies for bilevel or ASV with that diagnosis. With ASV she has zero events and easy breathing. Things are definitely pointing that direction.

[snpperhd]

Sorry, I didn't realize her MS, which has been under control 25+ years, was a major factor in her recent mild sleep apnea diagnosis.  The only paperwork regarding her sleep study indicates her 10.5 events per hr.  I will attach a copy.

           

[snpperhd]

No problem Sleeprider, I probably deserved to be hammered

[Sleeprider]

No intention to "hammer", but MS is often controlled with various opioid medications. While I don't know anything about her treatment, I do understand the disease and medications, and a significant risk factor is central apnea. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5775511/ As I said, ASV is a common therapy to provide backup respiration for the central apnea in individuals with "controlled" MS, particularly if opioid medications are involved. ASV is a specific therapy for individuals being treated with opioids. Does that sound like it might be relevant? If it is, then let me help you get her on the correct therapy. CPAP does not treat opioid induced central apnea.

[snpperhd]

I don't think so she's never been on opiods. Her MS treatment has essentially consisted of Betaseron in the beginning, then Avonex for 20+ years. They've kept her exacerbations to a minimum.

[Sleeprider]

Glad we can rule out the therapy, but we're still left with a lot of central apnea. You should obtain a detailed copy of her diagnostic sleep test and discuss her therapy with her doctor with the objective of scheduling a titration for CPAP, BiPAP, ASV with the objective of finding a therapy that actually works. Currently, her CPAP therapy has zero efficacy compared to her diagnostic.

[snpperhd]

Her chart from last night seems pretty good.  She adjusted her headgear a little and slept much better.