Newbie, reaching out for some help here!

[Wheel357]

  Page 1.pdf (Size: 421.55 KB / Downloads: 8)
  Page 1.pdf (Size: 421.55 KB / Downloads: 8)
  Page 1.pdf (Size: 421.55 KB / Downloads: 8)
  Page 1.pdf (Size: 421.55 KB / Downloads: 8) Thanks all. I appreciate the help. Here are the results.

---

Here are more results

---

Last page. 
If anything is missing, please let me know.

Thank you

[Ron Poelstra]

If this were me I would lean toward an ASV machine.  There is a mix of apneas with some of them CA.  Try to convince your doc to give you a script for a ResMed ASV.  But, I am just a novice in this and I would wait for others with more experience to weigh in.  In the mean time look at my posts.  Ron Poelstra

[SarcasticDave94]

It will likely be an uphill battle to get ASV with insurance paying. 50 CA to 77 OA, so the CA aren't 50% or more. You're going to need to be very persuasive in your discussion about CA and failure to become rested. You might need to consider buying used ASV if you can. Then use it, demonstrating great therapy results and getting doc to listen. Then you might get him to agree ASV is medically necessary.

[Wheel357]

It will likely be an uphill battle to get ASV with insurance paying. 50 CA to 77 OA, so the CA aren't 50% or more. You're going to need to be very persuasive in your discussion about CA and failure to become rested. You might need to consider buying used ASV if you can. Then use it, demonstrating great therapy results and getting doc to listen. Then you might get him to agree ASV is medically necessary.

As of now the doctor is uncertain as to my needs and refuses to prescribe anything. There is a chance he will call me tomorrow , seems to be his normal routine. I question why he would not start therapy with an APAP or BIPAP and maximize these units if he is unsure? I am concerned the high pressures might be causing the CA that the study points out? Living with my pulse oximeter for the last month has convinced me that my sleep position has a major impact on my events thru the night. My only concern is to stay out of the ICU, another stroke from apnea triggered Afib simply cannot be allowed to happen. This whole thing has been going on for a year next month and I need to move into the next stage here one way or another.

[pholynyk]

As I'm sure you know, Ontario's ADP program does not cover ASV units. The DME I use doesn't carry them in stock.

I hope you can overcome these problems as well as your doctor's attitude.

[desaturator]

Hello, a year ago I had a "mild" stroke from Afib event apparently triggered by apnea.

I wonder how conclusive "apparently triggered by..." is? I'm still waiting to see if CPAP has any effect on my AFib. Of course, if you have serious sleep apnea it needs to be treated, whether it fixes the Afib or not; but the link between sleep apnea and cardiac arrhythmia is a pretty tenuous one.

In the meantime -- you're on anticoagulant medication now, right?

BW, DS

[Wheel357]

Tenuous indeed but was observed by EKG on arrival to Emerg, I have had pretty much every test known since that day and I am clean bill of health. I have never had high blood pressure, cholesterol or any other prime indicator for issues. NOW, since my stroke the internist has me on a light blood pressure med he tells me is actually to control rate, a thinner to make sure no clots form and a statin to make double sure no chance of cholesterol in my blood. These measures are totally preventative. They are going with the Afib largely because they cant find anything else, including the actual blockage that got me.

---

Apixaban 40mg to be specific.

[Gideon]

Where in Canada are you, Province can make a big difference.

Looking at the charts, your events are mostly clustered, that and the difficulty of high pressures stopping the events makes me think it is mostly positional and I don't mean on your back. That is a signature for tucking your chin giving you a positional apnea similar to kinking a garden hose. Pressure will not resolve this. Most doctors are totally blind to this. This I think may be the major cause of most of your apnea.
Tell us about your pillows. Thick, thin, firm, soft doubled or more? It is possible to reduce this by being thinner, less firm, and using only one pillow. Read the article on the soft cervical collar linked in my signature. You will see some before and after charts of this.

[Wheel357]

Thank you Gideon! I will act on this immediately. I can easily understand your meaning on this and it makes perfect sense. I had a regular review with family doctor today and we decided to be proactive on the apnea in general by a reduction in weight, toning up and general fitness while we sort out this sleep clinic issue. I simply can't bring myself to have confidence with the interpretation by them to date. I use a single pillow of average thickness and when sleeping on my side my head and neck would be level, and least apneas noted while sleeping in this position. If sleeping on my back the pillow would be harmful for positional apnea as you define it. Apneas can be severe while sleeping like this I have noted. I find it interesting as well that I never had any apnea issues until I stopped sleeping in my water bed, using my regular bed the issue started soon after.