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Re: UARS -- easily detected / treated?

Posted by Jake on June 04, 2004 at 10:47:00:

In Reply to: Re: UARS -- easily detected / treated? posted by HAZY on June 04, 2004 at 09:05:34:

"That tends to imply that it is not a significant problem - I disagree. It has cost me my job as a well paid engineer."

You and me both, Hazy. :)

IMO, arousals that aren't accompanied by leg movements, hypopneas, apneas, centrals, or outside influence (loud noise) should be regarded as UARS-prompted until proven otherwise. Few people experience microarousals for no reason.

Treatment for UARS should - but usually doesn't - involve titrating a patient until spontaneous arousals have been stifled. If that doesn't prove to be effective, then the possibility of nocturnal asthma should be considered. CPAP will likely not be beneficial if the airway is grossly swollen due to inflammation.

Unfortunately, most physicians only regard the bigger picture, and figure that once full-blown apneas are treated, then everything will be fine. On my titrated CPAP pressure of 8cm, I still wake up 9 times an hour. I've sent numerous letters to my doctor asking him to explain it and he completely ignores me. (Next step is to complain to his medical director...thanks to him, I have plenty of time to be a pain in the arse.)

Seven years into this nightmare and I have yet to get a straight answer from anybody. PAT testing and PSGs confirm I wake up too often for my own good. But I seem to be the one left wondering what to do about it.


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