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Re: OSA treatments not working

Posted by Laurie on December 29, 1997 at 15:10:26:

In Reply to: Re: OSA treatments not working posted by SleepyRick on December 25, 1997 at 18:23:59:

Thanks for responding. My defination of not working is still waking up 3-8 times per night while on CPAP, Bi-PAP, Automated Virtuoso, and mouthpiece. Some days I am so tired I feel like I can hardly walk across my den. My RDI during the 2nd sleep study was 45.55 at 6cm, 45.99 at 7cm, 8.67 at 8cm, 15.41 at 9cm, 7.13 at 10cm, 9.81 at 11cm and 11.46 at 12cm. Total sleep time was 227 minutes and total sleep period time was 289 minutes. I had 64 hypopneas and 2 obstructive apneas with a index of 17.44 (54.15 on 1st study without CPAP). The other causes of sleep disruption that you listed have been ruled out. I do not work shifts, I work days.

I am at the point where I am ready for a second opinion. It seems that the only things that I have been asked to try are pressure changes. We keep adjusting pressures and going from Bi-PAP to Automated Virtuoso to CPAP and still NO difference in awakening patterns. The oral surgeon is shortening the splint on the mouthpiece to bring the jaw further forward. I will be able to try that toworrow night.



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