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Shocked, but somewhat relieved!

Posted by Paul on February 10, 2004 at 10:45:25:

Folks,

When I initially received my sleep study, it was very general. All it stated, basically was:

(1) Normal sleep architecture with regards to the amounts and distributions of the various stages of sleep. (!!!)

(2) Respiratory events 21x/hr on sides, 83x/hr in supine position.

(3) Lowest SO2% - 83% from a baseline of 93% during sleep.

When I went to Stanford with this tiny summary, I was scared to death thinking I was dying or something. Dr. P. stated that it was the most incomplete summary he had ever seen and wanted the complete raw data. He stated that there was no way I could have a normal sleep architecture (reach all the stages of sleep and right amounts of time in each one) if I was having obstructive episodes. So this was a clue that something was seriously wrong.

Well, I finally got a hold of the person who scored the test and received the actual raw data. Ready for this?

(1) I really did have normal sleep architecture, just like the report said. (S1 = 9.5%, S2 = 54.7%, S3 = 14.9%, S4 = 2.5%, REM = 18.4%)

(2) Out of the total number of respiratory events (132 for the entire night!), only 17 were Apneas. The other 115 were Hypopneas.

(3) The 83% saturation happened only 1 time, for 1 second during the entire night. The rest of the night, the O2 never went below 93%.

(4) The longest Apnea event was 15 seconds. The longest Hypopnea was 38 seconds.

(5) All 17 Apneas were on my back, never occuring in any other sleep position. The Hypopneas were both on my sides and on my back.

(6) My heart rate (bpm) never went past 74.

(7) Of my total number of arousals (147), roughly half were associated with a respiratory event. 81 were spontaneous. Only 11 of them were for longer than 15 seconds.

(8) Total RDI = 20.8 (but again, most of the events are hypos)

My questions now are, does this really need CPAP or surgery? Is surgery more successful if the problem is mainly Hypopneas?

Does this sound like a very mild case to anyone, or anyone with a similiar situation?

Logic tells me that if the majority of events are hypo, then the blockage(s) can't be all that bad - in which case I'm hoping the surgery(ies) will be more successful.

Please help! I feel pretty dumb for having travelled all the way to see the "godfather" if this is really a mild case.

Thanks!

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