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File: images(44).jpg (23 KB, 447x447)
23 KB JPG
Just got word back from insurance, they won't cover my sleep study. Doc still wants me to do it...
$1600 for the study, even if it comes back with results insurance won't cover -any- treatment either

I'm considering renting a C/APAP machine and just trying to self-treat myself.
Rental + mask is ~$250/month to try, and I can buy a machine for $1000.

Thing is, idk if this is even the fix. Maybe it's something else?
Apparently it takes some people ages to "adjust" the machine to actually benefit from it.

I know I snore and I've done everything to fix it but my sleep hasn't improved and I'm so desperate just to get some good sleep
>>
>>34633005
Just have a drink.
>>
>>34633005
What's your BMI?
How much water do you drink a day?
How much weed do you consume?
How often are you changing your bedsheets?
Do you shower before bed?
>>
>>34633020
Retard. Alcohol worsen sleep quality in the long term.
>>
>>34633030
Oh, you’re a sleep scientist now?
>>
To clarify; I have no trouble falling asleep
I have trouble with getting good sleep. I can sleep waking sporadically, or I can sleep a full 8 hours I still wake up feeling like shit and spend the whole day tired and sleepy

>>34633023
>What's your BMI?
18. 55kg @170cm
>How much water do you drink a day?
plenty, transparent pee
>How much weed do you consume?
0
>How often are you changing your bedsheets?
weekly
>Do you shower before bed?
yes, I've tried both hot and cold
>>34633020
Don't drink, not even a sip
>>
>>34633005
It's possible.
I had it covered by insurance for about 6 years but then they wanted another study etc. so I bought it myself.

The Resmed S10 in your picture is ideal. You can access the docors menu and adjust the parameters yourself.

There is Oscar software to read out the SD card and monitor everything yourself if you know what you're doing.

1000 bucks sounds a bit steep though for this price I'd expect the full package with humidifier+heated hose included
>>
>>34633040
>55kg @170cm
>Dollars, insurance
???

How much exercise are you getting a day and how much caffeine do you consume?
>>
>>34633068
USD is international, I'm not US tho
I'd say a low amount. I mostly did cardio before but I started lifting this year. Most days I'm too tired/sleepy to exercise.
Caffeine is 2-3x a week, just an espresso shot. It makes me all jittery which isn't helpful for my work
>>34633047
Yeah it's basically everything plus the resmed mask
>access the docors menu and adjust the parameters yourself.
were you doing that yourself or did you have the doctor do it?
Did it take long to get it the settings right?
>>
>>34633080
>were you doing that yourself or did you have the doctor do it?
>Did it take long to get it the settings right?
I basically started from my old settings I had from the lab 6 years ago. I don't think I changed much though.

Accessing the menu is piss easy, then it's mainly adjusting the pressure. There are features for comfort like humidifier and ramp up etc. you'll figure it out easy.
In your case just start with 10mbar and read out the SD card or just look at the screen in the morning. It tells you the apneas per hour. It should read below 5. If it's much over 5 increase the pressure 1 mbar.

You should read out the card at one point if you still see apneas when increasing the pressure say above 16mbar it could be you have central apneas that's were stuff becomes messy and you should probably see a doc then.
>>
>>34633080
BTW google Resmed S10 clinical manual. It's what the doctors use.
>>
>>34633080
Your body sounds like it react strongly to caffeine, try cutting it out altogether. It could cause the sporadic waking. Go for decaf if you just like the taste.

Sleep apnea is like PCOS, it's one of those conditions that CAN happen in otherwise healthy people but is overwhelmingly a fat person condition. It's treated as if it's common because accountability is scary for fats. Considering your BMI and lifestyle I would agree with the Dr to do the sleep study because CPAP comes with problems of its own and doesn't actually treat the root cause of your issues.

I presume you've already had blood works done? No deficiencies? Being able to sleep a full 8 hours and still wake up tired points to it not being a sleep issue...
>>
>>34633040
Have you tried tracking your sleep with a smart watch to see your sleep pattern during those 8 hours?
I had something similar with waking sporadically during the night. I got tested for sleep apne but it came back negative. My doctor recommended I do sleep restriction therapy and it has helped but it took a really long time for it to start working for me.
>>
>>34633033
NTA, but you don't have to be a scientist to know that. You just have to not be an ignorant fool.
>>
>>34633005
CPAP is like last resort dude, and if snoring is the problem just history is enough to tell what's going on. Do you have allergies and shit? A common cause is the nasal amygdala being too large, so a course of intranasal steroids for a month should be enough to treat it. Besides that, stop being a fat fuck and invest in a proper setup to sleep on your side.

Only if you have some weird tongue problem you should use CPAP, and still there's probably some cannulae or braces you could wear at night, but I don't know about that.
>>
>>34633005
Have you thought about doing an audio recording of yourself sleeping? Listen for whether you stop breathing in mid-snore? If you can find a cheap pulse oximeter that can store data for 8 or 10 hours, that's also a useful check: if your blood O2 level keeps bouncing around while you're asleep, you have apnoea. (Of course you may have something else as well!)

If you decide to get your own CPAP, most decent machines are self-calibrating these days. Make sure you get one with a heated humidifier and a heated air hose. (Use distilled water in the humidifier!) The mask is the thing that will need some experimentation. You can get a mask sizing guide from the manufacturer, but there are a number of different styles of mask, and you may need to try a few before you find one that suits you. I, for example, need a full face mask (one that covers mouth as well as nose), and the fact that I have quite strong cheek bones but a very weak chin makes it difficult to get a good fit.

Invest in a CPAP pillow as well.
>>
>>34633507
NTA but CPAP is the gold standard treatment for obstructive apnoea. It is very much not a last resort.
>>
>>34633005
Hah.
Did Exactly what you are intending to do....
Was 32 , found a place online (think they are dead) that rented the testing rig (just a breathing monitor AND oxy measurement system, they sent the results. Need BPAP they said, don't even bother with CPAP won't get the job done.
-out of pocket was hundreds for this but I never visited a doc office.

Both a DeVilbiss BPAP. Learned the diag menus (best part of this was I didn't have to do insurance or have a machine dialing home).
-This was a grand or two.

Then the Mask , Oh this part suuucks. I could not do a nose only. I jumped to the mouth plus nose piece. It took a Ton of time to figure out that I could not wear any std mask that touched mu forehead. The stupid things are designed with some face structure that 90+ percent of men have, But I Do not fit the mold. If the mask touched my forehead, No dice, the seal would leak right into my eyes and I'd tear it off at night.
-Basically I have a super deep nose crease/bridge.
The solution was to take a hot soldering iron to a mask that could be a hundred bucks and bend the plastic so the forehead 'arch' didn't rest on my face.
-Problem of mask solved.

Then I lost 50ish pounds and the apnea and snoring went away.
-Method of weight change = beans and veg. and Heavy Rucking. I'm up to 1 hr every other day toting around 100 lbs of iron and sand.
>>
>>34633518
Gold standard doesn't mean first intervention. Gold standard for HIV is PCR, yet they do 4th gen ELISA for blood transfusions and simple agglutination tests for screening.

We don't know it's sleep apnea either. Some doctors are just retarded, and on top of that american ones are against the wall with insurance and lawsuits. If you're sad first thing a psychiatrist will do is tell you you're depressen and need a year on pills, if it doesn't work more pills. You go next week and say you're happy but afraid, so now you have anxiety and need to get a year on beta blockers your heart be damned. Shoe-vending doctors are a thing, and prescribing the most extreme, expensive procedures and tests are a telltale sign of them.

Like I said snoring has many reasons, some that don't need CPAP to be treated, not like CPAP is a treatment either, it's a permanent intervention.
>>
>>34634324
>We don't know it's sleep apnea either.
That is certainly true. OP isn't even diagnosed by a doctor.

>If you're sad first thing a psychiatrist will do is tell you you're depressen and need a year on pills, if it doesn't work more pills.
That, however, is bullshit.

>not like CPAP is a treatment either, it's a permanent intervention.
What in God's name are you talking about now?
>>
https://en.geniosleep.com/?page_country_id=o1
See if it's available in your country.
>>
>>34633507
>>34634324
I actually had a nasal CT scan done a while back which came back very mild. Like, slight deviation but nothing that should cause worry or breathing issues.

I get what your saying though, just cause I have snoring/breathing issues doesn't mean it's apnea. It's why I'm tempted to find a way to just pay for the sleep study but the fact that insurance won't cover anything related to sleep medicine is just fucked

On your other points. I consider myself somewhat skinny, and I always sleep on my side. I can sleep on my back but the quality is really bad.

>>34633512
I've slept with my sister in the same room on occasions and she's told me I "snore and choke" sometimes. It's a lot less on the side, but according to her it still happens.
I've tried those phone recorders but they can never filter out the AC sounds properly.

>>34634968
this seems hokey, have you tried it?
Like those vibration wristbands or whatever, it takes quite a bit to move a muscle with an electrode and even then it's not comfortable (based on physio therapy I had to do)
>>
>>34633107
>because accountability is scary for fats.
Lawl
>>
>>34634979
A proper sleep study will also identify issues like "restless legs syndrome", narcolepsy, and central (rather than obstructive) apnoea.
>>
>>34634968
That looks dubious as hell. There is a version of that which works, but it requires surgery and an implant.
>>
>>34633005
Try this

Nasal strips are a must for helping you breathe through your nose and take in more air. Add mouth tape later, ease into it because it can feel suffocating at first. But the nasal strip + mouth tape combo is necessary.

Sleep on your back, but move the pillow from your head to under your knees. When your neck is flat against the bed your lungs have more space to expand and your trachea will be more straightened out, so you will get more air into your lungs. The pillow under the knee will straighten out your lower back and feel more comfortable. If the neck starts to hurt without a pillow, just roll up a towel and put it under your neck for slight support, but the point is you don't want your head to be too elevated.

Get a humidifier because your airways may dry out quicker due to more air circulation, this depends on your climate but either way make sure to keep the humidifier at the lowest setting because it can feel suffocating. Crack a window in your bedroom so that you're not breathing stale air all night, you will get more oxygen from the atmosphere outside. Again this depends on your climate but this is ideal.

Finally, use some melatonin and/or magnesium glycinate and/or benadryl to help you fall asleep and stay asleep. I highly recommend combining a moderate dose of all three for the best sleep of your life. Obviously no drinking or weed ever, whether or not you are taking that cocktail of pills.

But of all the things i listed, i think nasal strips are the #1 priority, it's gonna change your life i promise.
>>
>>34635027
This one requires a surgery and implant as well.
>>
>>34634979
I haven't tried it coz I don't suffer from sleep apnea. I met the company reps at the JPMorgan healthcare conference in SF early this year. It requires a minor surgery to implant the device under your jaw.
>>
>>34633023
None of this matters literally but how much water he drinks and His BMI.

>>34633005
This “disease” is part of my career. I work with CPAPs and BIPAPs every day.
If they’re recommending a sleep study it’s because of Sleep Apnea.

There’s 2 types. Obstructive. And Central. Obstructive can be from weight. Can be from a physiological defect like recessed chin.

Central is when you have to get a sleep study done and your brain literally stops breathing in its sleep. Then you would need a bipap machine. Not a cpap machine. A CPAP gives you continuous pressure to stint your airway open to get pass the obstruction or weight.

BIPAP gives you 2 different pressures that helps you breathe in and out. And sometimes can breathe for you. Which is what you would need if you’re breathing gets suppressed when Central Sleep Apnea occurs.

Luckily these machines usually come with a bipap and CPAP setting.
>>
>>34633080
It depends on the settings

CPAP starts 8. Normal people just need 8.
Obese people need anywhere between 10-18.
NEVER go above 18. The air will blow a hole in your lung and you will get a pneumo and be in the hospital for months.

Bipap settings start at. 10/5 or 10 and 5. Bi level Pressure. Instead of working with 1 pressure with CPAP. You’re working with 2. ResMED calls it IPAP and EPAP.

So like CPAP you set a baseline pressure. That’s the lower number. That’s the EPAP. CPAP is just EPAP alone. After you set the EPAP. You then set the IPAP. Which in this case would be 10. So it would be 10 and 5.

For bipap all you would ever need is 12/5 or 12/8.

If any of that makes sense.
>>
>>34635510
>Sleep on your back
DO NOT SLEEP ON YOUR BACK. It makes your tongue slip backwards and block your throat.
>>
>>34638120
>If they’re recommending a sleep study it’s because of Sleep Apnea.
Or narcolepsy. Or restless legs syndrome. Or any number of other things.
>>
>>34638161
I assumed he would be having proper tongue posture, but yes if you practice mewing this won't be a problem
>>
>>34633486
Except you are wrong.



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