Quote:
>Date: 21 Aug 94 01:06:01 -0800
>Subject: Sleep Apnea
My wife has recently been diagnosed with Apnea as well..
Quote:
>In any case, she too is hooked up to a CPAP however is having a darn near
>impossible time with it.
>Mind filling me in on your experiences with acclimatization?
I have used a C-PAP for almost a year. In the beginning I had lots of
problems: air leakage around the mask making too much noise and waking me up,
continuously running nose nd post-nasal drip when I wasn't sleeping,
difficulty breathing during the day, etc. I finally took my sleep lab tests
to another pulmonologist at a Univeristy med school. She pointed out that the
setting could be cut in half based on the test results. (It seems they had one
incident of hypopnea in 9.6 minutes and extrapolated that to an hourly rate;
sort of like drawing a straight line correctly when only ONE point is known.)
That solved my running nose, my postnasal drip, and my breathing problem was
left; she took me off {*filter*}steroids and switched me to Atrovent. After a week
or so I stopped suppementing it with Proventil, and after another month gasver
up the Atrovent.
My apnea is not severe, but it is severe enough that I wake in a panic if I
had not used the C-PAP that night.
It is also helpful to have a C-PAP with a "ramp", where the air pressure is
built up slowly. It is also best for me to use a Respironics mask, because of
the swivel that lets me move around and be comfortable.
Air pressure is, I believe, in centimeters of water, so the pressure isn't
high. The one I have has a dial in the back, under a cover held on by 5
screws, that allows for calibrated changes in setting. My original setting of
13 was cut to 5, and raised by me to 7 to avoid morning panic. I now can
sleep in any position comfortably with the mask.
It took me weeks of experimenting with the straps to get the tension right
without marking me up and making my face sore.
If she is having problems she should ask the supplier of the C-PAP to send in
a technician to help. Mine was available without added cost as often as
needed, but I only saw her twive, and talked to her on the phone about 3 more
times.
Maybe if you give some details of the problem I or others could offer specific
suggstions.
Please assure her she will get used to it.