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sudostephtoday at 11:09 AM1 replyview on HN

I think nearly everyone should be screened for sleep apnea. The at-home test you wear on your finger is so cheap - it doesn't make sense not to do it for anyone who has any issues with sleep or tiredness in the day.

I always thought that due to being female and a healthy weight, it wasn't something I needed to think about. I also didn't think I snored more than anyone else, so it took me years of poor sleep before a Doctor finally recommended I get tested.

Turns out OSA also can be caused or aggravated by: the size and shape of your mouth, the position you sleep in (I have twice as many events on my back vs side), and whether you tuck your chin in near your test (soft cervical collar helped for that). There are devices that alter how your mouth rests when sleeping (easier to breathe if your front teeth are forward) but they're possibly not good for your bite. CPAP/APAP is still the gold standard for a reason.

The coolest thing about CPAP though, is a lot of them have amazing metrics recorded if you pop in an SD card. And there's a big community built around open source software to analyze those metrics and tune the settings to minimize apnea events overnight.

Also, a cpap with a humidifier is amazing if you're prone to nose pain / nose bleeds due to dry air.


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weakfishtoday at 11:44 AM

My comment is more of a complaint than a discussion so apologies, but I was disappointed recently because I did at an at home test and scored borderline. I was hopeful that it would be sleep apnea so I could go about solving my bad sleep, but a lab test showed conclusively that I didn’t have it.

I got checked out initially because I mentioned to my sister that I didn’t recall the last time I’d woken up and felt refreshed all day, even with 8+ hours, and she said “…that’s not good, get that checked out.”

Back to the drawing board :(