Began CPAP Use @ 18:00

Topic 25511 | Page 3

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Rick S.'s Comment
member avatar

Rick, I totally understand what you say. I know I'll have to get to the point where I feel comfortable with another sleep study. If I have to use the CPAP machine permanently, I will and I'm sure soon I'll be accustomed to it.

One question I have: If and when I have another sleep study, can I get one done independently from the company program?

They're not cheap (though Brett has an article somewhere on home testing that's a lot less expensive than in a clinical setting) - but I would consider doing so, just so you can see where you stand. It doesn't make sense to take on the cost of a company sleep test, with no idea if you're going to pass it. OTOH - the company is going to want THEIR SLEEP CENTER to do one, in order to confirm.

Meanwhile - you will still have to maintain compliance - even if you got an independent study that clears you, assuming that the company insists using their doc to get your DOT Med Cert.

I can tell you with certainty, that when I was grossly overweight, I would wake up choking and gasping in the middle of the night more than once. Which is the worst manifestation of OSA. There's no telling how many "recordable incidents" I was actually having, but I know I woke up exhausted every morning. Never had a sleep study.

I know at this point I am a 33 BMI , 5'5"/200lbs. I sleep fine now. Still trying to get that last 15lbs off.

Rick

Manifest:

Bill of Lading

An accurate record of everything being shipped on a truck, often times used as a checklist during unloading.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

BMI:

Body mass index (BMI)

BMI is a formula that uses weight and height to estimate body fat. For most people, BMI provides a reasonable estimate of body fat. The BMI's biggest weakness is that it doesn't consider individual factors such as bone or muscle mass. BMI may:

  • Underestimate body fat for older adults or other people with low muscle mass
  • Overestimate body fat for people who are very muscular and physically fit

It's quite common, especially for men, to fall into the "overweight" category if you happen to be stronger than average. If you're pretty strong but in good shape then pay no attention.

CPAP:

Constant Positive Airway Pressure

CPAP is a breathing assist device which is worn over the mouth or nose. It provides nighttime relief for individuals who suffer from Sleep Apnea.

Bruce K.'s Comment
member avatar

Rick, thanks as always for great info.

I'm was at 35 BMI for my DOT physical, but maybe now I'm down to a 34?(I wish that was my waist measurement!) . So, I'm right behind you, my friend!

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

BMI:

Body mass index (BMI)

BMI is a formula that uses weight and height to estimate body fat. For most people, BMI provides a reasonable estimate of body fat. The BMI's biggest weakness is that it doesn't consider individual factors such as bone or muscle mass. BMI may:

  • Underestimate body fat for older adults or other people with low muscle mass
  • Overestimate body fat for people who are very muscular and physically fit

It's quite common, especially for men, to fall into the "overweight" category if you happen to be stronger than average. If you're pretty strong but in good shape then pay no attention.

Rob D.'s Comment
member avatar

Bruce,

For what its worth, your experience has motivated to do everything I can to avoid CPAP. Luckily, I have a long range plan to CDL school, so if I lost only 20lbs I will no longer be overweight. I also bought a blood pressure monitor. I have been running about 115/82 most mornings. I am on a low dose of HCL/lisinopril and hope to get my blood pressure down to normal without the medicine before I have to take a DOT physical.

So I'm glad to see you making progress. How long before your 30 days are up?

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

CPAP:

Constant Positive Airway Pressure

CPAP is a breathing assist device which is worn over the mouth or nose. It provides nighttime relief for individuals who suffer from Sleep Apnea.

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