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The CA events might be attributed to the inconsistent Central nature. I'm really seeing only one consistent way to combat your CA with the historical pressure edits not being successful at maintaining control.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
it's looking like you're close to running out of settings options with this machine. if your ca doesn't diminish after about 90 days of apap, and they keep your average ahi over 5 and/or you have complaints about sleep, you may need asv to reduce them. epr 1 is worth a try for flow limitations and leaks but epr at any setting is liable to produce more ca than without it.
Well, I need to study up some more about OSCAR. I just realized this morning that when therapy is interrupted (to go to the bathroom or whatever) it results in TWO sets of numbers, one set for the time before the interruption and the other for the time after the interruption, and you have to push a button to turn each one on to see the whole night on one report.
The first few minutes were when I was struggling with the nasal pillow. For some reason, I could not breathe through it and it was suffocating me, no matter how I tried to adjust it.
I also realized that the Statistics page has a tab for Events - it might be most useful in talking to the sleep doc about whether the AirSense 10 Autoset meets my medical needs, since it DETECTS CA events but does not TREAT them, to add up the CA events and OA events by date and put them in a spreadsheet. It is not even close. Last night Clear Airway events 35, Obstructive 7 events. Unfortunately, I do not have screenshots of the Events tab for any prior days, did not realize it even existed.
Anway, here is last night with both parts turned on, plus the Events tab screenshot.
Personal opinion, 1 that's the CA trainwreck. 2. Yes stats are important to get on the ASV path, but not as important as symptoms and the complaint of not being treated. Discuss and focus on the feelings of that untreated state with Dr. McQuack. It's not working doc, let's go after ASV.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
honestly, the event count is meaningless unless you associate it with duration. The indices you cite at the top of the page do this. The indices display the numbers in a form that is readily apparent as to how bad it is.
1 event in an 8 hr night is negligible.
1 event in a 5 minute period is a concern.
Gideon - Project Manager Emeritus for OSCAR - Open Source CPAP Analysis Reporter
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(03-23-2021, 02:57 PM)Gideon Wrote: honestly, the event count is meaningless unless you associate it with duration. The indices you cite at the top of the page do this. The indices display the numbers in a form that is readily apparent as to how bad it is.
1 event in an 8 hr night is negligible.
1 event in a 5 minute period is a concern.
You mean it will be readily apparent to a sleep doc? I hope so. I am working (in my mind) on the other things that matter, like I do not feel refreshed when I wake up, I still fall asleep on the couch every night after supper (my wife called me "rude" when i would do that when we had company, now I know why), and I invariably drowse when I am a passenger in a car. My wife does the driving on long trips because she has seen me nod off behind the wheel. I get depressed though when I think what an uphill battle it will probably be to bring the sleep doc around.
Do you actually meet with the sleep doc, or a PA? I think sleep docs are mythical beasts that lie in caves signing reports the techs and PAs put together. Sleep medicine to most is a secondary easy source of income while they focus on their primary specialties. I have never used a sleep doc, but one signed my original diagnostic sleep report. My care and prescriptions have always been by my primary doctors. The Sleep doctor is basically a subcontractor. Maybe you should rethink that relationship unless the sleep doc shows some worthwhile effort on your behalf. We are not here to entertain or finance them. They work for us. Make sure he knows that.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Someone just reminded me that the AHI, total and central numbers are reported by the ResMedAirSense 10 Autoset. Sure enough this was down at the bottom of the Sleep Report screen - I seldom scroll that far down, but this seems like a pretty good arrow in my quiver, no? Scaling to reduce size has degraded the sharpness but I have the orignal hi res.
Yes it might help, but still conveying the ongoing symptoms will get you a home run better than stats alone. Ongoing fatigue and such indicates therapy isn't successful.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
