Quitethe1 Therapy Thread from CPAP to ASV

[Quitethe1]

Thank You!! Thank You!! I will do that and post tomorrow

[Expat31]

Try this..


For Windows

• If your OSCAR window is not already maximized, press the F11 key to maximize it.
  
  
• Take a screenshot by pressing the F12 button (don't use your computer's "Print Screen" key).
  
  
• Press F11 again if you wish to reduce the Oscar window back to normal size.
  

The default storage location for screenshots OSCAR V1.1.0+ is C:\Users\your name\Pictures. The storage location for screenshots in previous versions is My Documents/OSCAR_data/Screenshots.
For macOS

• If your OSCAR window is not already maximized, press the control + command + F keys to maximize it.
  
  
• Take a screenshot by pressing fn + F12
  
  
• Press "control + command + F" again if you want to return the window to its previous size.
  

From the OSCAR menu bar you can also use View > Take Screenshot

Notes:

• Pressing F12 will automatically hide the pie chart, right sidebar and calendar, if they are visible, and will restore them after the screenshot is taken.
  
  
• It is preferable to use F12 instead of the Print Screen key on your keyboard or a "snipping" tool.
  
  
• On some computers F12 may not work as discussed. In that case, from the OSCAR menu bar use the menu View | Take Screenshot. Alternatively try pressing the Function key and F12 (or Control and F12) simultaneously.
  
  

[Quitethe1]

        So, I changed my low number to 8.  When it kicked on after my ramp, I had an instant headache, ear pressure and chest pain.  I lowered it back down to 6.6  Not sure why that number, it was late and it was a number lower than 8.

I am SHOCKED about my leak rate!! (Well, I think it looks good, but can't read lines very well)  I thought the Dreamwear under the nose mask wasn't going to work for me afterall, but heck, looks good!  I did buy pillows and am going to try that tonight.  They just click into the same frame so worth a try.

The gap is weird, I woke up and my mask was off, dunno what happened.

Still can't get the left hand side in one shot.

[Deborah K.]

You have mostly CAs.  Did you have lots on your sleep study?  If you don't know, could you post a redacted copy of the sleep study?  That will help others to help you more effectively.

[Quitethe1]

My sleep study is posted closer to the beginning of the thread. I don’t remember anyone telling me about this after my home sleep study. I talked to her after the study about morning headaches and she said I was doing fine….incompetent at the least!!  She said I could always do an in lab test. Should I wait in line for that to be scheduled?

[Quitethe1]

        Expat I did see your post on formatting above, but I still can't get it to work.

Here is last nights

Only thing changes from the night before was the ramp time from 20 to 5.

[Expat31]

Hi, 

I will try myself. Long time ago I am pretty sure I did it on a desktop PC, long gone now.  I am on an android tablet now, but will look at tomorrow on my laptop. 
I will get updated on your thread, sorry..

[Quitethe1]

I’m on my laptop but I tried my f keys and no go. I just didn’t want to keep doing it wrong and have you think I was ignoring you.

[Expat31]

I have just been catching up on your thread.

The major problem I see with your graphs are the central apneas. They are most likely positional, with the tell-tale clustering of events. 

Checking back with your sleep study, the central apneas were not particularly significant. The main items making up the your AHI of 44 events/hr, (classified as severe), were obstructives and hypopneas. 

However a really important item missing from.the study is the breakdown of AHI amongst supine, prone left and right positions.

Unfortunately these columns have been left blank, which is not too clever! 

There are several causes of positional apnea:-
- Your trachea (windpipe) has been bent or otherwise distorted, when your head moves down towards your chest, enough to totally or partially block the airways. It can be happening either in the supine or lateral sleeping positions. 

 - In the deep sleep phase, when there is a semi paralysis of the muscles (loss of muscle tone), the tongue, under the force of gravity, can fall back against the wall of the phalanx, blocking the airway.
This is can be most often when sleeping in the supine position. 

 - The last possibility is having a pillow that may be too thick and is pushing your head towards your chest, blocking your airways. 

The solutions to these issues can be:-

 - The use of a soft cervical collar for straightening the trachea, 
 - A device to prevent supine sleeping, such as a vest with sown-in tennis balls, or a wedge pillow.
  - Replace a thick pillow with a thin one.

Hope it helps.

P.S.
I tried this morning to get the screen shot I suggested, but no go. Like you, I could only scroll down and then take shot. I really don't remember what I did in the last. I bad a verh big monitor, and maybe I hsd changed the resolution. Or I am just plain wrong, and my memory is kaput!

[Quitethe1]

Thank you for the information. From what I think I am doing all night is side sleeping. I could be wrong, could sleep on my back for a bit. Who knows.  It was a home sleep study. I’m worried about the CA’s. I will send my results to my worthless doc and see if they ever get back to me. I will try your suggestions for a few nights and see what happens.