Soon to start CPAP - Question on dehydration

[picante]

If you don't mind email me a copy of your PDFs, I'll redact info and post on your behalf.

I don't mind, but I'm not finding a way to attach the file. I drag & drop it into the e-mail, but then it asks me for the file's password, which I enter. Then the file opens and I see nothing else. I can attach it to an e-mail in Thunderbird with no problem, however.

I do not believe that your swallowing air has anything to do with your CA. It definitely has to do with your discomfort.

Thanks. 

The gut-aches/inability to eat will keep me from going back to my prescribed 12 cm pressure (I'm reading the Justifying ASV wiki you linked). But I could go back to constant pressure, and just raise it as much as I can tolerate. Like Sleeprider said, I'm bumped up against my max all night on Autoset for Her, anyway.

[Gideon]

You have no need to go back to prescribed pressures, you are currently showing symptoms and your therapy meets the requirements of getting an ASV. I would like to read especially your original Sleep Study because several members in the past have missed the Central/Complex portion of the sleep studies.  I'm not saying that you are wrong, just would like to verify to "improve" your conversation with your doctor.  Whether you "qualify" now or in a month may depend on the contents of that study.

[picante]

Thanks, Fred, I managed to e-mail it to you, and you have my permission to post relevant bits of it if you can manage to pull them from the file. I don't have the PDF software to do that.
I'm not concerned about being wrong; I know there's a LOT in those studies that I've missed; I don't even know all the abbreviations!

Last night I was out of compliance for the first time. Yesterday's gut-aches lasted all day, and I barely ate. I set the range at 9-10.6, and shut it off after 1 1/2 hours due to worsening gut pain. 
Tried it again at 3:00 am on a range of 8-10.4 for a half hour of awake time. Every inhalation was hurting in the solar plexus/umbilical region. Ditched the mask and went back to sleep.

Very bad numbers during that initial session, no events during the 1/2 hour awake, of course. Just a lot of fast, shallow breathing to minimize pain.

My brain fog is much improved over yesterday, and I'm waiting for the gut-ache to subside so I can eat. So far, half a grapefruit around 9:00, 2 eggs around 11:00. That's better than yesterday.

[Gideon]

I'm working on posting a subset of the pages, I need to print, redact, and scan the documents..  Of initial note on pg 22 in the initial sleep study (no CPAP) under Respiratory: "There were 68 obstructive apnea, 11 mixed apnea, and 26 hypopnea for an apnea hypopnea index of 41.0. "
The 11 mixed apnea are complex and are generally treated as central.  "mixed" is another word for "complex" so your central apnea is not treatment onset central/complex apnea.

On your titration study (pg42) you have 1 CA, 14 OA, 6 MA that means that 50% of your apneas are complex or central.  You had 24 additional hypopnea events which are not differentiated between central and obstructive apneas.

[picante]

I'm working on posting a subset of the pages, I need to print, redact, and scan the documents.. 

Oh dear, you're working too hard! Take it as slow as you like. I'm patient. 

The 11 mixed apnea are complex and are generally treated as central.  "mixed" is another word for "complex" so your central apnea is not treatment onset central/complex apnea.

Well, heck, so that's what MA stands for! My doctor has not mentioned these MAs, although he said I had 3 CAs on my study (but which study?). 

On your titration study (pg42) you have 1 CA, 14 OA, 6 MA that means that 50% of your apneas are complex or central.

Looks like a 33.3% to 66.6% split to me. And that's a revelation about the hypopneas - we don't know which cat. they're in.

[Gideon]

                    Diagnostic Sleep Study for user picante

[Gideon]

                    Diagnostic Sleep Study for user picante

[Gideon]

            Diagnostic Sleep Study for user picante 

[Sleeprider]

post deleted pending Fred's posting of titration results...

Thanks Fred.

[Gideon]

FYI, I'll be posting the titration study this afternoon.