[Symptoms] CNS Apnea

[mandali44]

Thank you Rich and also thank you OpalRose and Bonjour. Here is a link to a screenshot of my SleepyHead results. I didn't highlight any segments as I don't know how to read them yet.

http://liltheadesigns.com/images/SleepyH...nshot1.jpg

It is so nice to talk to others who know what I have been dealing with all these years.

[richb]

If you can, provide the mask pressure chart as well. It will show the machines intervention breath by breath. Next, try to highlight some 5 to 10 minute segments of your hypopneas so you can see the shape of the individual breaths. You are showing quite a few Hypopneas that need to be looked at. It is possible that these are Obstructive in nature and could indicate the need for a rise in minimum pressure.

Rich

[mandali44]

I don't know what the hypopneas are on the charts. I have never looked at any results from my machine. The chip has always been read by a respiratory therapist and I have never seen the printout. Here is a link to the results with the mask pressure chart showing.

http://liltheadesigns.com/images/SleepyH...nshot2.jpg

Thanks.

[Gideon]

See the event Flags in your top chart. The "H" row is Hypneas, "OA" Obstructive Apnea, etc. See the color bars under your AHI in the left column, that is a key.

Just after 3AM you have a cluster of Hyponeas, repeatedly click on on until you can see the individual waveform in the "Flow Rate" chart like this

]

[eseedhouse]

I don't know what the hypopneas are on the charts. I have never looked at any results from my machine. The chip has always been read by a respiratory therapist and I have never seen the printout. Here is a link to the results with the mask pressure chart showing.

I think it would be greatly to your benefit to learn how to read your data and to review it frequently. Yes all the graphs can be confusing but this site's "wiki" has good explanations. Even without the wiki, if you just review the graphs every day patterns will become apparent and you'll begin to see what is important. Took me about a month of checking SleepyHead graphs to start getting a grasp on what they were telling me, but it was time well spent.

Your Respiratory Therapist may be a great person but he or she can't possibly be as concerned with you as you are concerned with yourself. With a little time and learning you can become your own best respiratory therapist because you have extra information your RT doesn't have and can't have, namely how you *feel* every morning.

This doesn't mean you should ignore your RT, just that you need to learn as much as you can for yourself.

[mandali44]

Did I do this correctly?

http://liltheadesigns.com/images/flowratescreenshot.jpg

[vsheline]

Did I do this correctly?

http://liltheadesigns.com/images/flowratescreenshot.jpg

Hi mandali44, welcome to Apnea Board.

I suggest zooming in so each row shows about 2 to 4 minutes horizontally while apneas or hypopneas are occurring and adjusting the vertical scale range on the Flow waveform for -60 to +60. Then we'll better be able to see the details of the Flow and Mask Pressure.

It is okay to let the Flow waveform clip the tops occasionally, so we can see more detail when the Flow is low, so we can better see when/whether Flow Limitations or other signs of partial obstruction are occurring.

Take care,
--- Vaughn

[Gideon]

Did I do this correctly?

http://liltheadesigns.com/images/flowratescreenshot.jpg

Almost

could use the Image tags around it (drop the spaces ) or use the editing Imageing icon above your edit box.

"[ img ]http://liltheadesigns.com/images/flowratescreenshot.jpg[ /img ]"

[richb]

Yes you are getting there. You ae also getting help from some really knowledgeable people. My initial thought is that the breathing patterns that you show in your clips are Central in nature. The roller coaster pattern of rising and falling respiration flow is characteristic of various subtypes of Central Apnea. Make the adjustments suggested by Vaughn and post some more data. Also, Ed Seedhouse has good recommendations on further study. I am also surprised that your machine isn't handling the events that are showing up. We have some work to do here.

Rich

[mandali44]

I couldn't figure out how to change the vertical scale. Here is a better set of screenshots (I hope, lol).



I really appreciate everyone's help in this.

Thanks