UARS: AirCurve 10 VAUTO $500 vs Dreamstation APAP $400

[slowriter]

It seems you guys are doubting my UARS diagnosis. I doubt it myself and my initial intention was to confirm UARS presence, since AirCurve 10 doesn't "estimate" RERAs, I have to rely on FL (but I assume all FLs are RERAs, they probably have to be manually reviewed each on charts).

@WillSleep I like your idea about the camera, recording myself makes more sense now when I have a timed history of respiratory events.
It seems like for UARS / RERAs monitoring it would be great if I would come up with some kind of a EEG solution. Zero ideas so far besides seeing earlier OpenEEG software package (and a discussion how expensive it was to deal with sensors and medical glue) and Dreem 2 onilne (for sleep phases, REM, it's not cheap, and not sure if it would work with my P10 mask). 

I don't doubt the diagnosis. The study you posted shows you had a number of RERAs, which is the primary feature of UARS.

And your symptoms mostly fit too (though of course there are other things that can cause those).

See my thread for using the Dreem 2. It would work fine with the P10. There's some links in there to a few threads I started on the headband, one of which includes a link to some python code that would allow you to import the sleep stage data into OSCAR.

[Gideon]

Fred, I’m confused. He had Centrals in his sleep study too. While pressure support (at 4) may have made it worse, it seems like there was already a problem.

Does it make sense to try to treat the UARS at some minimal level of pressure support, or even try the CO2 rebreathing gadget that some here have experimented with so he can tolerate more PS for UARS?

If I understand correctly his last night's? Sleep test said no apnea.  That typically measn zero.  So that was my thought.  Obviously seeing his report may reveal otherwise.

UARS is a guess, not a diagnosis.  All I said was to identify something to try and resolve.  Then the actions you propose are the likely ones to employ, including possibly the EERS solution.

[slowriter]

Fred, I’m confused. He had Centrals in his sleep study too. While pressure support (at 4) may have made it worse, it seems like there was already a problem.

Does it make sense to try to treat the UARS at some minimal level of pressure support, or even try the CO2 rebreathing gadget that some here have experimented with so he can tolerate more PS for UARS?

If I understand correctly his last night's? Sleep test said no apnea.  That typically measn zero.  So that was my thought.  Obviously seeing his report may reveal otherwise.

UARS is a guess, not a diagnosis.

No it's not; the sleep study summary explicitly diagnosed UARS.

[hombrecpap]

@bonjour Just to confirm, I don't expect to see obstructive apnea events, my sleep medicine doc told me that when I get APAP (she prescribed dreamstation apap) I would have to go by how I feel after using it, no any tweaking (implying I wouldn't have anything else to rely on). She prescribed me APAP (self-financed, no insurance coverage, due to UARS only, lack of OSA) and pressures 6-18, C-FLEX 2. And told me to try that for 3 months and see her again so she could check collected data for mask leaks.

[ragtopcircus]

The sleep study diagnosis was UARS and other sleep “architecture” issues, but there are Centrals in the accompanying data.

[Gideon]

@bonjour  Just to confirm, I don't expect to see obstructive apnea events, my sleep medicine doc told me that when I get APAP (she prescribed dreamstation apap)  I would have to go by how I feel after using it, no any tweaking (implying I wouldn't have anything else to rely on). She prescribed me APAP (self-financed, no insurance coverage, due to UARS only, lack of OSA) and pressures 6-18, C-FLEX 2. And told me to try that for 3 months and see her again so she could check collected data for mask leaks.

To the post I responded to you said you had not seen the sleep study, I assumed the attached study was an old one (no date on the study).  And based on your entry you had no diagnosis.  Sorry about that.

Your VAuto is still not showing anything but some fairly mild Flow Limitation that by itself I would not chase.  The first step is still let's identify arousals and awakenings so we can tell if we are accomplishing anything.  This as I said requires finding them in 2-3 minute segments.  If your study is accurate they should be there.

[hombrecpap]

@bonjour when you say to look for disturbances, are you talking about 2-3 mins intervals on Flow L chart or some other chart ?

[ragtopcircus]

The sleep study diagnosis was UARS and other sleep “architecture” issues, but there are Centrals in the accompanying data.

Sorry, I was looking at the old report. Nevermind.

[hombrecpap]

The sleep study diagnosis was UARS and other sleep “architecture” issues, but there are Centrals in the accompanying data.

Sorry, I was looking at the old report. Nevermind.

The one in my signature is the latest most recent one (just a one month old, in lab one, September 2019), my bad it looks like I blacked out dates on those attachments.

[Gideon]

Mostly the Flow rate chart, but look at other for signs of breathing irregularity.  This step is to identify disturbances.  The next is to validate them.  Then we can attack them.  Just trying to do this methodically.