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+--- Thread: Wjg's Therapy Thread (/Thread-Wjg-s-Therapy-Thread)
RE: Wjg's Therapy Thread - wjg1 - 04-05-2024
Thanks for the replies. I really appreciate you all taking time to help me. Yeah I am determined to adapt to my CPAP. And so far I am keeping it on all night every night. I told the sleep technicians that I would adapt one way or another. I am so ready to get good sleep. I will have all my Oscar charts to show the doctor. I hope she is agreeable to ASV. I will keep you all posted on how it goes. If I hadn’t found this board I wouldn’t have had a clue. I have learned so much on here. I had just learned enough at the time to turn down a “brick” CPAP and insisted on a Resmed. They had prescribed a steady pressure of 9 with no EPR at all. Another user on here suggested I change to the current settings and that has helped a lot.
RE: Wjg's Therapy Thread - wjg1 - 04-05-2024
I forgot to ask. Is there a certain type or brand of a recording oximeter device?
RE: Wjg's Therapy Thread - Deborah K. - 04-05-2024
When I needed to change machines from apap to bilevel I went to my regular doctor, not a pulmonary specialist, and explained why I needed the new machine. I also told him the brand and model I wanted and He wrote the prescription right then, specifying the exact machine and I got it pretty quickly. Sleeprider knows more about pap use than anyone, so trust anything he tells you. I'm praying that you get your new machine very quickly!
RE: Wjg's Therapy Thread - Sleeprider - 04-05-2024
Several pulse oximeters are compatible with Oscar. Here is a wiki on ones you should consider. https://www.apneaboard.com/wiki/index.php?title=Pulse_oximeters Contec and Wellue / Viatom are popular and inexpensive. I suggest you go to the Reviews forum and read other member's reviews of these oximeters https://www.apneaboard.com/forums/Forum-Other-Product-Reviews
RE: Wjg's Therapy Thread - wjg1 - 04-05-2024
Thank you all for the help. So I plan to ask the doctor for an AirCurve 10 ASV. If that is not correct please let me know.
You all on this board are so much help.
RE: Wjg's Therapy Thread - Sleeprider - 04-05-2024
That's the plan, however we can help you formulate that request if you wish.
RE: Wjg's Therapy Thread - wjg1 - 04-05-2024
I would very much like any help with that request. Thank you so much. I will probably also need help with the setting when I get the ASV machine.
RE: Wjg's Therapy Thread - Sleeprider - 04-05-2024
At some point I want to see some zoomed images that are 3 to 4 minutes in length so we can see what the flow rate graph looks like in high resolution. Your full-night graphs show a lot of spikes in fow, both inspiratory and expiration, and learning more about that can help.
RE: Wjg's Therapy Thread - wjg1 - 04-06-2024
Here are last nights chart and 2 zoomed in areas. I had a leak issue during the night. I am getting a different pillow to hopfully help with that.
Thanks
RE: Wjg's Therapy Thread - Sleeprider - 04-06-2024
The CA events look obstructive with flow limitations and some erratic breathing rates. The zoomed view showing them is very early on in therapy, and I can't verify sleep in that image. I do think bilevel pressure support would improve this. The image at 23:23 shows expiratory flow limitation or palatal prolapse, and this is probably the case in places where we see the cut-off expiratory flow like at 02:45 and a number of places after that. Based on this chart, I think I see a smoother respiration pattern when your pressure is at 11/8, than when you approach your minimum pressure of 9/6. You might want to look back over your charts and see if you see the same thing.