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+--- Thread: Please help with treatment review (/Thread-Please-help-with-treatment-review)
RE: Please help with treatment review - DaveL - 08-17-2019
(08-17-2019, 06:36 AM)mper6794 Wrote: DaveL, in time....
It would be of great value you plot de median line on the tidal volume chart (Just click on the left of the chart an select It)
_Events
_FR
_FL
_Tidal Volume
_Leak
Thanks
Thanks for your patience and suggestions.
I'm computer challenged.
I feel I've had basic care; I asked my sleep-doc-from-_ell
"what has changed in OSA treatment."
His answer was "nothing" except heated hoses and some new masks. I found new masks on my own. I bought a heated hose. Those changes improved sleep quality for me.
Sleep-Doc-from-_ell has retired. Thank heaven. His reviews on rate your doc make for interesting reading!
RE: Please help with treatment review - DaveL - 08-18-2019
mper6794, Here's Saturday night's results, showing the waveform as you requested.
I used a very comfortable chinstrap to keep my mouth shut.
Average tidal volume looks like 355
I don't know how to scribe that on to the graph onOSCAR....
RE: Please help with treatment review - mper6794 - 08-18-2019
Hi, DaveL
Sorry delay...I understand and empathize with your drawbacks with the computer! However, it would be very important to go a little deeper on your full night chart above (FR, FL, Tidal volume.....), not so compressed, but on ten-minute and 2-min windows....you can get those, by just left-clicking your mouth and counting the time scale.
See, please, my attachement example herein, which shows the scale I would need, as well the curves, and median line on the tidal volume waveform; this example illustrate a 4min-long arousal in account my own periodic limb movement.
As you mentioned you have an untreated RLS/PLMD issue, I would like to have an idea how this is fragmenting your sleep.
As Sleeprider mentioned above, you apneas are treated. However, looking at your compressed FR and Tidal Volume charts, I strongly suspect you are having a poor sleep quality, maybe less than 50% of asleep time/total time in bed, most likely associated with RLS/PLM's. Based on my own experience, I would tell you, if this is confirmed, there would be no way to be rested during the day; sleep quality should be at least some 80-90%, no matter time you think you are sleeping.
Once we, and more experimented people here, confirm RLS/PLM's is your main issue these days, we would see the next steps. You know, there would be no way to treat RLS/PLM's with CPAP. Yet, I have been acquiring a good experience on how to use CPAP (actually the bilevel VAUTO in my case) to guide my current treatment, by counting number of arousals/wake-ups, duration of these events, the sleep quality, selecting best balance of medication/side effects, etc..... Elsewhere, me and others have been discussing RLS/PLM's, just you want to see more details.
all the best
RE: Please help with treatment review - DaveL - 08-19-2019
First an apology. I'm away from internet for a couple of days.
Here's a first attempt to provide what you want.
I'm really inteested in learning more and doing something about this.
Dave
RE: Please help with treatment review - DaveL - 08-22-2019
mper6794 is there somewhere that I can learn more?
RE: Please help with treatment review - DaveL - 08-25-2019
I took off last week.
I feel a lot better. Did some traveling to see my Brother; I see him about 4 times a year. He's schizophrenic. I feel better having seen him.
I've taken to sleeping without a pillow the last 5 days. Lots of lines on my face when I wake. They take about 5 hours to go.
Results from my machine were good; I feel better rested. (Just had a one hour sleep in a chair outside though...)
RE: Please help with treatment review - DaveL - 09-06-2019
Last night I woke up for a pee break....went back to bed and couldn't sleep
Screenshot shows central apneas while I was lying sort of 1/2 asleep.
I'm using a Dakota wedge under my chin.
cpap pillow; wedge shaped
N20 mask, nasal
ResMed S9E still. humidifier; heated hose
reduced pressure on exhalation.
Am I doing something I shouldn't be?
Tired this morning when I woke up...tired all day. Napped about 5:30 in a chair. Didn't mean to...
RE: Please help with treatment review - Sleeprider - 09-06-2019
Dave, it is pretty common to experience uneven breathing including apnea while you are in a sleep/wake transition; in fact we call it sleep-wake-junk. It is pretty meaningless in your therapy. The rest of the night looks great. I think including the Details on the left margin will be more helpful than the Notes.
RE: Please help with treatment review - DaveL - 09-07-2019
Thanks I'll do that in future...
Last night I taped my mouth closed. I didn't use my Dakota wedge. Used one piece of tape. Didn't work out very well!
RE: Please help with treatment review - Sleeprider - 09-07-2019
Still looking good except for leaks. I'm pretty sure you will get ahead of this.