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4 nights on therapy and events are increasing?
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DariaVader Offline
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Post: #11
RE: 4 nights on therapy and events are increasing?
You had 20 centrals in the entire night and half a doz mixed in the study. If it was still like that it would be insignificant. It is a reasonable possibility that the centrals you are having now will settle down, it has only been 4 nights Smile if it still looks like it does now in a month --- then you really do need to discuss that ASV, because you do not want to continue forever with the current numbers... but I still think you should give it a month before deciding that. JMO

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
12-07-2015 11:00 PM
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SpeedyD Offline

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Post: #12
RE: 4 nights on therapy and events are increasing?
(12-07-2015 10:30 PM)Sleeprider Wrote:  When you first came to ApneaBoard and posted your sleep study results I told you that your study showed mixed CA and OA events and that if the CA events continued, or got worse, you would need to speak to a doctor about a different approach to therapy...ASV http://www.apneaboard.com/forums/Thread-...#pid138712

That time has come. Your study showed the likelihood that complex apnea might be a problem. Your machine data confirms that it in fact is a problem above acceptable levels. It might be possible to limit pressure, and play with EPR, but these are compromises to the best treatment for complex apnea, which is ASV.
Aww. Man. I was just getting used to this. It's been 6 nights. Do you think I should call the doc Or give it more time? I know.. You said the time has come.
12-08-2015 06:02 AM
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Sleeprider Online
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Post: #13
RE: 4 nights on therapy and events are increasing?
I'll agree with the gist of Daria's post that this can settle down. It is marginal now with a CAI of around 8.7 over 9- hours you are having closer to 80 events over the night, and we don't know the duration of events. They appear short on the graphs posted, although a series of decreasing respiration and recovery breaths are occurring. Your residual CAI is pretty mild, and I should have not used such an alarming tone.

You have centrals indicated on your sleep study. The CPAP has resolved the OSA portion of your apnea. Six nights is not an adequate trial to see if the centrals will go away. Carry on and keep an eye on it. If you're feeling better, that is probably the biggest thing. You will be the best judge of whether you're feeling rested.

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(This post was last modified: 12-08-2015 08:59 AM by Sleeprider.)
12-08-2015 08:44 AM
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SpeedyD Offline

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Post: #14
RE: 4 nights on therapy and events are increasing?
Nocturia!!! Ahhhh! No more sleepy time tea! No! And I had zero CA from midnight to about 3:30. Then I had a bunch. I have a new approach for tonight starting with No Tea! I also got some compressions socks for daytime only! And some melatonin instead of the tea. I also take .5 mg of lorazepam. Trying to wean off this... So here is to a good night!
12-08-2015 05:32 PM
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DariaVader Offline
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Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

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Location: Oregon

Post: #15
RE: 4 nights on therapy and events are increasing?
Since Lorazepam works by depressing the Central Nervous System, it may be the culprit that is causing all or most of the centrals! Have you tried benedryl as a sub for the lorazepam??

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
12-08-2015 05:36 PM
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cate1898 Offline

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Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

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Post: #16
RE: 4 nights on therapy and events are increasing?
Reading this prompted me to remember a previous discussion on Benedryl and contraindications. I know I can't take it due to Hi BP. Better safe than sorry. So this below is quoted from WebMD:


BENADRYL

Contraindications
Who should not take Benadryl?
Check with your physician if you have any of the following:

Conditions:

Increased Pressure in the Eye, Closed Angle Glaucoma, Chronic Difficulty having a Bowel Movement, High Blood Pressure, Stenosing Peptic Ulcer, Blockage of Urinary Bladder, Enlarged Prostate, Cannot Empty Bladder, Overactive Thyroid Gland

Allergies:

ANTIHISTAMINES ANTIHISTAMINES - ETHANOLAMINE

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
12-08-2015 07:14 PM
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SpeedyD Offline

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Post: #17
RE: 4 nights on therapy and events are increasing?
Well, I laid off the sleepy time tea and used melatonin... And only .25 mg of lorezepam...Worst night yet. Losing my humor.
12-09-2015 05:50 PM
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DariaVader Offline
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Posts: 1,821
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Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #18
RE: 4 nights on therapy and events are increasing?
(12-09-2015 05:50 PM)SpeedyD Wrote:  Well, I laid off the sleepy time tea and used melatonin... And only .25 mg of lorezepam...Worst night yet. Losing my humor.

ugh! don't blame you!

worst in what respect? AHI? CA? Just feel like shoe scrape?

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
12-09-2015 06:35 PM
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SpeedyD Offline

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Machine: Airsense 10 Autoset FH
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Post: #19
RE: 4 nights on therapy and events are increasing?
(12-09-2015 06:35 PM)DariaVader Wrote:  
(12-09-2015 05:50 PM)SpeedyD Wrote:  Well, I laid off the sleepy time tea and used melatonin... And only .25 mg of lorezepam...Worst night yet. Losing my humor.

ugh! don't blame you!

worst in what respect? AHI? CA? Just feel like shoe scrape?

My AHI minus CA = > 2.2
CAI = 12.6
My mask was leaky even though it said my leaks were acceptable.
Yea. I feel like shoe scrape. But too tired to muster it off of there.
I have an appointment with my GP tomorrow and will take time to call my specialist.
...
12-09-2015 08:24 PM
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SpeedyD Offline

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Post: #20
RE: 4 nights on therapy and events are increasing?
And I know that higher pressure causes centrals in some... But do you all think it's ok if I raise the minimum pressure to 5? My 90% is >11
12-09-2015 08:54 PM
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