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Anderson5420's OSCAR Data
#1
Anderson5420's OSCAR Data
This is the thread is where all my OSCAR screenshots will be posted. I am using an antique MacBook Pro, and for whatever reason, I cannot get the Session Data in the bottom right into the screenshots. My events per hour have gone like this: pre-treatment 55, and since starting 27.9, 20.7, 15.2, 11 and 5.7, but then last night it went up to 8.8. Here are the screenshots for the last two nights. Any observations you may have are welcome!


Attached Files Thumbnail(s)
   
Pat Anderson
Happily retired in Birch Bay, WA
Blog: http://daydreamsloop.blogspot.com
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#2
RE: Anderson5420's OSCAR Data
I see you have not got any responses yet so I will let you know what I see.

Most of your events are centrals. Your machine is an excellent machine to help obstructive apnea, unfortunately your are not obstructive but centrals. A central is when there is no obstruction but the body just does not take a breath (for longer than 10 seconds). You can see each events length by moving your Mouse over it and the number inside the () is how many seconds it lasted.

The pap machine needed to give therapy is a ASV. THEY ARE ABOUT 3x more expensive than the one you have and you must have a special sleep study to see if you need one.

You have not said how long you have been on pap therapy. Some people get centrals when they first start but go away as your body body gets accustomed to it.

There are some people on here that have ASV machines and can help. However, I am not one of those.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: Anderson5420's OSCAR Data
(03-12-2021, 03:38 PM)staceyburke Wrote: I see you have not got any responses yet so I will let you know what I see.

Most of your events are centrals.  Your machine is an excellent machine to help obstructive apnea, unfortunately your are not obstructive but centrals. A central is when there is no obstruction but the body just does not take a breath (for longer than 10 seconds). You can see each events length by moving your Mouse over it and the number inside the () is how many seconds it lasted.

The pap machine needed to give therapy is a ASV. THEY ARE ABOUT 3x more expensive than the one you have and you must have a special sleep study to see if you need one.

You have not said how long you have been on pap therapy. Some people get centrals when they first start but go away as your body body gets accustomed to it.

There are some people on here that have ASV machines and can help. However, I am not one of those.

Thanks for the response.

I have been on CPAP therapy one week today.

What about my screenshots tells you it is central and not obstructive sleep apnea?  I am wondering why after two overnight sleep studies my sleep clinic diagnosed obstructive sleep apnea.  I have a follow-up with them in a month or so, should I go back sooner and what would I tell them? Would  bringing OSCAR screenshots be useful to them?

Thanks again.
Pat Anderson
Happily retired in Birch Bay, WA
Blog: http://daydreamsloop.blogspot.com
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#4
RE: Anderson5420's OSCAR Data
You know they are centrals because the are in the row marked “CA”, “OA” is obstructive- and you did have som of those also but not as many.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#5
RE: Anderson5420's OSCAR Data
AHA, the event flags graph has labels CA and OA, which I presume are Central and Obstructive, correct? What are the UA and H labels? Is there an OSCAR document I could read to understand this?

Thanks again.
Pat Anderson
Happily retired in Birch Bay, WA
Blog: http://daydreamsloop.blogspot.com
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#6
RE: Anderson5420's OSCAR Data
I don't know that we have enough information yet to know whether you need a different machine. Have you posted your sleep test report (not just the one page summary; with private info covered up)?

fyi, almost everyone is dxed with obstructive apnea regardless of facts. I was originally dxed with central apnea. in my most recent sleep test 30 years later I had 204 oa and 192 ca and was still dxed as obstructive and prescribed a machine that doesn't treat centrals. sadly, it's common. IF we have have native or idiopathic central apnea, most of us have to fight the system to get the right machine.

it's good to be aware of the possibility, which was probably why stacey mentioned it, but it's much to early to worry about it yet.
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#7
RE: Anderson5420's OSCAR Data
Again many people get them when they start therapy. As your body  gets Accustomed to therapy, you may not have as many. Sometimes it takes 2 or 3 months for that to happen. If they stay high after that you may need to talk to them about a different machine. As I said I am not well versed it those machines. I have been on Cpap and bipap machines for over 30 years.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#8
RE: Anderson5420's OSCAR Data
I have listed how they classify apnea at the bottom of my posts. They are all apnea they are classified by amount of obstruction and length of time you have them. Flow limits are also apnea but small ones  the can be very Numerous and can interrupt sleep. UA is wheN the machine can not determine if it is central or obstructive.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#9
RE: Anderson5420's OSCAR Data
(03-12-2021, 05:52 PM)staceyburke Wrote: Again many people get them when they start therapy. As your body  gets Accustomed to therapy, you may not have as many. Sometimes it takes 2 or 3 months for that to happen. If they stay high after that you may need to talk to them about a different machine. As I said I am not well versed it those machines. I have been on Cpap and bipap machines for over 30 years.

OK, thanks.  I will continue to collect the OSCAR data, and mention what is going on at my follow-up in about a month and see if they have any thoughts (this is NorthStar Medical Specialists in Bellingham, WA). I will probably give them a thumb drive to show them the Event Flags graphs. But for sure I will stay on  top of getting the SD card data into OSCAR on a regular basis.
Pat Anderson
Happily retired in Birch Bay, WA
Blog: http://daydreamsloop.blogspot.com
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#10
RE: Anderson5420's OSCAR Data
What I'd suggest for now is edit settings and see what happens to the purple CA flags. I don't recall if Ramp is on, but if it is nix it. Also turn off the EPR. Call the doc's office and request your sleep study detailed report and see if you can attach the reacted files here. At an absolute minimum to ID the Central component is the event type and count. You're looking to see if CA made 50% or more. If yes you're CA are pre-existing. This indicates ASV.

To be clear, cut off Ramp and EPR and check OSCAR overnight. Post it tomorrow. Call the doc and demand your report and make an urgent care visit with this same doc that scripted PAP. You need to tell all your symptoms including CA.
Dave

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