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Could you please review ?
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02-03-2019, 10:54 PM
RE: Could you please review ?
RE: Could you please review ?
(02-03-2019, 02:49 PM)bonjour Wrote: She is much better now, the initial night was issue filled including a direct to bed in a critical care unit to monitor airway and admin steroids to shrink swelling from the surgery. hi Fred, following the experiment, on test 1 saw an OA, on test 2 saw couple of OA and like 5 hypopnias. should i just continue the test as is or increase EPAP to 5 for the rest of tests ? my sleep in test 2 was little better than one for the first half of the night, but i saw so many more flow limitations. I'll continue to experiment i just wanted to know if i should put base EPAP to 5 instead and then keep testing with increasing PS.
02-05-2019, 08:53 PM
RE: Could you please review ?
The duration of each test is intended to give you enough time to ensure that you know how you feel without having 1 bad night spoil the result, also to give you time to adjust to the different settings. If you feel that you have met that criteria, move on.
regarding RERAs you need to manually count them because your machine will not.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
02-05-2019, 09:05 PM
RE: Could you please review ?
(02-05-2019, 08:53 PM)bonjour Wrote: The duration of each test is intended to give you enough time to ensure that you know how you feel without having 1 bad night spoil the result, also to give you time to adjust to the different settings. If you feel that you have met that criteria, move on. I'm not rushing, I'll take the time , I only mentioned the EPAP because there was OA and Hypopnea in each night, (3 nights) I understand that EPAP is responsible for OA and hypopnea so i wanted to take your opinion if I should set it to 5 and continue the rest of the expirement with same numbers you wrote but with EPAP 5 instead or you think I should just leave it to 4 as it was ?
02-05-2019, 09:09 PM
RE: Could you please review ?
You are talking about a very small handful of events which means small AHI changes. I do not like changing settings to adjust settings without seeing a chart.
Fred
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
02-05-2019, 11:25 PM
RE: Could you please review ?
02-08-2019, 12:09 AM
RE: Could you please review ?
UPDATE:
i visited a different ENT today, he put the camera down my throat and he saw my vocal cords closing 8 times out of 10 he said. he called it vocal cord dysfunction and i asked him does it happen when i sleep, he said he does not know, maybe. searching online, other than normal cases that happen to female athletes mostly, the larynx could become hypersensitive from GERD(i have), LPR(i have) and rhinitis(i have). this is a picture of how my vocal cords can close my trachea : it still seems that i need the bilevel to breath at night, but if the reason why i am having sometimes flow limitations and sometimes no, all that is because my vocal cords are closing. the question is how can optimize my machine settings in this new light? for FRED, do i still follow that experiment? would you modify anything ? thank you
02-08-2019, 09:26 AM
RE: Could you please review ?
The experiment is based on you finding comfort to help with your sleep. Your numbers are and were excellent. The intent is still sound. I don't think CPAP in any of its flavors may be able to help your vocal cords. I'll have to think and research.
What did your ENT suggest?
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
02-08-2019, 10:56 AM
RE: Could you please review ?
(02-08-2019, 09:26 AM)bonjour Wrote: The experiment is based on you finding comfort to help with your sleep. Your numbers are and were excellent. The intent is still sound. I don't think CPAP in any of its flavors may be able to help your vocal cords. I'll have to think and research. (02-08-2019, 09:26 AM)bonjour Wrote: The experiment is based on you finding comfort to help with your sleep. Your numbers are and were excellent. The intent is still sound. I don't think CPAP in any of its flavors may be able to help your vocal cords. I'll have to think and research. He suggested to see a speech therapist for breathing exercises which I'm try to find. The missing link is he said this dysfunction of the vocal cords closing the trachea happens usually in day/awake time. He doesn't know why I have it when I sleep . I also have the sleep study that showed I had 17 AHI, and 6 RERA/hr Also sleeping without a CPAP at all, prevent from even falling asleep, while using it let me stay asleep except for the RERAs that keep happening, that is why I said I know I still need CPAP to sleep. |
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