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[Diagnosis] My CA is more than my OA
#1
My CA is more than my OA
First post in 8 years.
Started with Sleepyhead. Love it
Now using OSCAR - Love it
Will connect my Oximeter tomorrow
I just want to post last nights trace.
   
I'm a little fearful of what will come back; but it is what it is.
Dr Ordered a new (home) Sleep Study a few days ago
I read HIGH CA's are not well diagnosed with a "Home" sleep study
I set my own Auto BiPAP Pressure at 25 for a couple years. Two weeks ago Doctor reduced it to 18
Rich
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#2
RE: My CA is more than my OA
Do one thing before you conclude there is a major problem. Read our Positional Apnea Wiki and the Soft Cervical Collar Wiki. Your Vauto is not perfect at sorting out central from obstructive, and your events are heavily clustered This is a signature for chin-tucking. If you are using firm or multiple pillows, you need to figure out a way to let your head fall back a bit, but this can even happen in side-sleeping. Read these articles, and let's see where this goes. This problem is so common, nearly 1 in 4 members coming here find this to be a solution without changes to their settings. I think you are another one, and this solution will get you to under 5-AHI. From there we can optimize settings to make things even better.

Positional Apnea: http://www.apneaboard.com/wiki/index.php...onal_Apnea
Soft Cervical Collar: http://www.apneaboard.com/wiki/index.php...cal_Collar
Sleeprider
Apnea Board Moderator
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: My CA is more than my OA
Wow, thanks!.
I knew there had to be something besides the BiPap itself.


Thanks again, will get to the articles right away.

R
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#4
RE: My CA is more than my OA
Agree with SR. Do note that most docs are clueless on this. To them positional apnea is sleeping on your back vs your side.

Wether or not you need to do something else for your Central Apnea you do need to manage this first.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

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#5
RE: My CA is more than my OA
Thanks Gideon,
I am in charge of my Apnea treatment albeit I will follow as much of others advice as possible. Whether the doctor listens to me about the Positional Apnea or not I will manage this.

Last night I started sleeping with my chin stretched and was conscious about it as much as possible. I will be looking into apparatus as soon as possible.

My trace looks a little better
   

I am grateful to you all
Thank you
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#6
RE: My CA is more than my OA
You reduced apnea by 50% simply through awareness. That's actually not bad, but not as good as the corrective device will work. Nicely done. As Gideon said, if you go to a doctor or supplier with questions about a soft cervical collar, they will think you recently visited another planet. There is essentially no awareness of this simple solution inside the medical community.

Your median and 95% pressure dropped 2-cm with this, so you spent less time at very elevated pressure. You will achieve a lot more with the soft cervical collar. Your CA events are very likely related to the positional obstruction, but i recommend you drop PS back to 4.0, and we will add or subtract pressure support as indicated by your results. Excessive PS is a known cause for increasing CA and I'd like to start working on that now.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: My CA is more than my OA
Agreed with above. Docs aren't too supportive of the collar for positional combat. Most docs are stuck in a time warp where most can't even see CA as an issue. Quack.

BTW start your notebook on noting symptoms and complaints on the PAP therapy in case you need to build a case for a different PAP machine.
Dave

OSCAR
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#8
RE: My CA is more than my OA
Thanks all.

Agree, I read somewhere that too much pressure causes CA's

I was logging my sleep patterns on paper previously. The history in OSCAR is useful. 
I started putting my screenshots into Powerpoint, then making notes in there where the data is for a correlation. 

As far as a new machine, I was going to educate myself on that ASV machine.
- but still the results with a collar still wins

To have an AHI for the entire night of less than 5 is rare. So the numbers will speak for themselves.

I have an upcoming meeting with the Sleep specialist (ha) so I'm not going to adjust my own machine (again) just yet.
- after all these insurance related processes are done, then I can start changing my own settings (again)

Continued thanks
Rl
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#9
RE: My CA is more than my OA
FWIW insurance is focused on compliance, as in machine usage. I started editing my settings at night 1. Insurance didn't mind a bit.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#10
RE: My CA is more than my OA
Thanks Dave,
Thank goodness I am 93% compliant.

These Doctors don't want to know you are educated about your own breath of life (machine) lol

I was successful in convincing them I need an Auto BiPap, we'll see what's next. 

My machine has 8000 hours on it, not bad, but while I'm on 80% insurance coverage, a new machine would be good.
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