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[Diagnosis] What are my unclassified apneas?
#31
RE: What are my unclassified apneas?
Better sleep. Dropped off quickly @9pm. Woke to take a p*** @1:15. I was rested. Deep sleep. Could not get back to sleep. Just was not sleepy. I just stayed up watching tv. I continued using the machine, incase I fell asleep. And no napping today. Very good. Body feels relaxed. Muscle tenseness is gone.
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#32
RE: What are my unclassified apneas?
Good, headed in the right direction. Definitely a much more natural looking breathing pattern now.

Try this a couple more nights and see how things go. Might need to increase EPAP a bit (I would say to 7 cm) but as long as you are feeling good can stick with things as they are now.
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#33
RE: What are my unclassified apneas?
mode_s_8/5cm tmax_1.5s tmin_0.5s rise_700ms trig_high cycle_med
   
   
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#34
RE: What are my unclassified apneas?
Yeah increase EPAP to 7 cm (10/7).
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#35
RE: What are my unclassified apneas?
mode_s_10/7cm tmax_1.5s tmin_0.5s rise_900ms trig_high cycle_med
   
   
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#36
RE: What are my unclassified apneas?
Post a couple 5 minute views, one starting at 23:20 and another at 1:50.
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#37
RE: What are my unclassified apneas?
   
   
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#38
RE: What are my unclassified apneas?
Lets try 11/7, rise time back to 700, trigger back to normal and cycle to low.

The night of the 28th you tried the resmed protocol for obesity hypoventilation syndrome but didn't post the OSCAR results. I would like to see that data to see how your body responded to that significantly higher pressure support that night.
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#39
RE: What are my unclassified apneas?
july 4 test: Mode_S Ipap-11 Epap-7 TiMax-2.7 TiMin-1.0 Rise-700 Trig-Very_Low Cycle-Very_Low
   
   

Edit: Add June 28 test:
   
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#40
RE: What are my unclassified apneas?
The oximiter is helping as it does show desats even though there aren't obvious apnea. You may be right about the obesity hypoventilation syndrome or something similar being part of the issue. The issue appears to be what looks like small inhalations (although still larger then mine for example), your exhalations are very fast (potentially due to restrictive nature of breathing in and weight on chest etc) and I am guessing your respiration rate is high because body is trying to maintain CO2/O2 levels by increasing respiration rate to keep up with demand since the inhalations are probably their natural size but not enough to keep up with O2 requirements.

I would change trigger back to normal as very low is causing IPAP to appear late in inhalation. I am thinking should try a lower rise time (say 500) as well as that will give more ventilatory assistance then raising IPAP will. I am also thinking increase EPAP to 8 and IPAP to 12 (same 4 cm PS but slightly higher pressure).

As you have made these changes has anything stood out as being obviously better or worse? Specifically curious about the rise time and pressures (if anything has ever felt uncomfortable. Even the 29th when you tried high PS at a low rise time did that feel ok (until the next morning)?

Edit: I am sure you already know this but perhaps seeing this data has been a bit of an eye opener. Trying to lose some weight does appear like it could make a significant difference in remedying this issue.
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