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Getting a machine advice
#51
RE: Getting a machine advice
I think keeping pressure at 8.0 for the moment and omitting the MAD makes more sense. We have a good week of baseline data and that lets us see if there is any effect. You have sussed out my approach to problem solving pretty well.
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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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#52
RE: Getting a machine advice
Last nights results attached.  Better results but 1 night does not make a trend.  Still lots of centrals.

Any takeaways from this chart?  I thought the Hypopnea and OA would go up for sure.  

As a reminder I kept the pressure at 8 and did not use my MAD that I had been using all along up to this point.

   
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#53
RE: Getting a machine advice
First, how do you feel?   Try going to the "Events" tab on the left side of the Daily screen and expand the Clear Airway event listing.  What is the time range that your Clear Airways are reporting?  This is the number within the parenthesis.
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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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#54
RE: Getting a machine advice
I feel like garbage.  Definitely worse than before starting CPAP but also different.  I feel like my brain doesn't work, having trouble comprehending and focusing on what i am working on.  And sleepy like i could fall back asleep right now.  Before CPAP I was a lethargic and fatigued, but not where i could fall asleep if i laid down.

The central events are between 10 and 27 with an average of 14.5 and median of 14.
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#55
RE: Getting a machine advice
I am also yawning a lot more and I had a dream last night that I remember.  I very rarely dream and never yawn.  Last two days I am yawning like crazy.  I also feel and looked tired in my eyes.
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#56
RE: Getting a machine advice
I assume the results from last night was without the oral device, and there s no change in the composition of events or leak rated, and event rate is slightly lower. I'd like to see what happens at a lower pressure, but feel free to move at your own pace.
Sleeprider
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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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#57
RE: Getting a machine advice
Correct.  Pressure of 8 and no Oral appliance last night.

My thoughts, since there are very few Hypopneas and Obstructives Apneas why wouldn't I lower the pressure?  Higher pressure is not going to do anything to help remove the centrals but could possibly cause them, correct?

Keep slowly lowering the pressure until Hypopneas or Obstructives start to show up.

Maybe take it down to 7 tonight and see the results? 

Open to feedback.
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#58
RE: Getting a machine advice
Your thoughts on this mirror my own.
Sleeprider
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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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#59
RE: Getting a machine advice
So lets talk ramp. 

I noticed that there are not any events flagged during the ramp period on any of my reports.  Is that on purpose that it doesn't count anything during the ramp period or do I never have any events during the ramp period?

Second question If I am pretty much falling asleep right away after putting the mask on should I limit the ramp or turn it off especially if I am turning the pressure down to 7 that is not much?  My DME was very adamant about using the ramp and if I ever wake up in the middle I gotta hit the ramp.  I kept asking why and he wouldn't give me an answer.
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#60
RE: Getting a machine advice
Most of us that have been using PAP a while don't use ramp. The machine does not record or react to events during ramp. It is a comfort feature for you to use as needed and you can change the pressures, time or turn it off when it no longer meets your needs.

I can't explain why a respiratory therapist or DME would be concerned about ramp. It's purpose is comfort to help a new user adapt to the use of pressure gradually. It has no therapeutic value.

On another topic, auto-pressure, I would have normally suggested a range of pressure for your machine. The prevalence of central events is the reason we have not gone there. Central apnea typically worsens with pressure variations and it's hard to correlate events to the device pressure settings.
Sleeprider
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____________________________________________
Download OSCAR Software
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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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