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Hydrocodone and increased AHI?
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Dolla Bill Offline

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Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

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Sex: Male
Location: Atlanta

Post: #21
RE: Hydrocodone and increased AHI?
(01-06-2015 09:27 AM)sgearhart Wrote:  
(01-06-2015 08:49 AM)Dolla Bill Wrote:  Just noticed this. I erased the older version, downloaded and installed the 0/9.8-1, but it keep coming up in German. What can I do?

It sounds like you downloaded the international version. You have 2 options.
1. Go back and download the USA version.
2. Learn German. Smile

Also, You asked about the alarm on the oximeter; It won't even wake my dog up. Unless you're a VERY light sleeper, you need a pro unit.

Es kommt immer noch Deutsch. Versuchte alle Downloads. Dont-know

I tried all the downloads and it still comes up German. Thinking-about
Downloaded the 9.6 from the regular site and it is in English.
01-06-2015 09:54 AM
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Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #22
RE: Hydrocodone and increased AHI?
(01-05-2015 07:01 PM)archangle Wrote:  Go into the daily view, click on the events tab, and click on your individual central events. Look on the flow rate graphs and see how long and how complete the events are. They're more worrying if you stop breathing completely and they last a long time.

BTW, get the latest "Testing" version of SleepyHead, 0.9.8-1. It's got a lot of improvements.

http://www.sleepfiles.com/SH/index.html?TestingVersions

Is this it?
01-06-2015 10:45 AM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Sex: Male
Location: Калифорния

Post: #23
RE: Hydrocodone and increased AHI?
(01-06-2015 10:45 AM)Dolla Bill Wrote:  
(01-05-2015 07:01 PM)archangle Wrote:  Go into the daily view, click on the events tab, and click on your individual central events. Look on the flow rate graphs and see how long and how complete the events are. They're more worrying if you stop breathing completely and they last a long time.

BTW, get the latest "Testing" version of SleepyHead, 0.9.8-1. It's got a lot of improvements.

http://www.sleepfiles.com/SH/index.html?TestingVersions

Is this it?

Look under the big 38.23. Your on the Details tab, events tab is right next to it. One thing I like about ResScan is it puts a time duration flag on the event graph.

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.
01-06-2015 11:06 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #24
RE: Hydrocodone and increased AHI?
on wrist SpO2 monitor CMS-50F PLUS - I do set the alarm, I am a light sleeper, and it does wake me. You don't want to wait until you drop to 80, but if you find you are doing so, the idea of having doc prescribe O2 is a great idea if he'll do so. My CMS-50F cost me about $150. My doc would not prescribe it, so I bought it. Was not in the mood for a fight.

You could consider co-sleeping with a light sleeper. Mrs QAL is not a light sleeper, but I find that her sleep cycles have her in light sleep when I am in deep sleep, and opposite. So, one of us hears the alarm.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
(This post was last modified: 01-06-2015 11:53 AM by quiescence at last.)
01-06-2015 11:50 AM
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Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #25
RE: Hydrocodone and increased AHI?
(01-06-2015 11:06 AM)justMongo Wrote:  Look under the big 38.23. You're on the Details tab, events tab is right next to it. One thing I like about ResScan is it puts a time duration flag on the event graph.


I got it. 200 CA events. Next to each is a number in parentheses. Is this the time duration. Looks like (17) is the longest. What does this tell me?
01-06-2015 12:18 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Post: #26
RE: Hydrocodone and increased AHI?
(01-06-2015 12:18 PM)Dolla Bill Wrote:  I got it. 200 CA events. Next to each is a number in parentheses. Is this the time duration. Looks like (17) is the longest. What does this tell me?
Number in () is the duration of the event in seconds.
(I think you got that.)
By itself, 17 seconds wouldn't desaturate a person much. Thing is, you're having too many events. And some are right after another. So, you take a breath, then miss about 4 breaths, then take a breath.

edit: Looking at your flow graph. You're in a pattern of 4 breaths, each one diminishing, then you stop breathing for about the time of 3 or 4 breaths. That's a really disordered pattern. That kind of pattern is not good.

In my amateur opinion, that has to be "fixed."
Options:
    [1]Don't take Pain meds.
    [2]Supplemental O2
    [3]Temporarily use an ASV machine.

Some combination of the above as worked out with your docs.

I'd start by requesting the doc approve the rental of a medical grade oximeter with alarm to quantify and justify the options above. Hard for them to argue with data.

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.
(This post was last modified: 01-06-2015 01:27 PM by justMongo.)
01-06-2015 01:20 PM
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Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #27
RE: Hydrocodone and increased AHI?
(01-06-2015 01:20 PM)justMongo Wrote:  
(01-06-2015 12:18 PM)Dolla Bill Wrote:  I got it. 200 CA events. Next to each is a number in parentheses. Is this the time duration. Looks like (17) is the longest. What does this tell me?
Number in () is the duration of the event in seconds.
(I think you got that.)
By itself, 17 seconds wouldn't desaturate a person much. Thing is, you're having too many events. And some are right after another. So, you take a breath, then miss about 4 breaths, then take a breath.

edit: Looking at your flow graph. You're in a pattern of 4 breaths, each one diminishing, then you stop breathing for about the time of 3 or 4 breaths. That's a really disordered pattern. That kind of pattern is not good.

In my amateur opinion, that has to be "fixed."
Options:
    [1]Don't take Pain meds.
    [2]Supplemental O2
    [3]Temporarily use an ASV machine.

Some combination of the above as worked out with your docs.

I'd start by requesting the doc approve the rental of a medical grade oximeter with alarm to quantify and justify the options above. Hard for them to argue with data.

Thanks again, Mongo. I think that in view of the results, he will probably write me a prescription for 02, oximeter and ASV machine. Will keep you advised.
01-06-2015 03:20 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Sex: Male
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Post: #28
RE: Hydrocodone and increased AHI?
(01-06-2015 03:20 PM)Dolla Bill Wrote:  Thanks again, Mongo. I think that in view of the results, he will probably write me a prescription for 02, oximeter and ASV machine. Will keep you advised.

Need to keep you going Bill. Someone has to look after those beautiful Cadillacs!

Kindest Regards

Mongo

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.
01-06-2015 05:25 PM
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quiescence at last Offline

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Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #29
RE: Hydrocodone and increased AHI?
well the bad news is there are lots and lots. the good news is boy what a good volume of air you are getting in your periodic breathing. you may not actually be desaturating that much. can you also report the minute ventilation during a 10 minute period where you have the dense CAs versus a ten minute period at about 04:10 on your chart?

thanks.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
01-06-2015 06:30 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #30
RE: Hydrocodone and increased AHI?
by the way, look at this strip of my 2nd night on Auto CPAP. yep. AHI over 100! But, my night ended up at AHI of 10.09 (RDI 12.30).

   

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
01-06-2015 11:06 PM
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