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Is "0" Events Achievable?
#21
(04-03-2015, 06:05 PM)retired_guy Wrote: I have decided that zero is not good enough. I have set -3 as my new goal.

R_G: you would need an ASV for that. Smile
Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
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#22
(04-03-2015, 08:59 PM)AshSF Wrote:
(04-03-2015, 06:05 PM)retired_guy Wrote: I have decided that zero is not good enough. I have set -3 as my new goal.

R_G: you would need an ASV for that. Smile

Nope. R-G would need an ASB for that. Atomic Servo Blaster Big Grin
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#23
if I can reach -3, then maybe I can recover faster. It's worth a try.
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.
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#24
Thanks for the input all. Had my ENT appointment and it confirmed some anatomical anomalies including enlarged tonsils, elongated uvula, excess soft palate with "webbing" and all of these are crowding my enormous tongue, leaving a very narrow passage way for air to flow. So...looks like some house cleaning will be done in a week or two; removing uvula, tonsils and some extra soft palate as well as turbinate coblation.
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#25
(04-04-2015, 10:28 AM)2tired2sleep Wrote: Thanks for the input all. Had my ENT appointment and it confirmed some anatomical anomalies including enlarged tonsils, elongated uvula, excess soft palate with "webbing" and all of these are crowding my enormous tongue, leaving a very narrow passage way for air to flow. So...looks like some house cleaning will be done in a week or two; removing uvula, tonsils and some extra soft palate as well as turbinate coblation.


Hi 2tired2sleep,
Hope all goes well with your surgery. Let us know how you do.
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#26
(04-04-2015, 10:28 AM)2tired2sleep Wrote: Thanks for the input all. Had my ENT appointment and it confirmed some anatomical anomalies including enlarged tonsils, elongated uvula, excess soft palate with "webbing" and all of these are crowding my enormous tongue, leaving a very narrow passage way for air to flow. So...looks like some house cleaning will be done in a week or two; removing uvula, tonsils and some extra soft palate as well as turbinate coblation.

I strongly encourage you to research UPPP surgery and consider minimizing what will be done. It is rarely effective in getting patients off CPAP, and is an extremely painful procedure that has a high number of complications. A simple tonsillectomy may be the best improvement without the radical roto-rooter UPPP. Please consider the impact of this procedure and consider getting a second opinion.

It appears you are being effectively treated by CPAP in spite of not achieving the elusive Zero. There may be some merit in improving your current 2-5 AHI with some surgical procedures, but what you described is pretty radical stuff. I'm still looking for the person that reports a good outcome from that.
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#27
I get that Sleeprider and thank you for your concern. I have indeed researched the procedure and possible outcomes and have weighed them accordingly. My situation though isn't merely about sleep or snoring. It is about breathing normally while lying on my back, asleep or awake. While on my back, I can not speak normally or breath normally. I have a choking sensation due to my anatomy. Also, I can not blow my nose without my soft palate obstructing the process; it's painful when I try. Clearly, all indications are that it is a painful procedure and success rates vary from 43% to the 70th percentile. I am optimistic and hopeful. Again, thanks for the concern and perhaps I will be THAT person reporting a good outcome! Big Grin
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#28
(04-02-2015, 04:38 PM)PaytonA Wrote:
(04-02-2015, 04:02 PM)TyroneShoes Wrote: I am also a little suspect of those who claim "I was at 0.1 last night". Mathematically that is only possible if you sleep for 10 hours and have one event. One event in a night of fewer hours is always above 0.1. Often, reported AHI is a fish story.

0.1 AHI is possible in less than 10 hours of sleep with the Rescan statistics. The AHI is either truncated or rounded off to one decimal place. I have gotten an actual 0.1 in Rescan with less than 10 hours sleep.

Best Regards,

PaytonA

Yep. I see 0.1 all the time on my display. The way ResMed does their rounding, that's one event in more than 5 hours of sleep. Looking at the ResMed MyAir web interface, I have 6 nights with 0.1 over the last 14. My results are so good that I pretty much never bother popping out the SD card.

I have nights of 0 and my long term average is around 0.3. I was at 43 events per hour in my sleep study. I suspect that if your only problem is pure obstructive sleep apnea like I have, you can achieve my kind of results. If you have other issues layered on top of obstructive apnea, probably not.
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#29
Way to go GeoffD. Great results. Actually I am envious.

Best Regards,

PaytonA
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