I hope this does continue. you now have some results that can help you coax the doctor into providing the bi-level once it becomes necessary.
QAL
Hello Guest,
Welcome to Apnea Board !
Is my breathing shallow ?
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07-13-2017, 07:17 PM
(This post was last modified: 07-13-2017, 07:17 PM by quiescence at last.)
RE: Is my breathing shallow ?
holy fricken crap! I guess those shots in the dark sometimes do poke a bullseye!
I hope this does continue. you now have some results that can help you coax the doctor into providing the bi-level once it becomes necessary. QAL
Dedicated to QALity sleep.
07-14-2017, 06:31 PM
RE: Is my breathing shallow ?
07-14-2017, 09:38 PM
RE: Is my breathing shallow ?
I am thinking SR was speaking of increasing your minimum pressure by 1 cm, meaning 13 - 16 at EPR 3.
QAL
Dedicated to QALity sleep.
07-15-2017, 03:37 PM
RE: Is my breathing shallow ?
07-15-2017, 05:14 PM
RE: Is my breathing shallow ?
dwd, I can't tell you how much better this all looks. Your current tidal volume is at a healthy 540 mL and the respiration rate has normalized. You still exhibit flow-limitation which is the flat-topped and downward sloping inspiration. The leak rate is acceptable, but not pretty...you can probably live with that.
You are basically running at 13/10 most of the night with the machine rising less than 1-cm in response to the flow volume and limitations. At this point the only reason to be concerned about the irregular shape of your flow curve is if you're not feeling better. If you were on BiPAP (bilevel), then it's pretty clear that 10 cm EPAP resolves your obstructive events, but the machine could provide 4-5 cm of pressure support to really eliminate the flow limits. I doubt that you will actually get insurance approval for a change to bilevel when you are frankly killing my event numbers. That's fantastic! I want to suggest you hold off on further adjustments for a week or two and see if these great results continue, and if you start to feel the benefits of better ventilation.
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.
07-15-2017, 06:15 PM
RE: Is my breathing shallow ?
Thanks for that and all your help Sleeprider. And thanks to all who offered their advice and thoughts on my treatment and well being.
I will go with these settings for a few weeks. We are off this week for a trip to visit our children in Queensland. I have a appointment with my sleep Dr on the 15th August. I don't have any insurance so if I wish to go bilevel it will be out of pocket.
07-17-2017, 01:11 AM
RE: Is my breathing shallow ?
wow, that is quite an amazing development.
.. although I don't understand why the machine says, you have next to none flowlimitations.
08-08-2017, 06:33 PM
RE: Is my breathing shallow ?
08-09-2017, 10:34 PM
RE: Is my breathing shallow ?
yep. those are mighty pretty charts. looks good.
QAL
Dedicated to QALity sleep.
08-14-2017, 11:49 PM
RE: Is my breathing shallow ?
Well I saw my sleep Dr today. He didn't have any answer to why my respiratory rate was high for almost a month during June and July. One thing he did say was he didn't think it was Cheyne–Stokes .
We kept coming back to the fact that during the days that my machine showed the high respiratory rate I didn't feel unwell or any difference then other times. So no real answer to what was going or caused it. With the fact that I have been sleeping well with no increased respiratory rate for over a month it's just keep an eye on it. I must admit that the way things have settled down I thought about cancelling the appointment but glad I went ahead and got the reassurance that all is well. Since the 11th July I have had 15 nights of 0 ahi. So although not the be all and end all things must be going ok. Thanks again for all the help during this time of strange what ever it was. |
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