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Look at my zip file ASV
03-04-2016, 09:59 AM
Would anybody be interested in looking at my zip file to see if I need to change any settings. I am just under 2 months in so its not a real big file yet. I could email it. I am self tritation so I have been playing with the pressure quite a bit. Thanks Michael
03-04-2016, 10:52 AM
Michael, I am running the new Sleepyhead 1.0.0 beta and could take a look. Send me a PM with your email address, and I'll give you a link to a dropbox folder where you can leave the file.
03-14-2016, 11:16 PM
Sleeprider had something come up and wasn't able to give me feedback, would anybody else be interested? Thanks Michael
03-15-2016, 12:46 PM
Good luck Michael! I wish I could help, but it's going to be very busy for the foreseeable future.
03-15-2016, 07:02 PM
Try posting a couple of screen shots including an 8 to 10 minute segment showing your waveforms. Lots of people here can help you interpret your data.
Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
Organize your Sleepyhead Charts
Post from Imgur
03-15-2016, 10:35 PM
(03-15-2016, 07:02 PM)richb Wrote: Try posting a couple of screen shots including an 8 to 10 minute segment showing your waveforms. Lots of people here can help you interpret your data.
I have changed the settings 4 or 5 times, my ahi has come down but the vibratory snore has gone up. Some I am not sure if it's better at these setting or worse. That's why I wanted somebody to look at the whole picture.
03-16-2016, 09:24 AM
Michael, one suggestion to you is to shut-off the graphic in Sleepyhead for VS2. VS2 is apparently a snore, but does not influence machine pressure. It is a distraction and looks bad. With the other issues you are dealing with I don't recommend that you give it much concern. To turn off the events, got to File/Preverences/Events and un-check the boxes for VS2.
The sense of getting decent rest, and a quieter, AHI that shows therapeutic efficacy is key here. Snores can indicate obstruction, but the machines are not perfect in their detection of snores, especially VS2 (only in Respironics machines). You can have moderate snoring and still get good rest. In terms of obstructive apnea, the progression seems to be snore- RERA hypopnea, - OA. Generally EPAP is used to relieve OA, the most severe manifestation of obstructive apnea. In bilevel machines, pressure support (minimum) is used to then mitigate hypopnea, then RERA, then snores. So you can see the strategy here is progressive. If pressure support develops CA, then we begin to compromise and will accept more of the less significant events. Although your machine treats CA with machine triggered breaths, you still want to keep that at the minimum level possible while minimizing obstructive events.
With complex apnea like yours, you are going to have to accept some compromises, but you're still working towards optimizing the balance of what you treat and what you accept. BTW I saw RobieSue has offered to look at your data. She has developed some excellent articles (wikis) on this forum and is a great resource. It would be interesting to hear what she comes up with.
03-16-2016, 04:22 PM
She has been a well of information. Thanks
03-16-2016, 04:54 PM
Maybe that should say a wealth of information...
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