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Looking for minor tweaks
#11
RE: Looking for minor tweaks
[Image: 5y5hxfQ.png]Ajack, This is at 20/15 no auto.
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#12
RE: Looking for minor tweaks
ajack, OK change of plans. After looking over the Resmed Titration Guide you referred me to I decided to go 20/16. It gives me the same PS as in the book without dropping the EPAP too much. Now I just have to get over my aversion to 20 IPAP. Also I'm changing the rise time setting from 1 (200 msec) to 2 (300 msec). Also I'll be wearing a brand new P10 mask and headset.
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#13
RE: Looking for minor tweaks
Walla Walla,

You're making a lot of changes, and quite frankly I'm not sure why. Of course, I'm a believer in "If it ain't broke, don't fix it", and there's nothing in the first day's data (including the leaks) that screams, "FIX ME."

So I'm asking: What do you hope to accomplish with the dial wingin' in an attempt to change the tidal volume numbers? Is that going to make you feel any better? Is it going to do something to treat a known medical problem?

For what it's worth, making the change to 20/15 made the AHI slightly worse (on this night) with much of the increase in AHI was the increase in CAs.
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#14
RE: Looking for minor tweaks
Robysue, You have a brilliant mind! I'm not changing anything. Sorry ajack.
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#15
RE: Looking for minor tweaks
ajack is only telling you that professionals help COPD patients get the proper gas exchange by using these techniques, and what volume is generally required to do so. If you have proof your spO2 shows proper % of oxygen in the blood stream in the current treatment, then there may not be anything to fix.

QAL
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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#16
RE: Looking for minor tweaks
I thought I'd mention I'd seen and talked to both my lung Doctor (I can't spell the big words) and my sleep Doctor. I have a recording oximeter that I bought to check from time to time. Also had a home overnight done on my O2 levels by a third party set up by the sleep center. Finally I had two nights at the sleep center both times CO2 and O2 was monitored. Finally I had a gas blood test and that was fine.
My Doctor has seen my tidal volume as I gave her printouts. She said it's not a problem. So hopefully I have explained it right. But I did learned a lot so that's a Good Thing!
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#17
RE: Looking for minor tweaks
yay!

QAL
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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