Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

New to forum and to data analysis
#51
RE: New to forum and to data analysis
(10-05-2020, 11:29 AM)Dormeo Wrote: Two questions:  did you and your wife ever discuss your high altitude with the doctor?  And in your wife's original sleep study, what was the breakdown in her AHI (OAs, CAs, Hs)?  If you don't have a copy, you can request one; in the U.S. you have a right to a copy.

Attached is her sleep study. This was done with an at home kit, so it is at our current 7500 ft altitude.

We are still in search of a doctor to talk to. She was at a Pulmonary clinic getting a Pulmonary function tests (PFT) , she goes in soon for a meeting with the doctor who also does sleep study analysis. We will see if we can get him to review her results.


Attached Files
.pdf   Sleep study results.pdf (Size: 280.75 KB / Downloads: 7)
Post Reply Post Reply






Donate to Apnea Board  
#52
RE: New to forum and to data analysis
Do you have a recording oximeter?  
That is a diagnostic sleep study with 288 minutes of Oxygen less than 88%.  That is the worst O2 Sat that I have seen based on duration.  I could care less about lows because they are typically spikes.  These levels say supplemental oxygen is needed without CPAP.
O2 Sats while sleeping are typically lower than daytime values.  
IMHO with those values you should periodically check your overnight levels to make sure they are higher.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Optimizing Therapy
Post Reply Post Reply
#53
RE: New to forum and to data analysis
It would be great if you could record a few nights of O2 before the doctor visit. I also hope the doctor will pursue the question of nighttime O2 sats, whether or not you have any data to present.
Post Reply Post Reply
#54
RE: New to forum and to data analysis
Don't have anything to record oximeter. We do have oximeter that goes on your finger. We would need to buy from amazon I suppose. I see some watches with finger sensor for $100-$150 .
Post Reply Post Reply






Donate to Apnea Board  
#55
RE: New to forum and to data analysis
Can you spot check Nighttime O2 levels. As bad as it was even that should give you an idea.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Optimizing Therapy
Post Reply Post Reply
#56
RE: New to forum and to data analysis
I can see me attempting to put an oximeter on her finger once or twice throughout the evening. I assume it is a better reading if she is asleep.
Post Reply Post Reply
#57
RE: New to forum and to data analysis
You need sleep reading as it is lower than awake reading.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Optimizing Therapy
Post Reply Post Reply






Donate to Apnea Board  
#58
RE: New to forum and to data analysis
(10-05-2020, 12:01 PM)a2wheelerte Wrote:
(10-05-2020, 11:29 AM)Sleeprider Wrote: Limit pressure to 8.0, or consider fixed pressure at 8.0/7.0 with EPR 1.  Since her minimum pressure is already 8, just set the maximum pressure at 8.0 as well.

I will set the max to 8.0, leave EPR at 1. I do see that the pressure was at 10-11 a lot, thus the Exhale pressure was 9.
Do you think that the pressure being alllowed to go higher is cause of CA's.
I can also see that running this simply as a test for results will give more information. I'm guessing that the OA's will go up a little but possibly get the CA's down.


Thanks for the quick response.

We're dealing with someone sensitive to pressure changes and higher pressure in general.  We have successfully coached members to use fixed pressure to remove variables that allow us to establish a better baseline for events, reduce sleep disruption, and reduce the CA events that seem to go along with them.  If I thought it might compromise her therapy, I would not suggest it.  My objective is to improve comfort and to move closer to efficacy, and sometimes that means not relying on the Autoset algorithm that is very sensitive to flow limitation.
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.
Post Reply Post Reply
#59
RE: New to forum and to data analysis
Thank you very much for the feedback. We are seeing improvements and even think we understand what is happening a little bit. Your recommendations are making sense. We are anxious to see the results tomorrow with min and max set to 8 with EPR at 1. Still have the ramp on with starting pressure of 6.
Post Reply Post Reply
#60
RE: New to forum and to data analysis
O2 was 91 before she went to bed, and 90 about 1:30am . But she did wake up during the test.

Attached are the results of the Max of 8 being put on. I see RERA's that I have not seen before.


Attached Files Thumbnail(s)
       
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Analysis Help [chillydip therapy data] chillydip 12 185 01-07-2021, 07:48 PM
Last Post: Sleeprider
  Requesting Sleep Report Analysis & Second Opinions omariumprime 36 1,079 12-24-2020, 09:30 PM
Last Post: SarcasticDave94
  new user, a thank you to the forum members j845125 3 197 11-13-2020, 09:36 AM
Last Post: DaveL
  New in this forum. [Snowy2020] Need help to understand the graphs and adjust therapy Snowy2020 63 1,887 11-06-2020, 12:06 PM
Last Post: Sleeprider
  [CPAP] New to the Forum - Please help Review OSCAR chart SinoAngTatayMo 20 591 10-31-2020, 11:47 AM
Last Post: staceyburke
  Need help please..New to forum jackleuz 7 158 10-26-2020, 10:57 AM
Last Post: jackleuz
  [split]AirCurve 10 CS PaceWave Analysis Request Bolsen 31 1,111 10-16-2020, 12:48 PM
Last Post: SarcasticDave94


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.