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Newbie Questions - opinions sought, various issues
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vsheline Offline

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Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #11
RE: Newbie Questions
(01-23-2015 11:50 AM)tg73 Wrote:  Night one on the APAP machine resulted in 20.6 events per hour
Night two on the APAP machine resulted in 17.4 events per hour

(01-23-2015 01:24 PM)tg73 Wrote:  Night 1 with machine = 2.692 events per hour
Night 2 with machine = 2.843 events per hour

Hi tg73,

For example, to get the Apnea Index, one would divide the number of apneas while asleep, by the number of hours of sleep.

ASV machines can treat both obstructive and central apneas and hypopneas, but unless your treated CAI (the average per hour during sleep of the number of central apneas, while being treated by a Positive Airway Pressure machine) is at least 5, I think insurance companies usually will not cover an ASV machine.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-25-2015 03:06 AM by vsheline.)
01-25-2015 01:00 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #12
RE: Newbie Questions
Quiescence, I've had a quick look at the side effects for Adderall but don't see sleep apnea (OSA or CSA) listed. (Which doesn't mean it can't happen, of course). In answer to your question, no I don't have ADHD - quite the opposite, I'm probably too relaxed and lazy. Wink

Regarding tg73's situation, the diagnosis test shows effectively zero obstructive apneas, a lot of centrals and a lot of hypopneas (which could be central or obstructive in nature - we don't know). On the machine, he is clearly having a great preponderance of centrals. Ordinary CPAP and APAP machines are great for obstructive apnea but no use for centrals. Hence my advice to at least try an ASV machine, as I'm sure the Autoset isn't going to do much good. You could be right that the medication is causing part of the problem, but playing around with an Autoset isn't going to fix it.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
01-25-2015 01:04 AM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #13
RE: Newbie Questions
(01-24-2015 12:23 AM)DeepBreathing Wrote:  G'day TG73, welcome to the forum.

The fact that you had primarily central apneas without the machine and you still continue to have centrals with the machine indicates that your diagnosis should be central apnea. I think "obstructive sleep apnea" is a default diagnosis they use for all types. Don't waste time adjusting settings - that machine will not do the job. You need a ResMed Aircurve ASV (or equivalent ASV machine from another manufacturer). http://www.resmed.com/us/en/consumer/pro...0-asv.html

Hi tg73,

What DeepBreathing wrote.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-25-2015 01:08 AM by vsheline.)
01-25-2015 01:07 AM
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DeepBreathing Offline
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Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #14
RE: Newbie Questions
Message deleted
(This post was last modified: 01-25-2015 01:13 AM by DeepBreathing.)
01-25-2015 01:12 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #15
RE: Newbie Questions
db come back!

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.
01-25-2015 01:16 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #16
RE: Newbie Questions
Hey I'm back! The deleted message was just something that had been superseded by the time I got around to posting it.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
01-25-2015 02:40 AM
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tg73 Offline

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Posts: 5
Joined: Jan 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Airfit F10
Humidifier: ResMed AirSense 10 Autoset 37207
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: South Central NC

Post: #17
RE: Newbie Questions
(01-24-2015 10:14 AM)quiescence at last Wrote:  @tg73 - your Tidal Volume numbers look fine. Let me ask you, do you regularly have vivid dreams, and do you remember having them many times a night?

I actually don't have many vivid dreams or if I do I don't remember them. I may remember one dream per week....but it's your standard weird dream like people you know who don't look like the people you know are doing whatever and comedic mayhem ensues.....(I guess that's normal)

Thanks guys....I am still trying to get accustomed to this machine/new way of life. So far my sleep has been worse than ever...certainly worse than without the machine. For me the worst thing is:
I drift off to sleep while the machine is at 5....by the time it ramps to 9 it wakes me up because I am having to breathe out SOOOO forcefully, the effort to breathe out wakes me up. Not to mention if I get an itch near my nose or mouth I cannot scratch it without stopping the machine, removing the mask, itching, replace the mask, restart the machine then spend the next hour TRYING to go back to sleep.

I certainly salute you guys who have to do this every night....this has proven to be far more challenging than I could have imagined.

Still not giving up......
01-26-2015 12:59 PM
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tg73 Offline

Members

Posts: 5
Joined: Jan 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Airfit F10
Humidifier: ResMed AirSense 10 Autoset 37207
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: South Central NC

Post: #18
RE: Newbie Questions
(01-25-2015 01:04 AM)DeepBreathing Wrote:  Quiescence, I've had a quick look at the side effects for Adderall but don't see sleep apnea (OSA or CSA) listed. (Which doesn't mean it can't happen, of course). In answer to your question, no I don't have ADHD - quite the opposite, I'm probably too relaxed and lazy. Wink

Regarding tg73's situation, the diagnosis test shows effectively zero obstructive apneas, a lot of centrals and a lot of hypopneas (which could be central or obstructive in nature - we don't know). On the machine, he is clearly having a great preponderance of centrals. Ordinary CPAP and APAP machines are great for obstructive apnea but no use for centrals. Hence my advice to at least try an ASV machine, as I'm sure the Autoset isn't going to do much good. You could be right that the medication is causing part of the problem, but playing around with an Autoset isn't going to fix it.


Hi DB

I agree and have posted the question back to the doctor to verify that I AM indeed on the correct machine per his diagnosis.....at this time his reply simply states, keep using the machine and the real question should be "Am I feeling better on it" to which I will answer NO....but I am going to give it AT least a full week before I do that...maybe 10 nights of use to be certain it's not just an acclimation issue. I know it can take some people longer than others but I would expect that I might feel somewhat better if in fact my "excessive daytime sleepiness" was caused by the apnea.

Thanks to all of you who have replied...it's nice to have this group of experienced users to bounce all of these newbie questions/concerns off of. If nothing else i can certainly say that apnea sufferers are one of the most supportive and helpful groups I have ever encountered! Sleep On!!!!!
01-26-2015 02:17 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #19
RE: Newbie Questions - opinions sought, various issues
@tg73 - I do think your daytime sleepiness is from apnea, but as we have seen, it seems to be mostly central apnea.

If it does not calm down, and you go to this ASV machine, you need to know it will be even more forceful in telling you to breathe vs. arranging the conditions that best enable you to breathe. When it says you can exhale, it will help by reducing the pressure by a greater degree than the machine you currently have. But, it will also tell you when it had decided you "will" inhale, boy howdy it'll cut your exhale, but bang.

This is why I thought you would want to try some of my suggestions.

I also believe that you're lack of having recalled dreaming can indicate that you did not get REM sleep, where {usually} dreams occur. This is, by far, the greatest indicator and cause of feeling unrested, and fuzzy headed. Bad bad feeling.

Sorry, and hope you find a way to combat this soon.

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.
01-26-2015 07:54 PM
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DariaVader Offline
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Machine: Resmed S9 AutoSet
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Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

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Post: #20
RE: Newbie Questions
(01-25-2015 01:04 AM)DeepBreathing Wrote:  Quiescence, I've had a quick look at the side effects for Adderall but don't see sleep apnea (OSA or CSA) listed. (Which doesn't mean it can't happen, of course). In answer to your question, no I don't have ADHD - quite the opposite, I'm probably too relaxed and lazy. Wink

Actually, while Adderall probably doesn't cause apnea, apnea has certainly caused people to be diagnosed with ADHD! Perhaps your ADHD will improve or disappear... won't that be nice!
01-26-2015 08:03 PM
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