Successful AHI reduction with APAP + TheraVent

[stcrim]

QAL - Sorry - I am new to this. See if these work, if not let me know how to get the data to you:
http://candsnet.com/images/7.6.15MV.JPG
http://candsnet.com/images/7.7.15MV.JPG

[quiescence at last]

it was the 'ex' files that showed the flow rate/pressure/respiration that I was looking for. he he. but you got the axis stuff worked out, and those charts looked great.

qal

[stcrim]

QAL - do you need the Exp. Time? I'm happy to print it for you. What is it you hope to see in it???

[quiescence at last]

naw, just these only at the times specified. I want to see the differences in breathing, respiration rate and pressure in areas of the chart I suspect you were at the same rough point in sleep cycle.



just wanted the time prior to this *where the CAs were. so looking back, actually requested 7.6.15 (03:22 to 03:32) and
7.7.15 (03:08 to 03:18) but you initially got those swapped.

Thanks,

QAL

[stcrim]

QAL - please see if this is want you want

http://candsnet.com/images/7.6.15A.JPG
http://candsnet.com/images/7.7.15A.JPG

What is it you are looking for in those charts?

[quiescence at last]

those are the charts, but both are different timeframes than I asked for - switch the timeframes for the days.

you gave: I wanted:
7.7.15 (03:22 to 03:32) and I requested 7.6.15 (03:22 to 03:32)
7.6.15 (03:08 to 03:18) and I requested 7.7.15 (03:08 to 03:18)

I do not think dyslexia is listed as a symptom of apnea, but does positively correlate with IQ. congrats.

QAL

[stcrim]

QAL - Sorry for the confusion. The original files were named for their therapy end date which I then ignored.

7.6.15 03:22 to 03:32 (which this now is: http://candsnet.com/images/7.6.15A.JPG ) TheraVent
compared to
7.7.15 03:08 to 03:18 (which this now is: http://candsnet.com/images/7.7.15A.JPG ) No TheraVent

Also these two images are common breathing on and off TheraVent. Struck me as to how different they are throughout each night and how different the peaks and valleys are: http://candsnet.com/images/index.html

[quiescence at last]

yes. great examples.

I see what I would have expected - that adding more resistance to your exhale should have a positive effect on CAs if they were initially caused by CO2 washout. The two waveforms you showed clearly indicate a flatter and steadier exhalation resistance while using therovent -



There is only slight difference in the amplitude of the inhale, if any. That also would be expected as therovent is supposed to open right up for inhale.

If you have EPR set below 3, then I would suggest increasing it by 1 and running same tests. You may get some of the CAs back.

Others have noticed better CA scores when reducing EPR somewhat. I personally like no EPR.

more on your other charts later.... I did get what I was after.

Thanks,

QAL

links to two full nights for easy retrieval : http://candsnet.com/images/7.7.15.JPG and http://candsnet.com/images/7.6.15.JPG

[stcrim]

QAL - First let me say thank you! And thank you for putting up with me as I fumbled through getting the correct charts up. The charts definitely say a lot about the difference with APAP vs APAP with the added resistance of the TheraVent. I have also experimented with just using waterproof tape with 3.5mm holes (and also 4.5mm) for each nostril creating resistance going both ways. The results are pretty much the same - lower AHI smoother Flow line - more so with the smaller holes.

When using a nasal mask I have to tape my mouth completely shut with 2 inch 3M micropore tape. When using a FFM I use 1 inch tape vertically to keep my lower jaw from escaping out of the bottom of the mask. (My wife can pop on a nasal pillow or mask with NO chin support and not move for 8 hours)

Note - the EPR was set on 2 for both the TheraVent and no TheraVent charts

I look forward to any other thoughts you may have...

By the way you were correct - I went through Dr. Carl Delacato's program 50 plus years ago. Most won't understand but I consider it my greatest asset with some minor inconveniences...

[DocWils]

After reading the above, I am more convinced than ever that you need a proper titration study and need to see a professional. Sorry, but everything you are saying tells me that you are completely mishandling your own case. Pay the money to see a specialist, show him your entire history and explain what you are doing in the same detail as you have given us (taping, etc) and if he says go on doing it that way, then fine, but as a physician I have a dozen alarm bells ringing right now and think that the entire reading you are getting is dead false - a cpap is not a polysomnograph and it is getting tricked by your methods, giving you a false sense of security while still allowing for less than ideal sleep. Get thee to a doctor. QAL's patient exploring of your case has only confirmed my suspicions, and I do not know if he is a qualified physician or not, but I am, and while I am not allowed to prescribe on this board, here is my prescription anyway - go see a specialist. Your health may depend on it.