[Treatment] New Member: Looking for some insight on OSCAR info.

[Sleeprider]

When you import data from a new machine, the data is stored in your profile under the new machine identity. I have always been able to read data from different types and brands of machines under a single profile. Many of the developers in Oscar, recommend a new profile rather than combining multiple machine in one profile. So Frank Autoset and Frank ASV would be separate profiles. It can work to combine the machines under a single profile, but I can understand the advantages and simplicity of separating them.

[frankhurley]

perfect thanks. I'll let OSCAR do his thing! actually it makes sense now to keep them separate.

[frankhurley]

Good. morning. I think the ASV worked. OSCAR doesn't even give the option to see CA so I guess I had none. (upon further review aren't hyponeas also central events?)

First off, i passed out without my mask on and the first 4 hrs were not with my new ASV. final 4hr35 were an AHI of just over 4 for me. My apneas can vary from night to night. Tonight it was all "hyponeas" which I think might actually be centrals. Let me know what you think.


   

Thanks for the push to get ASV. I hope my insurance covers the loaner I have. Otherwise, to be honest, it's not something I am in a position to get right now.

[jaswilliams]

Good morning first thing I would do is turn off ramp on the ASV it’s better to just get on with it and let the machine do it’s thing a majority of your Hypopnoeas was during ramp.

[frankhurley]

Ah thanks! It seems like that will work!

[Sleeprider]

That was my first though is, wow, look at the difference between ramp and therapy! Increase PS max to 12.0. You are maxing out on pressure support and not resolving all the hypopnea.

[SarcasticDave94]

Yes your therapy is on the right track now. Congrats. Let's see how things go after the tuning edits mentioned.

[frankhurley]

I scores the lowest I have ever (1.4) and I feel pretty good this AM. I kept the pressure as is for now (11) as I have felt it was pretty strong at times but I turned the ramp off as suggested.

1.  I am not using my oral appliance at the moment and I feel the mask is less secure even after adjusting the straps. I felt like the oral appliance was like a good anchor for the mask. will try and fix the "large leaks" Using nasal mask I was at 50% leak so 10% seems okay! 

I'm gonna see how this week goes! I notice lots of people try and improve upon even sub 2 scores. Is there a lot more benefit to try and get to 0 AHI? 

Cheers, 

Frank


   

[Sleeprider]

This looks much better and we no longer see the long plateaus with the pressure at the maximum setting. Your ASV is very active through the night, and it's hard to imagine how you managed to use CPAP so long. You clearly need this support to maintain your respiratory volume. Based on what we see in the respiratory statistics, your tidal volume respiration rate and minute vent are all at appropriate levels. I'm sure you will start to feel a difference soon.

[frankhurley]

Thanks. I'll have to do more research on respiratory statistics (tidal wave etc). I haven't thought of those graphs up until now. Thanks and hopefully I continue to feel better!