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

[Treatment] Still fatigued, history, are these CAs real?
#61
RE: Still fatigued, history, are these CAs real?
Supplier #2 will likely sort you one with your existing prescription may come set to your Autoset prescription
Post Reply Post Reply






Donate to Apnea Board  
#62
RE: Still fatigued, history, are these CAs real?
Isn't there a qualifier for BPAP types if you need higher PS or about 15 or higher pressure or can otherwise show intolerance for CPAP?
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply
#63
RE: Still fatigued, history, are these CAs real?
The qualifier are the disturbances still being felt by Guy, thus failing CPAP/BiLevel even though there is a good AHI. This is the why for EERS.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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

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
#64
RE: Still fatigued, history, are these CAs real?
As an experiment, I created a test file showing the flow graph for the entire night last night (EERS 12"). It is a video where I took a 5 minute zoom and moved through the entire night. All of the other graphs move with it, so you can see flow limits, snores, etc.  I didn't use the oximeter last night, so SpO2 is not there.

Just view the video in any video viewer, stop where desired, move the current point in the video back and forth, etc.

The video is here. (When I try to play it directly in dropbox, resolution is poor. You may have to download it for it to be clear.)

Unfortunately, this is not a viable method for uploading to the forum as it takes about 500x as much space as a screen shot plus a panel of eight flow charts.  But does it give an idea of the kind of view you might like for reviewing charts?  Maybe we need a way in OSCAR to export a single day, or small number of days, for analysis?
The current version of OSCAR is 1.2.0.  We recommend upgrading from any earlier version.

Useful links
Download OSCAR
Best way to organize charts
How to attach charts to your post

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply






Donate to Apnea Board  
#65
RE: Still fatigued, history, are these CAs real?
The video is pretty cool. The only thing I got was that periodic breathing or variable tidal volume correlates with higher pressure. Have we tried a fixed pressure, at your current minimum?
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
#66
RE: Still fatigued, history, are these CAs real?
Yes, fixed pressure makes little difference. I am planning to switch back to fixed pressure tonight.

I think that periodic breathing correlates more with flow limitations. It often starts after a flow limitation, even a small one. Since ResMed also increases pressure for flow limitations, I suspect that is more a consequence than a cause.
The current version of OSCAR is 1.2.0.  We recommend upgrading from any earlier version.

Useful links
Download OSCAR
Best way to organize charts
How to attach charts to your post

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply
#67
RE: Still fatigued, history, are these CAs real?
I like it. The motion calls your eye to areas that may be problematic and thus need more attention, at least to under stand what is going on.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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

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






Donate to Apnea Board  
#68
RE: Still fatigued, history, are these CAs real?
First night with VAuto and PS=4 results are in.  I had pressures set to EPAPmin=6.0, PS=4, IPAPmax=10 (i.e., fixed pressure).  I didn't touch any other therapy settings.  No EERS connected.  (Ignore the screenshot that says 6.2/4/10.2 -- that is the way it was set when I started but I changed it after a few minutes.  Evidence that ResMed reports the settings from the beginning of the night, not the end.)

Sleep was fragmented, but I don't blame this on the VAuto (except maybe the excitement to see how it worked).  I expect a more normal sleep pattern in future nights.  Fragmentation meant Fitbit wasn't helpful.

Flow limits appear reduced.  Waxing and waning continues, but not as often, and often appears to be triggered by flow limits.  The three Hypopneas are all associated with flow limits and two clearly show flat-topped breathing.

SpO2 graph appears to be offset about 30 seconds to the right.  (Now if we just had a way to slide that graph into proper alignment...)

Breathing and exhaling were easy.

There are no OAs, which suggests that maybe I could lower the pressure?

What do you suggest to try next?  Lower pressure?  Adjust other settings?

Thanks!

            
The current version of OSCAR is 1.2.0.  We recommend upgrading from any earlier version.

Useful links
Download OSCAR
Best way to organize charts
How to attach charts to your post

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply
#69
RE: Still fatigued, history, are these CAs real?
One change, Set Trigger Sensitivity to high, No EERS.  Let us know if you prefer this or High or Medium (where it should currently be sensitivity.
I'd like you to run a week after this, and set a new baseline.  Then eval if you need to try EERS again.


edit
And yes, you may be able to lower your max pressure, I'd rather see if we can get it to come off of the max pressure naturally as that would mean we have you solved.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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

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
#70
RE: Still fatigued, history, are these CAs real?
(08-05-2020, 01:00 PM)bonjour Wrote: And yes, you may be able to lower your max pressure, I'd rather see if we can get it to come off of the max pressure naturally as that would mean we have you solved.

Not sure what you mean by "come off of the max pressure naturally."  I am currently using fixed pressure (IPAPmax = EPAPmin + PS) so there is no variation in pressure.
The current version of OSCAR is 1.2.0.  We recommend upgrading from any earlier version.

Useful links
Download OSCAR
Best way to organize charts
How to attach charts to your post

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  FOUND ASV titration instructions, deep readings with the real testing gear... racprops 0 75 09-30-2020, 08:38 AM
Last Post: racprops
  Is this real Cheyne Stokes Respiration or not ? jsljsljsl 71 3,105 05-20-2020, 12:55 PM
Last Post: bonjour
  What is considered a real central? dolppl 4 416 04-26-2020, 09:31 PM
Last Post: Dormeo
  the history of Sleepyhead car54 5 463 01-10-2020, 03:52 PM
Last Post: SuperSleeper
  [CPAP] Trying to identify whether these are real central apneas dogfish1977 25 1,176 01-08-2020, 08:56 PM
Last Post: JoeyWallaby
  Finger oximeter with history? SleepyTexasGirl 6 603 12-20-2019, 11:27 AM
Last Post: geauxdbl
  I need help- Still fatigued! tjq86 9 555 10-13-2019, 01:40 PM
Last Post: jaswilliams


New Posts   Today's Posts






About Apnea Board

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