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Using APAP for Almost a Year with No Improvement!
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quiescence at last Offline

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Machine: REMstar System One with Autoflex
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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: #21
RE: Using APAP for Almost a Year with No Improvement!
Quote: the machine was at 0 cm/H2O for a significant part of the night

the Yaxis was set at 8.00 min, so probably you thought you saw 0 instead of 8.
02-24-2015 12:42 PM
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Elizabeth25 Offline

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Machine: ResMed S9 Autoset
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Post: #22
RE: Using APAP for Almost a Year with No Improvement!
(02-23-2015 12:21 AM)quiescence at last Wrote:  From your respiration, it does look like you are dreaming, routinely. This is a good sign.

QAL, I'm curious what you're seeing in respiration that looks like dreaming. Could you explain?
Thanks.
02-24-2015 01:59 PM
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Kladeios Offline

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Post: #23
RE: Using APAP for Almost a Year with No Improvement!
I used to suffer from migraines on almost a daily basis, usually waking up with it. This was virtually eliminated when I got glasses. I had no clue that my eyesight, although only off a bit, was enough to give me migraines. I know everyone is different but it may be worth checking out. I still get dull headaches in the morning from time to time; probably associated with the sleep apnea but at least it doesn't feel like I'm going to have a vein pop in my head.
02-24-2015 02:12 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: #24
RE: Using APAP for Almost a Year with No Improvement!
(02-24-2015 01:59 PM)Elizabeth25 Wrote:  
(02-23-2015 12:21 AM)quiescence at last Wrote:  From your respiration, it does look like you are dreaming, routinely. This is a good sign.

QAL, I'm curious what you're seeing in respiration that looks like dreaming. Could you explain?
Thanks.

Yeah, I knew I would eventually get caught, and have to explain. I usually stay in the shadows, mostly asking if you remember dreaming instead of pronouncing that I can detect it.

do an internet search on "NIH phasic REM sleep tidal volume".

My guess is that you are REM sleeping generally coupled with dreaming when the tidal volume is reduced about 15-20% of the median TV. Especially if I see respiration is erratic (and above the median resp.), and minus flow limitations and apneas if you are lucky.

empirical data from my own plots and journaling my own remembered dreams, this correlates to the above - only one occurrence when I was sure I dreamed, but no sign of phasic REM sleep. I chronicled over 50 instances in my first 2 months.

QAL

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.
02-24-2015 03:07 PM
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Elizabeth25 Offline

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Posts: 10
Joined: Nov 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: H51
CPAP Pressure: 10-15
CPAP Software: SleepyHead

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Sex: Female
Location:

Post: #25
RE: Using APAP for Almost a Year with No Improvement!
(02-24-2015 03:07 PM)quiescence at last Wrote:  
(02-24-2015 01:59 PM)Elizabeth25 Wrote:  
(02-23-2015 12:21 AM)quiescence at last Wrote:  From your respiration, it does look like you are dreaming, routinely. This is a good sign.

QAL, I'm curious what you're seeing in respiration that looks like dreaming. Could you explain?
Thanks.

Yeah, I knew I would eventually get caught, and have to explain. I usually stay in the shadows, mostly asking if you remember dreaming instead of pronouncing that I can detect it.

do an internet search on "NIH phasic REM sleep tidal volume".

My guess is that you are REM sleeping generally coupled with dreaming when the tidal volume is reduced about 15-20% of the median TV. Especially if I see respiration is erratic (and above the median resp.), and minus flow limitations and apneas if you are lucky.
empirical data from my own plots and journaling my own remembered dreams, this correlates to the above - only one occurrence when I was sure I dreamed, but no sign of phasic REM sleep. I chronicled over 50 instances in my first 2 months.
QAL

Wow. That is beyond me for now. [I'm still trying to understand what Sleepyhead is trying to tell me!] After 4 months of cpap I'm still not recalling any dreams.
02-24-2015 04:15 PM
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
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Post: #26
RE: Using APAP for Almost a Year with No Improvement!
(02-24-2015 12:42 PM)quiescence at last Wrote:  
Quote: the machine was at 0 cm/H2O for a significant part of the night

the Yaxis was set at 8.00 min, so probably you thought you saw 0 instead of 8.

You are right. Old eyes, I guess.

Best Regards,

PaytonA
02-24-2015 06:07 PM
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AnalogDog Offline

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Post: #27
RE: Using APAP for Almost a Year with No Improvement!
Hate to say it, but this is what you get when insurance companies try to get by on the cheap. If you want to know what is going on with your sleep on CPAP, you need to be STUDIED on your current CPAP settings. Even without an elevated AHI, you could still be having a lot of EEG arousals, which fragment your sleep and leave you feeling fatigued the next day. A good tech doing a good titration will beat the CRAP out of an autotitrator, any day.
09-02-2015 04:07 PM
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