Vauto, PLM, FL & Mixed Apnea

[mper6794]

....i would like to see some ten-minutes on the fake obstructions/CA's.
GL

[sheepless]

I have some screenshots of oa & ca I can quickly post. but any event that's not a waking ca is real as far as I'm concerned so I'll need some guidance on exactly what to look for. thanks.

[sheepless]

10 minute shots of some events from 11/16/19.   vauto.  ps 5.8 over 7.6-13.4.

[sheepless]

plus 2 (previous post got away from me before I finished!)

[mper6794]

hi sheepless,

 _do not worry about last night. It will pay off the gauging, you see within some five days. Yesterday, I mentioned to  you, that your RR was heading down and this could happen, as it did, in accordance with current RR of 7.9 from last night, the lowest one since we began. 

_ absolute majority of OA and CA and fakes, either during periods we were awake or arousal/awakening transition to sleep. However, as I told you yesterday, you had reached a turning point at RR 8.2 and could start heading toward trigger CA. Let us not take more risk here. We  already have your tailored PS: 5.4.

_let us know balance your respiration by backing from 5.8 to 5.4, and start increasing EPAPmin (your RR reached mininum yesterday, 7.9, and this is safety allowed), so that it could go back to increase up to some 8.5/8.7, up to having your tailored EPAPmin, under your current conditions.

_so, my suggestions for next night: EPAPmin: 7.8, PS 5.4, IPAmx: 13.2

_settled like this, your charts are expecting to get more smooth, gradually toward to something better than Nov, 10th.

_then, we are very close finish,  I think. I would not expect for surprises.

_this is going the best we could get under your current PLMS level and medications.

_for later on: I would have some suggestions for you to talk to your doctor, concerning stopping/changing ropinirole for a while. I have already mentioned to you my experience: dopamine boosters like ropinirole was awful for me (stopped PLMS, but kept me pretty much awaken all night). I go much better, when I need,  and my doctor agree, with clonazepam. Let us discuss deeper this within some 3 days. However, I know, each one is each one!
good luck

[sheepless]

vauto, 11/17/19, ps 5.4 over 7.8-13.2

one of these indicates longer interval plm.

[sheepless]

looking at the all night shot, I see rr is generally lower after 4 am during which time I don't think I slept much. I may have dozed off during the longer session, sleeping through some ca. in any event, would that probably-awake time help determine my resting rr?

[mper6794]

ok, sheepless
_ you have seen: things got back on track.
_good chunk from 22;24 ----4:00; but still too disrupted by FL and PLMS;
_it looks FL was responsible for waking you up at 4;00. Take a closer look, please..
_for next night: no other to way to go, rather than: EPAPmin: 8.0, PS: 5.4, IPAPmax: 13.4
_We may need to go back to increase PS: to 5.6; let us see (don't like the idea to change both at same time).

_Maybe some three more days, and we would get what it gets from these adjustments.

good luck

[mper6794]

looking at the all night shot, I see rr is generally lower after 4 am during which time I don't think I slept much.  I may have dozed off during the longer session, sleeping through some ca.  in any event, would that probably-awake time help determine my resting rr?

...yes your normal RR is relatively low, at some  (14..7.0); because of this maybe we could back to increase P.S, once we learn what happens this period of increasing EPAPmin (leaves some room to back increasing PS)
...don't worry about CA's, always fake associated with arousal; look at  your attachments from yesterday

good luck

[mper6794]

looking at the all night shot, I see rr is generally lower after 4 am during which time I don't think I slept much.  I may have dozed off during the longer session, sleeping through some ca.  in any event, would that probably-awake time help determine my resting rr?

_sorry, i think i had missed your point. Yes, they fake at last part of the night too, following arousals/sleep transition, that is, you were not "sleeping" through them. Should you not having arousals, they would not be there.
Anyway, as far as i remember, this a long Ago pattern on your nights.... that IS, at later parts, you awake more, and, in cinsequene, maybe, you have more fake CAs.
Atb