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healthy vs not sick and symptom suppression
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OMyMyOHellYes Offline

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Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

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Sex: Male
Location: Texas

Post: #11
RE: healthy vs not sick and symptom suppression
Dead people have AHI scores of -0-. Live people don't.

There is no such thing as perfect. In all operational respects.

OMMOHY
04-30-2015 05:52 PM
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Mark Douglas Offline

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Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #12
RE: healthy vs not sick and symptom suppression
This exactly the the discussion result I had hoped my opening post would generate.
(all except you OMMOHY you are a smart ass SHa_biggrin5 )
I learned a lot and Doc W I really appreciate you sharing your professional wisdom.

Thank you all!

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
(This post was last modified: 04-30-2015 07:28 PM by Mark Douglas.)
04-30-2015 07:27 PM
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DariaVader Offline
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Posts: 1,819
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Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #13
RE: healthy vs not sick and symptom suppression
(04-30-2015 07:27 PM)Mark Douglas Wrote:  This exactly the the discussion result I had hoped my opening post would generate.
(all except you OMMOHY you are a smart ass SHa_biggrin5 )
I learned a lot and Doc W I really appreciate you sharing your professional wisdom.

Thank you all!

better a smart ass than a dumb ass, i always say Bigwink

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
04-30-2015 07:34 PM
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Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #14
RE: healthy vs not sick and symptom suppression
(04-30-2015 07:34 PM)DariaVader Wrote:  
(04-30-2015 07:27 PM)Mark Douglas Wrote:  This exactly the the discussion result I had hoped my opening post would generate.
(all except you OMMOHY you are a smart ass SHa_biggrin5 )
I learned a lot and Doc W I really appreciate you sharing your professional wisdom.

Thank you all!

better a smart ass than a dumb ass, i always say Bigwink


Everyone like a little. No one likes a smart.

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
04-30-2015 07:59 PM
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #15
RE: healthy vs not sick and symptom suppression
(04-30-2015 04:05 PM)DocWils Wrote:  ........
To go further, these scores include a lot of things that don't actually necessarily desaturate your O2 levels, and that is actually more important to consider, since it is the desaturations that remain the greater danger, but since machines score AHI based on "events" as a gestalt, including events that do not create clinical level desats, like periodic breathing and flow limitations, still count in the score.
.........

Wow Doc, I think that is a run on sentence. I've seen paragaphs shorter than that.

My understanding is that only apneas and hypopneas are included in the AHI and that is the way the software treats it. Is my understanding incorrect?

Best Regards,

PaytonA
(This post was last modified: 04-30-2015 08:48 PM by PaytonA.)
04-30-2015 08:46 PM
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trailrider Offline

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Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #16
RE: healthy vs not sick and symptom suppression
He speaks German... of course it is long! Smile
04-30-2015 08:50 PM
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PaytonA Offline
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Posts: 3,002
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #17
RE: healthy vs not sick and symptom suppression
No that is some of the words in German that are as long as a normal paragraph. Big Grin But maybe you are right. Big Grin
04-30-2015 08:52 PM
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trailrider Offline

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Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #18
RE: healthy vs not sick and symptom suppression
It takes as many words as it takes to say it accurately. Neither more nor less. That's the German characteristic I am familiar with.
Akin to wizards never being late of course.

Wink
04-30-2015 08:58 PM
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DocWils Offline

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Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

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Sex: Male
Location: Switzerland

Post: #19
RE: healthy vs not sick and symptom suppression
(04-30-2015 08:46 PM)PaytonA Wrote:  Wow Doc, I think that is a run on sentence. I've seen paragaphs shorter than that.

Sorry, med speak and all that. Given to long sentences to cram in as much information as possible. Try reading some of our papers, sometime...Laugh-a-lot

(04-30-2015 08:46 PM)PaytonA Wrote:  My understanding is that only apneas and hypopneas are included in the AHI and that is the way the software treats it. Is my understanding incorrect?

Certain machines do, but others look at the entire score and use a special algorithm to work out the score. Depends on the manufacturers (most of this has to do with not crossing over into someone else's copyrighted formulas, and whatnot but sold as "our has a more accurate scoring system than theirs" - utter rubbish, IMO) - weight is given to apnoeas and hypopneas, but other "quality of breathing" factors are weighed in on certain machines in order to determine the importance of the apnoea event (it would have only a small effect on the number, of course, as the weight of the AHI is based on POTENTIAL for desaturation, not only actually desaturation (which it can't tell without oxymetry anyway, so it looks at the flow rates and breathing patterns to see if there is increase or decrease that may indicate the narrowing of the throat and therefore a predictive event ), so you are sort of correct, but it is more complex - or instance, not every apnoea event results in a desaturation of down to or lower than 88% - if you do an oxymetry and couple it to your machine's results you find that often even though your machine scores a CA or OA, there is sometimes to often no large corresponding drop in sO2sats, and certainly not for hypopneas, at least so long as you are on the machine. This is because the machine reacts quickly and scores toward the paranoid, trying to prevent the problem before it gets worse and considering anything where there is a cessation of breathing to be some form of apnoea. All this is too the good, because it means the machine is trying to anticipate a problem and head it off before it becomes one, so you can literally breath easier about all this.Wink
(This post was last modified: 05-01-2015 05:19 PM by DocWils.)
05-01-2015 04:32 AM
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Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #20
RE: healthy vs not sick and symptom suppression
Well I picked up my machine today but I'm too tired to care. I think I'll go eat some cookies.

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
05-01-2015 05:04 PM
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