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[split] Sheepless [PLM]
#1
[split] Sheepless [PLM]
last night was one of the worst nights I've had in 3.5 years of papping.  I've attached a screenshot that looks a bit like oasised's csr/pb.  I think the pattern I show would be flagged csr by my apap and asv (I don't think vauto flags csr) but I don't think it is csr but rather periodic limb movement. I see this pattern frequently, sometimes punctuated by events (of all kinds) sometimes not.  notice the oa in addition to the ca.  I saw oa and h in addition to ca in oasised's posting.  while I suspect mine is plm, I don't know that for sure (it's a bit different from the pattern I'm very sure of) and I don't know for sure I don't have heart problems in the making. I mention plm as something to keep in the back of your mind if you continue to see this pattern and have trouble resolving it with pap.


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#2
RE: Sheepless [PLM]
Sleepless, Are what I'm calling anomalies what you are associating with PLM?
They definitely could be.  They look like mini arousals. These are absent from the OP's charts.


http://www.apneaboard.com/forums/attachm...?aid=24821


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Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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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.
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#3
RE: Sheepless [PLM]
if I understand your comment / question, the anomolies are not as nicely sinusoidal as I think (not know) csr is. given that context & considering my own similar flows, to me it makes the csr call for any of it less clear. but I wouldn't stake my life on my suspicions at this point. I just don't have enough experience with it yet.

edit: dumb me just realized you're showing my chart, so I missed what your last sentence meant. I'll look again at the op's chart.

2nd edit: I see less than perfectly sinusoidal flows in the op's chart.
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#4
RE: Sheepless [PLM]
I view the PB or CSR as background with the irregularbreathin within being possibly the plm.

Let's not hijack this thread.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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#5
RE: Sheepless [PLM]
yes, no hijack intended. forget my chart beyond my intent to illustrate the possibility of a different interpretation of the pattern in the op's chart. to be considered if other explanations don't pan out.
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#6
RE: Sheepless [PLM]
Sheepless post that chart but only one node. One of the ones that are more CSR like and I'll detail what I'm talking about.

Thread will be split as sheepless plm
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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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.
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#7
RE: [split] Sheepless [PLM]
can we put / copy the #1 post above back into oasised's thread it was cut from?

while I am happy to discuss further, I didn't post it to focus on me, rather for oasised to be aware that there might (might!) be a non csr interpretation of his chart.
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#8
RE: [split] Sheepless [PLM]
go ahead copy it and post in the thread.
I know there was no intent.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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New to Apnea? Helpful tips to ensure success
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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.
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#9
RE: [split] Sheepless [PLM]
bonjour, will this do?


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#10
RE: [split] Sheepless [PLM]
   
   

The orange in the previous zoom to illustrate a disturbance in the middle of a node.  Something caused that.  
The new screenshot shows significant Flow Limits that are absent in Classic CSR.  These nodes still indicate CO2 influenced breathing, the obstructive elements in them would tend to indicate some form of movement.  
Note that the Flow limits are at the end, not the start despite similar pressures.  What actually caused these I can't definitively say. If you have video evidence of movement you have a correlation.
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.
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