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(03-12-2021, 06:09 PM)SarcasticDave94 Wrote: What I'd suggest for now is edit settings and see what happens to the purple CA flags. I don't recall if Ramp is on, but if it is nix it. Also turn off the EPR. Call the doc's office and request your sleep study detailed report and see if you can attach the reacted files here. At an absolute minimum to ID the Central component is the event type and count. You're looking to see if CA made 50% or more. If yes you're CA are pre-existing. This indicates ASV.
To be clear, cut off Ramp and EPR and check OSCAR overnight. Post it tomorrow. Call the doc and demand your report and make an urgent care visit with this same doc that scripted PAP. You need to tell all your symptoms including CA.
Thanks, Dave. Ramp was off, and I just turned EPR off. I already have my reports, both the Full Night Polysomnogram and the Titration Study, but they both exceed the maximum size for attachments even when zipped. The Polysomnogram chart for Respiratory Events shows more obstructive apnea events than central apnra events, but the same chart on on the Tritration Study shows way more central apnea events than obstructive apnea events. So go figure. I will keep putting my SD into Oscar and taking the screenshots.
To think, ten days ago, I would not have had a clue about what ANY of this meant...
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
03-12-2021, 07:32 PM (This post was last modified: 03-12-2021, 07:33 PM by SarcasticDave94.
Edit Reason: clarify
)
RE: Anderson5420's OSCAR Data
OK for now, find the page that has the event stats with event names and counts. It may be a chart or table. CA were x, mixed were x, and so on. Post that and review the write-up and see if any mention of CA were there.
I'm going to my thread to see if I can copy out what I mean and if I can I'll add it below.
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.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
Here's my sample of what I'm looking for in the diagnostic.
[attachment=30766]
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.
Quote: SarcasticDave94 pid='387233' dateline='1615590576'][attachment=30768]What I'd suggest for now is edit settings and see what happens to the purple CA flags. I don't recall if Ramp is on, but if it is nix it. Also turn off the EPR. Call the doc's office and request your sleep study detailed report and see if you can attach the reacted files here. At an absolute minimum to ID the Central component is the event type and count. You're looking to see if CA made 50% or more. If yes you're CA are pre-existing. This indicates ASV.
To be clear, cut off Ramp and EPR and check OSCAR overnight. Post it tomorrow. Call the doc and demand your report and make an urgent care visit with this same doc that scripted PAP. You need to tell all your symptoms including CA.
Ramp was already off, but I just turned EPR off. I already had my full reports, and scans are attached. Third time was the charm to get a file size small enough to attach, there is of course a trade-off between file size and legibility.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
03-12-2021, 08:04 PM (This post was last modified: 03-12-2021, 08:09 PM by SarcasticDave94.
Edit Reason: typo
)
RE: Anderson5420's OSCAR Data
I'll repost a screenshot. You had 3 Obstructive, 0 mixed, 11 Central. Ok sorry I had the 2 reports backwards. Still looking
[attachment=30771]
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.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
Diagnostic study, 33 Obstructive, 0 mixed, 8 Central, but also very high Hypopnoea at 305, yes three hundred five. The issue is Hypopnoea are not counted as whether they're Obstructive or Central based.
PLM were present at 29, 6 of these were arousal causing,
7 RERA, 267 arousals with 153 respiratory related,
Oxygen drop was noted, below 88% 155.8 minutes
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.
Here is today's screenshot for last night's data. It appears the events were almost all Central apneas. Also, the events per hour has been creeping up, Tuesday 5.7, Wednesday 8.8, Thursday 19.3. Friday back down to 15.2. Not sure what is affecting events per hour, any ideas?
FWIW last night I switched from a full face mask to a nasal pillow mask but forgot to change the machine settings, which I just did a few minutes ago.
anderson5420, I see in Dave's post above that your sleep study noted plm. you can search this site for plm or my username for more than you want to read about this. also, I just finished a post that you might look at here: http://www.apneaboard.com/forums/Thread-...#pid387329
most complain about waking once in a night. 6 arousals from any cause (not to mention the disturbing micro arousals they don't seem to count) will leave anyone unrefreshed in the morning.
(03-12-2021, 08:21 PM)SarcasticDave94 Wrote: Diagnostic study, 33 Obstructive, 0 mixed, 8 Central, but also very high Hypopnoea at 305, yes three hundred five. The issue is Hypopnoea are not counted as whether they're Obstructive or Central based.
PLM were present at 29, 6 of these were arousal causing,
7 RERA, 267 arousals with 153 respiratory related,
Oxygen drop was noted, below 88% 155.8 minutes
The oxygen issue is what got me referred for the sleep study in the first place! I had a total knee replacement on November 2nd. The oximeter alarm kept going off while I was in the hospital the next few days. They did not want to discharge me until they figured that out. Finally, my surgeon suggested (at my urging) the he would prescribe a home oxygen concentrator, which he did. I had that (and hated the canula). When we were discussing scheduling the second knee replacement (bilateral bone on bone arthritis), he said he would not do that operation until I had a sleep study. So that is how I got here from there.
The PLMs were possibly a result of the pain in my surgical knee. It still hurts more than it should, and I shift position a lot to find where it is least painful, at least when i am awake or drowsing, I don't know when I am asleep of course.
Thanks for your continued advice, I really appreciate it!
Pat do you wear glasses? If so check out [Image Containing a Commercial Website or URL Removed] Search for Oxyview
I own them and they are great, no more cannula!!!
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