[CPAP] jdougc - Therapy Assistance

[jdougc]

Pokey,
Thanks for the reply and the good advice of reminding me to see how i feel.
I am ready for a nap or another cup of coffee, neither is a good option however.

I hope you had one of the better nights of rest.

My fitness tracker is only 60-70 percent accurate on the REM sleep, many times it thinks I am awake. 
I use my flow rate and tidal volume charts to fine tune my sleep chart add on.
I nibble on a blueberry muffin and have a coffee as I look over this data

[ejbpesca]

If I had OSCAR reports like that I would touch nothing but I do not know how the User Flags 1 and 2 get registered.  Are you looking for a correlation of your miniscule amount of typical events and REM sleep?  If you saw the daily messes I get on OSCARs you may see how incredibly good yours look to me.

It doesn't hurt me to fiddle with pressures a bit but I never see such a wonderful steady flow of reports as yours.

[jdougc]

ejbpesca,
Thanks for the reply.

I am looking for help to minimize my arousals that lead to wake ups. I am still very stiff from my surgery, so it can be a struggle to fall back to sleep at times.

The user flags have shown several nights of being woke up by events of 5 seconds or a bit more.
Last night, an even shorter event woke me up.

"Flow Limitation" Users Flags can by going to file and selecting "preference". 
Then going to the CPAP tab.
In the lower left are the User Flags 1 and 2.
You can set the Flow Limitation User Flags for 20% and 40% to trigger for any time duration that works. 5 seconds seems to show enough for now.

In my mind these User Flags can show a more complete picture as flow limitations  may lead to Hypopneas or other events.

This is an interesting read.  https://www.resmedjournal.com/article/S0...4/fulltext

[jdougc]

Another great AHI score, but bad night of sleep. I can understand an OA or short event waking me up, but nothing woke me up before midnight.  
[attachment=78359]

I may have to get a coffee and drink it in the physical therapy pool.  Difficult to keep my heavy eyelids open.
[attachment=78358]


Not sure what to do to get better sleep. Any help would be greatly appreciated.

[Pokey49]

Morning JDoug. Boy I am not the  one to tell you my friend whats going on with your great #s but not feeling refreshed. We are 2 peas in a pod. I had a good night according to my ResMed app. 1.2 events/hour. Haven’t looked at Oscar yet. My FitBit app however says I had a poor night, with less than an hour of both REM and deep sleep each. My Oximeter data claimed I had a fair # of ODI 4&3% events. So I’m not convinced Oscar tells the whole story of whats going on in our sleep. Personally I struggle with anxiety & depression. That I’m sure disturbs my sleep and is something that Oscar can’t capture. Some, many Medications are a known culprits of sleep disturbances that Oscar likely won’t capture. Just saying I think there are numerous things that can booger up our sleep that Oscar wont capture. The question becomes how does one figure out what the hell is going on so it can hopefully be remedied.

[jdougc]

Morning Pokey,
I got  a lot of fresh air yesterday and exercised some, maybe too much and that may have impacted my sleep.

I am on meds that have can impact my breathing and sleep, I have been on them for a long time.
I can cut back on some of them in a few weeks as I get better.
I will see the impact reported by my machine/Oscar.


Oscar reports, for me are not very helpful, but I blame the machines and their algorithms.
Oscar does a decent job of organizing the machines data and gives us other tools to refine their charts, ie user flags for one.

Maybe the next generation of Oscar will have AI in it.

[ejbpesca]

Thanks for the article.  I once again see my flow rate graph in its images.  I will ask about a BPAP machine but I'm not sure that would change my ragged breath waves to smooth round top ones and there is a high possibility that UARS is still not an issue for the local sleep lab.

[jdougc]

ejbpesca,
I wish you well in the quest to get  bilevel. 
I have little knowledge about UARS, sounds like it is very tough to treat with CPAP machines.


https://www.youtube.com/watch?v=MLp-amlTa2w

[jdougc]

Since I am on bi-level, is my option to increase epap and ipap to fight arousals? 
My breathing is jagged at times or very pointy, not registering as flow limitations, but I am waking up too much and exhausted.
[attachment=78364]

[Pokey49]

JDoug after my doctor experience today I hesitate to suggest this but is there any sleep medicine expertise you might seek out and confer with. I’ve got 2 close friends on Cpap and they’ve never seen a sleep doc again.  Theyve only adjusted their press once per the local DME RT which amounts to little to no oversight. Seems like the sleep docs read the sleep studies, write a Rx and then one never sees them again