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Stubbornly high AHI
#21
RE: Newbie seeking advice on Oscar data - ResMed 10
You're welcome. Let us know how it changes with a collar.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#22
Stubbornly high AHI
Following the previous helpful advice I now am using a cervical collar, and seem to have mastered the nasal pillow mask. However, my AHI is still high, but variable from 5.0 to 16.0 for no reason I can account for. Last night was typical, Daily report attached. Any insight into my data would be most appreciated. I would also add that I am getting quite strong hotflashes ... sometime two or three a night. Any reccomedations of a good pillow to work well with the cervical cvollar would also be appreciated.
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#23
RE: Stubbornly high AHI
Please post additional OSCAR data. I have recommended this post be added to your original thread. It's best to keep all your posts on what is essentially the same topic in the same thread. It's easier for those trying to assist you.
Download OSCAR

Organize Charts
Attaching Charts

Mask Primer
Soft Cervical Collar

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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#24
RE: Stubbornly high AHI
Thanks Melman. Is this the required information? Thanks for your help


Attached Files
.pdf   img005.pdf (Size: 56.84 KB / Downloads: 6)
.pdf   img006.pdf (Size: 45.16 KB / Downloads: 4)
.pdf   img007.pdf (Size: 28.73 KB / Downloads: 4)
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#25
RE: Stubbornly high AHI
It may be easier to present these screenshots as attachments to the post. As presented, we have to download your charts. Even so let's see what there is.

OK we need to see an attached Daily tab of OSCAR.

BTW your Apnea are still quite high in the summary. OA at 6.x, CA at 6.x, Hypopnea at 1.6 if I remembered it right. Something isn't working right for you, and you're not getting good results from therapy. You're probably not well rested either.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#26
RE: Stubbornly high AHI
Hmmm ... getting confused. Thought I'd attached the daily ... will try again
Must be the brain fog! lol
Hope this works ... 
.pdf   img002.pdf (Size: 30.18 KB / Downloads: 1)
.pdf   img003.pdf (Size: 34.74 KB / Downloads: 0)
.pdf   img004.pdf (Size: 23.58 KB / Downloads: 0)
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#27
RE: Stubbornly high AHI
You are trying to use the print version of the Daily screen.   We use a screenshot(F12) of the Daily screen here.  Please refer to the links in my signature for help on these subjects.

- Red
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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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#28
RE: Stubbornly high AHI
Hope this is the correct way ... used F12


Attached Files Thumbnail(s)
       
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#29
RE: Stubbornly high AHI
OK there's the OSCAR shot.

At default 4-20, neither your Obstructive or Central events are looking good. There's too many. Either OA or CA at a bit over 6 is untreated by itself, and worse then when these are combined with Hypopnea you get that bad 14.79.

Obstructive looks like clusters of positional Apnea, which means your collar isn't helping.

You're going to need to change Min pressure from the default. I'd increase it to between 6 and 8 for the Min pressure and see if it helped. It will not break through positional Apnea, but there's what appears other Obstructive Apnea a pressure increase may help with.

On the Central side, are you using either Ramp or EPR? If yes they're likely being to be turned off.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#30
RE: Stubbornly high AHI
Do you mostly sleep on your side, back, or stomach?
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