New specialist and re evaluation - help please!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Golddust
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New specialist and re evaluation - help please!

Post by Golddust » Tue Nov 18, 2014 2:48 pm

Had a myocardial infarction and stent placed 5 years ago at the age of 53. 157 lbs BMI 24. Retired air traffic specialist. 30 years of rotating shift work. Cardiologist referred me to a sleep specialist when I asked for zolpidem. Sleep study showed mild apnea - AHI 8.0. Took the zolpidem nightly and complied with CPAP until this past spring when I stopped the zolpidem and terminated the CPAP. I have felt fine since. Maybe not totally refreshed every morning, but no real sleep problem like years ago.

Primary care physician would not sign DMV form and referred me to different (and better) specialist. The new specialist is not requiring me to use the CPAP. But agreed that my problem appears to be complex apnea and suggested a new titration study for an ASV machine. I agreed and will undergo the study on Dec. 2.

My question concerns my inhalation and exhalation times from Sleepyhead. They appear to be reversed from normal. Would a dear forum member please take a peek at my data and comment?

Thank you in advance for your comments and advice. The forum is a treasure trove of information!
Last edited by Golddust on Tue Nov 18, 2014 4:47 pm, edited 1 time in total.

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Julie
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Re: New specialist and re evaluation - help please!

Post by Julie » Tue Nov 18, 2014 2:59 pm

Your link goes to a download screen which I am reluctant to use... please do a link to the screen where the actual data is, if necessary use Imgur.com to input your stuff and then link us.

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Pugsy
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Re: New specialist and re evaluation - help please!

Post by Pugsy » Tue Nov 18, 2014 3:38 pm

People aren't going to want to download your entire SD card and run the software to see the reports...and your SD card contents is what you have linked to. I don't have that much time available right now and would prefer you used the software available (see my signature links if you don't know about the software) and just posted a couple of typical nights detailed reports.

Normally we do screen shots of the daily detailed software reports.
Explained here along with some examples.
Screen shot thread viewtopic.php?f=1&t=81072&p=737779#p737779

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Golddust
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Re: New specialist and re evaluation - help please!

Post by Golddust » Tue Nov 18, 2014 3:46 pm

Here is a daily. I am concerned about the inspiration/expiration ratio..

Image

Here is another day:

Image
Last edited by Golddust on Tue Nov 18, 2014 4:08 pm, edited 1 time in total.

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palerider
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Re: New specialist and re evaluation - help please!

Post by palerider » Tue Nov 18, 2014 4:06 pm

Golddust wrote:My question concerns my inhalation and exhalation times from Sleepyhead. They appear to be reversed from normal. Would a dear forum member please take a peek at my data and comment?
well, I see what you're talking about, often, on average, long slow inhales and very quick exhales, not every night.

i:3.34 e:1.10 another night, I:3.84 e:1.2, i:3.9 e:1.14 (median numbers)

I have no idea what, if anything, is the significance of that, though.

I also episodes of classic cheyne stokes respiration, some days a lot of it. (like nov 7) so investigating an ASV would be a good idea.

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Golddust
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Re: New specialist and re evaluation - help please!

Post by Golddust » Tue Nov 18, 2014 4:13 pm

palerider,

Appreciate the time you have taken to look at my data. Time is truly one of our most precious resources.
Thank you again.

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grayghost4
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Re: New specialist and re evaluation - help please!

Post by grayghost4 » Tue Nov 18, 2014 4:14 pm

Also a lot of large leaks ... did you change masks last week ?
If you're not part of the solution you're just scumming up the bottom of the beaker!

Get the Clinicians manual here : http://apneaboard.com/adjust-cpap-press ... tup-manual

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DreamDiver
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Re: New specialist and re evaluation - help please!

Post by DreamDiver » Tue Nov 18, 2014 4:15 pm

These are your stats:
Image

It looks from here like you're getting a handle on large leaks. For the first bit, it looks like you've got lower numbers, but that was during a period when your leaks weren't as well under control. Now that your leaks are under control, we're seeing more valuable data.
Image

You've gone from AHI 26.33:
Image

To AHI 11.92:
Image

Then to last night's AHI of 5.73:
Image

So trending toward lower AHI appears to be on track as your body gets used to the machine.

Your CSR seems to have reduced over time. There's only a little from last night. You're seeing a lot of Clear Airway Apneas (CA's), but you're also seeing some Obstructives (OA's). Only a very few people have nothing but CA's. You might be one of them, or you might be getting centrals from your pressure being to high. Then there are the huge number of hypopneas, which sometimes mean upping the pressure might help. It looks like things are getting better all around though. It's only been a month. I wonder if just leaving it at this pressure might be the best course for now to see how things settle.

Unless you're perfectly comfortable having your data out there, it couldn't hurt to remove the link to the zip file you created. Just a thought.

I hope this helps.

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Golddust
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Re: New specialist and re evaluation - help please!

Post by Golddust » Tue Nov 18, 2014 4:49 pm

Ok, I zapped the link to download the data..

And thank you again to all who responded.

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grayghost4
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Re: New specialist and re evaluation - help please!

Post by grayghost4 » Tue Nov 18, 2014 4:50 pm

I am kinda new to this apnea thing, so I am not an expert,.... your data looks like mine did when I had pressure to high .... and if those were my data ... I would set it to auto of 6/9 for a few days and see what happens.
If you're not part of the solution you're just scumming up the bottom of the beaker!

Get the Clinicians manual here : http://apneaboard.com/adjust-cpap-press ... tup-manual

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palerider
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Re: New specialist and re evaluation - help please!

Post by palerider » Tue Nov 18, 2014 4:59 pm

DreamDiver wrote:These are your stats:
your screenshots will be much better if you turn off the calendar and turn off the right sidebar in the future.

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

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DreamDiver
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Re: New specialist and re evaluation - help please!

Post by DreamDiver » Tue Nov 18, 2014 7:12 pm

palerider wrote:
DreamDiver wrote:These are your stats:
your screenshots will be much better if you turn off the calendar and turn off the right sidebar in the future.
Hi palerider,
I'll definitely keep that in mind for next time.
Cheers!
Chris

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Most members of this forum are wonderful.
However, if you are the target of bullying on this forum, please consider these excellent alternative forums:
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palerider
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Re: New specialist and re evaluation - help please!

Post by palerider » Tue Nov 18, 2014 7:34 pm

DreamDiver wrote:
palerider wrote:
DreamDiver wrote:These are your stats:
your screenshots will be much better if you turn off the calendar and turn off the right sidebar in the future.
Hi palerider,
I'll definitely keep that in mind for next time.
Cheers!
Chris
for ex:
Image

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cnaumann
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Re: New specialist and re evaluation - help please!

Post by cnaumann » Wed Nov 19, 2014 10:20 am

So trending toward lower AHI appears to be on track as your body gets used to the machine.
I think you are hand-picking data to show the decrease in AHI. Leak rate or not, the data is all over the map. There is no clear trend.

I think OP is an excellent candidate for ASV.

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palerider
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Re: New specialist and re evaluation - help please!

Post by palerider » Wed Nov 19, 2014 10:53 am

cnaumann wrote:
So trending toward lower AHI appears to be on track as your body gets used to the machine.
I think you are hand-picking data to show the decrease in AHI. Leak rate or not, the data is all over the map. There is no clear trend.

I think OP is an excellent candidate for ASV.
agreed, dreamdiver's analysis is only valid if you look at the last week or so's data, but if you go back the full month, or even longer, things are worse, not better.

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.