A Question of Exhale Pressure Relief

[palerider]

Obstructive or restrictive events do not occur upon inhalation. Therefore IMO, exhalation relief should be avoided because it is upon exhalation that an obstructive event will occur .... that is the worst time to reduce xPAP pressure.

you've got that all backwards.

No you're the one who's backwards.

like so many other things you proclaim, your opinion on this matter is demonstrably wrong.

it makes me, and should make others, question pretty much everything you proclaim, including your nutrition "advice".

[Pugsy]

but I still see no reason for it especially if you have to raise pressure to compensate for it.

Well....you are indeed entitled to your opinion but just because you feel a certain way doesn't mean the rest of the whole world needs or wants or should feel the way that you do about something.

For some people that exhale relief is the difference between sleep and no sleep.
And there's no guarantee that a change in inhale will even need to be made to compensate for the drop during exhale.
Just because someone is using some form of exhale relief doesn't automatically mean that the drop is going to make the therapy sub optimal.

To say that all exhale relief is "bad" is like me saying that anything less than maximum humidity is "bad" and everyone should do like I do and snort water. The rest of the world doesn't have to do like I do to be doing it right for them.
Just because something is "wrong" for you doesn't mean it is wrong for me or anyone else for that matter.

When I started using exhale relief after many years without it...I didn't have to raise my pressure at all to compensate for it and I discovered that I was sleeping 45 minutes longer with it and no changes anywhere else.
That 45 minutes extra allowed me to feel much better in the day.
Maybe you think that is a bad thing too but I think it is a pretty damn good reason for me to use it.

[palerider]

My opinion that pressure be reduced during exhale is a bad idea stands nonetheless.

so, I suppose that in your "expert" opinion, bilevel machines are a bad thing?

I suppose that my expert opinion of you is a very bad thing.

apparently, you don't know what bilevel is, based on that excuse for a "snappy comeback",

[DreamStalker]

Obstructive or restrictive events do not occur upon inhalation. Therefore IMO, exhalation relief should be avoided because it is upon exhalation that an obstructive event will occur .... that is the worst time to reduce xPAP pressure.

you've got that all backwards.

No you're the one who's backwards.

like so many other things you proclaim, your opinion on this matter is demonstrably wrong.

it makes me, and should make others, question pretty much everything you proclaim, including your nutrition "advice".

Time to go kick your cat eh.

[DreamStalker]

My opinion that pressure be reduced during exhale is a bad idea stands nonetheless.

so, I suppose that in your "expert" opinion, bilevel machines are a bad thing?

I suppose that my expert opinion of you is a very bad thing.

apparently, you don't know what bilevel is, based on that excuse for a "snappy comeback",

And you missed .... again. Good kitty!

[DreamStalker]

but I still see no reason for it especially if you have to raise pressure to compensate for it.

Well....you are indeed entitled to your opinion but just because you feel a certain way doesn't mean the rest of the whole world needs or wants or should feel the way that you do about something.

For some people that exhale relief is the difference between sleep and no sleep.
And there's no guarantee that a change in inhale will even need to be made to compensate for the drop during exhale.
Just because someone is using some form of exhale relief doesn't automatically mean that the drop is going to make the therapy sub optimal.

To say that all exhale relief is "bad" is like me saying that anything less than maximum humidity is "bad" and everyone should do like I do and snort water. The rest of the world doesn't have to do like I do to be doing it right for them.
Just because something is "wrong" for you doesn't mean it is wrong for me or anyone else for that matter.

When I started using exhale relief after many years without it...I didn't have to raise my pressure at all to compensate for it and I discovered that I was sleeping 45 minutes longer with it and no changes anywhere else.
That 45 minutes extra allowed me to feel much better in the day.
Maybe you think that is a bad thing too but I think it is a pretty damn good reason for me to use it.

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

[palerider]

but I still see no reason for it especially if you have to raise pressure to compensate for it.

Well....you are indeed entitled to your opinion but just because you feel a certain way doesn't mean the rest of the whole world needs or wants or should feel the way that you do about something.

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

we'll, anybody paying attention is rapidly figuring out what your opinions are worth.

not even good for fertilizer.

[DreamStalker]

but I still see no reason for it especially if you have to raise pressure to compensate for it.

Well....you are indeed entitled to your opinion but just because you feel a certain way doesn't mean the rest of the whole world needs or wants or should feel the way that you do about something.

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

we'll, anybody paying attention is rapidly figuring out what your opinions are worth.

not even good for fertilizer.

Do you really think I care what a Pugsy impersonator says ... of course not, you don't have a clue what it's like to think.

[Pugsy]

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

Sorry...thought what I quoted was sufficient since I included the "I still see no reason...." stuff.
I guessed I missed that second IMO because the only one I saw was the first one.
Guess that's another thing that you and I will have to politely agree to disagree on. My use of the quote fixture.

Have a nice day.

[palerider]

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

Sorry...thought what I quoted was sufficient since I included the "I still see no reason...." stuff.
I guessed I missed that second IMO because the only one I saw was the first one.
Guess that's another thing that you and I will have to politely agree to disagree on. My use of the quote fixture.

Have a nice day.

deflecting the issue by being bitchy about how much was quoted seems to be a tactic of some people to avoid the issue.

[palerider]

but I still see no reason for it especially if you have to raise pressure to compensate for it.

Well....you are indeed entitled to your opinion but just because you feel a certain way doesn't mean the rest of the whole world needs or wants or should feel the way that you do about something.

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

we'll, anybody paying attention is rapidly figuring out what your opinions are worth.

not even good for fertilizer.

Do you really think I care what a Pugsy impersonator says ... of course not, you don't have a clue what it's like to think.

oh, burn.

[chunkyfrog]

Popcorn, anyone?

[The Choker]

When I started using exhale relief after many years without it...I didn't have to raise my pressure at all to compensate for it and I discovered that I was sleeping 45 minutes longer with it and no changes anywhere else.
That 45 minutes extra allowed me to feel much better in the day.
Maybe you think that is a bad thing too but I think it is a pretty damn good reason for me to use it.

Pugsy, Do you think I should try it again? It was early in my CPAP history when I tried it and didn't like it. Maybe I should experiment now?

[DreamStalker]

AND that's exactly what I said, IMO ... but you forgot to quote me on that part I noticed.

Sorry...thought what I quoted was sufficient since I included the "I still see no reason...." stuff.
I guessed I missed that second IMO because the only one I saw was the first one.
Guess that's another thing that you and I will have to politely agree to disagree on. My use of the quote fixture.

Have a nice day.

No apology needed or desired from you. I have the highest of respect for your xPAP knowledge (that little red idiot that follows you around though, not even at all).

Early in my therapy I too was looking for the elusive perfect "gold standard" therapy ... trying out the different brand xPAPs and their unique auto algorithms and exhale relief features, even got me a BiPAP Auto w/biflex (which has sat in my closet for over 7 years now as a back up for my back up). For me and I'm sure for many, Ocam's razor ended up being simple CPAP mode with a Swift nasal mask ... that was what got my AHI as low as it could go. I have Wulfman to thank as he has always stayed true to his recommendations ... I even have a fancy HC150 humidifier with variable heating and ambient humidity tracking that sits in my closet because like Den has always recommended, plain and simple passover works just fine too (and no need for heated hose rigs either).

Sure we can disagree, but folks who go on a quest for the most complex of therapies may do just as well if not better with the simplest approach.

As for quoting, I'm guilty of it on occasion too but I do try to quote the entire post (except for maybe extensive graphics) in order to maintain context.

Good day to you too.

[The Choker]

When I started using exhale relief after many years without it...I didn't have to raise my pressure at all to compensate for it and I discovered that I was sleeping 45 minutes longer with it and no changes anywhere else.
That 45 minutes extra allowed me to feel much better in the day.
Maybe you think that is a bad thing too but I think it is a pretty damn good reason for me to use it.

Pugsy, Do you think I should try it again? It was early in my CPAP history when I tried it and didn't like it. Maybe I should experiment now?

Pugsy, What setting did you have to use to get the extra 45 minutes?