APAP Discussion

Snoredog · Post by **Snoredog** » Sat Mar 10, 2007 6:09 pm

StillAnotherGuest wrote:
rested gal wrote:
StillAnotherGuest wrote:The above APAP disaster
If you're referring to the PB420E graph on page 2, I still wish I could'a sneaked in there to flip off IFL1.

Might not have made one bit of difference for Wally. Oh, wait, you said that wasn't Wally??? I could have sworn the peaks looked tall enough to be him!
BTW, that APAP gone awry did just swimmingly with the ASV.

I thought Wally started out with the Respironics AutoBiPAP pretty much from Day 1.

Hey, RG, I think those PLMs would stand an equal chance of running your pressures up. That, and your waveform does look a little flat to begin with. By eyeball, I wouldn't have been surprised if the 420 didn't run the pressure up even without IFL1 on.

I mean, at 8 and change, there's still stuff there that needs to be addressed.

SAG

-SWS · Post by **-SWS** » Sat Mar 10, 2007 6:26 pm

StillAnotherGuest wrote: You be the straight guy, I'll do the comedy.

Hmm... That is not even close to being the first time I've heard this advice.

Okay, I'll try to be the straight guy:
SAG, I heard you just flew in from L.A. So, how tired do your arms feel?"

BrianRT · Post by **BrianRT** » Sat Mar 10, 2007 6:50 pm

analog finger!!?!?!?........ROFL!!

That's good stuff.

I hope to put my own analysis of the APAP/CSA issue on here really soon. Maybe tomorrow when the little ones aren't wanting wanting on the computer.
But anyway, good stuff. I love theory and application of medical concepts.

rested gal · Post by **rested gal** » Sat Mar 10, 2007 8:52 pm

Snoredog wrote:3. Chin straps are optional should doing that blow the top of your head off, should that happen the chin strap will hold it on so you don't lose anything.

There ya go! Good one, Snoredog!

Snoredog wrote:2. We should open our autopaps up from 4cm to 20cm and just let her rip!

Well, mebbe you shouldn't.

Actually, I do think a PSG performed and scored by competent expert techs is the best way to go. Particularly important for people who have other medical illnesses. Plus, a person might think they have "just OSA" and never know they have PLMD or something else that can cause arousals and disrupt sleep just as surely as plain OSA. As SAG has been known to say, "You've got to know what you're trying to treat before you try to treat it."

Would that everyone could have a PSG at a sleep lab like SAG's. Where it would be done right by techs who know what they are doing.

And would that everyone could have the support of a caring DME employee like some of the ones we see here -- BrianRT, KansasRT, matt, fidget; and several who posted in the past like -- IllinoisRRT and MelMel / MelMel1, and JeffroDoe.

BrianRT · Post by **BrianRT** » Sat Mar 10, 2007 9:16 pm

Thanks RG, I appreciate that.

A full blown PSG scored by COMPETENT staff is the gold standard and is the only way to go as far as I'm concerned.

I only relate my experiences, and hope it's not seen as anything more than that. I undertsnad taht SAG dus a grate job at hiz labb (sorry, SAG, couldn't resist.....but I'm serious in my statement ) )

I suppose we should all avoid sweeping generalizations. I know that for every brilliant, astute, and highly knowledgable medical professional, there are 10 more who are the opposite (Esp. DME RT's..........and that's MY experience only) that ruin it for everyone.

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-SWS · Post by **-SWS** » Sat Mar 10, 2007 10:36 pm

SAG wrote:Hey, RG, I think those PLMs would stand an equal chance of running your pressures up.

You mean those leg kicks that are probably also driven by a "physiologically-defensive" neurological instruction set in some patients?

That was for the central-hypopnea chiding when you thought I was on vacation and not watching.

blarg · Post by **blarg** » Sat Mar 10, 2007 11:26 pm

rested gal wrote:
Snoredog wrote:3. Chin straps are optional should doing that blow the top of your head off, should that happen the chin strap will hold it on so you don't lose anything.
There ya go! Good one, Snoredog!

Now I know it really is a conspiracy.

*puts his chin strap on*

Wulfman · Post by **Wulfman** » Sun Mar 11, 2007 9:23 am

Snoredog wrote:3. Chin straps are optional should doing that blow the top of your head off, should that happen the chin strap will hold it on so you don't lose anything.

In which case, it could be said that you have an "open mind" about this therapy.

Den (one of those who has an open mind)

-SWS · Post by **-SWS** » Sun Mar 11, 2007 9:33 am

Right about now I'm thinking we may be able to resurrect Vaudeville right here on this message board!

Wulfman · Post by **Wulfman** » Sun Mar 11, 2007 9:41 am

-SWS wrote:Right about now I'm thinking we may be able to resurrect Vaudeville right here on this message board!

Sounds good to me. Do ya want ME to play straight man this time?

Best wishes,

Den

dsm · Post by **dsm** » Sun Mar 11, 2007 3:32 pm

CollegeGirl wrote:Recently there has been etc: etc:

CG,

Just wanted to add my comment on what a well thought out & helpful post this was.

For any of our newbies, CG has created an excellent thread. Take note.

DSM

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