Search found 119 matches

by justinjustin
Thu Nov 06, 2014 3:07 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Can ASV cause fatigue? Need BiPAP instead?
Replies: 52
Views: 7823

Re: Can ASV cause fatigue? Need BiPAP instead?

justinjustin, Look at the following presentation, starting from page 41 (pages 1-40 cover the modern implementation of EERS, see Todzo post above): http://www.northeastsleep.org/speaker-slides/2014/ness-2014-advanced-pap-titrations.pdf If you have similar “pressure cycling” as shown at p.44 you may...
by justinjustin
Thu Nov 06, 2014 9:50 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Can ASV cause fatigue? Need BiPAP instead?
Replies: 52
Views: 7823

Re: Can ASV cause fatigue? Need BiPAP instead?

Across all my nights, whenever the IPAP is stable, I see good waveforms. It looks best at stable 18. Whenever it's variable, the waveforms look crappy. is it possible that you are misreading the data and that the crappy waveforms come first and the machine is responding next? I have no experience w...
by justinjustin
Wed Nov 05, 2014 9:26 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Can ASV cause fatigue? Need BiPAP instead?
Replies: 52
Views: 7823

Re: Can ASV cause fatigue? Need BiPAP instead?

I can't get 12/6 bilevel with adapt. It won't let me set the maxIPAP less than minPS +5. hmm, manual says minps=0-6. maxps=5-20 wouldn't be the first time the manual's been off in a minor way. That information is correct, but not complete. It should add that maxps can not be set lower than minps+5....
by justinjustin
Wed Nov 05, 2014 7:26 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Can ASV cause fatigue? Need BiPAP instead?
Replies: 52
Views: 7823

Re: Can ASV cause fatigue? Need BiPAP instead?

So how did you get to an ASV machine? If you are having centrals, you just stop breathing and in straight CPAP or BiPap mode, the system will just sit there waiting, and waiting, and waiting for you to start breathing again. ASV will switch to ventilator mode and help you breathe until you start on...
by justinjustin
Wed Nov 05, 2014 7:06 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Can ASV cause fatigue? Need BiPAP instead?
Replies: 52
Views: 7823

Re: Can ASV cause fatigue? Need BiPAP instead?

So how did you get to an ASV machine? If you are having centrals, you just stop breathing and in straight CPAP or BiPap mode, the system will just sit there waiting, and waiting, and waiting for you to start breathing again. ASV will switch to ventilator mode and help you breathe until you start on...
by justinjustin
Wed Nov 05, 2014 5:18 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Can ASV cause fatigue? Need BiPAP instead?
Replies: 52
Views: 7823

Can ASV cause fatigue? Need BiPAP instead?

Hi all. I've been on ASV for 3 months now and I feel more fatigued using it than without. I've tried it in just CPAP mode and I'm still fatigued. I also tried APAP mode and noticed that I'd clearly wake up whenever it increased pressures. Last night I had 7.5 hr sleep with the ASV, no leaks, no awak...
by justinjustin
Wed Oct 29, 2014 6:03 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Could this be UARS?
Replies: 12
Views: 2573

Re: Could this be UARS?

I first complained of constant fatigue and everything came back normal. ... I also have chronic postnasal drip and congestion, which I thought were just allergies that weren't responding to medicine. My dr said I had IBS in 2005 but I'm not sure about that diagnosis. Have you been tested for celiac...
by justinjustin
Mon Oct 27, 2014 3:44 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Xpap Experts for hire?
Replies: 17
Views: 1298

Re: Xpap Experts for hire?

LSAT wrote:The licensed repertory therapist at the DME should already be doing "some" of this FREE. If you are not getting the help you need from the DME...Jump ship.

I've never had a DME that offered anything except abysmal service and knowledge
by justinjustin
Mon Oct 27, 2014 2:28 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Xpap Experts for hire?
Replies: 17
Views: 1298

Re: Xpap Experts for hire?

Sounds interesting, but I suspect it would lead to charges of practicing medicine without a license. If you avoided that, then it might be practicing respiratory therapy without a license (if your jurisdiction licenses those - in the US that would be all states but Alaska). Well it could even be a ...
by justinjustin
Mon Oct 27, 2014 1:44 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Xpap Experts for hire?
Replies: 17
Views: 1298

Xpap Experts for hire?

This is just a brainstorm, but I think I just had a business idea. What if there was an agency of XPAP /SDB experts that were available to DMEs as an added service, or sold direct to patients, to put new Cpap users in touch with someone that can follow their treatment and be 'on call' to initially s...
by justinjustin
Mon Oct 27, 2014 12:18 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: What was explained poorly when you began CPAP/BiPAP?
Replies: 14
Views: 2965

Re: What was explained poorly when you began CPAP/BiPAP?

This is just a brainstorm, but I think I just had a business idea. What if there was an agency of Cpap / sleep apnea experts that were available to DMEs as an added service, or sold direct to patients, to put new Cpap users in touch with someone that can follow their treatment and be 'on call' to in...
by justinjustin
Fri Oct 24, 2014 4:45 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: SLEEP APNEA DIAGNOSIS ON A SMARTPHONE!?
Replies: 10
Views: 1584

Re: SLEEP APNEA DIAGNOSIS ON A SMARTPHONE!?

Sleepy Veteran wrote:YES!
This could potentially replace traditional sleep studies and might save a lot of lives!

Take a look:
"If you or someone you love snores, vote "Like" on this video pitch for an app to diagnose sleep apnea"
https://www.youtube.com/watch?v=3vzLAWo4vjs

Red flags everywhere
by justinjustin
Wed Oct 22, 2014 7:17 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Are huge flow rate variations normal?
Replies: 27
Views: 2385

Re: Are huge flow rate variations normal?

that's some mighty heavy breathin you're doing there, podnah! Questions: If the pressure settings of the machine are too low, wouldn't the user's breathing be heavier? (trying to get more air inhaled) Could that theoretically be what's being seen in these reports? possibly, but iirc, he doesn't wan...
by justinjustin
Wed Oct 22, 2014 5:36 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Are huge flow rate variations normal?
Replies: 27
Views: 2385

Re: Are huge flow rate variations normal?

EPAP plus PS equals IPAP 7 plus 6 equals 13 and not 12 IPAP max. Nit picking I know. Which model machine do you have..ResMed S9 Adapt...is it the 36007 or 36037? Sorry for all the confusion. My settings: Resmed ASV 36007 - EPAP 7.0 PS 6.0-12.0 (cmH2O) they dumped an old asv on you? *boggle* No I do...
by justinjustin
Wed Oct 22, 2014 9:56 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Are huge flow rate variations normal?
Replies: 27
Views: 2385

Re: Are huge flow rate variations normal?

EPAP plus PS equals IPAP 7 plus 6 equals 13 and not 12 IPAP max. Nit picking I know. Is your PS fixed at 6 or is there a range? Like with my Adapt I have a minimum PS value and maximum value available to me. If your PS is fixed (set by doing the minimum and maximum to be the same)...at these settin...