Is A "Perfect Score" Attainable?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Sleeping Ugly
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Is A "Perfect Score" Attainable?

Post by Sleeping Ugly » Thu Oct 12, 2017 11:35 am

I have been on CPAP therapy for about 2 months now. Mainly through this site, I have found how to improve my therapy with adjustments/features to the point that I now have almost perfect numbers. It's been weeks since I have had either a CA or obstructive airway apnea. I have a smattering of hyponeas--most nights as few as 2-3 and my VS's are averaging 2-5. Last night I only had one RERA and 2 flow limitations.

I am well aware that everyone is different--medications, medical problems, weight, masks, machines, sleeping positions, etc. All the variables I am aware of.

My question is: Do you think it possible to ever achieve the "prefect score?" All O's? No CA or OA, no hyponeas, no VS, no RERA's, etc. ?

Is it a unicorn or has anyone ever had the perfect night? (UHHH--RELATED TO CPAP THERAPY)!! LOL
CPAP Therapy: providing restful and restorative sleep, while making you LOOK like you haven't had ANY! --me

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MaxINTJ
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Re: Is A "Perfect Score" Attainable?

Post by MaxINTJ » Thu Oct 12, 2017 11:39 am

Sleeping Ugly wrote:I have been on CPAP therapy for about 2 months now. Mainly through this site, I have found how to improve my therapy with adjustments/features to the point that I now have almost perfect numbers. It's been weeks since I have had either a CA or obstructive airway apnea. I have a smattering of hyponeas--most nights as few as 2-3 and my VS's are averaging 2-5. Last night I only had one RERA and 2 flow limitations.

I am well aware that everyone is different--medications, medical problems, weight, masks, machines, sleeping positions, etc. All the variables I am aware of.

My question is: Do you think it possible to ever achieve the "prefect score?" All O's? No CA or OA, no hyponeas, no VS, no RERA's, etc. ?

Is it a unicorn or has anyone ever had the perfect night? (UHHH--RELATED TO CPAP THERAPY)!! LOL
I think it's possible, but it's probably not going to happen very often. "Normal" people usually have a few events in the night.

So if you get one, take a picture. Note the date and time. Write it in a diary. Call the local news station...

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Diagnosis of crappy sleep, desats under 80, maybe UARS

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TASmart
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Re: Is A "Perfect Score" Attainable?

Post by TASmart » Thu Oct 12, 2017 11:43 am

I am sure that someone has, but that risks focusing on the numbers only. You should look at the numbers but really need to evaluate how rested you feel after a nights sleep. ALthough I have never tried it, a night with no rem, no deep stages and a perfect score would likely be less restful than a night with a few RERA, Hypopneas, and apneas and a decent amount of time spent in deep stage and rem stage sleep.
All posts reflect my own opinion based on my experience and reading.
Your mileage may vary
Past performance is no guarantee of future results
Consult with your own physician as people very

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MaxINTJ
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Re: Is A "Perfect Score" Attainable?

Post by MaxINTJ » Thu Oct 12, 2017 11:45 am

TASmart wrote:I am sure that someone has, but that risks focusing on the numbers only. You should look at the numbers but really need to evaluate how rested you feel after a nights sleep. ALthough I have never tried it, a night with no rem, no deep stages and a perfect score would likely be less restful than a night with a few RERA, Hypopneas, and apneas and a decent amount of time spent in deep stage and rem stage sleep.
LOL, so true. I actually had one smiley face (zero events), but I only had the mask on for an hour.
Phillips 960 AutoSV Paving Brick, Phillips Dreamwear Mask - Nothing is working.
Diagnosis of crappy sleep, desats under 80, maybe UARS

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AMK
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Re: Is A "Perfect Score" Attainable?

Post by AMK » Thu Oct 12, 2017 12:38 pm

I've had a zero night. I was astonished by it. But in 2.5 years I think it just happened that once.

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AMK
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Re: Is A "Perfect Score" Attainable?

Post by AMK » Thu Oct 12, 2017 12:39 pm

Oh and one thing that surprised me further was that I didn't feel any different the morning after the zero night. Still pretty wiped out.

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TASmart
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Re: Is A "Perfect Score" Attainable?

Post by TASmart » Thu Oct 12, 2017 12:41 pm

xxyzx wrote:
Sleeping Ugly wrote:I have been on CPAP therapy for about 2 months now. Mainly through this site, I have found how to improve my therapy with adjustments/features to the point that I now have almost perfect numbers. It's been weeks since I have had either a CA or obstructive airway apnea. I have a smattering of hyponeas--most nights as few as 2-3 and my VS's are averaging 2-5. Last night I only had one RERA and 2 flow limitations.

I am well aware that everyone is different--medications, medical problems, weight, masks, machines, sleeping positions, etc. All the variables I am aware of.

My question is: Do you think it possible to ever achieve the "prefect score?" All O's? No CA or OA, no hyponeas, no VS, no RERA's, etc. ?

Is it a unicorn or has anyone ever had the perfect night? (UHHH--RELATED TO CPAP THERAPY)!! LOL
================

PERFECTION IS NOT POSSIBLE


the libturds here think they are perfect
but in spite of their delusions
their crazy erroneous ideas do not become true
no matter how hard they cross their eyes and wish it would be so

Yet you have repeated many times that you only post facts and are alwys right. Take your own advice to heart.
All posts reflect my own opinion based on my experience and reading.
Your mileage may vary
Past performance is no guarantee of future results
Consult with your own physician as people very

edam
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Location: UK

Re: Is A "Perfect Score" Attainable?

Post by edam » Thu Oct 12, 2017 1:02 pm

I have been getting zero AHI but my machine has been running at 20 cm for 3-4 hours some nights . That has left me feeling rather frazzled in the morning.
Its a balance ....

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Goofproof
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Re: Is A "Perfect Score" Attainable?

Post by Goofproof » Thu Oct 12, 2017 2:34 pm

edam wrote:I have been getting zero AHI but my machine has been running at 20 cm for 3-4 hours some nights . That has left me feeling rather frazzled in the morning.
Its a balance ....
If your leak rate isn't under control the data will be faulty. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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Pugsy
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Re: Is A "Perfect Score" Attainable?

Post by Pugsy » Thu Oct 12, 2017 2:46 pm

A perfect score can be obtained if all the moon and stars and planets align perfectly.
Really difficult with a Respironics machine though because it seems like there's always 1 or 2 little somethings that prevent a perfect score.
The FLs and RERAs that are flagged along with the other stuff just make total 0's in all categories hard to come by.
I think in all my years using Respironics APAP I had perfect scores maybe 2 or 3 times...now with the ResMed I have had them more often but that's because my ResMed S9 machines didn't flag FLs and RERAs the same way the Respironics machines did.

And don't forget that sometimes we have an awake breathing event get flagged and it isn't real and doesn't really count.

I don't try to attain perfection in numbers. I never noticed any difference in how I slept or felt between an AHI of 1 or 2 and 0.0.
It's nice to see so you can pat yourself on the back but that's about it.
Your primary goal...get good sleep and have good therapy treatment holding the airway open and feel good...it's not a perfect math score.
A perfect math score doesn't mean squat if your sleep quality is in the toilet and you feel like crap.
A perfect 0.0 AHI doesn't guarantee that you will feel those good numbers either. There's so much more to this cpap therapy thing than just numbers.

I do understand the desire to see good numbers....we humans tend to need some sort of validation that things are going well so we look to numbers to validate things. We do the same with blood sugar and cholesterol and all those other lab numbers to prove we are doing good.

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Last edited by Pugsy on Thu Oct 12, 2017 3:30 pm, edited 1 time in total.
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edam
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Re: Is A "Perfect Score" Attainable?

Post by edam » Thu Oct 12, 2017 3:22 pm

Nicely said.
I also agree the differences between machines
I found some stats from my old Respironics machine and the AHI was always above 1 but I get zeros from my Resmed

Guest

Re: Is A "Perfect Score" Attainable?

Post by Guest » Thu Oct 12, 2017 4:37 pm

Sleeping Ugly wrote:I have been on CPAP therapy for about 2 months now. Mainly through this site, I have found how to improve my therapy with adjustments/features to the point that I now have almost perfect numbers. It's been weeks since I have had either a CA or obstructive airway apnea. I have a smattering of hyponeas--most nights as few as 2-3 and my VS's are averaging 2-5. Last night I only had one RERA and 2 flow limitations.

I am well aware that everyone is different--medications, medical problems, weight, masks, machines, sleeping positions, etc. All the variables I am aware of.

My question is: Do you think it possible to ever achieve the "prefect score?" All O's? No CA or OA, no hyponeas, no VS, no RERA's, etc. ?

Is it a unicorn or has anyone ever had the perfect night? (UHHH--RELATED TO CPAP THERAPY)!! LOL
Well, maybe.
But, it also might indicate that the person wasn't actually sleeping or sleeping all that well (in good, sound sleep).
A few of those events may indicate if and when the user is actually sleeping much deeper and sounder.

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hobbs
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Re: Is A "Perfect Score" Attainable?

Post by hobbs » Thu Oct 12, 2017 4:43 pm

I get ZERO 2-3 times a week.

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CapnLoki
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Re: Is A "Perfect Score" Attainable?

Post by CapnLoki » Thu Oct 12, 2017 4:47 pm

Once I got my average AHI below 0.5, I started getting 0.0 on occasion; I figure its a study in the statistics of small numbers. It seems that when I exercise more and sleep better, it happens about one night in ten. When I'm slothful not so much.

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Pugsy
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Re: Is A "Perfect Score" Attainable?

Post by Pugsy » Thu Oct 12, 2017 4:47 pm

I see a lot more 0.0s reported from ResMed users than I do Respironics users.
I think part is due to the minor difference in event definitions and part just because the Respironics tends to be super sensitive sometimes.
I think more likely to flag SWJ maybe.....which of course doesn't really count but gets flagged anyway so it messes up the perfect score.
I always got more SWJ with Respironics than I do with ResMed.

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