can too high of pressure prevent treatment?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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palerider
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Re: can too high of pressure prevent treatment?

Post by palerider » Wed Jul 11, 2018 11:55 am

zackds wrote:
Wed Jul 11, 2018 11:50 am
palerider wrote:
Wed Jul 11, 2018 11:45 am
zackds wrote:
Wed Jul 11, 2018 6:27 am
i wish i could look at my sleepyhead data
And, why can't you?
the computer i was using that had an sd slot i no longer have here
im waiting on my sd adapter for this computer
I'm pretty sure you can pick up a usb adapter at any office supply store. How long is this wait?

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Wed Jul 11, 2018 12:43 pm

palerider wrote:
Wed Jul 11, 2018 11:55 am
zackds wrote:
Wed Jul 11, 2018 11:50 am
palerider wrote:
Wed Jul 11, 2018 11:45 am
zackds wrote:
Wed Jul 11, 2018 6:27 am
i wish i could look at my sleepyhead data
And, why can't you?
the computer i was using that had an sd slot i no longer have here
im waiting on my sd adapter for this computer
I'm pretty sure you can pick up a usb adapter at any office supply store. How long is this wait?
yea i should of just done that but ordered one on ebay while i was at the computer
a couple more days

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Wed Jul 11, 2018 2:18 pm

i will say that i woke up less often last night when i lowered my pressure
and i feel a bit better today than i have in a week or so
my only explanation could be that
the higher pressures could have been filling my abdomen up with air
which puts pressure on my breathing that could be interfering with
any treatment i could have had if i have SA

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Jay Aitchsee
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Re: can too high of pressure prevent treatment?

Post by Jay Aitchsee » Wed Jul 11, 2018 4:08 pm

Zack, while I agree with PR that higher pressures won't cause obstructive apneas, I believe that pressures higher than necessary for effective treatment could be disturbing. Higher pressures could lead to bloating, leaks, and central apneas, any of which could produce disturbed sleep.

As far as SleepyHead telling you whether or not you still have sleep apnea, it won't happen. In a perfect world, with the correct machine settings, all apneas would be prevented by the machine and your AHI would be 0.0. Your apnea would be perfectly treated, but, without the machine, you would still have it. In our world that seldom happens, but we might frequently see a treated AHI less than 1.0. The only way to tell if you (still) have sleep apnea is with a sleep study, preferably in a lab setting.

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Doug_Nightmare
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Re: can too high of pressure prevent treatment?

Post by Doug_Nightmare » Wed Jul 11, 2018 4:27 pm

Jay Aitchsee wrote:
Wed Jul 11, 2018 4:08 pm
... Higher pressures could lead to bloating, leaks, and central apneas, ... all apneas would be prevented by the machine and your AHI would be 0.0.
Only Obstructive SA can be prevented by pressure stenting. Central SA are forever, short of a brain reset. Am I wrong?

Edited for the hard of reading.. Interesting, Mark ups don’t have to be closed.
Last edited by Doug_Nightmare on Wed Jul 11, 2018 4:44 pm, edited 3 times in total.
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Re: can too high of pressure prevent treatment?

Post by chunkyfrog » Wed Jul 11, 2018 4:40 pm

Jay was talking about OBSTRUCTIVE apneas--and a theoretical "perfect world".
No confusion.

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Jay Aitchsee
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Re: can too high of pressure prevent treatment?

Post by Jay Aitchsee » Wed Jul 11, 2018 5:51 pm

Jay Aitchsee wrote:
Wed Jul 11, 2018 4:08 pm
Zack, while I agree with PR that higher pressures won't cause obstructive apneas, I believe that pressures higher than necessary for effective treatment could be disturbing. Higher pressures could lead to bloating, leaks, and central apneas, any of which could produce disturbed sleep.

As far as SleepyHead telling you whether or not you still have sleep apnea, it won't happen. In a perfect world, with the correct machine settings, all apneas would be prevented by the machine and your AHI would be 0.0. Your apnea would be perfectly treated, but, without the machine, you would still have it. In our world that seldom happens, but we might frequently see a treated AHI less than 1.0. The only way to tell if you (still) have sleep apnea is with a sleep study, preferably in a lab setting.
Doug_Nightmare wrote:
Wed Jul 11, 2018 4:27 pm
Jay Aitchsee wrote: ↑Wed Jul 11, 2018 5:08 pm... Higher pressures could lead to bloating, leaks, and central apneas, ... all apneas would be prevented by the machine and your AHI would be 0.0.
Doug_Nightmare wrote:
Wed Jul 11, 2018 4:27 pm
Only Obstructive SA can be prevented by pressure stenting. Central SA are forever, short of a brain reset. Am I wrong?
chunkyfrog wrote:
Wed Jul 11, 2018 4:40 pm
Jay was talking about OBSTRUCTIVE apneas--and a theoretical "perfect world".
I was talking primarily about OSA, but central apnea could be treated by PAP as well. See https://www.mayoclinic.org/diseases-con ... c-20352114

But the point of my 2nd paragraph, which you combined with my 1st in your quote, was really that a low or 0.0 treated AHI doesn't mean that you no longer have untreated sleep apnea.

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palerider
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Re: can too high of pressure prevent treatment?

Post by palerider » Wed Jul 11, 2018 5:52 pm

zackds wrote:
Wed Jul 11, 2018 2:18 pm
my only explanation could be that
the higher pressures could have been filling my abdomen up with air
Or, leaks. Or, just breathing out against that pressure when you're not used to it.

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palerider
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Re: can too high of pressure prevent treatment?

Post by palerider » Wed Jul 11, 2018 5:53 pm

Doug_Nightmare wrote:
Wed Jul 11, 2018 4:27 pm
Central SA are forever, short of a brain reset. Am I wrong?
Yes.

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Thu Jul 12, 2018 9:48 am

just want to say i feel even better today than i did yesterday at lower pressures
i can tell theres some room for improvement
but i know now that higher pressure is unnecessary
im going out of town for a few days here but
i can post on when i get back to tell how i felt
and hopefully have a sleepyhead graph to show

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Sun Jul 15, 2018 12:03 pm

here is a few examples from the other night
the machine didnt seem to mark most of these
screenshots i took
i remember waking up a few times
but overall felt pretty good the next day
could you guys help me interpret the
wavy breathing screenshots?
what is that?
it happened more than i took screenshots of
and i might have had more of what i am thinking
are obstructive events but i just took these screenshots for now
i know its not a sure thing just by looking at these shots, but based on yalls
expertise, do you think i have apnea?

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Re: can too high of pressure prevent treatment?

Post by Pugsy » Sun Jul 15, 2018 12:12 pm

zackds wrote:
Sun Jul 15, 2018 12:03 pm
do you think i have apnea?
I see nothing on those reports that point to OSA.

The pressure increases are probably nothing more than the normal pressure probes so they don't mean all that much.

I saw nothing on your original reports either and back then you were having the common complaint of just not sleeping well with the machine and mask. Then you started doing wild pressure changes willy nilly without any clearly defined plan or reasoning.
You got impatient and started to try to treat something that you never even confirmed needed treatment.

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Sun Jul 15, 2018 12:21 pm

hmm, ok
i do agree the increased pressure wasnt rational
i brought it back down recently to where its at on the report
i suppose the fact that ive been feeling better could be just placebo

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Sun Jul 15, 2018 12:22 pm

palerider wrote:
Wed Jul 11, 2018 5:53 pm
Doug_Nightmare wrote:
Wed Jul 11, 2018 4:27 pm
Central SA are forever, short of a brain reset. Am I wrong?
Yes.
could i get your thoughts on my above post?

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zackds
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Re: can too high of pressure prevent treatment?

Post by zackds » Sun Jul 15, 2018 12:39 pm

Pugsy wrote:
Sun Jul 15, 2018 12:12 pm
zackds wrote:
Sun Jul 15, 2018 12:03 pm
do you think i have apnea?
I see nothing on those reports that point to OSA.

The pressure increases are probably nothing more than the normal pressure probes so they don't mean all that much.

I saw nothing on your original reports either and back then you were having the common complaint of just not sleeping well with the machine and mask. Then you started doing wild pressure changes willy nilly without any clearly defined plan or reasoning.
You got impatient and started to try to treat something that you never even confirmed needed treatment.

what about the pressure for this night?

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