Are machines numbers accurate?

[BillSc]

Someone asked whether or I was using EPR so I checked. EPR was already on. I never changed it!

I put an SD card in the machine tonight. So if someone could point out which software to download, I appreciate it very much. I have a Windows10 system. God willing, I should have the results a available for posting sometime tomorrow.

Thanks again!

Bill

[Pugsy]

OSCAR https://www.sleepfiles.com/OSCAR/
http://www.apneaboard.com/wiki/index.ph ... stallation
http://www.apneaboard.com/wiki/index.ph ... rpretation

[BillSc]

Please bear with me as I get familiar with Oscar. Here are some of the initial data. Not sure what needs to posted and or the best way to post it. Certainly don't want to junk things up.

The last time you used your ResMed AirSense 10 AutoSet...
was last night (on Friday, February 28, 2020)

Your machine was on for 6 hours, 11 minutes and 7 seconds.
You had an AHI of 35.41, which is over your 7 day average of 27.56.
Your pressure was under 16.68 cmH2O for 95% of the time.
Your average leaks were 3.15 L/min, which is reasonably close to your 7 day average of 3.15.

[Pugsy]

viewtopic/t158560/How-to-post-images-for-review.html

[BillSc]

I hope this is better!

screenshot-20200301-135647.png (122.53 KiB) Viewed 595 times

[Pugsy]

Review the report examples I have in this thread.
viewtopic/t158560/How-to-post-images-for-review.html

[palerider]

So here are my results. Hope I'm posting the right!
screenshot-20200229-175940.pngscreenshot-20200229-180336.pngscreenshot-20200229-180419.png

Well if you didn't pay any attention to Pugsy's link, maybe you'll pay attention to this one:

http://cpaptalk.com/wiki/index.php/Oscar:organize

[BillSc]

Sorry if it wasn’t posted properly. I tried to follow the instructions... turning of sidebars and trimming screenshots. Wasn’t aware it was that critical. Please just disregard!

[palerider]

Sorry if it wasn’t posted properly. I tried to follow the instructions... turning of sidebars and trimming screenshots. Wasn’t aware it was that critical. Please just disregard!

You didn't even get close.

Try following the link I posted.

[BillSc]

As I said, just disregard!

[Pugsy]

You can try turning EPR off and see if that affects the number of central apneas or not.

If it doesn't you need to be getting in your doctor's face a little more. A few centrals here and there isn't a big deal but yours are way more than just a few.

[chunkyfrog]

You can try turning EPR off and see if that affects the number of central apneas or not.

If it doesn't you need to be getting in your doctor's face a little more. A few centrals here and there isn't a big deal but yours are way more than just a few.

That would be your cue to be a squeaky wheel.

[Jas_williams]

As I said in my earlier post you are on the wrong machine you are left with predominately Central Apnoea as your machine has treated your obstructive apnoea. You need to go back to your Dr to look at a different machine that can treat both types of apnoea. You need a Resmed ASV machine and your going to have to fight to get one

[BillSc]

Thank you all for the advice. I just have a few more questions and observations. First, what is the difference between CPAP and Autoset modes on my machine? Secondly, the dr. proposed doing 2 things. Redoing the CPAP Titration Study and referring me to neurologist for meds. I’m not keen about having another study. Apparently they did not see all these centrals in the past. As for meds, they may not be appropriate for me. At least that’s what I understand from an earlier post. Finally, I will turn off EPR tonight and see if it makes any difference. I will say I sleep a bit better using this machine but that’s not saying much. I normally wake up at least once every hour or so. For those I upset posting the results, I apologize and plan to fix them today to comply (or attempt to) with your expectations. Regret any inconvenience!

[Pugsy]

cpap mode is a single fixed pressure all night long.

Auto mode is a single pressure that can auto adjust throughout the night as needed.

Using EPR creates a bilevel pressure situation and sometimes it can trigger the centrals in a very small subset of people who find that cpap therapy triggers central apneas...which is why we suggest turning it off to see if the centrals reduce. Sometimes we get lucky and that is all that is needed to substantially reduce the number of central apneas. It's an easy experiment to try.

When people don't have central apneas prior to starting cpap therapy and they do develop and unusually large number of centrals once on cpap it's called treatment emergent central sleep apnea.
And you end up with a diagnosis of Complex sleep apnea where you have Obstructive Sleep Apnea to start with and then Central sleep apnea develops...so you have both.