"Dying" To Find ST-A User to Help Me

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Rubicon
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Re: "Dying" To Find ST-A User to Help Me

Post by Rubicon » Thu Apr 06, 2023 6:10 am

For the oximeter turn off the vibration alarm.
When you connect the monitor to your phone, you can turn on/off the vibration, change intensity or threshold.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.

Notgivingupagain
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Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Thu Apr 06, 2023 6:14 am

Image
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

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Rubicon
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Re: "Dying" To Find ST-A User to Help Me

Post by Rubicon » Thu Apr 06, 2023 6:27 am

Any chance of getting a few SleepHQ from December 2019?
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.

Notgivingupagain
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Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Thu Apr 06, 2023 7:38 am

Rubicon wrote:
Thu Apr 06, 2023 6:27 am
Any chance of getting a few SleepHQ from December 2019?
I don't know. I mean I didn't use SleepHq in 2019. And this is a new SD card.
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

Notgivingupagain
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Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Thu Apr 06, 2023 7:40 am

Got my PFT Test:
Image
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

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Rubicon
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Re: "Dying" To Find ST-A User to Help Me

Post by Rubicon » Thu Apr 06, 2023 9:27 am

Notgivingupagain wrote:
Thu Mar 30, 2023 7:46 am
But as I said, my PFT tests are perfectly fine.
PFT Result wrote:Lung Age (yrs): 82
Would you care to amend that statement?

They didn't do Lung Volumes (although they absolutely should have!) so there's no FRC. No prob can work around that.

FEF 25-75% is down as predicted. That's a sensitive measurement of bronchoconstriction.

Of note is the significant reduction in PEFR which also measures bronchoconstriction. <50% of predicted is a problem.
Anywhere That Interprets PFTs wrote:Less than 50 percent of your usual or "normal" peak flow rate signals a medical alert.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.

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Rubicon
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Re: "Dying" To Find ST-A User to Help Me

Post by Rubicon » Thu Apr 06, 2023 9:40 am

How many products are there that you know of

Where on the side there is warning

That says if you use this product you're gonna die.

Just sayin'.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.

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palerider
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Re: "Dying" To Find ST-A User to Help Me

Post by palerider » Thu Apr 06, 2023 12:41 pm

Rubicon wrote:
Thu Apr 06, 2023 9:40 am
How many products are there that you know of

Where on the side there is warning

That says if you use this product you're gonna die.

Just sayin'.
I mean, we've all contracted a fatal disease, I'm sure I'll die one of these days, just not soon enough to make my enemies happy!

'course, I've never partaken of those little packs that promise to shorten my life, though I have handled a lot of things know to cause California in the state of Cancer. (Apparently, everything will kill you there).

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Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

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Rubicon
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Re: "Dying" To Find ST-A User to Help Me

Post by Rubicon » Thu Apr 06, 2023 2:02 pm

Yeah I know, and nobody ever listens to me anyway.

But back to the PFT numbers, PEFR and FEF 25-75% suggest some degree of expiratory flow limitation. Consequently, expiratory time is going to take a little longer than normal, and you have to make sure inspiratory time is short enough (this is a variable) to insure there will be enough time for exhalation to complete (this is not variable) before the next inspiration happens, lest you get "breath stacking".

Now some MF moron who shall remain nameless decided that Timax should be 2.4 seconds. Well, a 2.4 second inspiration would not allow enough time for exhalation to occur. If one views breaths, about the most time allowable for inspiration is 2.0 seconds. Fortunately, virtually all the I:times are 2.0 seconds or less, so while the suggestion is stupid it has no bearing on anything.

IMO, I think the next DWing should be plain ol' APAP 6.0 - 15 cmH2O EPR 2.0 cause by history the AHI wasn't bad and I think we need something to get better compliance (see Session Times) and more continuous sleep. I believe much of the hypopnea (and there's a LOT) may be sleep-onset crap, which because of the sleep disruption, is like ALL the time. You can count the amount of Log Sleep on one hand (Log Sleep waveform posted early this AM).

Also, the hypopneas will be able to be better differentiated if we get out of S/T Mode, and then do a Classic Titration (OAs by EPAP, OHyp by IPAP, PS, EPR, whatever's lying around).

Another point is she's borderline restrictive lung disease (mild by interpretation) so her pCO2 is probably a little higher than normal. S/T could very be contributing to the breathing instability, it would be good to know %Spont Breaths (the one good thing Respironics does)(OK there's a few things). Hence The Other Experiment.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.

Notgivingupagain
Posts: 102
Joined: Mon Mar 27, 2023 4:58 am
Location: United States

Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Thu Apr 06, 2023 7:07 pm

Oh wow you guys. This is A LOT of information and I have to figure out a way to begin to understand it. Hello Google my friend.

Obviously I need to stop smoking, that's a given and one of the hardest things to do as well. I know hard.

When I have a chance to more closely review your amazing contributions I will be able to respond.

Speak to you tomorrow!
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

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palerider
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Location: Dallas(ish).

Re: "Dying" To Find ST-A User to Help Me

Post by palerider » Thu Apr 06, 2023 11:30 pm

Rubicon wrote:
Thu Apr 06, 2023 2:02 pm
Yeah I know, and nobody ever listens to me anyway.
I listen to you, so, you're saying I'm nobody? (I mean, you're not wrong).

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

Notgivingupagain
Posts: 102
Joined: Mon Mar 27, 2023 4:58 am
Location: United States

Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Fri Apr 07, 2023 4:28 am

Rubicon wrote:
Thu Apr 06, 2023 2:02 pm
Yeah I know, and nobody ever listens to me anyway.

But back to the PFT numbers, PEFR and FEF 25-75% suggest some degree of expiratory flow limitation. Consequently, expiratory time is going to take a little longer than normal, and you have to make sure inspiratory time is short enough (this is a variable) to insure there will be enough time for exhalation to complete (this is not variable) before the next inspiration happens, lest you get "breath stacking".

Now some MF moron who shall remain nameless decided that Timax should be 2.4 seconds. Well, a 2.4 second inspiration would not allow enough time for exhalation to occur. If one views breaths, about the most time allowable for inspiration is 2.0 seconds. Fortunately, virtually all the I:times are 2.0 seconds or less, so while the suggestion is stupid it has no bearing on anything.

IMO, I think the next DWing should be plain ol' APAP 6.0 - 15 cmH2O EPR 2.0 cause by history the AHI wasn't bad and I think we need something to get better compliance (see Session Times) and more continuous sleep. I believe much of the hypopnea (and there's a LOT) may be sleep-onset crap, which because of the sleep disruption, is like ALL the time. You can count the amount of Log Sleep on one hand (Log Sleep waveform posted early this AM).
Also, the hypopneas will be able to be better differentiated if we get out of S/T Mode, and then do a Classic Titration (OAs by EPAP, OHyp by IPAP, PS, EPR, whatever's lying around).
If I get out of ST-A mode, what mode in your opinion should be tried? S,T,PAC,iVAPS (again), CPAP?

Another point is she's borderline restrictive lung disease (mild by interpretation) so her pCO2 is probably a little higher than normal. S/T could very be contributing to the breathing instability, it would be good to know %Spont Breaths (the one good thing Respironics does)(OK there's a few things).
Hence The Other Experiment.
I am off today so I am going to give it a try. Same instructions for Part B of the experiment in ST-A mode?
PS. My 02 ring will be delivered today.
PPS. I still feel like my mask breathing "pulses"? are not quite in sync with my natural breathing. It seems like the breath in might be ok, but the timing of the breath out is slightly off. Does this make sense?
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

Notgivingupagain
Posts: 102
Joined: Mon Mar 27, 2023 4:58 am
Location: United States

Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Fri Apr 07, 2023 4:43 am

STUPID LEAKS ARE BAAAACK!

I'm setting up my video camera tonight.

Image
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

Notgivingupagain
Posts: 102
Joined: Mon Mar 27, 2023 4:58 am
Location: United States

Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Fri Apr 07, 2023 4:55 am

Rubicon wrote:
Thu Apr 06, 2023 9:40 am
How many products are there that you know of

Where on the side there is warning

That says if you use this product you're gonna die.

Just sayin'.
I know, I know. My will power in this matter sucks. But I'm getting close to making the attempt again. It's a wonder I don't have COPD or something.
Any help greatly appreciated! NOT GIVING UP AGAIN :cry:

Notgivingupagain
Posts: 102
Joined: Mon Mar 27, 2023 4:58 am
Location: United States

Re: "Dying" To Find ST-A User to Help Me

Post by Notgivingupagain » Fri Apr 07, 2023 5:06 am

Any help greatly appreciated! NOT GIVING UP AGAIN :cry: