CPAPtalk.com

I'll be baaaaack...

Stephen

StephenR wrote:I'll be baaaaack...

Stephen

we're counting on it

So...

I have had 4 nights off of the machine, sleeping really well...couple of bathroom breaks per night, no trouble falling asleep again...getting 7 - 8 hrs sleep
I see the sleep lab October 27 for a 30 min consultation with a sleep doc...

My question is: as I am sleeping so well, so far, should I stay off of the machine? I have a pulseox, could check my oxygen levels...

I see an ENT doc beginning of October, no word on the Respirologist yet...

Looking forward to another good night's sleep

Stephen

StephenR wrote:As of last Thursday, when I bought my machine, they aren't even using Encore, just the Sleepmapper, which is super basic and quite useless...

Don't be too hard on SleepMapper. If things look good in SleepMapper, the data is probably pretty good. Don't forget a lot of people are STILL given brick CPAP machines, which have even less data, and many doctors don't even bother to look at the data SleepMapper gives, just compliance or even pass that responsibility to the DME.

It is a shame that many doctors/DME's are too lazy to look at the full SD card data with Encore or ResScan, but SleepMapper and its ilk are still somewhat useful if you have a data capable machine.

StephenR wrote:My question is: as I am sleeping so well, so far, should I stay off of the machine? I have a pulseox, could check my oxygen levels...

Check your oxygen levels off the machine and compare to on the machine levels.

Pugsy wrote:

StephenR wrote:My question is: as I am sleeping so well, so far, should I stay off of the machine? I have a pulseox, could check my oxygen levels...

Check your oxygen levels off the machine and compare to on the machine levels.

oxygen levels are good without machine, never goes below 90%...
Going back on machine tonight, I am starting to snore again, will wear PulseOx too....Will keep machine and tough it out til I see sleep doc...

Thanks for the help,

Stephen

If your oxygen levels drop when using the machine below what they are when you don't use it....
snoring might be a better evil to have to deal with.
If it's the cpap pressure that is causing the centrals then the oxygen levels might drop more and you don't want that.
At this point we don't know for sure what's causing the centrals...but if your oxygen levels drop then it means the centrals you are having are causing problems.

Pugsy wrote:If your oxygen levels drop when using the machine below what they are when you don't use it....
snoring might be a better evil to have to deal with.
If it's the cpap pressure that is causing the centrals then the oxygen levels might drop more and you don't want that.
At this point we don't know for sure what's causing the centrals...but if your oxygen levels drop then it means the centrals you are having are causing problems.

Yikes, I am surely quirky...lol

here is the PulseOx graph from Sleepy head...



S

StephenR wrote: Yikes, I am surely quirky...lol

here is the PulseOx graph from Sleepy head...
S

is that with, or without the cpap?

palerider wrote:

StephenR wrote: Yikes, I am surely quirky...lol

here is the PulseOx graph from Sleepy head...
S

is that with, or without the cpap?

No CPAP, going back on tonight...

Stephen

uggg

Back on machine, with Oxymeter...first part of chart uglier as I was falling asleep...very tired this morning, yawning and spacey
will do this for a week...



Stephen

Obviously the centrals seem to be impacting the O2 levels and not in a good way.
Really makes me lean towards CompSA where the centrals are likely related to the addition of cpap pressure used to treat the obstructive events.

You know if it was me I might try a lower fixed pressure to see if the centrals reduced any and see if the obstructive events increased. Sometimes people get lucky and find a pressure where the central stay away and the obstructives also stay away.
It would be something to consider while waiting for the appointment with the doctor.
Like maybe 6 cm fixed pressure without using EPR/ Flex exhale relief if it is being used. There are a few people who find that EPR itself can trigger centrals.

Pugsy wrote:Obviously the centrals seem to be impacting the O2 levels and not in a good way.
Really makes me lean towards CompSA where the centrals are likely related to the addition of cpap pressure used to treat the obstructive events.

You know if it was me I might try a lower fixed pressure to see if the centrals reduced any and see if the obstructive events increased. Sometimes people get lucky and find a pressure where the central stay away and the obstructives also stay away.
It would be something to consider while waiting for the appointment with the doctor.
Like maybe 6 cm fixed pressure without using EPR. There are a few people who find that EPR itself can trigger centrals.

how about 6-10 no flex, and see how the machine reacts to centrals?

palerider wrote: how about 6-10 no flex, and see how the machine reacts to centrals?

He's already pegging out with max of 10 now...95% is 10 and max is 10. It won't make much difference changing the minimum to 6...it's still going to go to 10. He probably needs it for the obstructives but the O2 levels with the machine are worse than without the machine...so it looks like the centrals are causing more of a problem with desats than the obstructives untreated at this point.

The drop in pressure during exhale with Flex might be working like EPR does for those very rare people who get centrals triggered by the drop.

I am just what iffing.

Pugsy wrote:

palerider wrote: how about 6-10 no flex, and see how the machine reacts to centrals?

He's already pegging out with max of 10 now...95% is 10 and max is 10. It won't make much difference changing the minimum to 6...it's still going to go to 10. He probably needs it for the obstructives but the O2 levels with the machine are worse than without the machine...so it looks like the centrals are causing more of a problem with desats than the obstructives untreated at this point.

The drop in pressure during exhale with Flex might be working like EPR does for those very rare people who get centrals triggered by the drop.

I am just what iffing.

if the details section is right, he's got a 7cm ramp start, and is in cpap mode at 10.

that's why I figured 6-10 auto might be worth a try to see what happens.