CPAPtalk.com

palerider wrote: you can take your hypocritical horseshit "be kind... takes so much less energy." and shove it where the sun doesn't shine.

it's clear you don't give a shit about the welfare of anybody that may be misled or confused by avi's bullshit, but others of us do.

Well, isn't this sweet. I just now saw this post. I don't stay on the forum like you do palerider because, unlike you, I actually have a life. I have no need to bully people who come to this forum to bolster my own ego. I find it interesting that in about every other thread there is someone who is calling you out for being a condescending jerk. If it wasn't so sad, it would be funny. In the next week I'm going to go back a few years and compile a list of posts where people are telling you what a jerk you are. It's gonna be lots of pages and will be called, "OT: palerider the Bully." Wait for it, I know you will enjoy.

Right... you won't read this... what a joke.

Nite now.

Lucyhere wrote: ...In the next week I'm going to go back a few years and compile a list of posts where people are telling you what a jerk you are. It's gonna be lots of pages and will be called, "OT: palerider the Bully." Wait for it, I know you will enjoy. ...

Hope the "lol" means you're not really going to do that. I don't have a rooster in this fight. Just got several people who matter to me dealing unexpectedly with end of life issues too soon. One said, "But I've got unfinished business." Bet she wouldn't waste one second on petty bickering. Go do something that builds you up instead of eats you up.

I understand that the FOT or any pressure pulses do not run continuously but I tend to notice them.
I'm in the habit of sleeping for 5 hours with CPAP until around 4-5 am then waking up and I'm unable to get back to sleep with CPAP so I sleep without it from then on. I do suffer from centrals, my second sleep doctor was surprised that my original doctor did not diagnose me with central sleep apnea instead of obstructive sleep apnea. I have rescan charts showing a crowd of central events from around 4 onward if I manage to sleep throughout. But most of the time I recall waking to the pressure pulses if I did that.

I've always wondered if i should be on a different machine

From my docs report:
Sleep Architecture : Sleep onset latency at 9 minutes was mildly reduced. REM latency at 193 was mildly prolonged. There were 3 REM cycles noted. Sleep hypnogram was midly chaotic. Sleep stages, N1 4.3%, N2 74.1%, N3/4 10.4% and stage R 11.2%

Respirations during sleep : apnea/hypopnea index of 34 per hour, central apneas were noted and contributed to 28.6 to the index.

Also the sleep tech report states "The patient appeared to have frequent DBE's and UAR with frequent central apneas in the second part of the study"
As I mentioned I had an original doctor who i had a study and a titration with and my second doctor just did a titration.

Uncle_Bob wrote: I've always wondered if i should be on a different machine

You could always do like I did and get ASV just for grins but it's a pretty expensive grin unless you find a really hot deal.

How many centrals are you seeing now?

I don't know what to tell you about being sensitive to the FOT or pressure pulses or whatever a machine uses to help it tell the difference between a central or obstructive. I know you aren't the only one to complain about them but you know the cold hard fact is that you are in a minority so there's not much chance of anyone wanting to help those of you who are sensitive like that out.

You might ask Julie if the Devilbiss flags centrals and if it does what does it do to figure out a central from an obstructive. I haven't kept up with the Devilbiss enough to know how it figures things out.
I think F & P may flag centrals but I don't know what they use to help figure it out.
I think Julie uses a Devilbiss and she might know.

Uncle_Bob wrote:I understand that the FOT or any pressure pulses do not run continuously but I tend to notice them.
...I've always wondered if i should be on a different machine

Didn't you have or still have an S8? No FOT with it. Did you suffer the same wake up's and inability to go back to sleep using that machine? It could be these CA you are experiencing are Sleep Wake Junk and not related to the FOT. Just something to think about.

Uncle_Bob wrote:From my docs report:Sleep Architecture : Sleep onset latency at 9 minutes was mildly reduced. REM latency at 193 was mildly prolonged. There were 3 REM cycles noted. Sleep hypnogram was midly chaotic. Sleep stages, N1 4.3%, N2 74.1%, N3/4 10.4% and stage R 11.2%

Seems to me you might want to look more into possible reasons for a lower than normal amount of REM (11% vs about 20%) and its slightly prolonged latency (193 vs 90-120)
Again, just something to think about.

There might be machines made recently without FOT.
Anyone know about any of the second or third tier machines?

chunkyfrog wrote:There might be machines made recently without FOT.
Anyone know about any of the second or third tier machines?

afaik, FOT is a resmed, and high end respironics thing (the trilogy machines can do FOT).

The APEX XT looks like an S8 Autoset II knock off, it probably doesn't have FOT, but then, I think I'd rather have an S8 (oh, I do ).
Although, with it's integrated humidifier and power supply, the Apex may make a good travel machine (Data limited to AHI and Leak).

APEX and ResMed Resolve Patent disputes

Jay Aitchsee wrote:The APEX XT looks like an S8 Autoset II knock off, it probably doesn't have FOT, but then, I think I'd rather have an S8 (oh, I do ).
Although, with it's integrated humidifier and power supply, the Apex may make a good travel machine (Data limited to AHI and Leak).

APEX and ResMed Resolve Patent disputes

Thanks Jay,

I've got an S8 and an S8 AutoSet, both need a whirl so I need to try them out anyway, even though I have no data.

Jay Aitchsee wrote:I've got an S8 and an S8 AutoSet, both need a whirl so I need to try them out anyway, even though I have no data.

You no longer have the S8 card reader and ResScan?

It would be interesting to compare the detail data of the S8 to the machine you are using now (Which is?). Even though S8 doesn't discriminate between central and obstructive apneas, the number and times of events could be compared.

Jay Aitchsee wrote:

Jay Aitchsee wrote:I've got an S8 and an S8 AutoSet, both need a whirl so I need to try them out anyway, even though I have no data.

You no longer have the S8 card reader and ResScan?

It would be interesting to compare the detail data of the S8 to the machine you are using now (Which is?). Even though S8 doesn't discriminate between central and obstructive apneas, the number and times of events could be compared.

Unfortunately I do not have the card reader anymore. I also do not have the use of my Zeo which was useful to some extent in seeing REM cycles.

Jay Aitchsee wrote:Unfortunately I do not have the card reader anymore. I also do not have the use of my Zeo which was useful to some extent in seeing REM cycles.

Well, you can try the S8 and see if you subjectively feel any better. Which is, after all, a most important metric.