Resmed VPAP Adapt SV - for Central Sleep Apnea

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
frequenseeker
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Post by frequenseeker » Sun Aug 06, 2006 5:52 pm

-SWS, you sly thing

Yes, okay, not only am I an available SWF but - I can fix vagus nerves with my therapy.
I am looking forward to treating at least one of you so we can see how it can change/help
I have been trying to talk -SWS and his wife in being my houseguests at the seaside so I can fix them...Surely someone here can make the trip to Maine?!

BTW I am training someone in my methods so they can fix my vagus. I should say, finish fixing it. I used to get all cold and clammy and trembling and racing heart at the slightest provocation: stressful discussion, public speaking, exercising, any new experience, etc. Abdominal crunches were a bad trigger, I would wake up with near panic attackes and back pain, Looking back I probably was having apnea episodes too. I got some of my treatment a number of years ago and most of these symptoms were cleared. But, as you know, there are a few more left...

I wonder how many people with VCD had tonsillectomies...one source of my trauma..

frequenseeker
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Post by frequenseeker » Sun Aug 06, 2006 6:02 pm

Great article, Snoredog! Thanks.
I found this article searching for "vagal dysfunction" (Paradoxical vocal cord movement (PVCM)):

http://www1.wfubmc.edu/voice/topics/differential.htm

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Snoredog
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Post by Snoredog » Sun Aug 06, 2006 6:07 pm

frequenseeker wrote:-SWS, you sly thing

Yes, okay, not only am I an available SWF but - I can fix vagus nerves with my therapy.
I am looking forward to treating at least one of you so we can see how it can change/help
I have been trying to talk -SWS and his wife in being my houseguests at the seaside so I can fix them...Surely someone here can make the trip to Maine?!

BTW I am training someone in my methods so they can fix my vagus. I should say, finish fixing it. I used to get all cold and clammy and trembling and racing heart at the slightest provocation: stressful discussion, public speaking, exercising, any new experience, etc. Abdominal crunches were a bad trigger, I would wake up with near panic attackes and back pain, Looking back I probably was having apnea episodes too. I got some of my treatment a number of years ago and most of these symptoms were cleared. But, as you know, there are a few more left...

I wonder how many people with VCD had tonsillectomies...one source of my trauma..
hey I resemble all of the above, ...you live on da beach? and your single? Oh man, getting out my speedo's now I go to da beach, me and my pal Gizmo cept he don't like riding on the ATV, the big sissy.

better unhijack this post
Last edited by Snoredog on Sun Aug 06, 2006 10:56 pm, edited 1 time in total.

frequenseeker
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Post by frequenseeker » Sun Aug 06, 2006 6:17 pm

Snoredog,
You got me all excited about all those wheels.
However, Maine is more rocks than sand, you might want to leave the ATV and bring your kayak instead. My two Malteses love going for a paddle with me, maybe your Gizmo would like this too..
I'd post some photos for you but have to find a site to host. Any suggestions?

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dsm
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Post by dsm » Sun Aug 06, 2006 6:43 pm

Snoredog wrote:Interesting:

I found this article searching for "vagal dysfunction" (Paradoxical vocal cord movement (PVCM)):

http://www1.wfubmc.edu/voice/topics/differential.htm

Sorta goes back to what SWS suggested, scroll down to paragraph entitled "Brainstem Abnormalities".
Yes, a very interesting link.

Thanks

DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

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Snoredog
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Post by Snoredog » Sun Aug 06, 2006 6:44 pm

kayak? I've been known to do some rafting a few years back, here on the upper middle fork of the American river.

picture host? I just use my free webspace provided by ISP but others use photobucket and other free sites.
Last edited by Snoredog on Sun Aug 06, 2006 10:57 pm, edited 1 time in total.

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dsm
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Post by dsm » Sun Aug 06, 2006 7:01 pm

Grabbed from the linked to website re GERD

Adult Lifestyle Changes To Prevent GERD And LPR

* Avoid eating and drinking within two to three hours prior to bedtime
* Do not drink alcohol
* Eat small meals and slowly
* Limit problem foods:
o Caffeine
o Carbonated drinks
o Chocolate
o Peppermint
o Tomato and citrus foods
o Fatty and fried foods
* Lose weight
* Quit smoking
* Wear loose clothing

Many of these apply to self - but why the loose clothing entry ?

DSM

PS Snoredog - that is one cute puppy - looks full of character.
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

frequenseeker
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Post by frequenseeker » Sun Aug 06, 2006 7:08 pm

Snoredog, so wonder you have vagal problems - it is the fight or flight, survival at all costs, nerve
Now we know the kind of activities that stimulate your vagus

DSM, tight clothing puts pressure on the abdomen, promoting stomach displacement and pressure upwards, promoting reflux.

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christinequilts
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Post by christinequilts » Sun Aug 06, 2006 7:28 pm

dsm wrote: but why the loose clothing entry ?
I would imagine you don't want tight clothing constricting the abdomen or in this case throat or anything.

You might want to look into having a Ph Probe done in conjunction with a sleep study if the GERD related apneas continue to a problem. Then they can see which happens first- the reflux or the apnea. Or you can track down this new toy http://www.medgadget.com/archives/2006/ ... easur.html It happens to be looking for laryngopharyngeal reflux specifically, but they also do the older style that look at the more traditional reflux.

In the mean time, I would also add sleeping with your head elevated on a wedge to the list of recommendations- it helps for both OSA & GERD.

frequenseeker
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Post by frequenseeker » Sun Aug 06, 2006 8:17 pm

The pups paddling:
Image

Image

Overlooking the seaside and islands from my porch
Image

frequenseeker
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Post by frequenseeker » Sun Aug 06, 2006 8:24 pm

Okay, I will presume on everyone's tolerance just a bit more and post a better photo of the pups, sailing this time (they sure have alot of fun, don't they look like they are real excited about it):
Image

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Snoredog
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Post by Snoredog » Sun Aug 06, 2006 10:55 pm

wow beautiful place, have a buddy that lives up there, they built a log cabin in the hills like you show in the background. His wife is a nurse somewhere nearby. He says there are all kinds of deer and even bald eagles, beautiful place but lots of snow, he says when the snow melts the bugs come

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dsm
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Just found this link - ASV back in 2001

Post by dsm » Sun Aug 06, 2006 11:05 pm

Hmmm, Here I was thinking this was comparitively new ... this article dates from 2001 ... I guess it is the machines in such small form factors that are the new part, plus the claim from Resmed that their ASV machine can treat all types of SDB - not just CS & CHR patients...

intro
http://ajrccm.atsjournals.org/cgi/conte ... /164/4/614

the study
http://ajrccm.atsjournals.org/cgi/conte ... /164/4/614

DSM

xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

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dsm
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Post by dsm » Mon Aug 07, 2006 2:39 am

Previouse readings ...
http://www.internetage.com/cpapdata/dsm-vpap3-1/

Dramatic difference with new settings ...
http://www.internetage.com/cpapdata/dsm-vpap3-2/

AHI drops from ranges like 45-63 to 2.9 *but* BPM goes very high ???
95%tile bpm = 22 ! - isn't that rather high ? max hit 29.5 bpm.

The very nice reading was AI index of 1.1 ! (HI = 1.8 ).
I am intrigued that the readings can be so different.

I did take a dose of Gavison (is similar to Mylanta) before going to bed - haven't touched that since mid 2005 when I went on Pariet.

Tonight I will up the IPAP to 14 & will up Insp max to 2.20s.

Many many thanks for all who provided suggestions after I had posted the 1st set of readings (esp that attractive single lady from up nth east ).

DSM

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CPAPopedia Keywords Contained In This Post (Click For Definition): AHI

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CPAPopedia Keywords Contained In This Post (Click For Definition): AHI

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CPAPopedia Keywords Contained In This Post (Click For Definition): AHI

Last edited by dsm on Mon Aug 07, 2006 5:11 am, edited 1 time in total.
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

frequenseeker
Posts: 92
Joined: Sat Dec 31, 2005 6:38 pm

Post by frequenseeker » Mon Aug 07, 2006 5:06 am

DSM -
That is SUPER DATA!

Look at the difference when a VPAP is set more properly.

Your resp volume is better too. You might be having high BPM right now as you body adjusts. You previously had very slow BPM and very large volumes.
You won't need that backup from the S/T, it looks like.

Will be looking forward to seeing the next night's results. And how do you feel??!

WTG