Dream Station

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
ajack
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Re: Dream Station

Post by ajack » Mon Jul 03, 2017 3:48 pm

If the centrals were there before cpap, the odds are you will keep them. If they are pressure induced, there is a very good chance they will be gone within 3 months, but in the interim they still need to be treated. the other machine that could treat it, is a ST AVAPS. Push for a sleep study titration

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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Mon Jul 03, 2017 4:10 pm

ajack wrote:If the centrals were there before cpap, the odds are you will keep them. If they are pressure induced, there is a very good chance they will be gone within 3 months, but in the interim they still need to be treated. the other machine that could treat it, is a ST AVAPS. Push for a sleep study titration

it was mentioned by my Dr. so will do that....


a while back (on the other machine I was on ) my apneas were well treated and my centrals were almost nil. that picture has
totally changed. I have lost 20 pounds I wonder if that's related.

I changed the pressure down to 15/12 will see how that works tonight.
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aspen
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Re: Dream Station

Post by aspen » Mon Jul 03, 2017 4:24 pm

Have you been taking any medications? There are a boat load of CNS depressants that reduce the drive to breathe.

I also have a larger issue with CA than obstructive, although at the moment we've got things pretty low. My biggest issue is I can't sleep through any apnea ... even hypopnea if it goes on too long!

But yes, you need a sleep study urgently. Call and let them know your apnea is central.

ajack
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Re: Dream Station

Post by ajack » Mon Jul 03, 2017 4:33 pm

a sleep study would be the wisest action.
we don't know what the other machine was, or what you have now. My guess you were on cpap and went to bipap, the question to ask is why the change of machine, what were they treating with bipap, copd? discomfort?
if they were almost nil on cpap, you could go back to those settings, with the bipap, you could reduce the PS to 0 - 12/12 if there are no contra medical implications or simply switch to cpap mode and the ipap that worked for you before. don't use any pressure relief flex on exhale

it would help if you post the sleepyhead charts

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Last edited by ajack on Mon Jul 03, 2017 5:05 pm, edited 1 time in total.

D.H.
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Re: Dream Station

Post by D.H. » Mon Jul 03, 2017 5:01 pm

What changed since your last CPAP? Are you using the same mask and same hose, using the same pressure settings (before you started experimenting), and sleeping in the same bed in the same room? Has there been any change in your diet or medications? Have you lost or gained weight? Have you changed jobs, job duties, or work hours? Any new pets in the house? Anything else of that ilk?

Have you tested your machine to prove that it's functioning as set?

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palerider
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Re: Dream Station

Post by palerider » Tue Jul 04, 2017 12:50 am

ajack wrote: the other machine that could treat it, is a ST AVAPS
that's two separate and distinct machines.

1060 and 1160, respectively.

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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Tue Jul 04, 2017 7:34 am

aspen wrote:Have you been taking any medications? There are a boat load of CNS depressants that reduce the drive to breathe.

I also have a larger issue with CA than obstructive, although at the moment we've got things pretty low. My biggest issue is I can't sleep through any apnea ... even hypopnea if it goes on too long!

But yes, you need a sleep study urgently. Call and let them know your apnea is central.
I am on requip for PLMD, and occasional Tramadol for back pain, but other than that...no.

last night's #'s (do not know how to post a photo off of the sleepyhead readout) a LOT of the AHI are centrals
looks like. So much for losing weight making any difference

AHI 12.87
Obstructive Index 0.27
Hypopnea Index 4.11
Clear Airway Index 8.49
Flow Limitation Index 0.00 0.00 0.00 0.00 0.00
RERA Index 0.27
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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Tue Jul 04, 2017 7:37 am

ajack wrote:a sleep study would be the wisest action.
we don't know what the other machine was, or what you have now. My guess you were on cpap and went to bipap, the question to ask is why the change of machine, what were they treating with bipap, copd? discomfort?
if they were almost nil on cpap, you could go back to those settings, with the bipap, you could reduce the PS to 0 - 12/12 if there are no contra medical implications or simply switch to cpap mode and the ipap that worked for you before. don't use any pressure relief flex on exhale

it would help if you post the sleepyhead charts
I have been on Bipap for 7 years. I was on the Respironics M Series machine till this year. after 6 years it gave out so now the DreamStation. Yes, they went to BiPap because of aerophagia...which I still get but not like before...

I can't figure out how to post the chart, but I could try cut and paste I suppose...
USED to be on DreamStation..now on S9 VPAP ADAPT
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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Tue Jul 04, 2017 7:40 am

D.H. wrote:What changed since your last CPAP? Are you using the same mask and same hose, using the same pressure settings (before you started experimenting), and sleeping in the same bed in the same room? Has there been any change in your diet or medications? Have you lost or gained weight? Have you changed jobs, job duties, or work hours? Any new pets in the house? Anything else of that ilk?

Have you tested your machine to prove that it's functioning as set?
same bed....same mask and hose....same pressure settings as far as I remember...they might have been lower a few years back.
Lost weight about 20 pounds. lots of stress my son moved back home, then moved out and I am unsure
what is happening with him. no changes in diet...hmmmmmmmm
USED to be on DreamStation..now on S9 VPAP ADAPT
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Soothest Sleep
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Re: Dream Station

Post by Soothest Sleep » Tue Jul 04, 2017 10:43 pm

Barb (Seattle) wrote: I can't figure out how to post the chart, but I could try cut and paste I suppose...
Here are a couple of links that may help:
viewtopic/t103468/Need-help-with-screen-shots.html
https://sleep.tnet.com/reference/tips/imgur

Jean
O soft embalmer of the still midnight,
Shutting, with careful fingers and benign,
Our gloom-pleas'd eyes, embower'd from the light,
Enshaded in forgetfulness divine
-- John Keats

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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Wed Jul 05, 2017 8:15 am

stil can't figure this out....the link doesn't work



This site can’t be reached

sleep.tnet.com took too long to respond.
Try:
Checking the connection
Checking the proxy and the firewall
ERR_CONNECTION_TIMED_OUT
USED to be on DreamStation..now on S9 VPAP ADAPT
21 years on CPAP

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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Wed Jul 05, 2017 8:17 am

getting closer to figuring this out lol

Can I post images?
Yes, images can be shown in your posts. If the administrator has allowed attachments, you may be able to upload the image to the board. Otherwise, you must link to an image stored on a publicly accessible web server, e.g. http://www.example.com/my-picture.gif. You cannot link to pictures stored on your own PC (unless it is a publicly accessible server) nor images stored behind authentication mechanisms, e.g. hotmail or yahoo mailboxes, password protected sites, etc. To display the image use the BBCode [img] tag.
USED to be on DreamStation..now on S9 VPAP ADAPT
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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Wed Jul 05, 2017 8:20 am

Ok I can't post pictures from my own computer (my sleepyhead isn't public) ???


last night I had 17 apneas. 16 were clear airway apneas.

central. So why use a machine if it's my brain forgetting to breathe?


I am so confused.
USED to be on DreamStation..now on S9 VPAP ADAPT
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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Wed Jul 05, 2017 8:32 am

Image
USED to be on DreamStation..now on S9 VPAP ADAPT
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Barb (Seattle)
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Re: Dream Station

Post by Barb (Seattle) » Wed Jul 05, 2017 8:37 am

USED to be on DreamStation..now on S9 VPAP ADAPT
21 years on CPAP

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