help interpreting my sh graphs.

lliann wrote:Also I could copy my card and mail it/ Might be faster then me trying to learn how to compress.

If you want to snail mail the card to me send me a private message and I will give you the address...and when I get it I can look and so can PR because I can compress it and send it to him via upload.
Don't mind at all.

If you are having oxygen level concerns...get yourself one of those overnight pulse oximeters. Those are easy to use and work with SH.
You can get a decent one for under $100 even from US vendors and even less if you want to wait on the slow boat from China.
I did it once myself...found out nothing was going on in the oxygen level department and it went into the junk drawer until I sold it.
If you plan to use it more than just once or twice....look at the CMS 50 F model. I think it might be a tad more comfortable to use than the 50 D Plus and it's not horribly expensive. Need at least the 50 D Plus though...the Plus part is very important for overnight recording.

Tidal volumes and minute volumes and all that respiration stuff....the best thing is to talk all this over with your doctor because there are simply too many variables of what is "normal" to take into account. There are specific tests that can be done to rule out these sort of issues. If it bugs you...talk to your doctor though. He knows all your history and what would be normal for you for where you live and all that stuff.

Heck...going by the numbers alone you are breathing better than me.

Holy Shitcakes. This was last night


Everything was the same but I out tape entirely across my mouth. I had allowed a little opening to expel squirrel cheeks. So last night I just zipped the entire lips. That was with those new settings and same dreamwear mask. I will do it again and see what happens. See if its a one night anomaly (and I was fidgeting too but I won't share why<g>)

I have no idea why no graphs, but whatever.

I will write you privately Pugsy. Today I am helping someone with something so I will be back tomorrow (thank you and Have a wonderful day)

Did you forget and not get the SD card put back in the S9 correctly/completely/ or not at all?
No graphs if the SD card isn't in the machine all night.

Gotta run myself....new doctor appt today and I have to head out.
Talk to you later.

ajack wrote:obviously you can't help someone if you think it's not an issue because your average near median is also low.

I think you need to do some googling. most average peoples tidal volume is going to be around 500 average near median, unless you have a better explanation to why the tidal volume is low, I'll go with mouth breathing out.
a zoom in on the chart would help see what is going on

this is a typical target for tidal volume

But you can't treat an individual based on averages. It may be a starting point to check out, but that doesn't mean it is your goal. I would fail your breathing tests, and I am not in distress. Several years ago, a doctor tried to improve my breathing volume since I was below normal. She tried medications and exercises. My numbers improved slightly, nothing near normal. Simple fact is that I have a narrow airway. There is only so much air that can be pushed through my airway during a single breath.

ajack wrote:Nope I stand by getting a ffm. The guy can't fix his mouth leak, the tidal volume and minute vent is low and breathing rate is ok. he's mouth breathing.
he is never going to be able to adjust the PS for his need... the nasal mask isn't working, taping up the mouth is an option..not a good idea to me..

You berate xboy endlessly, but you're no better in many ways, you're new to this, and yet you think you know everything... even when there's a preponderance of evidence against your theories.

ajack wrote:340 is so far below normal, the minute vent of 4.75 is also well out of range. Either the person is in respiratory failure with a repressed breathing rate or there is mouth breathing.

You're wrong about that. You and xboy should get a room. :sigh:

Arlene1963 wrote:

ajack wrote:340 is so far below normal, the minute vent of 4.75 is also well out of range. Either the person is in respiratory failure with a repressed breathing rate or there is mouth breathing.

I'm an example of someone who has an average tidal volume of around 330, and a minute vent of around 4.88 to 5, and the reason is because I'm a small woman standing all of 4ft 11 3/4" tall and weighing 110 pounds, not because I'm in respiratory failure! Based on this info from SH there is no way that you can jump to the conclusions that you have, esp regarding resp failure, so I just want to reassure Liliann here.

I have no leak problems either, or mouth breathing ... and my 6 month 90% leak rate in SH is zero.

I totally agree with Pugsy's comments and mask advice.

Ajack is a "Know It All Newbie", he's only been at this for a few months, but thinks he has ALL THE ANSWERS.... He's sadly mistaken.

ajack wrote:obviously you can't help someone if you think it's not an issue because your average near median is also low.

I think you need to do some googling. most average peoples tidal volume is going to be around 500 average near median, unless you have a better explanation to why the tidal volume is low, I'll go with mouth breathing out.
a zoom in on the chart would help see what is going on

this is a typical target for tidal volume

You're JUST LIKE xboy...you find one bit of data, misinterpret it, and then smear it over everything, and refuse to listen to anybody that disagrees.
QUIT!

zoocrewphoto wrote:

ajack wrote:obviously you can't help someone if you think it's not an issue because your average near median is also low.

I think you need to do some googling. most average peoples tidal volume is going to be around 500 average near median, unless you have a better explanation to why the tidal volume is low, I'll go with mouth breathing out.
a zoom in on the chart would help see what is going on

this is a typical target for tidal volume

But you can't treat an individual based on averages. It may be a starting point to check out, but that doesn't mean it is your goal. I would fail your breathing tests, and I am not in distress. Several years ago, a doctor tried to improve my breathing volume since I was below normal. She tried medications and exercises. My numbers improved slightly, nothing near normal. Simple fact is that I have a narrow airway. There is only so much air that can be pushed through my airway during a single breath.

I think your machine isn't reading all of your breath, because of posible mouth breathing out. You may eventually need to move to a bipap, but your respiration rate is ok. It will be really interesting to see your chart and stats, now that you have taped your mouth. I'll leave it at that for now.
When I was setting up my ST, there wasn't much on the forums about ventilation. It's really over my head still and I'm at the basics. It really is a learning curve.

palerider wrote:

ajack wrote:obviously you can't help someone if you think it's not an issue because your average near median is also low.

I think you need to do some googling. most average peoples tidal volume is going to be around 500 average near median, unless you have a better explanation to why the tidal volume is low, I'll go with mouth breathing out.
a zoom in on the chart would help see what is going on

this is a typical target for tidal volume

You're JUST LIKE xboy...you find one bit of data, misinterpret it, and then smear it over everything, and refuse to listen to anybody that disagrees.
QUIT!

The poster has acknowledged the tidal volume is low and a doctor tried to improve it..You really post too much and need to read studies and tech literature more. The self opinionated stuff is coming from you.

ajack wrote:

zoocrewphoto wrote:

ajack wrote:obviously you can't help someone if you think it's not an issue because your average near median is also low.

I think you need to do some googling. most average peoples tidal volume is going to be around 500 average near median, unless you have a better explanation to why the tidal volume is low, I'll go with mouth breathing out.
a zoom in on the chart would help see what is going on

this is a typical target for tidal volume

But you can't treat an individual based on averages. It may be a starting point to check out, but that doesn't mean it is your goal. I would fail your breathing tests, and I am not in distress. Several years ago, a doctor tried to improve my breathing volume since I was below normal. She tried medications and exercises. My numbers improved slightly, nothing near normal. Simple fact is that I have a narrow airway. There is only so much air that can be pushed through my airway during a single breath.

You may eventually need to move to a bipap, but your respiration rate is ok. It will be really interesting to see your chart and stats, now that you have taped your mouth. I'll leave it at that for now.

Oh dear. I appreciate any help. I am obviously a sleep apnea pap newbie. Life, I know about. Pissing contests I know about. Please be kind with each other. Or not. Up to you. But please not on my lessons. I have to read and figure this stuff out.

In any event. I think maybe my card was funky. When I went to pull it out, it was out. I don't know why cuz I thought I had inserted it correctly. Enough that is collected some data, but the info button on my pap said ahi 3.24 so still good but not matching. Something happened. Hopefully it will show up on tomorrows reading.

I don't know tidal doodads yet, (but I will read more when I get done doing my commitments this week)Sounds reasonable that body size, weight, height and even throat size could have an affect. Maybe my asthma too. (altho I did quit smoking 17 years ago). I am 5'3". I weigh too much. I am capable of losing weight and I have a feeling when I get the rest of my heart test done, thats gonna be on the menu.) But I have lost weight before with this sleep apnea. It made some difference. But not enough. I have a fat neck. The british fat neck(of my grandmother) but my passages maybe smaller. I can see where all those things could impact any and all graphs/outcomes.

So I am not prepared to think nanyone is wrong. You all know more than me at this point. But(G) I will try the full mouth tape thing and see if thats a 2 day trend of some kind.

Between heart and asthma,(neither real bad but exist so bad enough) my gut tells me I have an oxygen transportation issues. However I do have a portable oximeter and my blood oxygen is always 95 or better. So maybe not. I just know I am getting older and I am not ready to go yet, so I am going to just learn this stuff once and for all and I thank you all for your help/ Oh, I do have a vpap. And somewhere somehow, my sd will get zipped and then you can all have at it<g>

ajack wrote:The poster has acknowledged the tidal volume is low and a doctor tried to improve it

Nope...Lliann didn't acknowledge that...Zoocrewphoto did though.

ajack wrote: You may eventually need to move to a bipap,

Huh....what to you think a S9 VAuto is? That's what she is using now....ResMed's S9 VAuto is a bilevel auto adjusting machine and that's the mode she is using.

I did miss that you had a bilevel and assumed you had cpap, this may give some overview to how and why the rise time and PS is important for asthma lungs, as you know it's a breathing out problem.
page 22 on Obstructive lung disease settings would be a place to start. a generic 150 rise time and min PS of 8 may help a lot after the mouthbreathing is fixed. It may give a base to work from.
https://www.resmed.com/us/dam/documents ... lo_eng.pdf

Patients with obstructive lung disease have chronic airflow limitation. These patients have particular difficulty exhaling air, which leads to air trapping and hyperinflation. These patients require a longer exhalation, which often leads to asynchrony with standard bilevel settings.
The recommended settings use a faster rise time to ensure that the lungs are filled quickly, and a high cycle sensitivity to provide an earlier cycle to exhalation. The rapid inhalation and prolonged exhalation will help to prevent auto-PEEP and preserve synchrony.

you can also get the clinical manual for it from apneaboard.
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

You can talk with your dr about the rise time and cycle for asthma with obstructive and/or restrictive lung issues.
I just found when I was setting up my ST, there was nothing on the forums about ventilation that could help, I had to look elsewhere. I would go back to your doctor, if you are at all concerned when the sleepyhead charts and mouth breathing is sorted.

If your o2 is over 90 it's ok, 95% is great. I have no need for a pissing contest. I freely accept I'm at the beginning of a learning curve and half the tech stuff goes over my head, especially with arterial blood gasses and such, it is rocket science to me. It does reinforce how limited the forums are when moving beyond the basics and why they still train sleep, respiratorist and pulmonary specialists.

Pugsy wrote:

ajack wrote:The poster has acknowledged the tidal volume is low and a doctor tried to improve it

Nope...Lliann didn't acknowledge that...Zoocrewphoto did though.

In your haste to post, don't your read what people say?
"Several years ago, a doctor tried to improve my breathing volume since I was below normal. She tried medications and exercises. My numbers improved slightly, nothing near normal. Simple fact is that I have a narrow airway. There is only so much air that can be pushed through my airway during a single breath."

ajack wrote: In your haste to post, don't your read what people say?

Actually I do. I try real hard.

ZooCrewPhoto made that statement about "years ago"...Lliann didn't ever say anything like it that I could find.

I assumed you were talking to Lliann and not ZooCrew..

But maybe I was wrong and you were telling ZooCrew she need a bipap based on numbers you have never seen.

zoocrewphoto wrote:But you can't treat an individual based on averages. It may be a starting point to check out, but that doesn't mean it is your goal. I would fail your breathing tests, and I am not in distress. Several years ago, a doctor tried to improve my breathing volume since I was below normal. She tried medications and exercises. My numbers improved slightly, nothing near normal. Simple fact is that I have a narrow airway. There is only so much air that can be pushed through my airway during a single breath.