Oscar chart

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 8:03 am

Todays graph

https://imgur.com/a/0KuvvET

I tried to post close up of CA but it just kept giving me the same imgur link

lots of leaks I don't know if mask is too loose I can sometimes feel air leaking out the side

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 8:08 am

This is hopefully the CA closer

https://imgur.com/a/aaKOI0L

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ChicagoGranny
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Re: Oscar chart

Post by ChicagoGranny » Thu Jun 23, 2022 8:09 am

jumblegirl wrote:
Thu Jun 23, 2022 8:03 am
Todays graph

https://imgur.com/a/0KuvvET

I tried to post close up of CA but it just kept giving me the same imgur link

lots of leaks I don't know if mask is too loose I can sometimes feel air leaking out the side
Charts won't get you to sleep well. :evil:

Do you remember waking often? Do you remember dreaming a lot?

Come back at the end of the day and tell us how you functioned today.

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Pugsy
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Re: Oscar chart

Post by Pugsy » Thu Jun 23, 2022 8:21 am

Are you worrying a whole lot about centrals? If so, why?

The link worked both times for me. Looks like a "real" central most likely and I would suspect a sleep onset central.

Please answer CG's questions about sleep itself. Very important.

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 9:19 am

Worried about centrals because I didn't even know they existed before, and worried because they are treated differently, and maybe have some weird underlying cause (if they are real).

I don't feel refreshed waking up or that I function well during the day. I feel like maybe there is something else going on here but need to at least fix this first. I also wonder how does the machine recognize hypopnea if it is oxygen desaturation of 3 or 4% but it's not measuring oxygen, just curious. For the apnea its just absence of airflow no desaturation is necessary is that right?

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 9:30 am

Sorry -to the other questions - I do remember waking up a lot with the mask leaking or blowing air, or the cat sleeping on my head :) but last couple nights I do not remember dreaming.

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Pugsy
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Re: Oscar chart

Post by Pugsy » Thu Jun 23, 2022 10:07 am

You are confusing criteria needed to establish a diagnosis of apnea with what the machine can actually do as far as treatment. Obviously oxygen levels aren't a factor in treatment (machine can't measure O2) but obviously they can be a factor in diagnosis.
There are simply limits when it comes to what the machines can do. We have to accept it and move on.

The idea being with effective treatment then it really doesn't matter if the criteria is looking at a difference between a 4% desat and a 3 % desat....stop them in the first place and they won't desat. That's why we look at prevention of the airway collapse being our first priority. Prevent something from happening in the first place and it can't desat can it???

Centrals....hold your breath for 15 seconds. That's essentially what a central apnea is. The airway is open but no air is moving because you aren't trying to breathe. So you held your breath for 15 seconds...did it cause you any problem or discomfort??? Of course not and if it did you got other problems with your respiratory system totally unrelated to sleep apnea. The problem with centrals happens when a person ends up having a truckload of them within a short time frame.
Doctors won't even raise an eyebrow about centrals unless someone is having a truckload every hour of every night...the diagnosis criteria for central sleep apnea is 5 per hour average of centrals happening...on a consistent basis and they have to be real asleep centrals. In a sleep lab if a person has a central apnea get flagged but they aren't asleep...doesn't count.
Sleep onset centrals are normal and they aren't going to be a problem unless someone has a truckload of them back to back and they either cause desats because of frequency or if they continually prevent someone from continuing the transition from awake to sleep.

You are NOT having a truckload of centrals while asleep. You are NOT having nearly enough centrals for a doctor to raise an eyebrow even if everyone of your centrals were indeed the real deal and you were asleep when they were flagged.

Yes...centrals are treated differently WHEN THEY ARE A BIG PROBLEM but the only real problem you have (at this point) is the extra worry and stress in your mind they are causing. That worry and stress is NOT helping your problems with your overall sleep quality at all. Could very well be feeding that sleep maintenance insomnia monster that you have.

You aren't feeling well rested...doesn't surprise me one bit because you still aren't even sleeping decently. Until you have better sleep quality you aren't really going to stand much of a chance of feeling more rested.
Now what is it that is causing the poor sleep quality and the fragmented sleep??? Million dollar question and it very likely has multiple components involved. Most likely a combination of small things adding up to cause a big problem.
What we do with cpap therapy is try to remove one potential component of those things adding up to cause the problem.
Unfortunately cpap therapy can't fix any problem/component that isn't related to the collapse of the airway...it doesn't touch other components.

I do think it would be advisable for you to have a heart to heart chat with your doctor about your poor sleep quality and not feeling well rested because of it. Perhaps adding a sleep aid short term (OTC or RX) to help you sleep better and reduce your stress/worry issues. Trust me....been there and done that myself and fought that battle for years but in my situation I knew the cause but even then it wasn't an easy fix. It's a battle I continue to fight every night. When I don't sleep good I feel like total dog crap the next day.

Fragmented sleep will totally trash sleep quality and we are going to feel it the next day....no matter how good our cpap therapy numbers might be or how effective the OSA is being treated when the fragmented sleep isn't from OSA.

There's a good article about how important good sleep quality is here.
https://www.sleepfoundation.org/nutriti ... -and-sleep
While this article is talking mainly about alcohol and sleep....just substitute the word "anything" for alcohol.
Anything that disturbs our sleep messes with the sleep stages and we end up not getting the progression into each sleep stage and the amount in each sleep stage that we need for the restorative powers of sleep to work their magic.

Google sleep maintenance insomnia and look at the long list of potential culprits...it's extremely long. OSA is but one item on that very long list and unfortunately it is the only item that cpap therapy can actually help fix on that very long list.

Your excessive worry about central apneas at this point (which you really can't do much about at this point and there is no urgent need to do anything about them anyway) isn't doing you any favors. I think that the bulk of your central apneas are a symptom of the poor sleep and not the cause of the poor sleep.

If you don't have a follow up appointment scheduled with your sleep doctor...make one so you can discuss your concerns.

Finally...do you take any medications of any kind? Even OTC? If so, what?
One of the main culprits for poor sleep or feeling poorly during the day is medication side effects. Any chance you are taking meds that could be a factor??

Mask leaking...definitely will mess with sleep quality when it wakes you up....that part you do have some limited control over. It's one of those items on the list where we say "anything that disturbs our sleep is unwanted".
At least you know of one likely culprit in your poor sleep quality....not fixing it may not be so easy.

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 12:04 pm

Ok I am going to forget about the central apneas for now :)

I sometimes take lunesta or ambien cr to sleep. I know the sleep docs don't want you to take anything ideally but then I'd lying awake most of the night which I did for months.

I am going to schedule a follow up to go over my data for once I have enough data, I think I have about a solid week right now. Do you think I need an in-lab study ? Or see how it goes with the result for a couple more weeks I guess.

Thanks Pugsy!

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 8:10 pm

I got a cpap pillow. It is really comfortable just lying on it with no cpap yet. Memory foam with the 4 cut outs and a low or high dude. Lundberg I think. Comes with 2 covers. I usually hate anything but down pillows but I like this one so far.

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Thu Jun 23, 2022 8:36 pm

Sorry it is the *Lunderg* cpap pillow. If anyone looks it up on the box, the guy is wearing a really heavy duty looking cpap mask and head gear anyone know what kind that is ?

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SleepGeek
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Re: Oscar chart

Post by SleepGeek » Thu Jun 23, 2022 9:28 pm

jumblegirl wrote:
Thu Jun 23, 2022 12:04 pm
Ok I am going to forget about the central apneas for now :)

I sometimes take lunesta or ambien cr to sleep.
See if you are having any of the side effects listed below ...

https://www.rxlist.com/ambien-cr-side-e ... center.htm

https://www.rxlist.com/lunesta-drug.htm#description
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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Fri Jun 24, 2022 1:28 pm

Seems Oscar imported my data with no graphs does that mean I had the SD card in wrong? I just got the AHI and all the left side column.

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Fri Jun 24, 2022 1:45 pm

someone had recommended a low firm pillow, is this to keep the airway as straight as possible? I think it was Miss Emeritus?

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jumblegirl
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Re: Oscar chart

Post by jumblegirl » Fri Jun 24, 2022 7:56 pm

could the SD card be full after 12 days or so (32 mb) seems unlikely but just checking if I"m supposed to delete the old data at some point.

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Pugsy
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Re: Oscar chart

Post by Pugsy » Fri Jun 24, 2022 8:04 pm

jumblegirl wrote:
Fri Jun 24, 2022 7:56 pm
could the SD card be full after 12 days or so (32 mb) seems unlikely but just checking if I"m supposed to delete the old data at some point.

No. The card will hold years and years of data.
I suspect you just didn't have the SD card correctly inserted in the machine during the night.
I have done that myself. Think I put it in properly but no data...wonder if card was bad but have to at least try again tonight and make doubly sure that the machine acknowledges the SD card when I put it back in....and then tomorrow I check it again and the data is there in detail like it should be. The problem was me. I did this just earlier this year in fact. After all these years and all the SD card insertions...I still messed up.

Make doubly sure it is correctly inserted tonight and see what happens tomorrow.

It's real easy to give that SD card sort of a double push and not realize it...that second push brings the SD card out ever so slightly and no contact and no data can be written to it.

Watch the LCD screen to make sure the machine actually acknowledges the card.

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If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.