Aerophagia

But you look at some of this stuff and clearly 9.0 is NOT cutting it:



Since it's not totally obstructed, bipap might be helpful here because it can be effective is helping with aerophagia (EPAP only high enough to treat obstructions, attack everything else with IPAP).

OTOH, IMO these are OA leaks (patient is sleeping now), a tiny, inconsequential leak happens when breathing resumes:



In this sample, FLs leak to obstruction, and the recovery breaths are more resuscitive in nature.

Thanks!

Rubicon wrote: ↑

Thu Oct 06, 2022 5:28 am

ozij wrote: ↑Thu Oct 06, 2022 13:46
Years ago (many years ago....) you had a "not so good" opinion of pulse oxymeters. Would you say nowadays that any of those OSCAR works with can be useful? Is there one (or more?) that you consider worth buying?
Yeah, I think there was a discussion about sampling rate resulting in very coarse signals. Currently, I don't know what is "good" or "not so good" out there so I have no opinion.

Thanks!
What is a good (fine as opposed to coarse....) sampling rate?

I'd be looking at 1-second interval measurements and 0.1% signal resolution.

I thought I had some stuff but it must've been on the ASAA site.

robysue1 wrote: ↑

Wed Oct 05, 2022 5:16 pm

ejbpesca wrote: ↑

Wed Oct 05, 2022 4:35 pm

Does this mean you don't own anything that blinks if the power goes out? Or does it mean that the things that blink when the power goes out are not blinking?

Yes, that means I do not own anything that blinks if the power goes out. When power is out here, everything goes dark, no blinking of anything. Two devices will beep as they come back on but that may not wake me. There is no way for me detect a power outage while asleep, nor detect one has happened upon waking.

Do those things that beep eventually quit beeping?

So you don't own a microwave with a clock that blinks after the power comes back on until you reset it?

Your stove's clock doesn't blink after the power comes back on until you reset it?

This is comical. Robysue1, I swear under oath of honesty, that I ejbpesca DO NOT, have one device/appliance that continues to blink after a power outage. Not my microwave, nor toaster oven, stove,...nada, nothing. My toaster over beeps once, and my carbon monoxide alarm beeps once at the moment of power restoration. I could sleep right through those single beeps.

Today's link shows what a mask liner will do to the leak score.

https://sleephq.com/public/8c1913c8-abc ... c073488f97

On waking at Oct. 6.: No aerophagia at 5.6/9 pressure. AHI down by 10 pts. from previous night.
Acid down, pain level 3.

On meds: Nerve pain meds are not narcotics. Lyrica is an example. Lyrica can cause more zombie like effects than a narcotic. Lyrica is also for seizure control. It suppresses the nervous system. No, I am not taking oxy anything. I rarely have ever taken a narc pain med before sleep because those drugs keep me awake. I have, and will take, a lesser strength true pain med, on occasion, during waking hours, but never after 4pm or I may be up all night. If I am at pain level 7, I will be up all night anyway and may take one then. I will be taking a combination of meds that will affect sleep and breathing on a regular basis starting 3 nights ago. I see now that if I am to get more hours of sleep, the meds are needed. Future sleep reports will all have the same meds onboard factor. No need to list the meds.

Note: I am a chronic pain person due a great deal of injuries that are permanent and lead to more injuries just by simple physical tasks. No one can imagine what that is like unless they are there or have been there. Opiates are a miracle of relief to the pain that hits level 9 and can hover at 6. Sleep is affected by the meds. I am considered a walking miracle (that I am not a quadriplegic) by 2 neurologists and 2 neurosurgeons, the other 6 doctors who have dealt with my spine include 3 that agree I am beyond surgery. This condition affects my sleep in a profound way.

On Cognitive impairment "oooops gotta go," comment posted. No, I was not taking any narc pain med when I made the cognitive impairment describing how I felt when I woke. I experienced an hour or so upon waking of a common groggy state. I should have not used cognitive impairment to describe such. Forget it.

On/Off issue: I think the blinking appliances issue has been addressed. I do not think I ever pull the mask off then put it back on in my sleep.

SWF - The leaks I deal with are done while totally awake. Air to my eyes will wake me so I adjust the mask and try to go back to sleep. This is not an every night occurrence. It happens few nights after a new mask has been worn for a week or so. After I tighten the head gear the leaking stops. I change the mask out once a month. Any other fiddling with the mask would have to be while asleep. I cannot control that, but I do understand what you say about apnea readings could be false due to SWF.

I can be a an SWF mess at times. I know it by waking as if I have been in a wrestling match, but I have no recollection of the nights in question of SWF

The past 3 nights with my meds onboard have produced longer sleep time, flipping to my back, and AHI's gone wild. Maybe the tiny bump up of min. pressure to 5.6 helped bring AHI from 18 to 8 today. I will bump it up a bit more leaving the max at 9.

Thank y'all again. What a detailed explanation! I had no idea such was available till now. I guess no one saw my 18 AHI night Oct. 4th, mostly OAs. I am guessing that score is from on back snoring and airway collapsing.

Please comment on the huge increase of Leak Rate from last night. Oct 5th. caused by a Snuggzzz liner. I guess I should ditch the comfort of a liner to get leaks down.

Glad to hear you’re doing better today. Personally I would be glad for you if all that hot mess was SWJ (j for junk although F for funk is kinda fun sounding). Being awake for all that is probably way better than being asleep and having that bodily reaction.

It sounds like you’re getting closer to a solution and I hope you don’t mind that I am able to learn a shitton from your experience including reading the numbers.

Speaking of which- I know some long time posters really love Oscar but without sleep HQ, robysue wouldn’t have been able to do such a thorough dissection. I wish more folks would send the newbies there so that they don’t have such a daunting task of learning how to post photos that will not be able to provide such detailed info. I mean, I just learned sooooo much from Robysue on this and am incredibly grateful. (there’s been some other long time posters on this thread too who should be recognized but her posts were truly above and beyond. )

ejbpesca wrote: ↑

Thu Oct 06, 2022 8:27 am

I can be a an SWF mess at times.

I thought you were a SWM?

Is that like just on the weekends?

Oh well, who am I to judge...

Rubicon wrote: ↑

Thu Oct 06, 2022 9:09 am

ejbpesca wrote: ↑

Thu Oct 06, 2022 8:27 am

I can be a an SWF mess at times.

I thought you were a SWM?

Is that like just on the weekends?

Oh well, who am I to judge...

lol

I still haven’t figured out if poster is male or female. I considered asking for their preferred pronoun.

Rubicon wrote: ↑

Thu Oct 06, 2022 5:49 am

OTOH, IMO these are OA leaks (patient is sleeping now), a tiny, inconsequential leak happens when breathing resumes:



In this sample, FLs leak to obstruction, and the recovery breaths are more resuscitive in nature.

"leak to obstruction"? : : "lead to obstruction"
and "resuscitive"? would that be "resucsictative"? as in catching up after the obstruction?

ejbpesca wrote: ↑

Thu Oct 06, 2022 8:27 am

On waking at Oct. 6.: No aerophagia at 5.6/9 pressure. AHI down by 10 pts. from previous night.
Acid down, pain level 3.

Way to go! Best thing is pain level 3.

ozij wrote: ↑

Thu Oct 06, 2022 9:20 am

Rubicon wrote: ↑

Thu Oct 06, 2022 5:49 am

OTOH, IMO these are OA leaks (patient is sleeping now), a tiny, inconsequential leak happens when breathing resumes:

In this sample, FLs leak to obstruction, and the recovery breaths are more resuscitive in nature.

"leak to obstruction"? : : "lead to obstruction"
and "resuscitive"? would that be "resucsictative"? as in catching up after the obstruction?

Right to all the above!

I also had to add a hurried "NOT" to an earlier post. That one really made no sense.

Oh well, first the hearing. Then the eyesight. Then the memory...