OSCAR chart to grade please? Newguy

GeneMpls wrote: ↑

Tue Nov 01, 2022 1:20 pm

MPLS is 830'- I have a O2 ring-Ox gets down to mid 80s sometimes- I have offered the charts to him.

I’m guessing that the him who isn’t interested in looking at your data from the O2 ring is the sleep doctor?

Does the O2 ring measure your O2 concentration continually while you sleep, or does it take a few measurements throughout the night?
Ideally you don’t want to spend to much time below an O2 of 88%. Sometimes if you move around the O2 sensors can get brief false low readings, so it’s better to know the amount of time spent at different levels rather than just the lowest readings.

I’ll also add it has been my experience that some doctors can be quick to dismiss data gathered from home devices. My suggested response if your new sleep doctor dismisses whatever your O2 ring shows would be if you if you don’t trust the data my O2 ring provides i expect that you will order overnight oximetry so both you and I can be certain that my nighttime O2 levels are adequate.

Rubicon wrote: ↑

Tue Nov 01, 2022 2:50 pm

robysue1 wrote: ↑

Tue Nov 01, 2022 1:36 pm

2) There are a lot of unclassified apneas scored on the sleep test; what is their significance?

It's significant in that the interpreting physician is a LSOS.

The interpretation says "This was a technically adequate study". The study is noted to have been scored (or overscored) manually.

The software would score an apnea as unclassified if the effort signal was poor and determination could not be made as to whether the apnea was central or obstructive. It would then be up to the scorer to go back and edit those events and make the determination manually.

Given that virtually all the apneas in the first 2/3 of the study were unclassified, undoubtedly the effort belt was poorly placed and/or non-functional. Consequently, the study cannot be called " technically adequate".

So the original study is not technically adequate.

What do you make of the fact that when GlenMpls turned EPR off, the number of hypopneas skyrocketed?

robysue1 wrote: ↑

Tue Nov 01, 2022 4:04 pm

What do you make of the fact that when GlenMpls turned EPR off, the number of hypopneas skyrocketed?

Dunno. Gonna need the Oscar file, or at least SleepHQ to go over them epoch-by-epoch.

And see if he side or supine slept. And when (if) he took the levothyroxine. And what his EF from the echo will be. And if he in fact slept. And the other ∞ variables.

Rubicon wrote: ↑

Tue Nov 01, 2022 4:23 pm

robysue1 wrote: ↑

Tue Nov 01, 2022 4:04 pm

What do you make of the fact that when GlenMpls turned EPR off, the number of hypopneas skyrocketed?

Dunno. Gonna need the Oscar file, or at least SleepHQ to go over them epoch-by-epoch.

And we'll probably need a night that's longer than 2 hours and 22 minutes.

GeneMpls wrote: ↑

Mon Oct 31, 2022 12:55 pm

You have neurology and/or cardiology issues?

........... I thought everyone did?

In the 10 hours and 9 minutes of SkyLab View you have submitted, only 11 minutes of data can be looked at to try to come up with a somewhat logical WAG.

That said, the 11 minute block looks to have a strong central flavor.

Central stuff can be caused by neurologic or cardiac issues, or CompSAS.

The more background information submitted, the more likely that the WAG will be on target.

I dearly wish I understood more of what you fine people are saying. I looked up LSOS doc and found lumbar-sacral orthoses which I suspect is something different. I offered the O2 info to the sleep doc and he really doesn't share any of his thinking with me- he has the ResMed cell program to check my machine and other than that all I can tell him is I feel like
crap on a cracker. I will call today to make an appt with a lady doc at the same office- I usually communicate better with females. Will likely take a while, I am guessing.

I have always though fairly highly of my brain but I am seriously impaired lately. Once in a while my mind is sharp [1 or 2 days from 10] but I cannot depend upon having presence of mind on any given day- which makes a lot of things hard to handle.

Last night was #3 without the EGR[ not right, that is an automotive term] and I slept soundly, woke disoriented but recovered enough to put my mask back one and go back to sleep.
Very disoriented today, sleepy, muscle fatigue and lethargic. Echo at 1:00, not expecting any revelations. I leave the first of the year for two months in the south and really need to get my act sorted before then. Thanks Gene Last night.....

Ewwwww....ugly report. EPR did help but not totally. No EPR is really ugly.
I am with the others in wondering if those hyponeas are obstructive in nature or central in nature. My gut wants to tell me that they are central in nature.

GeneMpls wrote: ↑

Wed Nov 02, 2022 8:22 am

I looked up LSOS ...

Did you try the Urban Dictionary?

https://www.urbandictionary.com/define.php?term=L-SOS

Rubicon wrote: ↑

Wed Nov 02, 2022 8:44 am

GeneMpls wrote: ↑

Wed Nov 02, 2022 8:22 am

I looked up LSOS ...

Did you try the Urban Dictionary?

https://www.urbandictionary.com/define.php?term=L-SOS

Urban Dictionary helps with L-SOS.

Not so much with your use of WAG.

robysue1 wrote: ↑

Wed Nov 02, 2022 8:55 am

Rubicon wrote: ↑

Wed Nov 02, 2022 8:44 am

GeneMpls wrote: ↑

Wed Nov 02, 2022 8:22 am

I looked up LSOS ...

Did you try the Urban Dictionary?

https://www.urbandictionary.com/define.php?term=L-SOS

Urban Dictionary helps with L-SOS.

Not so much with your use of WAG.

But simply googling as follows: "WAG meaning slang" often helps with Rubicon's abbreviations.
https://en.wiktionary.org/wiki/WAGhttps ... g/wiki/WAG

Although I believe DW or DWing is totally copyrighted to R's various incarnations. Googling it as suggested only brings up a cpaptalk definition...
It means "dial winging" - making too many changes on your settings based on no more than WAGs....
Don't worry, GeneMpls. Some of us have to resort to quite a bit of googling before we know what Rubicon want to say. I didn't know lSOS either.
Being on cpaptalk is definitely a learning experience. And Rubicon will be Rubicon.
That is, until he changes identities again... he does it every 1000 posts or so.
Another acronym is SWJ. Sleep Wake Junk. Meaning non-informative breath flow patterns that may happen during transition to from wake to sleep, or vice versa, or when you're awake -- and events happening during SWJ can be discounted.

The best one was TMOAT.

Ah, those were the days, my friend... (cue Jeff)

Rubicon wrote: ↑

Wed Nov 02, 2022 9:25 am

The best one was TMOAT.

Ah, those were the days, my friend... (cue Jeff)

Hey! I searched that on cpaptalk and it took me to a post by -SWS. I couldn't be happier - because of his unfortunate choice of name we can't simply search for his post - and now I have a key!
Forum software treats a "-" as though it were a command not to include, and wants search terms to be longer than three letter. And here we had one our smartest members choosing to be -SWS! (Because he had no Slow Wave Sleep in his study).

Or an author search:

search.php?keywords=&terms=all&author=- ... mit=Search

humor aside, now comes the hard part:
That chart of yours, Gene, is no garden variety OSA.
No wonder there are times you feel so out of it.

Bring the chart to the doctor and try to look at all the statements Rubicon has made so far on your thread.
The CompSAS he mentioned is "Composite Sleep Apnea Syndrome".

I hope he adds some more comments. And I hope you get the professional help you need from this new doctor.