Severe mixed apnea at the age of 35

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Wed Feb 01, 2023 3:40 am

Rubicon wrote:
Wed Feb 01, 2023 3:36 am
Herbert wrote:
Wed Feb 01, 2023 2:31 am
Ok here comes the reports:
They're on 6.0 cmH2O.
Yes, unfortunately I forgot to switch to 5 cmH20 last night. I just did right now and will post the result in a similar form tomorrow.

Could you anyway give your opinion about the strange behavior of my O2 sats? in my opinion there is a clear trend visible. but I don't get how o2 sats can worsen while AHI remains stable

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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 4:02 am

robysue1 wrote:
Tue Jan 31, 2023 9:15 pm
Rubicon, you're saying that there's good reason to believe that the large number of arousals on all the NPSG are good lower bounds on the actual number of arousals that occurred on those three nights of sleep. That correct?
I certainly think so. Look at Study #2:

Image

AHI 1.6, no RERAs to speak of, but Respiratory Arousals are 180, Arousal Index 36.5. What sense does that make?
Herbert wrote:
Mon Jan 30, 2023 11:32 am
Regarding the Arousal index: I asked them directly and they said its the automatic result and they didn't correct it manually, so I should not pay it any attention.
Well sorry, tell them that's not good enough. All 3 studies need to be rescored and Spontaneous Arousal Index calculated.

Also, a lot of PLMs seem to show up (Index 10.4 on diagnostic). Wonder if those are valid, or is that another "don't pay attention to that".
Last edited by Rubicon on Wed Feb 01, 2023 4:27 am, edited 1 time in total.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 4:26 am

Herbert wrote:
Wed Feb 01, 2023 3:40 am

Could you anyway give your opinion about the strange behavior of my O2 sats? in my opinion there is a clear trend visible. but I don't get how o2 sats can worsen while AHI remains stable
Sure! Be glad to!

What was your body position (right, left, supine) during both nights? Note specifically where changes occur.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 4:40 am

Also, import your oximetry data into SleepHQ. Make sure the times are synced.
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Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Wed Feb 01, 2023 5:45 am

Rubicon wrote:
Wed Feb 01, 2023 4:40 am
Also, import your oximetry data into SleepHQ. Make sure the times are synced.
I think that's not possible. at least I did not find that option :(

Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Wed Feb 01, 2023 5:46 am

Rubicon wrote:
Wed Feb 01, 2023 4:26 am
Herbert wrote:
Wed Feb 01, 2023 3:40 am

Could you anyway give your opinion about the strange behavior of my O2 sats? in my opinion there is a clear trend visible. but I don't get how o2 sats can worsen while AHI remains stable
Sure! Be glad to!

What was your body position (right, left, supine) during both nights? Note specifically where changes occur.
Mostly left, rest right. not on the back.

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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 6:22 am

Herbert wrote:
Wed Feb 01, 2023 5:45 am
Rubicon wrote:
Wed Feb 01, 2023 4:40 am
Also, import your oximetry data into SleepHQ. Make sure the times are synced.
I think that's not possible. at least I did not find that option :(
Wellvue O2 Ring? Certainly can, but I'm off to do retired stuff today. Keep fiddling with the csv file. It'll get there.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 6:24 am

Herbert wrote:
Wed Feb 01, 2023 5:46 am
Rubicon wrote:
Wed Feb 01, 2023 4:26 am
Herbert wrote:
Wed Feb 01, 2023 3:40 am

Could you anyway give your opinion about the strange behavior of my O2 sats? in my opinion there is a clear trend visible. but I don't get how o2 sats can worsen while AHI remains stable
Sure! Be glad to!

What was your body position (right, left, supine) during both nights? Note specifically where changes occur.
Mostly left, rest right. not on the back.
Both nights? Maybe FRC changed a bit. Or margin of error of device.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 6:28 am

It's like you almost can't NOT get it to upload:

Image
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Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Wed Feb 01, 2023 6:32 am

Rubicon wrote:
Wed Feb 01, 2023 6:28 am
It's like you almost can't NOT get it to upload:

Image
thanks for the hint. must be blind....

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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 6:50 am

robysue1 wrote:
Tue Jan 31, 2023 9:15 pm

Are the arousals the stick being used to poke the underlying CompSAS?

Or are they part of the trigger that results from poking the CompSAS?

Or am I missing something critical?
Nope, we're definitely missing something critical!

Here we have a CSA patient with no reason to have CSA but responds to CPAP.

Easy huh?

My DWing thought is to try to make the offender (OSA, CSA or CompSAS) expose himself.

Not like that!!

Rather CPAP 5.0 no EPR.

CPAP 8.0 EPR 3.0.

CPAP 7.0 no EPR but sleep in separate room.

Consider causes/options for poor sleep efficiency/spontaneous arousals.
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Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Wed Feb 01, 2023 6:56 am

Herbert wrote:
Wed Feb 01, 2023 6:32 am
Rubicon wrote:
Wed Feb 01, 2023 6:28 am
It's like you almost can't NOT get it to upload:

Image
thanks for the hint. must be blind....
Blind but finally failed. I would have to become pro in order to use that function

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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 7:03 am

Herbert wrote:
Wed Feb 01, 2023 6:56 am
I would have to become pro in order to use that function
Read my post about how much time I am spending trying to help you and what that's worth.

Ya cheap bustard.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 7:09 am

Or create another persona and sign up for another free 2 weeks.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Wed Feb 01, 2023 7:12 am

I mean I'd pay the USD$15 for you but

I'M ON SOCIAL SECURITY AND HAVE NO FUCKING JOB!!!
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