Severe mixed apnea at the age of 35
Re: Severe mixed apnea with 35
BTW: have you been able to import my csv file to sleepHQ? If yes I would really be interested in how you did it. In the "great" community of sleephq nobody feels the need to support...
Re: Severe mixed apnea with 35
And now let's get to my last night:
Pressure again at 5 cmH2O and same picture as the night before. Literally not one single hypopnea or apnea during the night. Only at the end some SWJ and therefore AHI above 0. Okay the night was not nice. My wife was active again, but despite that I as an amateur could not spot anything of significance when scrolling through the night. So far so good, but (unfortunately) same picture on O2-border as the night before. Again only mediocre saturation during the night with even more mild desats and again 7 big desats of more than 4% at once. lowest was 91%. -- I sent the csv file to you via mail again in case you'd be willing to have a look yourself --
This brings us to the hard part I guess:
- What's the interpretation of all we know so far especially the last two nights?
- Do I have apnea at all? I mean I should, 3 different doctors did their sleep studies (1 in hospital, 2 at home) and all of them told me I have some sort of apnea. Interestingly the home studies always only showed a mild to medium apnea (between 5-10 apneas in total and between 15 -20 when lying on my back)
- Is it then really an obstructive apnea? If yes, why can't we spot it on my reports of the machine? Not once in 6 months?
- Why is my saturation so "volatile"? Why doesn't it correlate with events?
this really grinds my gears
https://sleephq.com/public/b7a292e8-088 ... 29d690d0ae
Pressure again at 5 cmH2O and same picture as the night before. Literally not one single hypopnea or apnea during the night. Only at the end some SWJ and therefore AHI above 0. Okay the night was not nice. My wife was active again, but despite that I as an amateur could not spot anything of significance when scrolling through the night. So far so good, but (unfortunately) same picture on O2-border as the night before. Again only mediocre saturation during the night with even more mild desats and again 7 big desats of more than 4% at once. lowest was 91%. -- I sent the csv file to you via mail again in case you'd be willing to have a look yourself --
This brings us to the hard part I guess:
- What's the interpretation of all we know so far especially the last two nights?
- Do I have apnea at all? I mean I should, 3 different doctors did their sleep studies (1 in hospital, 2 at home) and all of them told me I have some sort of apnea. Interestingly the home studies always only showed a mild to medium apnea (between 5-10 apneas in total and between 15 -20 when lying on my back)
- Is it then really an obstructive apnea? If yes, why can't we spot it on my reports of the machine? Not once in 6 months?
- Why is my saturation so "volatile"? Why doesn't it correlate with events?
this really grinds my gears
https://sleephq.com/public/b7a292e8-088 ... 29d690d0ae
Re: Severe mixed apnea with 35
If I did, that would be a massive help to "them", and frankly I wouldn't urinieren on them even if they were on fire.
Why not just import the file to Oscar?
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Re: Severe mixed apnea with 35
This looks like normal REM variation (Sledgehammer Analysis Method, hereafter referred to as "SAM"):
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Re: Severe mixed apnea with 35
didn't work neither for me. I chose the csv import in Oscar, chose the respective csv file and nothing happens. I can't even find the O2 and HR bar or how to blend it in.
Re: Severe mixed apnea with 35
I do believe last night was improved from the night before (in as much as I can remember 7200 breaths from day to day).
Yup. Refer back to the the DWing Plan:
Yup. Refer back to the the DWing Plan:
Pregnant sleep is miserable sleep (for all parties involved). I would rule out external stimuli.Sleep in a separate room.
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Re: Severe mixed apnea with 35
Can you explain on the 7200 breaths? where do you find that figure and what does it exactly tell us? less breaths are better or how should I understand that? and by improved you mean what? looking at my o2 sats I would argue it wasn't really a better night. but that's another story and maybe linked to my initial questions about last night
On the separate room. hard to do currently, as we only have 3 rooms and the couch is so uncomfortable. but I will see how I could solve this.
Re: Severe mixed apnea with 35
That's how many breaths you have a night that must be looked at. Again, I look at about 20 at a time, but it's a somewhat time-consuming process, one which I will probably stop tomorrow, where I say "Auf Wiedersehen".
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Re: Severe mixed apnea with 35
This is from yesterday. Compare Wellue Pulse Rate with r-r interval. I'm thinking it's useless in defining HRV in bradycardia (it's just too coarse):
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Re: Severe mixed apnea with 35
You'll have to be more specific.
Yeah, your wife is going to have a tough time out there, but tell her she needs to be a "Team Player".On the separate room. hard to do currently, as we only have 3 rooms and the couch is so uncomfortable...
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Re: Severe mixed apnea with 35
Cause this is a give and take, and you're going to have to make a priority list.
And IMO, right now you got a lot of wake, awakenings and movement (or somebody's moving you):
The Wellue O2 sat signal is also very coarse, reporting 1.0 values (real oximeters report like 0.2). Factor in if you're in fact asleep, and the signal is not contaminated by motion.
I put in a 92% line to show where thought may be needed. The first block looks like it might be Wake based on heart rate and there doesn't appear to be much respiratory deviation, the last block looks like it coincides with a little PB at the end.
I am like meh. It's one night, it's not critical, you're changing (I believe for the better). Let things soak.
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Re: Severe mixed apnea with 35
ok I'll let her know.
Re: Severe mixed apnea with 35
Ok let's assume first Block was being awake. why would my o2 sat decrease awake? wouldn't that point to an underlying condition that's not specificly sleep related?Rubicon wrote: ↑Fri Feb 03, 2023 4:31 amCause this is a give and take, and you're going to have to make a priority list.
And IMO, right now you got a lot of wake, awakenings and movement (or somebody's moving you):
The Wellue O2 sat signal is also very coarse, reporting 1.0 values (real oximeters report like 0.2). Factor in if you're in fact asleep, and the signal is not contaminated by motion.
I put in a 92% line to show where thought may be needed. The first block looks like it might be Wake based on heart rate and there doesn't appear to be much respiratory deviation, the last block looks like it coincides with a little PB at the end.
I am like meh. It's one night, it's not critical, you're changing (I believe for the better). Let things soak.
Second block looked to me like swj as a few minutes before I could recognize an arousal. and more boldly: the like 14 nights i measured before, when pressure was still at 7, I had a lot more PB, but my sats didn't go down to 90, 91, 92%. The O2 back then was much flatter and higher, constantly in the upper 90%. That's exactly the thing I don't understand. sure I have to make priorities, but o2 sat and HR is very high on the list, as this could be my major Afib trigger :/ so can we find any explanation for the diverse acting of o2 vs. apnea/pb incidence?
Re: Severe mixed apnea with 35
Here's yesterday again on the same setting:
So the first thing I would do is demonstrate repeatability.
Second, the Wellue costs $160. Real oximeters cost $1500. Do the math.
Third, in re: CPAP 7.0 cmH2O, CPAP increases FRC which will increase O2 sat, especially someone with impaired lung function, so
Fourth, is this Covid something a real problem? Did you get a PFT? And finally
Fifth, again, this is a give and take. You're going to have to pick your poison.
So the first thing I would do is demonstrate repeatability.
Second, the Wellue costs $160. Real oximeters cost $1500. Do the math.
Third, in re: CPAP 7.0 cmH2O, CPAP increases FRC which will increase O2 sat, especially someone with impaired lung function, so
Fourth, is this Covid something a real problem? Did you get a PFT? And finally
Fifth, again, this is a give and take. You're going to have to pick your poison.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.
Make each sensation a little bit stronger.
Experience slips away.