Don't know where else to go, OSCAR data interpretation is needed

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:30 pm

I'm back again, I have been analyzing my OSCAR data for past 2 years and it is driving me insane that my breathing almost behave the same no matter which mode or what pressure!

What is my problem and why I am trying to tweak such low AHI ? The more arousals I have in my sleep ( conscious arousals where I'm aware of my surrounding and have time to stop/restart the machine to mark an arousal and remember my dream, then go back to sleep; the more arousals I get, the worse my sleep is, which leads me to wake up as "zombie" can not do anything other than trying to go back to bed and hope I could fall asleep for a nap even a minute ( I can not nap, I am awaken with almost snore like airflow limitation as soon as I drift to sleep), if that happens, the zombie effect subsids for few hours before returning, nothing can fix it till it is sleep time and I try another night.

First important notes:
1- I can NOT sleep without my PAP machine, my arousals are much more often and I get an almost snore then arousal, so a PAP machine helps in some way, I just can not figure out what settings would help the MOST.
2- I have been trying to take very thorough screenshots, so there are many breathing zoomed in screenshot before an arousal, an arousal would be understood when the machine power is off then on again.
3- this is A LOT of data, I honestly see flow limitations in my airflow I see repetitive behavior like an interrupted inhale breath with a sudden high amplitude inhale then exhale, but I can not know what really is the best settings.
4- A custom user flag 1 red is a 50% flow restriction for 8 seconds, a user flag 2 green is a 20% restriction for 5 seconds.
4- I'll try to leave some notes before the screenshot, but these screenshot are for VAUTO mode ( different settings), S mode (different settings) and CPAP mode (different settings), I "think" that my nervous system is hypersensitive to airflow variations and that is why it keeps waking me up through the night, so I think CPAP and S-mode work better than VAUTO for my body.
5- These symptoms started 5 YEARS ago, after a neck accident, a sleep study showed apnea, PAP machine could not fix it, i then undergone 4 apnea surgeries: genioglossus advancement and hyoid bone myotomy, glossectomy, UPPP and styloidectomy ( was not necessary), before these, i Used to feel a "spasm" in my arytenoids every time I'm drifting to sleep or wake up with a sudden diaphragm expansion, like a sudden inhale of air right before an arousal, I think it was RERA or my nervous system becoming hypersensitive after the accident, I'm not sure.
I DON'T ANYMORE, but i get the sudden airflow tightening which lead to an arousal, hence the PAP machine need, it fights that narrowing airflow so I can drift to sleep, it fights this repeatable sudden inhale that happens every 15-20 mns while i am sleeping, so I don't wake up.
6- In the last year or so, I started to take sedating medication, as I found out when I'm sedating I wake up less, which lead to a better sleep, but with time the effect of sedating meds weakened, and my doctor kept adding more meds to try which in term worked for few months then weaned down, I am planning on cutting down on these meds, but for now they help me fall asleep "on time" and stay longer in bed. I do need to stay longer in bed to not become "zombie" 8 hrs DOES NOT work anymore for me, I need to continue the sleep/arousal dance for 10-11hrs a night to have a chance not to be "zombie".

Sorry for the long intro, but here are the screenshots:

arousal1 P30i pillow S mode 6.38/11.2
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arousal2 S mode 6.8/11.2
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Last edited by sleepyzzzz on Thu Mar 09, 2023 6:28 pm, edited 1 time in total.

sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:34 pm

Arousal3 S mode 6.8/11.2
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:43 pm

Arousal4 S mode 6.8/11.2
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:47 pm

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Arousal5 Smode 6.8/11.2
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:52 pm

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Arousal6 CPAP 9.6
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:56 pm

Arousal7 S mode 6.8/11.2
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 4:58 pm

Arousal8 S mode 6.8/11.2
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:05 pm

Arousal9-EVORA-FFM- VAUTO 12/16.8
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:07 pm

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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:10 pm

Arousal11 -EVORA-FFM- VAUTO- 12.4/17
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:15 pm

Arousal12 - EVORA-FFM - S-mode - 14.6/19
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:32 pm

Arousal13- EVORA-FFM - CPAP - 12.6
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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:35 pm

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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:37 pm

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sleepyzzzz
Posts: 59
Joined: Sun Mar 03, 2019 6:02 pm

Re: Don't know where else to go, OSCAR data interpretation is needed

Post by sleepyzzzz » Thu Mar 09, 2023 5:41 pm

arousal14 -EVORA-FFM- CPAP- 13.4
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