Re: Seeking Advice Adjusting to CPAP (unique anatomical considerations)
Posted: Sat Jul 29, 2023 5:30 am
Without software, how do you know these things? With my ResMed machine, I would not know this except for OSCAR.
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Without software, how do you know these things? With my ResMed machine, I would not know this except for OSCAR.
The Luna G3 shows the pressure rate and flow in real time. So for the pressure increases during the epr, you can simply watch or record the machines monitor as you breath to show the shifts in pressure in an instant.ChicagoGranny wrote: ↑Sat Jul 29, 2023 5:30 amWithout software, how do you know these things? With my ResMed machine, I would not know this except for OSCAR.
There is such a thing as "treatment emergent central apnea" which is central apnea caused by the fact that for some people, PAP therapy can destabilizes the breathing drive, by causing more blowoff of CO2. If your machine is malfuctioning, there's no way of knowing why you have central apneas, They may be a direct consequence of the malfunctioning machine which is causing you to hypeventilate. "They also think that I may have a faulty machine but are not certain based on the limited data the machine transmits."Zana wrote: ↑Sat Aug 26, 2023 2:28 pmGave it a few more weeks and the problems with presumed central apnea have continued. I've had a telehealth appt with the supply company's Resp Therapist who collects the machine data and they do indeed think I need to see a sleep physician for central apnea. They also think that I may have a faulty machine but are not certain based on the limited data the machine transmits.
At this point they suggested that rather than get a new one right away, I continue with the sleep physician asap so that if I need a more advanced machine, they can put the script in and get me a Bilevel or ASV
An alternative explanation is that a faulty machine is hyperventilating you.(lord I hope my insurance helps pay for it, phew). If I do have truly diagnosed central apnea, lets hope it's related to the initiation of the therapy itself because if it is not, I may have more severe neurological problems.
Automatic algorithms attempt to analyze a person's breathing pattern and respond to the events they identify based on that analysis. They vary, in analysis, interpretation and response from company to company. They are far from perfect though some are better than others.Miss Emerita wrote: ↑Tue Jul 25, 2023 2:47 pmI wouldn't be surprised if your nose structure causes flow limitations, so that may be what the machine is responding to.
Hey Ozij,ozij wrote: ↑Sat Aug 26, 2023 8:21 pm
If you do get a ResMed Autoset for trial, I would start the trial at a fixed pressure - probably of 8 or less based on what you say - and without EPR. You need it first and foremost for the data.
I'm a bit surprised that your sleep doctor, presumably knowing your unique state, did not send you for a PSG immediately, and chose to titrate you with an automatic machine. Maybe the doctor doesn't know the limitations of automatic algorithms.
Take a look at the following video:
https://youtu.be/xj6ty4CmP50?t=88
It's not entirely required, but you might want to get one that is compatible with OSCAR - https://www.apneaboard.com/wiki/index.p ... _Oximeters
The author of that video also has a web site company (link in the video description) where you can pay him for a session evaluating your OSCAR data. If you aren't getting anywhere via your connections so far you might consider paying him for an analysis. YMMV and all those disclaimers... (He's somehow affiliated with a competitor to the sponsor of this site, so I hope this mention is OK.)ozij wrote: ↑Sat Aug 26, 2023 8:21 pmTake a look at the following video:
https://youtu.be/xj6ty4CmP50?t=88
ChicagoGranny wrote: ↑Sat Sep 23, 2023 5:23 amWhy pay when you can get nearly unlimited sessions here from a group of heavily experienced users?
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