Encore Pro Daily Charts - 08-2007

Lookin' better. Last night looked good.....as did some of the others.
I still think you need to bump your bottom pressure up a bit and maybe bring your top pressure down, as I mentioned before.

But, overall, your "numbers" look OK.

Hang in there.

Den

Wulfman... wrote:Lookin' better. Last night looked good.....as did some of the others.
I still think you need to bump your bottom pressure up a bit and maybe bring your top pressure down, as I mentioned before.

But, overall, your "numbers" look OK.

Hang in there.

Den

Den, The input is appreciated.

I am holding off on any more changes unless absolutely necessary, for a few weeks. Enduring low O2 saturation during sleep, even with good therapy compliance and decent results, I'm curious to accurately know my sleep-time saturation levels at each PAP pressure setting. Shallow breathing during sporadic periods is also a major consideration.

I just ordered the Nonin Wristox 3100 with Profox software, and should have it next week. It’s an expensive item, but my health, what’s left of it, is priceless. I kept checking and couldn’t find one on eBay or through other means at lower cost.

Then I have a PD appointment on the 24th, with a PSG and other tests to be scheduled from that visit.

What I am trying to accomplish is striking a balance of great event numbers and at least good to very good O2 saturation levels without specifically adding oxygen to the PAP therapy. Supplimental oxygen may be a necessity, but if I can avoid it I'm better off until the time in my future when it is mandatory for sustaining my life.

This is not the childhood dream I had of how my life would be at this age range. But, it sure beats being on the breezeless side of the dirt.

Thanks, Den...

Nodzy

Question(s):
what AFlex setting are you using?
what kind of Neuropathy pain are you experiencing?
what does your sleep architecture look like?

Neuropathy pain can impact your quality of sleep, the question is where is the source of that pain and what is being done about it.

From your latest report, you could use an increase of the Auto:Min pressure by at least 1 cm. Doing so would pre-treat some of the events seen and result in a lower AHI. If you are at AFlex=1, I would increase pressure and then also increase AFlex to compensate for the higher pressure. Increasing AFlex setting would allow the machine a broader spread in moving IPAP up by the 2 cm amount of pressure support.

Hi Nodzy,

You might find it easier to get a photobucket account. Then you can post a link to a series, so people can more easily look at them, and so can you. These accounts are free and easy to use.

Snoredog wrote:Question(s):
what AFlex setting are you using?
what kind of Neuropathy pain are you experiencing?
what does your sleep architecture look like?

Neuropathy pain can impact your quality of sleep, the question is where is the source of that pain and what is being done about it.

From your latest report, you could use an increase of the Auto:Min pressure by at least 1 cm. Doing so would pre-treat some of the events seen and result in a lower AHI. If you are at AFlex=1, I would increase pressure and then also increase AFlex to compensate for the higher pressure. Increasing AFlex setting would allow the machine a broader spread in moving IPAP up by the 2 cm amount of pressure support.

Snoredog,

Keep in mind that Neuropathy is but one of the many ailments I suffered and still suffer – as understood now, most or all of them were caused or greatly worsened by the untreated and later improperly treated SDB.

I was initially diagnosed with left side peripheral Neuropathy, because they concentrated only on the areas where I had the greatest frequency, intensity and duration of pain. I demanded that they do a complete head-to-toe assessment, and subsequently they did. The technician conducting that second round of testing was amazed that I functioned as well as I did with minimal medications. I do not like taking meds and ingest as few as possible – probably too few.

The condition name that was told to me by one doctor a few years ago was Mononeuritis Multiplex, a complicated form that can result from many causes… diabetes, poor oxygen saturation, Lyme disease and a slew of other causes, including exposures to workplace chemical toxins. Months later my neuropathy suffering was described as “multiple forms of Neuropathy encompassing the entire body.”

As bad as my suffering was, I have experienced obvious lessening in severity, duration and frequency of pain since getting beneficial PAP therapy during the past several months. Currently I do not routinely take any medications for the neuropathy condition or resulting pain. I do, however, occasionally take something for pain -- usually a Tylox.

For a few years I was on Neurontin, 2400mg per day. It is also often prescribed to prevent and control seizures, but a main side effect is that it can cause nasty seizures in many people. Various other medications were prescribed in addition to the Neurontin, and supposedly worked with it.

“Unpleasant,” is the best term I can socially use to describe the feelings that the drugs generated in me. Several large, a few moderate and many smaller seizures convinced me to wean myself from and discontinue that medication – stopped medication, seizures ceased occurring.

Over weeks I weaned myself from all of the medications prescribed for the Neuropathy. Physically I felt more pain. Psychologically and spiritually I felt alive again and much more at peace with my plight. I dislike the buzz and forced-calm feelings, as well as the mental and physical lethargy that the medications produced.

I may be back on one or more medication soon, as I have a PD appointment on the 24th. I’m certain that the doctor will insist that I fortify my ability to overcome or withstand pain with an arsenal of chemicals.

As I mentioned in another post, a PSG will be scheduled for me sometime relatively soon. I am years overdue for one.

Snoredog, thanks for your input. It is greatly appreciated.

Nodzy

RosemaryB wrote:Hi Nodzy,

You might find it easier to get a photobucket account. Then you can post a link to a series, so people can more easily look at them, and so can you. These accounts are free and easy to use.

Rose,

Thank you. I had considered something like that, but being harried and time-limited I stuck with what I knew as reliable. I will look into it soon.

Nodzy

RosemaryB wrote:Hi Nodzy,

You might find it easier to get a photobucket account. Then you can post a link to a series, so people can more easily look at them, and so can you. These accounts are free and easy to use.

Rose,

Thank you. I had considered something like that, but being harried and time-limited I stuck with what I knew as reliable. I will look into it soon.

Nodzy