A Forum For All Things CPAP
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Dang SWS, I just wasted a perfectly good mouse click-SWS wrote:Thank you, SAG! I'm still on lesson one of the CAP tutorial.StillAnotherGuest wrote:PS - -SWS, check your PMs, CAP Software Analysis Package sent.
At the beginning of this thread Snoredog wrote: The Auto algorithm should limit any response to snore, it should limit any response to centrals if you have the propensity for those.
in the above post Snoredog wrote:Snoring is going to make any auto chase events.
If anybody ever sees SAG using logic like that, please shoot him in the head for being the second dumbest person on the planet.snoredog wrote:Now SAG is trying to make the point that you have VB leading to Periodic Breathing and that NR flag was a Central appearing after a period of VB
And you expect us to believe that you somehow managed to know what you meant even better than Snoredog knew what you meant?StillAnotherGuest wrote:If anybody ever sees SAG using logic like that, please shoot him in the head for being the second dumbest person on the planet.snoredog wrote:Now SAG is trying to make the point that you have VB leading to Periodic Breathing and that NR flag was a Central appearing after a period of VB
SAG
PM on The Interpretation of Variable Breathing in a Multi-Factorial Environment sent.
You have the outdated Windows simulation program, go run it for snore. if you think all that pressure increase seen is from snore you are dreaming more than he is.ozij wrote:At the beginning of this thread Snoredog wrote: The Auto algorithm should limit any response to snore, it should limit any response to centrals if you have the propensity for those.O.in the above post Snoredog wrote:Snoring is going to make any auto chase events.
My knowledge, or lack of it does not explain the self contraditions in your own statements.Snoredog wrote:You have the outdated Windows simulation program, go run it for snore. if you think all that pressure increase seen is from snore you are dreaming more than he is.ozij wrote:At the beginning of this thread Snoredog wrote: The Auto algorithm should limit any response to snore, it should limit any response to centrals if you have the propensity for those.in the above post Snoredog wrote:Snoring is going to make any auto chase events.
O.
snoredog wrote:Where's them butt ugly argile socks you were wearing?
While on the one hand I suppose I should feel honored that snoredog has built a "SAG Shrine" in his house, complete with photos and candles, frankly, he's really starting to creep me out.snoredog wrote:SAG you are still
dehydrated from last run.
<------------see avatar
No, no, no don't feel like you are in any way honored with any shrine at my house, only shrine I can think of that would fit that description is ceramic white and has a tank of water above it and a lever to flush away most of what you deliver here. While I tried to get along with you, doing that only comes back to bite me in the ass, trust me when I say you are still a POS in my book and will always be, same for your hypocrite friends. So if you think you have a special place in my heart know where it is.StillAnotherGuest wrote: While on the one hand I suppose I should feel honored that snoredog has built a "SAG Shrine" in his house, complete with photos and candles, frankly, he's really starting to creep me out.
SAG
PS - Hate to OT/hijack, but echo, when you get your results, I'll PM. While I really hate when people get poor advice that result in them spending money on stuff they don't need, I do have a few tricks and "catch phrases" that can help getting the stuff that may help.
Browser wrote:I have severe osa and purchased an auto m-series and with J. Skinners program my variable breathing is 98% of the time over 55% up to 75%. I have tried auto and cpap mode and cflex 1,2,3 and off and still high. I noticed if I take 1/4 mg of Klonopin a couple hours before bed the VB drops to 25%. I have no known breathing disorders other than OSA with an AHI at the PSG over 100. I went to a cheesy sleep lab last time and was titrated at 15 but I wonder if they missed something and if I should go to a better lab instead of the cheesy one? Could I need a special machine? My AHI remains 5-10 if I set the machine 10-15 11-15 12-15 13-15 straight 14 or straight 15 and if I go over 15 I really fill with air in the tummy. I don't fall asleep during the day anymore but I don't feel right. I wonder if it could be related to antidepressant use or BP meds? Should I just ignore the VB or go to a better clinic.
Browser wrote:I take an antidepressant(SSRI) and BP med and nose spray(Steroid). I feel anxious often during the day and I read a post here about breath holding and I have noticed since I was a kid that I do that often when changing positions watching tv or after I wake up in bed - don't know why but I have always done it. I have my study results.
quoting his NPSG Browser wrote:I have my study results.
73 minutes to fall asleep (Noisey lab where they kept a cold fan running in my room to try and drown out all the noise they made-their words)
Slept just over 4 hours
Sleep efficiency 61% (Due to lab conditions-my opinion)
Some slow wave delta sleep was seen in later part of the night once cpap was applied
Onset to initial REM sleep was normal but a decreased proportion of overall rem sleep was seen
No PLM
During initial 3.5 hours of the night he slept for 2.2 hours for a sleep efficiency of 64%
During this time there was considerable disordered breathing seen with 185 OA and 52 HA
Repetitive arteial O2 desaturation as low as 78% in REM sleep with frequent episodes of desat below 90% from baseline of 94%
As a result of the frequency of apnea events there was prolonged sleep time below 90% SpO2.
Loud snoring was heard
Sleep ECG appeared normal
Cpap was applied and took just over an hour toresume sleep
Slept just over 109 minutes for a sleep effeciency of 58% of the remaining 3.1 hours in bed
During Cpap there was some consolidation of slow wave (delta) sleep seen and a reasonable amount of of REM sleep was evident
Minimal disordered breathing was seen with only 1 HA for an RDI of 0.6 per hour with treatment
O2 remained between 93 and 96%
Cpap was initiated at 7cm and he was unable to tolerate and it was raised to 10cm eventually this was raised to 15cm to overcome reidual snoring
He slept for 1.8 hours with no evidence of disordered breathing
Sleep stages - no treatment
Rem=13.5%
1=1.1%
2=85%
3=.4%
4=0%
Sleep stages with cpap
Rem=16.5%
1=4.6%
2=61%
3=17.9%
4=0%
Sa02 no treatment
Awake average = 94% With treatment = 96%
Lowest = 78% With treatment = 93%
Average desat = 8% With treatment = 4%
Lowest Sa02% = REM non-back 78% Non-rem Non-back 83% With treatment = Rem Back 94% Non-rem Non-Back 93%
Respiratory events=
OA = 184 Mixed = 1 Central = 0 Ha = 52 With treatment = OA 0 Mixed 0 Central 0 Ha 1
RDI = OA 83.0 Mixed 0.5 Central 0 Ha 23.5 With treatment = OA 0 Mixed 0 Central 0 Ha 0.6
Average duration OA 18.6 sec Mixed 13.5 sec Central 0 sec Hi 19.5 sec With treatment OA 0 Mixed 0 Central 0 Ha 29.4
Longest duration Total apnea = 36.6 sec Ha = 50.9 sec With treatment Ha 29.4
Number in NREM Oa = 169 Mixed = 1 Ha = 44 With treatment OA 0 Ha 1
Number in REM Oa = 15 Ha = 8 With treatment Oa 0 Ha 0
NON TREATMENT Respiratory arousal index = REM = 0 NON_REM = 45.7
Average HR = 71
Average HR assoc with AHI = 71
ARO RES - Rem = 0 Non-rem = 45.7
ARO Spont - REM = 8.2 Non-rem = 6.3
ARO Limb - O across the board
RERA - 0 Across the board
Snore 0.3 in Non-rem
Cpap - 10 12minutes - No events
Cpap - 12 20minutes - 1 Ha
Cpap - 15 79minutes - No events
Epworth score = 16
Note- Gained 10 pounds since study approx 2 years ago
So are there any more helpful thoughts/ideas to get Browser's discussion back on track? Thanks.While citing a recent Encore report Browser wrote:Here is my report from last night following snoredogs recommendation. I awakened and turned the machine off and back on so that is why in the morning the sudden pressure drop. I have a nice skin tear under my nose now. I feel about like usual today. Not tired but trying to perfect because I feel strange. Kind of like anxious. Eyes watering. Sinuses sore. Been at this for a couple years. I use the Activa mask. Humid was set at 3. Usually at 1. Cflex set at 1. Have tried all settings.
Thanks for your help...
Obviously your lack of knowledge of how the Remstar Auto snore control circuit works better describes what is happening above then my statements being contradictions. Because both statements are true. Now if you have nothing better to do than go around to each of my posts taking text out of context only to be a PIA and confrontational as you usually are then I would believe that too.ozij wrote:My knowledge, or lack of it does not explain the self contraditions in your own statements.Snoredog wrote:You have the outdated Windows simulation program, go run it for snore. if you think all that pressure increase seen is from snore you are dreaming more than he is.ozij wrote:At the beginning of this thread Snoredog wrote: The Auto algorithm should limit any response to snore, it should limit any response to centrals if you have the propensity for those.O.in the above post Snoredog wrote:Snoring is going to make any auto chase events.
O.
Absolutely agree about the OT award for this thread!jnk wrote:Browser,
You have just won the ultimate award on this forum! The award is based on the fact that your thread has been so thoroughly hijacked (over something that has nothing to do with you) that you have now won the personal sympathies and devotion of every board member here. And that is the award.
A forum, as we all know, can be kind of like a bar where occasionally some good people will have too much to drink and have a fist fight to clear the air over everything that has been said, implied, or inferred over the last several years. The group hug may occur later if anyone is sober enough to remember the fist-fight even occurred, and if everyone remembers that we all respect each other's rights to have stupid opinions. Meanwhile, there can be a few embarrassingly awkward moments, like this one. (So maybe we're less like the Cleavers and more like Cheers, I guess.)
And that's why you have won the sworn, undying, lifetime support of every member of cpaptalk.com in acknowledgement of the fact that you just happened to walk into the bar on the wrong day.
I think we are all capable of disappointing one another on a really bad day (or two) when we are frustrated. Right?
Anyway. Maybe we'd all better walk away from this thread. I think I hear a siren. But don't give up on us. It's usually a really nice bar . . .
. . . Wait, the siren just stopped! False alarm. (Nice save, -SWS!) Let's wipe ourselves off and help Browser like ladies and gentlemen, shall we? We don't want to run anyone off to the "other" forums, now, do we?
jeff
ps to board: By "us" helping, I mean all of you, because I have no idea what we're talking about and my work computer blocks the charts from that site anyway.
