BIPAP AUTO-SV SETTINGS HELP

-SWS wrote:That phrase Muffy used---"Go silverplate yourself"----is an invitation for friendship!

Yeah, I'd like to invite that #*&#@! someplace alright.

Muffy

Banned wrote:

dsm wrote: Optimistically
DSM

Hi dsm,

I think all this is Muffy's way to say she approves of CROWPAT's new settings for tonight.
Sometimes she just has a hard time expressing herself. Or relieving herself?

Banned

LOL !!!

DSM

Muffy wrote:

-SWS wrote:That phrase Muffy used---"Go silverplate yourself"----is an invitation for friendship!

Yeah, I'd like to invite that #*&#@! someplace alright.

Muffy

Muffy

Life just isn't that serious - there are times when a smile achieves a greater imapact than a brickbat.
Cheer up!.

DSM

(EDIT: I hadn't previously noticed Muffy's strong words, just her 'dartboard'.)

I think Muffy didn't mean any harm....I got the humor she intended. These SV machines sure have a lot of things that can be fine tuned. Since there is a possibility I may need one of these, I have been following these more technical threads. Along the way, I have learned some interesting things. Thankfully, it is looking like my therapy is not evolving into compSAS...actually, the few centrals I have seen lately seem to be decreasing with pressure.

In the same humorous vein I suggest to Muffy that her mask may really be 255.255.255.0

In all seriousness, I learn lots from SWS and DSM, and I don't mind it all if they are being a bit technical, as I think we all have some engineering background in common. I even learn from Muffy....well sometimes Keep up the good work all of you.

BTW, SWS, did you know that they have issued the science report for Gravity Probe B and it clearly shows 'frame dragging'? (Or is it DSM who was 'close to Gravity probe B'?)

dsm wrote:Muffy

Life just isn't that serious - there are times when a smile achieves a greater imapact than a brickbat.
Cheer up!.

DSM

You are such an asshole.

Let me try to explain this so that you might understand.

If all I choose to post is a comment that I believe Banned's setting selections are arbitrary, that is within my right, as is the fashion that I do it.

I have no obligations to do anything else. For that matter, I have no obligations to do even that.

I do not have to "show that I'm mature", "explain complex information", "be open to reason and persuasion", "have a heart of gold", "use a CPAP machine", "be humble", "learn something from those that do" or even "be a competent clinician".

It is truly beyond belief that I compose a humorous response, you somehow think you have the right to decide what and how I post like you're The Head Moderator and then go

dsm wrote:Life just isn't that serious - there are times when a smile achieves a greater imapact than a brickbat.

when I tell you to go FO.

Save the judgements, sonny, you ain't the boss of me.

Muffy

Banned wrote:I think all this is Muffy's way to say she approves of CROWPAT's new settings for tonight.

Sorry I didn't pick up on this.

I guess that's one of them thar "si-col-o-gee" things, but unfortunately, I flunked that course.

Muffy

Time to get back to the business at hand and focus on how to fix me please.
Same link as usual. Last night at 13/13-22/Auto/Rise3 is the bottom one.
http://www.afsashoot.com/PAT1.html

CROWPAT wrote: Last night at 13/13-22/Auto/Rise3 is the bottom one.
http://www.afsashoot.com/PAT1.html

Well,

I'm truly perplexed. Anybody got any ideas?

Muffy?

Banned

My idea is:

EPAP: 14cmH2O
IPAP Min: 14cmH2O
IPAP Max: Unchanged
BPM: Auto
RT: 3

How awful is 14 cmH20 for tonight, CROWPAT?

Banned

(Bad Muffy!)

I'll try it and see what happens. Guess no one else cares or wants to offer a recommendation and logic behind it.

I'd like to see if you can at least score 0 AP at 14cmH20.

Banned

CROWPAT wrote:Guess no one else cares or wants to offer a recommendation and logic behind it.

-SWS wrote: A couple other experiments (with backup=auto) might entail: 1) moving IPAP_min closer to IPAP_peak average, and/or 2) moving EPAP closer to IPAP_peak average.

-SWS wrote:You can't know for certain whether your morning spikes are based in central dysregulation or airway obstruction.

-SWS wrote:Do you mind my asking exactly what happened to your sleep data and quality of sleep when you experimentally set IPAP_min to IPAP_peak average? Also wondering what happened when you experimentally set EPAP around IPAP_peak average? My assumption is that you've already been up and down that road in your past experiments.

-SWS wrote:CROWPAT, a detailed comment from me later in this thread about your above observation---but in relation to how/why the BiPAP autoSV endeavors to fix it with more pressure of all things...

I should not have intimated that no one cares. That was crude and not representative of how much I have always appreciated the advice given by good people on this board. I am going to try 14/14-22/Auto/Rise 3 tonight and see what happens. I know that I have gained about 20 pounds since me last titration so additional rpessure may be warranted. We'll see how it goes tonight. All of these experiments have left me pretty tired. I NEVER before made nightly changes. I always went about a week with a change to better evaluate its effectiveness. I'll report back in the morning.

CROWPAT wrote: I always went about a week with a change to better evaluate its effectiveness.

That's generally the best way to do it, Pat. And as a rule, little experimental deltas before or even instead of big deltas whenever possible.

However, I always get my doctor in the loop when experimenting with significant pressure or modality changes. That is still my recommendation. Good luck.

-SWS wrote:... However, I always get my doctor in the loop when experimenting with significant pressure or modality changes. That is still my recommendation. ...

The more I read about the complexity of the respiratory system, the more I tend to also agree it is important to involve a doctor in the process. I am also fortunate that my doctor wants me to bring the information from my machine. And he is open to my experimenting, as long as I (a) define clearly what I am changing, and (b) substantiate the results with data.

Not all doctors feel comfortable with that type of situation. As I note, the more I read the more I understand their reservations. Fortunately, my doctor appears to be willing to work with me to help me attain the best possible therapy. SWS, I think we are both very fortunate.

I can hardly wait to get my new machine. A big thanks to everyone on this forum who shares their knowledge (and cautions) as I start to try to straighten out my sleep.