CPAPtalk.com

Jeff, thanks for saying that so well. I really needed to hear that, because I'm finding myself too obsessed with the numbers too. I need to get a life...

Now, if I could just remember what that life was, because I was tired for so long...

KatieW wrote:Jeff, thanks for saying that so well. I really needed to hear that, because I'm finding myself too obsessed with the numbers too. I need to get a life...

Now, if I could just remember what that life was, because I was tired for so long...

Thanks.

Like so much of what is said on this board, I have to keep saying it to hear it myself.

I have a tendency to obsess about my numbers, and it took me months of reading here to get some balance about it. I think it is a constant battle for many of us.

But I also think it is better to see the numbers and learn what they mean than it is for docs and DMEs to hide them from us.

I have left everything alone since I adjusted the bottom pressure up to my minimum and last night was rough. AHI of 5.1, feel like crap today. What changes from night to night like that? We keep the room the same temperature, we sleep with the same covers, I sleep with earplugs, etc, etc, etc. I don't see why it's not VERY similar every night...

JC

jrcmlc wrote:I have left everything alone since I adjusted the bottom pressure up to my minimum and last night was rough. AHI of 5.1, feel like crap today. What changes from night to night like that? We keep the room the same temperature, we sleep with the same covers, I sleep with earplugs, etc, etc, etc. I don't see why it's not VERY similar every night...

JC

One night does not make a trend. I deal with the infrequent stinker of a night by using it as a reminder that on other nights I feel so much better that I know the CPAP is helping me. There are so many variables from how your mood is, what you last ate, what time you last ate, how tired you are at night, how well the mask fits that night, do you have a cold, etc. etc.

If its just one night, I'd just forget it. If it becomes a trend, (I'd say three straight nights is a trend), then you need to consider tweaking. My 2 cents worth.

jrcmlc wrote: . . .I don't see why it's not VERY similar every night...

I don't really know why it can be like that, either, but it happens to me too. Must have something to do with being human.

I can have a bad run of 3 or 4 nights when nothing much has changed, and I can have a good run of several nights when nothing much has changed. That is one reason many of us have to look at long trends of two weeks or more to see the big trend that matters.

I usually have an AHI of around 6 or 7 on my ResMed, but I can go over 10 for several nights. Last night I had an AHI of less than 4 and an AI of 0.0 for the first time ever, and nothing changed that I know of. I got a big project finished at work that day, so maybe it was a lifting of stress. Or maybe it is because my exercise program is finally back on track after getting back from vacation a few weeks ago. Then again, maybe it was a change in sun-spot activity or aliens or black helicopters--I don't know. I just know weird stuff happens and a lot of things can change night to night and week to week.

That fact is one of the big arguments for the importance of patients getting efficacy-data machines, since the night of the titration was most definitely a night out of the ordinary, and the long trends can tell a person a lot about where his pressures should be and allows the patient to make part of the call when it comes to efficacy versus comfort--which is often a matter of how that particular patient feels when his AHI is at a certain place long term.

Speaking of that, the odd thing others have mentioned is that it can be a morning after a bad-AHI night that a person feels best, and it can be a morning after a great-AHI night that a person feels the worst. That makes sense, in some ways. For example, if sleep was fragmented to the point of keeping the person out of REM (a stage when many experience breathing changes that show up as events), he may have great AHI numbers but lousy sleep. And, on the other hand, if a person has more than usual REM, he may wake up feeling refreshed but have lousy numbers to show for it. So we have to balance our numbers by how we feel.

Hope that helps.

jeff

It's really interesting to see the data, and then find out that the data may or may not equal what you thought it meant. LOL I'll see how it goes and see if trends come out of the data and go from there, I guess.

JC

You are great in how you summed that up! That says it perfectly. Many posts here are about getting people to understand the importance of seeing their data and getting them excited about doing that, and then the next posts are about turning around and trying to slow them down so they can patiently track their data over weeks instead of making judgments about pressures based on a few nights.

It is difficult for all of us to keep our objectivity when we attempt to take a scientific and mathematically viable approach about our own medical needs, but that is the only approach to take to get a perfectly individualized setting. The nice thing is that the machines keep track of your weekly and monthly "averages" (actually they are means) along with those daily numbers, which makes it easier to see trends over time. You can move pressure a cm one way or the other and then compare the weekly numbers to the monthly numbers. All it takes is some patience and not losing focus. But if you are anything like me, patience and focus are two things that can be hard to come by when it comes to feeling better.

I hope my way of explaining things hasn't been as irritating to you as it is to some people.

jeff

I am having a hard time printing from ResScan and am wondering if it is an issue with their software or that fact that I am running it under Parallels (Vista SP2 x32) on my Mac. When I click the print button, nothing, and I mean nothing, happens. I don't see a printer dialog, nothing hits the print queue and no errors pop up. There does not seem to be a printer/page setup in the ResScan software itself either. Right now I have been printing by Saving the report and then printing the PDF. Also would be cool to be able to dictate where the are saving too because I had to search for it the first time.

I am running the same version of software, except under Win7 64bit and when I click print I get another window that is a PDF that you can choose to save (wherever you want) or print. FYI.

JC

Interesting, what you're reporting is exactly what I would have expected in terms of functionality. What version of ResScan are you running? I am running 03.07.007, launcher version 0.2.0.59, clinical version 0.7.0.259.

I originally was running under Windows 7 x64 before I got my CPAP, but bailed out to Vista x32 because so many folks seems to be having problems under 64 bit. Maybe I will bring that VM back online.

I'm running EXACTLY the same version of the software. 64bit xp, vista and win7 are all a pain in the rear, things such as the resmed usb adatper (not the card reader) don't work under 64bit...and I'm sure you know of the many other things that don't like x64.

Either way, I think you have your answer.

Joe

Llama wrote:When I click the print button, nothing, and I mean nothing, happens

I had ResScan 3.7 installed under Vista x86 on a ThinkPad laptop, and it printed with no problems.

Cheers,

Bill

I guess I will try reinstalling it to see if that does the trick, or maybe try it under Boot Camp.

Llama wrote:I guess I will try reinstalling it to see if that does the trick, or maybe try it under Boot Camp.

I got it working fine under Boot Camp (with Win XP).