No Answers Yet For Problems With ASV

Paper_Nanny wrote: Yeah, my references to B. F. Skinner, Skinner's pigeons, and my dog Ralph were meant to imply that saying, "Increase the min PS" could have been a right answer by purely random chance, rather than any well thought out reason. If someoone answers, "Increase the min PS" to every xPAP question involving hyponpnea, eventually, that will be the right answer.

Oh, I got it; I'm not that obtuse! I just felt like being all explicit and what-not.

Keep us posted on your progress. With your apneas/hypopneas/perkiness. And your nose.

Paper_Nanny wrote:If someoone answers, "Increase the min PS" to every xPAP question involving hyponpnea, eventually, that will be the right answer.

It was the right answer for you. That should be all that matters. You ungrateful twit.

Paper_Nanny wrote: Yeah, my references to B. F. Skinner, Skinner's pigeons, and my dog Ralph were meant to imply that saying, "Increase the min PS" could have been a right answer by purely random chance, rather than any well thought out reason.

You also misread B. F. Skinner. He did not profess to random chance.

StillAnotherGuess wrote:It was the right answer for you.

One night is insufficient to establish either a trend or a conclusion. If we were to draw conclusions based on a single night, we would have concluded Deborah was "done" a week ago when she dropped her min EPAP. Some fundamental precepts of data analysis elude you. I'm hopeful that Deborah is on the right track now, but properly calibrating her EPAP was the correct first step (which you skipped over in your usual "tinker-with-PS" lines).

StillAnotherGuess wrote:That should be all that matters.

Wrong. The evidence used to support a statement are very important. When no data, evidence, or logic are provided, it's pretty logical to question the statement. When a source makes no effort to establish his or her background or credibility, it's pretty logical to question that source. And when the source has provided patently false information in the past, it is very logical to question that source.

Asking "why" is something intelligent people do. Advocating rampant dial-twisting, as you have done on this board for years, isn't good science, isn't good medicine, and isn't good advice.

StillAnotherGuess wrote:You ungrateful twit.

And you resort to an ad hom attack. Classy. I suppose we shouldn't be surprised. Since it's clear you aren't coming to these threads either to help people or to learn, don't you think it would be best if you found another way to spend your time?

BrianinTN wrote: And you resort to an ad hom attack. Classy. I suppose we shouldn't be surprised. Since it's clear you aren't coming to these threads either to help people or to learn, don't you think it would be best if you found another way to spend your time?

Which brings us back to the one-size-fits-all question, how has the spread with PS Min been working for you, lately?

StillAnotherGuess wrote:You ungrateful twit.

Wow. It's been a long time since a guy has said that to me!

Which is because I am not an ungrateful twit. But, in this situation, I was making comments which were needlessly cruel and for that, I apologize.

StillAnotherGuess wrote:You also misread B. F. Skinner. He did not profess to random chance.

Skinner did label it random when an organism emitted a novel behaviour. It is only after a behaviour has occurred at least once that the randomness is removed. A pigeon who had never been in the box before would have never pecked the bar before and doing so would be a random occurrence. After that first occurrence, the probability of bar pecking behaviour is no longer random. It becomes a function of what stimuli followed that initial occurrence.

It was a poor analogy, though, in that the behaviour of saying, "Raise the PS" was not novel and thus no longer random. And, as I said, it was also a needlessly cruel analogy, and thus poor in regards to being in line with the fulfillment of my existential obligations.

Deborah

StillAnotherGuess wrote:Which brings us back to the one-size-fits-all question, how has the spread with PS Min been working for you, lately?

As previously stated: There are too many confounding variables in play for me to accurately answer that. Maybe in a day or two once other things settle out, I'll be able to say.

Edit to fix incorrect formatting on quote.

BrianinTN wrote:

StillAnotherGuess wrote:It was the right answer for you.

One night is insufficient to establish either a trend or a conclusion. If we were to draw conclusions based on a single night, we would have concluded Deborah was "done" a week ago when she dropped her min EPAP.

True.

BrianinTN wrote:The evidence used to support a statement are very important. When no data, evidence, or logic are provided, it's pretty logical to question the statement. When a source makes no effort to establish his or her background or credibility, it's pretty logical to question that source. And when the source has provided patently false information in the past, it is very logical to question that source.

True again.

BrianinTN wrote:Asking "why" is something intelligent people do. Advocating rampant dial-twisting, as you have done on this board for years, isn't good science, isn't good medicine, and isn't good advice.

I agree. Except about the part about advocating for years. I don't have any evidence to believe or disbelieve that comment. I haven't done as much reading on the board as BrianinTN has.

BrianinTN wrote:And you resort to an ad hom attack. Classy. I suppose we shouldn't be surprised.

I was surprised. But I don't know why.

Deborah

Paper_Nanny wrote:... And, as I said, it was also a needlessly cruel analogy, and thus poor in regards to being in line with the fulfillment of my existential obligations. ...

OK. Now I *am* impressed. I don't run across a lot of people who think through this sort of thing. Clearly you are on your way to becoming a self-actualized individual.

And thank you for being "big" enough to admit you struck out of anger/frustration. Though you can not control what others do, you can control how you act and react. A positive approach always (eventually) yields a better result. Thank you, because we can all learn from your efforts. And thank you, because we can all learn from your example.

StillAnotherGuess wrote: Which brings us back to the one-size-fits-all question, how has the spread with PS Min been working for you, lately?

Poorly.

Paper_Nanny wrote: Skinner did label it random when an organism emitted a novel behaviour. It is only after a behaviour has occurred at least once that the randomness is removed.

Skinner should have studied that single random response more thoroughly, Perhaps he did, and I missed it. Could that single random response have been learned?

JohnBFisher wrote: OK. Now I *am* impressed. I don't run across a lot of people who think through this sort of thing. Clearly you are on your way to becoming a self-actualized individual.

I'm impressed, as well.
I retract the "ungrateful twit', response.
How close to Nirvana do you think Paper_Nanny is?
I will grab the robes!

Paper_Nanny wrote:

BrianinTN wrote:Asking "why" is something intelligent people do. Advocating rampant dial-twisting, as you have done on this board for years, isn't good science, isn't good medicine, and isn't good advice.

I agree. Except about the part about advocating for years. I don't have any evidence to believe or disbelieve that comment. I haven't done as much reading on the board as BrianinTN has.

Not with only 37 posts.

Here is my data from last night.



I don't think It looks as good as the data from the night before. As far as I can remember, that is the lowest patient triggered breath % I have ever had. And the AHI of 6 is back almost where I was before changing the pressure support. I am holding off on making any generalized assessment of that latest adjustment because, like I said, there are too many confounding variables at this time.

As to the other one-size-fits-all question-- How do I feel? I feel short of breath, like I need to take a deeper breath, but even the deepest one I take feels too shallow, like my chest won't expand enough.

Tree pollen count is very high today and moderate for grass. Two of my neighbours are out doing yard work. I have most of the windows closed to keep the pollen out, but as a result, it is stuffy in the house, like there isn't enough air in here.

Also, we are finally having summer weather and the temperature is a little warmer than what it would be in my Optimal Happy Place. (Okay. Don't laugh. Outdoor temperature right now is 72; inside it is 74. Expected high today is 78. I think the high yesterday was right around there and I got overheated to the point of being nauseated several times yesterday.)

When I woke up this morning, I did feel a glimmer of perkiness. I didn't feel like just rolling over and going back to sleep. I didn't feel tired thinking about what I was going to do when I got up.

I feel a bit lethargic and sluggish right now, but I don't know if that is from poor sleep last night or from something else.

Also, with the subjective sense of not being able to get enough air, I don't know if that came before or after the poor sleep. Is my PTB low because I am really not breathing deeply enough? Or do I feel like I am not breathing deeply enough because I didn't initiate a whole lot of breathing on my own last night?

I really wish I had one of those things to measue O2 sats. Do I feel like I am not getting enough air becase my O2 sats are low, or is it merely a subjective feeling with no physiological correlate?

Deborah

Paper_Nanny wrote: As to the other one-size-fits-all question-- How do I feel? I feel short of breath, like I need to take a deeper breath, but even the deepest one I take feels too shallow, like my chest won't expand enough.

Also, with the subjective sense of not being able to get enough air, I don't know if that came before or after the poor sleep. Is my PTB low because I am really not breathing deeply enough? Or do I feel like I am not breathing deeply enough because I didn't initiate a whole lot of breathing on my own last night?

I really wish I had one of those things to measue O2 sats. Do I feel like I am not getting enough air becase my O2 sats are low, or is it merely a subjective feeling with no physiological correlate?

If you are having a volume issue the only cure is AVAPS. You may be on the wrong machine.

BrianinTN wrote:Keep us posted on your progress. With your apneas/hypopneas/perkiness. And your nose.

Just posted about apneas/hypopneas/perkiness, and here is the nose update. I can't remember if I already said I had gone in to my primary care physician's clinic on Wednesday and had it checked. One of the women in my quilt group was "momming" me to do it, so I did. The on call doctor said it was definitely broke but there was no need to do anything about it since my nose was still lined up straight and I wasn't having trouble breathing through it. He said he would call if the radiologist saw anything different. Thursday morning, I got a call from the scheduling department at the clinic saying they had secheduled an appointment for that afternoon with the Ear, Nose, and Throat Doctor.

So, off I went to the ENT. Mr. ENT MD and I had a nice visit together. Spent more time talking about my shoes than about my nose. I just got a pair of those shoes with the individual toe slots in them. http://www.vibramfivefingers.com/index.htm Mr. ENT MD wanted to know if I liked them, etc. etc..

When he was all done with the exam, I said I was a little confused as to why I was there, since he had nothing to say that I hadn't already heard on Wednesday. He said I was there pretty much as a CYA for the doctor I saw on Wednesday. Yeah, waste of my time all right!!

Anyway, the bruising is spreading and fading into the icky colours of old bruises. I liked the vivid purple and red better than this yellow and pink. Mr. ENT MD said it would take about six weeks to completely heal and to keep my nose protected until then. He specified that protecting my nose means no playing on the floor with Dog. I have found myself in compromised positions a few times recently when I have been with Dog. Playing tuggy games, holding my hands at chest level, and him suddenly letting go of the rope, and me almost bashing myself in the nose... That kind of thing.

Yesterday I was able to wear my glasses for most of the day, which was a nice relief. My glasses correct for nearsightedness, astigmatism, double vision, and presbyopia. (Yup, at the ripe old age of 44 I have my very first pair of bifocals and am now officially old!) Without them, I have serious problems seeing. I am fortunate that my last pair of glasses were lighter than my current ones and the prescription was okay enough for driving.

Deborah

O.T. I just realized your Avatar is your dog standing at the kitchen sink. For some reason, all this time I've glanced at it and seen a dog typing on a PC.

Mr Bill wrote:O.T. I just realized your Avatar is your dog standing at the kitchen sink. For some reason, all this time I've glanced at it and seen a dog typing on a PC.

Yes, he is standing at the kitchen sink, washing dishes and eavesdropping on my neighbours for me. He isn't allowed to use the computer anymore. Not since he wrote down my credit card information and ordered himself a bunch of Death Metal CD's from Amazon. I probably never would have know he did it, except he forgot to turn the stero off one afternoon. I came home, saw it on, and he was busted. Just goes to show, you can never really trust a pit bull. Even when you've known him for years and he was always such a good dog, eventually, he's going to turn on you.

Deborah