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Re: ASV study scans added.
Posted: Tue Mar 05, 2013 3:49 pm
by -SWS
JohnBFisher wrote: -SWS, the correction is that the EPAP range is from 8cm to 15cm (not 10cm as you initially quoted) H2O. (Though I may have misread your first clarification post which read "If EPAP ranges between 8cm and 10cm" .. and does not in fact imply that the EPAP range was from 8 to 10 .. just that was used as an example).
Ah, now I understand what you interpreted as needing correction, John. Thanks for the explanation. But when I wrote that, I completely understood that EPAP can range between 8cm and 15cm. Rather, my EPAP 8cm-through-10cm comment dealt with that part of the range at which the entire Min PS through Max PS range might be utilized:
Ranges at OP's Rx:
==================
EPAP8: IPAP18->IPAP23 (full PS range allowed)
EPAP9: IPAP19->IPAP24 (full PS range allowed)
EPAP10: IPAP20->IPAP25 (full PS range allowed)
EPAP11: IPAP21->IPAP25 (PS range capped by max pressure setting)
EPAP12: IPAP22->IPAP25 (PS range capped by max pressure setting)
EPAP13: IPAP23->IPAP25 (PS range capped by max pressure setting)
EPAP14: IPAP24->IPAP25 (PS range capped by max pressure setting)
EPAP15: IPAP25->IPAP25 (PS range capped by max pressure setting)
Anyway, all for naught since the OP seems to have a different Rx than recommended in the PSG. Thanks again for the great explanation, John.
Re: ASV study scans added.
Posted: Tue Mar 05, 2013 6:52 pm
by Nooblakahn
JohnBFisher wrote:Nooblakahn wrote:Well... I already have the machine. Last night was one week of using it. I have a resperonics vpap adapt. The script as you said was wrong and they had to redo it. I haven't checked it to see if it is set right... but that explains why it had to be rewritten. It seems to be working.. I have been below one AHI for three or 4 out of these nights. I have been meaning to upload a few charts. Ill have to get that.
Glad they got the settings straightened out. It's a really common problem. They just don't deal with anywhere near as many ASV units as they do CPAP or BiPAP units.
-SWS, the correction is that the EPAP range is from 8cm to 15cm (not 10cm as you initially quoted) H2O. (Though I may have misread your first clarification post which read "If EPAP ranges between 8cm and 10cm" .. and does not in fact imply that the EPAP range was from 8 to 10 .. just that was used as an example).
Your second post clarifying the ranges shows that relationship. Sorry for my confusion .. It's a pretty normal state for me! ..
Nooblakahn, sounds as if you are off to a running start! .. One thing I would mention is that you will probably need to research with your DME how frequently they will replace the cushion on your mask. And/or the mask itself. You will find that the constant flexing of the mask will cause it to stiffen. This tends to lead to more leaks over time.
One thing that can help you sleep better - even if the mask does leak are mask liners. These liners are essentially cloth that sits between you and the mask. Here are three different brands. I've used the REMzzzs and Pad-A-Cheek. I use the REMzzzs for several nights, not just one night. Though over time, it picks up the oils from my skin, so becomes less effective. So, I try to change the mask liner on a weekly basis, rather than a daily basis. That seems to be a good compromise between the cost (which most insurance companies do not cover) and the effectiveness of the product.
REMzzzs:
http://www.remzzzs.com/
Quietusliners:
http://quietusliners.com/
Pad-A-Cheek:
http://padacheek.com/PAC_Maskliners.html
Hope that helps.
Thanks John. The DME gave me a book, and a sheet that had how often everything could be replaced based on what my insurance allows. Mask seals are 1 per month. Masks every three months, head gear every 6. She said if I switch to a new mask type.. they would give me the head gear as they would throw it away anyways. They did admit that they don't deal with many asv's.. Though they added, that I was the second they had that week, and when it rains it pours (sounds rude typed, but they were polite about it). They said mine was set up a little more complicated then the last one due to the settings I needed. I've seen the REMzzzs and have considered them, wondered if you could reuse them.. really not sure my leak is all that bad. I will work on some graphs and get them up tonight. You guys have a better understanding of whats going on and i'm sure they will be more useful to you all then me
Re: ASV study scans added.
Posted: Tue Mar 05, 2013 7:21 pm
by Nooblakahn
Re: ASV study scans added.
Posted: Tue Mar 05, 2013 7:46 pm
by Nooblakahn
Re: 2/25 data(first night) and 3/4 data
Posted: Wed Mar 06, 2013 5:29 am
by Nooblakahn
Re: 2/25 data(first night) and 3/4 data and 3/5 data
Posted: Wed Mar 06, 2013 6:24 am
by Nooblakahn
A question I have on these events. With the asv having the backup rate that "convinces" you to breathe... if this kicks in is that automatically flagged as an event? Or if the machine gets you to breathe successfully is this not flagged?
Re: 2/25 data(first night) and 3/4 data and 3/5 data
Posted: Wed Mar 06, 2013 1:43 pm
by -SWS
Nooblakahn wrote:A question I have on these events. With the asv having the backup rate that "convinces" you to breathe... if this kicks in is that automatically flagged as an event? Or if the machine gets you to breathe successfully is this not flagged?
A backed-up breath does not always register as an apnea or hypopnea, Nooblakahn---since a back-up rate typically kicks in before the 10s time frame. A follow-up hypopnea or apnea might be scored depending on how responsive/unresponsive the patient's breathing is to that backed-up burst of IPAP pressure.
Those AHI numbers look great. How do you feel during the day?
Re: 2/25 data(first night) and 3/4 data and 3/5 data
Posted: Wed Mar 06, 2013 3:30 pm
by Nooblakahn
The first day I noticed improvement I felt like taking on the world. Except the headache. I had a headache the first two or three days. Not sire if related to the therapy. I don't feel as rested as I did that first day... but i feel much better than I did before treatment. No low oxygen hangovers. No falling asleep standing up at 4:30. Last two days I've been getting tired at 9... but im waking up am extra half hour early due to work so that could be why.
I feel great compared to how I did before therapy. More energy... better memory. Seems to be improving more gradually as I catch up on sleep that I was missing.
I feel unlucky that I have severe mixed apnea... but lucky that I seem to be a natural with the asv... it got easier after the first two nights... I barely even notice the pressure now. I've heard how hard it is for people to adjust to... and I'm just not having these issues.
