DonMidwest

Biggest score in a few days. Lots of CA and several OA. Suggestions?

I sent a MyChart message to my sleepy doctor to ask if the Mask Fitting had the new F40 masks. Have not heard back. The MD and sleep group are related and not related if you understand. A totally different company provides supplies. They don't carry F40 yet. Because of your help I could probably get by with my F30i, but the F40 looks better.

I heard back from Dr. A Wells. She thanked me for the information on OSCAR, she will look into OSCAR, glad that I am doing well, and she had heard about Lefty Lanky 27. My response was I was not particularly found of Lefty Lanky 27, but he is someone who works with OSCAR I found on the web. I suggested she look for someone else to work with. I wished her well on her CPAP Mask class that begins today. I did not sign up.

What? "pretty good." It is beyond anything I had hoped for. (joke + truth)

I am sure you don't know but I will ask. Is the Gaba helping? You can wait until tomorrow to respond.

For sure I am going to hold tight to the current settings.

Well you said stay the course and see how things turn out. The previous night's AHI had been 3.15 and then up to 3.62 the night before last night.

And last night it was 0.92!!!! First time below 1 as I recall. It is nice that there is not much to see on the graph.

Well another night. Is it time to change the limits?

I don't know what happened at about 0:42. I thought I was asleep until about 05:25. I don't think that there was time to go to the bathroom. Or maybe there was time. Or maybe I was sleepwalking.

Would you like to see the details about 01:45?

I sent an email to Dr A Wells. She responded. I sent a long email with a copy of OSCAR graphic. I ended the email that now I can reliably get AHI of 2 and I don't think I could have achieved that with her course. She had heard about OSCAR but had not worked with it. I'll let you know if she responds. I mentioned lefty lanky 27 as a sleep technician on the web who works with patients using OSCAR. She is now in a bind. She has been exposed to a path that will help patients and it will change her practice. A cartoon I saw today was the new Hippocratic Oath: Don't do anything that risks your career.

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I sent an email to Dr A Wells asking if she used OSCAR in her course. I am 99% sure she doesn't or she would mention it. Maybe a sleepydoctor cannot admit that they know about OSCAR.

I purchased her DrTalks "Sleep Deep Summit: New Approaches To Beating Sleep Apnea and Insomnia" and I have only watched a few of the 40 or so interviews. It was around $69.

I went to her web page and found another course: "21+ CPAP alternatives"

In case you want to check it out more, here is the link

https://www.supersleepmd.com/cpap-mask-course

** Once I know about OSCAR I can spot a fraud who focuses on the mask, and then goes into all kinds of behavioral advice like diet, cool room, no electronics in bedroom, etc. It is good to have the group sessions like AA meetings, but there is only one directly causal element, alcohol, and lifestyle changes can be life changing. And effects of alcohol or drugs on the person and their network is observable, but in contrast, a person does not know what is happening when they are asleep. The issue is the patient actually sleeping overnight with the graphs measuring what is going on. True, many of these other things can help and many are essential, but there is no way to know the causal relationship between the many variables.

Thank you again for the ongoing assistance to uncover what is going on and the best response.

I would not have known to check OA and H exceeding CA event frequency. I will watch for it now.

After 2 hours my AHI was 1.6. It looks like the machine was off for about 45 minutes. I must not have restarted it.

I didn't reseat either my cushion or my neck collar.

Would it be best to take both off when I go to the bathroom and put them on again?

I went to bathroom 3x, together with not reseating mask or neck collar and that may be the reason for the activity in the morning.

Unplanned experiment with a good outcome!

I forgot to put on the collar and guess what, I was awarded AHI of 19!!! When I went to the bathroom and saw 26 or so, I realized that I didn't have the collar on. I left it off for the rest of the night.

So with adjusted pressure settings, starting pressure, and all the other things you suggested, without the collar I failed. So important to lean this.

There are so many variables that a solid result like this is delicious. Wear collar from now on!!!

I agree that it looks like soft collar dislodged. Now when I go to the bathroom, I make sure mask and collar are in the right places.

Another good night. Maybe I don't have to send every day.

It looks like the bad stuff happened just before I got out of bed. I recall trying to sleep on my side I may have disturbed the mask.

Did a lot of running around today to get a back up camera installed. All Best Buy calls go to India and when I started I didn't know what I was doing so had to cancel order, more runaround from India, posted the credit card, sent an alert to credit card company because it is a change from India, got caught in the middle of IT - - so finally drove over to the store and it was necessary to talk to the technician because some special wiring required.

Confession: I have many times said that I was going to exercise. So far, I have failed to follow though. Today.

And also include the full evening. Without OSCAR I would have not have known the effect of my actions in the last few minutes because 2.98 in itself is a very good reading.