DonMidwest

Incredible! My machine was already in Auto which I verified because I now know how to check settings.

I had no idea that it was possible to work with my own data. The "professionals" were keeping OSCAR a secret.

I downloaded OSCAR and entered my profile. Under OSCAR Documents I see many that will help getting started and using OSCAR.

As noted in the original post, I think this 2024 sleep study is invalid but in 2009 the study found AHI at 25 which is high. In 2009 I was so sleep deprived that I would fall asleep while driving during the day. In any case, I do need some additional assist.

I do not have the time today to begin OSCAR and we are out of town next week, so it will be a couple of weeks until I respond on how it is going.

Once again, thanks for the help!

Thank you again for the help. And thank you for this community. Here is an update.

I was really upset about sleep issues and the realization that my "sleep doctor" was just a technician with a CPAP tool.

When the sleep test came back with 0.0 for both Stage 3 and REM I freaked out. These are the two most important scores for cognitive decline.

As noted earlier, I thought that the sleep test was invalid because of congestion in the chest. I attempted to find out the meaning of these scores.

I realized that they don't pay attention BECAUSE there are two tests. The initial test and the titration, the second test is when they fit the mask.

They had a SUCCESSFUL initial test because it yielded a score of 60 AHI which justified the second test and the titration. They don't care about the details. They offered me a chance to come in and speak with the big cheese sleep doctor but I know she won't be of any help because a few years ago when I brought up the book "Why We Sleep" she freaked out. A challenge to her authority or something.

Looking for another sleep doctor so far has failed. I am looking for a doctor who works with lifestyle and supplements.

I have settled down from my high levels of concern and will go for titration study in May. They sure aren't in a hurry!

I have not downloaded OSCAR and begun looking at the data in my machine. I will do that in a couple of weeks when I have more time.

Again, thanks for the help.

I am so happy to be able to discuss these issues.

1. I am using Resmed AirSense 10 Respond. My current mask is AirFit 30i which covers the mouth and extends to the underside of the nose

2. This is the first time I have looked at this data. Hypop 65 Obstr 65 Central 10 Mixed 0 Apneas 75 from 10/13/2009

Ces Apneas 16 Obs Apneas 190 Mxd Apneas 5 Hypop 9 Total Apneas 211 RERA 17 All Resp Events 237 from 2/18/24

Stage 3 0.0 REM 20.0 Study 10/13/2009 Stage 3 0.0 REM 9.6 Titration 10/20/2009

Stage 3 7.6 REM 28.1 Titration 3/9/2017

Stage 3 0.0 REM 0.0 Study 2/18/24

I noted in the original mail that I didn't think this study is valid because of chest obstruction. The primary doctor said that she reviewed the test results and said that they are valid. My hunch is that the purpose of the test is to set the stage for the next action, titration scheduled for May.

1. This is the first time I have heard about OSCAR.

Final question. I think that the 0.0 scores for stage 3 and REM prove that the test is invalid.

Thank you Don

Hi Sierra, Thanks for the reply.

1. I am using AirSense10 Respond

2. This the first time I have looked at the data. In the 2009 study _ Hypop 65, Obstruct 65, Central 10, Mixed 0, Apneas 75

AHi/Hour Hypo 25.3 Non-REM 25.7 Ren 23,5 (I am not sure about the Hypo score: it is a column with 3 numbers added up to get 25.3

1. I have never heard of OSCAR.

This initial contact is very helpful because my "sleep doctor" never discussed these issues with me.

I am 81 years old, weigh 160 lbs. and the only prescription I have is for the CPAP. Lifestyle progress in last year got me off 4 prescriptions.

The 2/18/24 report is 7 pages with an introductory letter of 3 pages.

I was congested with drainage to my stomach. I think that that made the entire study invalid.

Here is my attempt to provide you the data. The table titled "Respiratory Events" The first row is "counts" and here are the columns for "Count" Cen. Apneas 16, Obs. Apneas 190, Mxd. Apneas 5, Hypop 9, Total Apneas 211, Apnea+Hypop 220, RERA 17, All Resp Events 237

The 2009 study was 2 pages long.

Final question. I am considering using the service of FitChecker for advice on the best mask fit. They are at maskfitar.com. I heard of them from a Dr. Talks series on sleep that ended recently.

I hope that I came close to providing what you were asking for. Sincerely Don

I have been on a CPAP for 13 years. My "sleep professionals" deploy technology. They have never talked about sleep.

My first sleep study was in Oct 2019

Stage N3 0% Stage REM 20% AHI 25.3

Then a titration (mask fit) later in Oct 2019

Stage N3 0% Stage REM 9.6% AHI 2.6

So they fixed AHI way back then but I didn't notice about N3 and REM Watching a series on Brain Heath and the important stages are N3 and REM.

Over the years had 4 different masks, had trouble holding the seal, and occasionally get to 5 or below on AHI.

New sleep study Feb 18, 2024. I was congested so it might have been an invalid study Stage N3 0% Stage REM 0% AHI 65.1

At the end of the year I asked the sleep doctor how to increase REM. She didn't know how. Since I had lost weight she thought a new sleep study was needed and lowered the pressure. I might not need a CPAP at all she said.

I realize that the sleep study on 2/18/24 was probably corrupted because I was congested. But, but, I don't know how to work with this doctor to get good Stage 3 and REM sleep because this involves problem solving which I have not yet seen. There is a company that provides a FITCHECKER that I am going to use to get the best mask for me, but I don't know what to do about the quality of my sleep.

Question: Is it common to see State 3 at 0%? Is it common to see REM decrease during titration/mask fitting?

Comments and suggestions are welcome.