ittiandro

Hi Sierra HI Thanks for your comments and explanations. I am sending a couple more daily reports after the pressure change to 12-16. Those I have previously sent are perhaps not as representative, because they are way off my average in terms of AHI. I sent them in case you see something standing out. It is the first time that my AHI’s keep under ONE for two consecutive days. May be it is a sign of improvement. Regarding the “pressure plots disabled”, I have now restored the setting to default as per your instructions. I have also upgraded to Oscar 1.2. I am unable to turn off the EPR, though. This option does not seem to be included in the Preferences, but I prefer not to play with this setting. I’ll just wait to see if there is any improvement after increasing the pressure. I have also checked the CSR issue. The Stats show an incidence of 0% over the last 30 days and 0.11% over the last 6 months. I don’t think I should worry. From what I begin to understand, there may be some interesting clues in the Flow rate, the Flow limit and the Minute Ventilation graphics, but all this is kind of nebulous for me at this stage, because the analysis of these parameters involves a good understanding of technical and physiological issues. It is really a fascinating issue, even more so that it is about my health and I hold dearly to it.

Thanks

Here are the reports

HI Thanks for your comments and explanations. I am sending a couple more daily reports after the pressure change to 12-16. Those I have previously sent are perhaps not as representative, because they are way off my average in terms of AHI. I sent them in case you see something standing out. It is the first time that my AHI’s keep under ONE for two consecutive days. May be it is a sign of improvement. Regarding the “pressure plots disabled”, I have now restored the setting to default as per your instructions. I have also upgraded to Oscar 1.2. I am unable to turn off the EPR, though. This option does not seem to be included in the Preferences, but I prefer not to play with this setting. I’ll just wait to see if there is any improvement after increasing the pressure. I have also checked the CSR issue. The Stats show an incidence of 0% over the last 30 days and 0.11% over the last 6 months. I don’t think I should worry. From what I begin to understand, there may be some interesting clues in the Flow rate, the Flow limit and the Minute Ventilation graphics, but all this is kind of nebulous for me at this stage, because the analysis of these parameters involves a good understanding of technical and physiological issues. It is really a fascinating issue, even more so that it is about my health and I hold dearly to it.

Here are the reports

Thanks

Franco

HI Thanks for your comments and explanations. I am sending a couple more daily reports after the pressure change to 12-16. Those I have previously sent are perhaps not as representative, because they are way off my average in terms of AHI. I sent them in case you see something standing out. It is the first time that my AHI’s keep under ONE for two consecutive days. May be it is a sign of improvement. Regarding the “pressure plots disabled”, I have now restored the setting to default as per your instructions. I have also upgraded to Oscar 1.2. I am unable to turn off the EPR, though. This option does not seem to be included in the Preferences, but I prefer not to play with this setting. I’ll just wait to see if there is any improvement after increasing the pressure. I have also checked the CSR issue. The Stats show an incidence of 0% over the last 30 days and 0.11% over the last 6 months. I don’t think I should worry. From what I begin to understand, there may be some interesting clues in the Flow rate, the Flow limit and the Minute Ventilation graphics, but all this is kind of nebulous for me at this stage, because the analysis of these parameters involves a good understanding of technical and physiological issues. It is really a fascinating issue, even more so that it is about my health and I hold dearly to it.

Here are the reports. The 2nd one won't go through o. Thanksn the same post. I'll send it separately

HI Thanks for your comments and explanations. I am sending a couple more daily reports after the pressure change to 12-16. Those I have previously sent are perhaps not as representative, because they are way off my average in terms of AHI. I sent them in case you see something standing out. It is the first time that my AHI’s keep under ONE for two consecutive days. May be it is a sign of improvement. Regarding the “pressure plots disabled”, I have now restored the setting to default as per your instructions. I have also upgraded to Oscar 1.2. I am unable to turn off the EPR, though. This option does not seem to be included in the Preferences, but I prefer not to play with this setting. I’ll just wait to see if there is any improvement after increasing the pressure. I have also checked the CSR issue. The Stats show an incidence of 0% over the last 30 days and 0.11% over the last 6 months. I don’t think I should worry. From what I begin to understand, there may be some interesting clues in the Flow rate, the Flow limit and the Minute Ventilation graphics, but all this is kind of nebulous for me at this stage, because the analysis of these parameters involves a good understanding of technical and physiological issues. It is really a fascinating issue, even more so that it is about my health and I hold dearly to it.

Here are the reports

Thanks

Franco

HI Thanks for your comments and explanations. I am sending a couple more daily reports after the pressure change to 12-16. Those I have previously sent are perhaps not as representative, because they are way off my average in terms of AHI. I sent them in case you see something standing out. It is the first time that my AHI’s keep under ONE for two consecutive days. May be it is a sign of improvement. Regarding the “pressure plots disabled”, I have now restored the setting to default as per your instructions. I have also upgraded to Oscar 1.2. I am unable to turn off the EPR, though. This option does not seem to be included in the Preferences, but I prefer not to play with this setting. I’ll just wait to see if there is any improvement after increasing the pressure. I have also checked the CSR issue. The Stats show an incidence of 0% over the last 30 days and 0.11% over the last 6 months. I don’t think I should worry. From what I begin to understand, there may be some interesting clues in the Flow rate, the Flow limit and the Minute Ventilation graphics, but all this is kind of nebulous for me at this stage, because the analysis of these parameters involves a good understanding of technical and physiological issues. It is really a fascinating issue, even more so that it is about my health and I hold dearly to it.

Here are the reports

Thanks

Franco

Hello Sierra

HI Thanks for your comments and explanations. I am sending a couple more daily reports after the pressure change to 12-16. Those I have previously sent are perhaps not as representative, because they are way off my average in terms of AHI. I sent them in case you see something standing out.

It is the first time that my AHI’s keep under ONE for two consecutive days. May be it is a sign of improvement. Regarding the “pressure plots disabled”, I have now restored the setting to default as per your instructions. I have also upgraded to Oscar 1.2.

I am unable to turn off the EPR, though. This option does not seem to be included in the Preferences, but I prefer not to play with this setting. I’ll just wait to see if there is any improvement after increasing the pressure.

I have also checked the CSR issue. The Stats show an incidence of 0% over the last 30 days and 0.11% over the last 6 months. I don’t think I should worry. From what I begin to understand, there may be some interesting clues in the Flow rate, the Flow limit and the Minute Ventilation graphics, but all this is kind of nebulous for me at this stage, because the analysis of these parameters involves a good understanding of technical and physiological issues. It is really a fascinating issue, even more so that it is about my health and I hold dearly to it.

Here are the reports

Thanks again

Franco

Here is the 2nd one

Thanks

Franco

Here is one report. I was unable to include the leak rate graphic. I hope it won't matter. There is also a 2n one with a different mix that I'd like to send, but it won't go through on the same post.

Thanks

Ittiandro

Thanks so much I think the most interesting reports to look at are those showing an unusual high number of AHI’s ( up to 8) and consisting of a majority of OA’s ( up to 90%) or a 50/50 mix of OA’s. and CA's. Given the TTIA and the relatively high number of OA’s and CA's making up the mix, I believe that in the long run there is less oxygen going into my system at night and this may have some effects, like arrhythmias or other .. I’ll send you the report as soon as I have sorted out the nuts and bolts of how and what to post. Getting there. Please bear with me…

1. The F-12 screenshot only shows a section of the report at a time and there are a lot of graphs, more than one page. . I suppose not all of them are relevant to you. Which graphics should I include and how do I extricate them from the page to drag them into my post?
2. I suppose I don’t have to include the summary section to the left, do I?
3. In your previous reply you included two segments of the graphs, not the entire graph bar. Do I have to include the complete bar for each graph. ? I suppose so

The mask pressure has been increased by the technician ( 12-16) according to the doctor's prescription, effective tonight. I'll see. I hope it won't feel like snow blower into my throat. I had enough of snow and ..snowblowers here in Montreal.!. .

Thanks

Ittiandro

Thanks I am on PC, Windows 10 32-bits. Here are some more points.

1.The term AHI is, from what I understand, an umbrella term including a variety of apnea events, like O.A, Hypoapnea, Central Apnea and others. To be able to identify them individually is essential, but if Resmed, to this purpose, removes the AHI’s from the report in case of large leaks, will these individual apnea modes be still traceable? If not, won’t the reports be unreliable, if they don’t show the correct number of AHI events?. It is a bit like deleting a folder from the computer: all the files it contains will also be gone.

1. Your comments have been invaluable, also because they have led me to look into the differences between the various apnea events, like Central Apnea, Obstructive Apnea, Hypoapnea, etc.
   I don’t have, though, a clear appreciation of their impact on the patient’s sleep quality and, ultimately, on his/her health. .

I’d would think that OA has perhaps the greatest impact, but perhaps other apneas are just as important..

My AHI’s have drastically gone down, in the average, to well under 2 /day over one year. . Sometimes there is none and sometimes, very rarely, they spike to 6-8 in one night. Looking at my reports, I found that the OA’s represent about half of my AHI’s. and this raises a few questions.

Of course, if the AHI’s for the night are down to one or less, the OA component becomes insignificant. When, however, the AHI’s are six or eight and half of them are OA’s, I wonder if there isn’t a more serious impact on health.

The report of 12/22 , which I will attach as soon as I know how to do it, shows for example 8.47 AHI’s, of which 7.02 ( practically 90%) are OA’s. Considering the TTIA for the night ( about 20:min), each OA had a duration of 2.85 min. A lot! . Of course, I didn’t stop breathing foe almost 3 min, or I’d be dead, but 20 min. of OA’s events shouldn’t perhaps be underestimated. This may be why my doctor has decided to increase the pressure.

3.I’d also like to have your take about the possible connection between sleep apnea and cardiac arrythmias. Can sleep apnea cause arrythmias?. Two years ago, before being treated for Sleep Apnea, I had an episode of Afib, when I was about to begin my usual 6 km running session . I am 79 and it was the 1st time. The cardiologist put me on betablocker ( Metaprolol) as a precaution, but I had a 2nd episode a few days ago, with the pulse briefly shooting up to 160 bpm, with absolutely no discomfort, though.
I spoke to the doctor again. In the meantime my heart had gone back to normal, except that I have a lingering arrhythmia, with the pulse fluctuating between 90-110 bpm ( it usually is 60 bpm at rest ) , It doesn’t go away. I don’t even feel it and I can detect it only with the cardio watch, but it is still there. If it it doesn’t go away, I’ll speak to my doctor again, but I wonder if arrythmias are an expected… byproduct of Sleep Apnea.

Thanks for your input, as usual

Ittiandro