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99 replied to 99's discussion colloidal silver
"i have purchased some silver the make my own colloidal silver"
yesterday
99 replied to 99's discussion colloidal silver
"just add to the distilled water it is antimicrobial eg cleans your machine and is beneficial for keeping you healthy  from bugs germs viruses you get the picture and when you need to clean the humidifier out, put water on your plants the silver…"
yesterday
Mary Z left a comment for richard graham
"If the heated tube works with your machine I would try that.  They also make covers for your tubing which may help some.  I think the heated tube may be your answer.  Keep us posted."
yesterday
Mary Z left a comment for richard graham
"Richard, some folks just use the humidifier in a Passover mode.  They just don't turn it on, but let the air pick up moisture without heat."
yesterday
Mary Z replied to 99's discussion colloidal silver
"99, where have you been?  Do you add the colloidal silver to your humidifier?"
yesterday
Mary Z replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"I Andy, I realize I'm months behind your post.  I have no idea why your S8 would stoop collecting data.  I'm glad to hear  you're having such improvement with your apnea.  I have made great strides since I changed…"
yesterday
Mary Z replied to Andy's discussion Resmed S10 AirSense - Anyone have one? Any feedback?
"Andy, just found your post.  I don't know anything about this new machine.  How are you liking your new ResMed?"
yesterday
Mary Z left a comment for Kay Day
"Kay, I haven't been around myself and miss the old, active forum."
yesterday
Mary Z left a comment for richard graham
"Hi Richard,  I don't bother with a humidifier.  Someone on the forum suggested not using it and I'm a lot less congested without it.  A good AHI is under 5.  I use the Wisp and have been since it came out.  I think…"
yesterday
hifay replied to Mary Z's discussion Sleep apnea increases risk of osteoporosis
"Always something. Thanks for the information."
yesterday
99 posted a discussion

colloidal silver

a humidifier can be used with colloidal silverthis can keep the humidifier clean for day maybe weeks or longer without the need to clean the humidifiersilver colloidal is antimicrobial and you could just top up your humidifier without cleaning and at the same time treat your bodyor you just put silver on it own into the humidifierSee More
Saturday
richard graham posted a status
"I feel like the humidifier is making me feel yucky and I'm waking up hacking and having to clear my throat a lot for a while."
Nov 3
richard graham posted a discussion

what's a good AHI?

I've been using and auto and it says my AHI HAS been between 4 and 6 and wondering what's a good range.
Nov 2
Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29
Oscar Lemus updated their profile
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23

I use a ResMed VPAP S with a Quattro FX full face mask. Each morning I check my numbers and have noticed that when the mask leakage number is low my AHI is high. For example

Leakage Rate       AHI

    0.14                 3.2

    0.00                 6.9

    0.24                 2.8

    0.04                 9.4

 

I can't make sense of this pattern. What is my machine trying to tell me?

 

Thanks

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Replies to This Discussion

Those are average numbers over the entire night and are limited in their utility. Drawing conclusions from these numbers is problematic.

Do you have the ResScan software? The nightly detail report showing minute-by-minute when the breathing events are happening and what the leak rate is at that time are much more useful.

It is quite common to have clusters of events or clusters of leaks. For instance, if you slept 7 hours the night you had 6.9 events per hour (AHI), you could have had two clusters of 24 and 25 events in say two periods of 45 minutes and no events in the other five and a half hours.

Software is invaluable in my experience with troubleshooting and optimizing one's therapy.

i will not argue against banyon on the need for the software. However those numbers are good.

AHI was still a little high on a couple of nights, but that just may take time to settle down. Leaks seem acceptable. I won't argue against the importance of software for more closely examining the issues.  I gave up on using my software, however.  For me the nightly data from the machine is sufficient.  I am just not personally a CPAP geek (nothing implied here), I admire people intererested and involved in their therapy who take the trouble to use the software.  I guess I am just lazy.

It is very interesting to see the physical evidence of how (in cliusters?) your apneas and hypopneas occurred and how long they lasted.

Reply by RockRpsgt 21 hours ago

 However those numbers are good.

 

They may be good enough for a sleep professional but not good enough for the patient. LOL.

Another example for you: The night showing AHI of 9.4. If he slept 7 hours that means he had about 65 events. What if all 65 of those events happened in a one hour period? That kind of therapy is totally unacceptable to me.

What if the 65 events were well distributed over the night but many of them were 90 seconds or longer? That is horrible therapy.

Repeating my point, you cannot accurately judge the effectiveness of Tom's therapy by summary data.

The detail software report gives you more critical information that can many times be used to make large improvements in one's therapy and consequently quality of life.

 

 

I have a VPAP S and the Rescan software I have doesn't give me the granularity you speak of; I wish it did.  Thanks for your comments

Banyon said:

Those are average numbers over the entire night and are limited in their utility. Drawing conclusions from these numbers is problematic.

Do you have the ResScan software? The nightly detail report showing minute-by-minute when the breathing events are happening and what the leak rate is at that time are much more useful.

It is quite common to have clusters of events or clusters of leaks. For instance, if you slept 7 hours the night you had 6.9 events per hour (AHI), you could have had two clusters of 24 and 25 events in say two periods of 45 minutes and no events in the other five and a half hours.

Software is invaluable in my experience with troubleshooting and optimizing one's therapy.

I'm not complaining about the numbers rather I suspect that Leakage and AHI are related some how.

Thanks for your reply.

RockRpsgt said:

i will not argue against banyon on the need for the software. However those numbers are good.

Hi Mary, long time no see... Even with the cable I got from you I don't think the VPAP S will provide the kind of data that Rock and Banyon are referring to; would you concur with that assesment? Hope all is well with you, Tom

Mary Z said:

AHI was still a little high on a couple of nights, but that just may take time to settle down. Leaks seem acceptable. I won't argue against the importance of software for more closely examining the issues.  I gave up on using my software, however.  For me the nightly data from the machine is sufficient.  I am just not personally a CPAP geek (nothing implied here), I admire people intererested and involved in their therapy who take the trouble to use the software.  I guess I am just lazy.

It is very interesting to see the physical evidence of how (in cliusters?) your apneas and hypopneas occurred and how long they lasted.

But I need an S9 to get that kind of data, yes?

Banyon said:

Reply by RockRpsgt 21 hours ago

 However those numbers are good.

 

They may be good enough for a sleep professional but not good enough for the patient. LOL.

Another example for you: The night showing AHI of 9.4. If he slept 7 hours that means he had about 65 events. What if all 65 of those events happened in a one hour period? That kind of therapy is totally unacceptable to me.

What if the 65 events were well distributed over the night but many of them were 90 seconds or longer? That is horrible therapy.

Repeating my point, you cannot accurately judge the effectiveness of Tom's therapy by summary data.

The detail software report gives you more critical information that can many times be used to make large improvements in one's therapy and consequently quality of life.

 

 

Reply by Tom Cannon 11 hours ago

I have a VPAP S and the Rescan software I have doesn't give me the granularity you speak of; I wish it did.

 

Find the exact model of machine in the table in the link below and see if there is a check mark in the column ResScan Version 3.14. Let me know your findings.

 

http://www.resmed.com/assets/documents/service_support/device_compa...

Tom, my ST A did not give AHI and AI data.  These were reported as 0.0, instead of "no data" which was very confusing.  I knew that night after night I did not have a 0.0 AHI.  I finally got an email from ResMed where they did confirm that the ST A US version did not report AI and AHI.  For that machine I used the nine pin null modem cable to download data, not the ResScan cable.

I did see it written that AI and AHI were recorded, but it was not true for that machine.

 

Welcome back, Tom.

How long has he been on PAP? What was his original AHI? Without those numbers you can't evaluate anything with any amount of data. Tom wanted to know what those numbers meant. Rather than giving an explanation you used it to push your agenda.  Which by the way I support. ;)

 

I stand behind my comment: Those numbers are good! Could they be better? Yes!

 

How do you feel Tom?

 

Unlike others I am not here to push an agenda. I am here to help. Making tacky pokes at sleep professionals is one thing. Making them at someone who has done nothing but show support is another. I ask you once again to save them for those whom to deserve it. LOL!

Banyon said:

Reply by RockRpsgt 21 hours ago

 However those numbers are good.

 

They may be good enough for a sleep professional but not good enough for the patient. LOL.

Another example for you: The night showing AHI of 9.4. If he slept 7 hours that means he had about 65 events. What if all 65 of those events happened in a one hour period? That kind of therapy is totally unacceptable to me.

What if the 65 events were well distributed over the night but many of them were 90 seconds or longer? That is horrible therapy.

Repeating my point, you cannot accurately judge the effectiveness of Tom's therapy by summary data.

The detail software report gives you more critical information that can many times be used to make large improvements in one's therapy and consequently quality of life.

 

 

Your leak rates are within a normal range. Banyon is correct in that these numbers are just a summary. They do little to show any type of trends.

Tom Cannon said:

I'm not complaining about the numbers rather I suspect that Leakage and AHI are related some how.

Thanks for your reply.

RockRpsgt said:

i will not argue against banyon on the need for the software. However those numbers are good.

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