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Jul 9
Pat Kniel updated their profile
Jul 7
ZolliStar replied to Fred's discussion CPAP - cure worse than the disease
"I'm wondering: what prompted you to consider whether you have sleep apnea in the first place? Also, waking throughout the night isn't uncommon especially as we (*sigh*) age.  I seem to every 90 minutes or so. This pattern probably…"
Jun 27
ZolliStar replied to ZolliStar's discussion New mouth device on the market
"You can try this website:  http://zyppah.com/ I have a MAD (mandibular advancement device). Dr. Steven Park evaluated my mouth and throat (not everyone can use a MAD, it turns out) and pronounced me a candidate for it. The truth?  I…"
Jun 27
Mary Z replied to ZolliStar's discussion New mouth device on the market
"The link didn't work so me so I couldn't see the product.  I do have experience with a supposedly reliable boil and bite device.  I should know by now I have a small mouth and nothing regular size fits.  I don't think…"
Jun 27
richard graham replied to ZolliStar's discussion New mouth device on the market
"If I thought something could work other than this lousy cpap that would be awesome"
May 22
richard graham posted a status
"I moved and have been sick a lot and can't use cpap because of cough and I'm depressed a lot"
Apr 26
Fred posted a discussion

CPAP - cure worse than the disease

It's ironic that before I was diagnosed with sleep apnea in 2000, I had no problem sleeping 8-9 hours a night. If I did wake up during the night, I had no problem falling right back to sleep, and I wasn't tired during the day.From the first night I brought home the CPAP I haven't had one decent night's sleep. Not one. I don't have any problem falling asleep, but I can't stay asleep. At first I was waking up after 4-5 hours and couldn't get back to sleep for a couple of hours. Now it's more like…See More
Apr 13
Fred updated their profile
Apr 13
ZolliStar posted a discussion

New mouth device on the market

I've been hearing advertising for this product over the past few days.  It's sold as something to help snoring, but as I look at the information it seems to me that it would work just as well as my mandibular advancement device (MAD).In other words, this could help some of us with sleep apnea.Read about it here.Anybody have any thoughts about this?  See More
Mar 31
99 replied to Mary Z's discussion AHI finally under five.
"Hi Richard I mainly use an empty humidifier as it reduces noise"
Feb 16
richard graham left a comment for richard graham
"When I can afford it I'd like to get New machine with heated tube"
Feb 10
richard graham replied to Mary Z's discussion AHI finally under five.
"I would like to see this forum active again as well. I will be more aware of what's going on"
Feb 10
ZolliStar posted a discussion

If you have trouble falling asleep....

I thought that when I got my sleep apnea diagnosis, that -- at last! -- all my sleep problems had come to an end.Ha!I have trouble falling asleep. Indeed, I rarely feel sleepy at night although I do feel tired. I even cut back on computer at night, etc., etc. (and installed f.lux on my computer) but I still had trouble. Now I'm doing something different: wearing special glasses (Uvex S1933X Skyper Safety Eyewear glasses). They block out the blue -- and they're making a difference! First I tried…See More
Feb 1
99 replied to 99's discussion colloidal silver
"i have purchased some silver the make my own colloidal silver"
Dec 21, 2014
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…"
Dec 21, 2014
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."
Dec 21, 2014
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."
Dec 21, 2014
Mary Z replied to 99's discussion colloidal silver
"99, where have you been?  Do you add the colloidal silver to your humidifier?"
Dec 21, 2014
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…"
Dec 21, 2014

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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