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ZolliStar replied to ZolliStar's discussion What's the Right Machine?"This helps a lot, Terry! Thanks for letting me know.
How is your dog??
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Terry Vella replied to ZolliStar's discussion What's the Right Machine?"ZolliStar, I went straight to an auto so can't really compare but from what I have heard there are two major benefits, first, the comfort factor of not having the high pressure all night and second, it adjusts to what you require, so if you use…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"Ginny, they are probably not doing anything against the law- though it may seem like fraud to us it may be an accepted practice. I would rather change DME's. Have you talked to the manager. They don't want to lose your…"
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"It really burns me up that they are doing things like this. Monday I am going to lok up th eMedicare complaint number and give them an ear full.
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RockRpsgt replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"Companies like this will have to pay in the end. Medicare is taking no prisoners in their effort to reform medicare fraud."
RockRpsgt replied to Mary Z's discussion Symptoms"I had zero symptoms. I was testing equipment one night and fell asleep hooked up. When I woke up my doc said I had an AHI of 10 with 30 second events. I have been on PAP ever since."
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I just use a large rubber band and safety pin to attach i tho the sheet. It doesn't exactly kink, but rather seems to have almost bends that don't quite ever go away. I have one that doesn't but all the others seem to.…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"My light weight tubing does not have a tendency to kink. It just hangs down from the stand and comes back up to the bed. I tried a hose hanger, but bought the cheaper travel model and it just wasn't up to the task."
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I was really surprised when the congestion improved without the humidification. Yes, I use the lighter weight tubing too. Do you have trouble getting the bends and kinks out of them???? I have one favorite that is broken in and I hate…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"The reasoning behind changing the tubing is that it may develop small holes or tears which causing leakage. I am careful with my tubing and don't have any animals or children playing with the tubing. I don't feel like they have…"
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I have ben using one of my cushions for 3 months now. I think I will just see how long I can actually use it without leaks before I replace it. I wonder if it is OK that I do not replace the tubing but about every 6 months???? I…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I agree Ginny, it does come out of all our pockets. I too have Medicare with a Humana supplement and insurance with my partners work. This is the only year I will have anything but Medicare and supplement. My last two Medicare…"
Terry Vella replied to Mary Z's discussion Symptoms"Good post Mary, I was like you when I was younger but the the sleep deprivation really started kicking in a few years ago my symptoms change, actually didn't change but got much, much worse. I was diagnosed with depression and on meds for 2…"
Mary Z posted a discussionSymptoms
Just trying to drum up a few posts-What symptoms did you have that got you to the sleep apnea diagnosis?I was excessively tired during the day- falling asleep eating breakfast and standing on my feet. I couldn't drive or stay awake during appointments. I thought this was the beginning of my apnea. Then I remembered the mandatory 4-5 hour naps in the afternoon when I was dead to the world. That must have been the real beginning. I went to my family practice doctor hoping for a prescription…See More
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"My insurance is Medicare plus supplement. SO I pay nothing out of my pocket. BUT it is coming out of ALL out pockets...........My DME is a nationally known company. I am really thinking of calling the medicare hotline.
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Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I think this kind of behavior may be the norm with DMEs. I happen to have one of the good ones so I'm lucky. It would be great if you called your insurance company. You can steal millions if you steal $40 from a bunch of…"
Ginny Edmundson commented on Mary Z's status"I was thinking the same thing, Mary. I did make a new post today regarding the Wisp and my DME."
Ginny Edmundson posted a discussionNew "Rant" about DME/Wisp
Well, it had been three months since I received my original Wisp. And while it is still working well I wanted a "spare" on hand...just in case! So I called my DME to ask if they had the one with the fabric frame in stock. They did. The next day I drove there and picked up the new mask and one extra cushion. All to be billed to my Insurance. When I got home I realized they had the clear frame and not the fabric. I called and told them I would take it back today and exchange for the…See More
Mask leakage rate and AHI
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
Views: 598
Replies to This Discussion
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Permalink Reply by Banyon on -
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.
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Permalink Reply by RockRpsgt on -
i will not argue against banyon on the need for the software. However those numbers are good.
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Permalink Reply by Mary Z on -
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.
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Permalink Reply by Banyon on
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Reply by RockRpsgt
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.
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Permalink Reply by Tom Cannon on -
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.
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Permalink Reply by Tom Cannon on
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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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Permalink Reply by Tom Cannon on
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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.
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Permalink Reply by Tom Cannon on
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But I need an S9 to get that kind of data, yes?
Banyon said:Reply by RockRpsgt
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.
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Permalink Reply by Banyon on
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Reply by Tom Cannon
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...
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Permalink Reply by Mary Z on
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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.
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Permalink Reply by RockRpsgt on
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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
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.
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Permalink Reply by RockRpsgt on
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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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