"please keep me updated about oximeters "
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Dr. Mack D. Jones
Dr. Jones said:
"An AHI of zero is the goal. Two to three apneas per hour over years can be deadly according to Dr Barbara Phillips, past president of the NSF. Repeated hypoxia of +/-20 to 120 seconds does a number on every living cell in your body. It's the accumulation of repeated insults that finally catches up with you. An MRI-DTI brain scan, if it were available, would help settle any question as to how much damage OSA has actually been done to central pain reception and control centers.
Regardless of the findings in such a hypothetical study, the treatment remains the same. Avoid apneas when asleep."
While I do agree with your above statements I find them a little contradicting with your stand on APAP devices. maybe you could explain it for me. From what I have learned an APAP machine has to have events to work. They are programmed to keep the pressure as low as possible. Even when they have succeeded in eliminating events, after a set amount of time, they will drop in pressure. They will continue to drop in pressure until such a time that events begin again, or they hit their programmed floor. In my opinion an AHI of 0 is not possible with a PAP machine set in auto mode. In D. W. Conn's situation it may have been helpful, but in order for the algorithm to kick in an event would have had to happen thus eliminating his abiltiy to have an AHI of 0.
What do I know though? I am just a psg tech.
"An AHI of zero is the goal. Two to three apneas per hour over years can be deadly according to Dr Barbara Phillips, past president of the NSF. Repeated hypoxia of +/-20 to 120 seconds does a number on every living cell in your body. It's the accumulation of repeated insults that finally catches up with you. An MRI-DTI brain scan, if it were available, would help settle any question as to how much damage OSA has actually been done to central pain reception and control centers.
Regardless of the findings in such a hypothetical study, the treatment remains the same. Avoid apneas when asleep."
While I do agree with your above statements I find them a little contradicting with your stand on APAP devices. maybe you could explain it for me. From what I have learned an APAP machine has to have events to work. They are programmed to keep the pressure as low as possible. Even when they have succeeded in eliminating events, after a set amount of time, they will drop in pressure. They will continue to drop in pressure until such a time that events begin again, or they hit their programmed floor. In my opinion an AHI of 0 is not possible with a PAP machine set in auto mode. In D. W. Conn's situation it may have been helpful, but in order for the algorithm to kick in an event would have had to happen thus eliminating his abiltiy to have an AHI of 0.
What do I know though? I am just a psg tech.
Views: 51
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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We will always have autos and insignificant events jnk. Who knows maybe we will get luckY and the Mannings will play in the super bowl. We all know that my Manning is better than yours. IN YOUR FACE NYC!!!!!!!!!!!!!!!!!!!! LOL
j n k said:Don't worry Rock, I got it. And you made me laugh again. Don't ever change. It's hard finding stuff to debate about when we agree on so much, though. :-)
Rock Hinkle said:jnk is a brilliant man Judy. i believe that him and i have been debating autos since my finding SG. My statement was meant to poke him in the ribs.
Judy said:Ahhh, Rock. jnk may be a patient, but he's pretty savvy and he sees things from the patients' point of view. He sure doesn't claim to be a pro.
No auto is ever going to take the place of a good RPSGT and jnk will be among the first to attest to that. But, autos are going to be utilized more and more and thank goodness manufacturers are TRYING to develop them to do as close to a PSG titration as they can. I'm thinking RPSGTs are going to have to eventually develop as good skills learning and using the various manufacturers's algorhythms and APAPs as they are PSG equipment, software, etc. Maybe not in my lifetime but the way the health care dilemna is going ....... I still prefer a PSG and a good RPSGT but ...
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Your outta your mind Judy!
Judy said:The Patriots are the better team!!!!
(((hugs))) to you both!
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Permalink Reply by Judy on
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Nah! If Brady's knee remains healthy, neither of your precious Mannings is gonna make it to the Super Bowl.
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No way! He struggled in Buffalo, and the Jets kept him scoreless. New Engalnd will be luck to sse the show this year. they are going to struggle to stay atop their division.
Judy said:Nah! If Brady's knee remains healthy, neither of your precious Mannings is gonna make it to the Super Bowl.
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