Do I quit? Am confused on what to do now....in the UK

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
MeleeMK2
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Re: Do I quit? Am confused on what to do now....in the UK

Post by MeleeMK2 » Thu May 22, 2025 5:30 am

Nocibur wrote: ↑
Thu May 22, 2025 5:10 am
 BTW if your sleep staging device has any degree of accuracy your continuity is kinda FUed.
Image https://imgur.com/a/SZ0znby
This is what my watch says for last night, bit more deep sleep than usual, looks okay

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musculus
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Re: Do I quit? Am confused on what to do now....in the UK

Post by musculus » Tue May 27, 2025 8:30 am

flow limitation charts look like tongue base level obstruction, most likely during REM sleep. what's your Mallampati Score?

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MeleeMK2
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Re: Do I quit? Am confused on what to do now....in the UK

Post by MeleeMK2 » Tue May 27, 2025 9:39 am

I have yet to see an ENT if they are what give the score? ENT Referral seems to be taking its time. I have no clue how to find it myself if not. Only searched what it is on google

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Nocibur
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Re: Do I quit? Am confused on what to do now....in the UK

Post by Nocibur » Wed May 28, 2025 2:46 am

musculus wrote: ↑
Tue May 27, 2025 8:30 am
 flow limitation charts look like tongue base level obstruction, most likely during REM sleep.
What makes you say that they are tongue base level obstruction and occur during REM?
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musculus
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Re: Do I quit? Am confused on what to do now....in the UK

Post by musculus » Wed May 28, 2025 6:10 am

MeleeMK2 wrote: ↑
Tue May 27, 2025 9:39 am
 I have yet to see an ENT if they are what give the score? ENT Referral seems to be taking its time. I have no clue how to find it myself if not. Only searched what it is on google
you can do it based on online instruction: keep tongue inside mouth and head straight up.

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musculus
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Re: Do I quit? Am confused on what to do now....in the UK

Post by musculus » Wed May 28, 2025 6:18 am

Nocibur wrote: ↑
Wed May 28, 2025 2:46 am
musculus wrote: ↑
Tue May 27, 2025 8:30 am
 flow limitation charts look like tongue base level obstruction, most likely during REM sleep.
What makes you say that they are tongue base level obstruction and occur during REM?
1. timing of the FL clusters
2. the PAP pressures were high and soft palate (due to it's anatomy/shape) usually respond well to PAP treatment. Tongue, more like a muscle ball when relaxed as opposed to a flat muscle sheet, doesn't respond that well to higher PAP pressure.
3. I have tongue base (tongue/lingal tongsil, epiglottis) obstruction, and my flow limitations look exactly like his...

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MeleeMK2
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Re: Do I quit? Am confused on what to do now....in the UK

Post by MeleeMK2 » Wed May 28, 2025 6:35 am

musculus wrote: ↑
Wed May 28, 2025 6:18 am
Nocibur wrote: ↑
Wed May 28, 2025 2:46 am
musculus wrote: ↑
Tue May 27, 2025 8:30 am
 flow limitation charts look like tongue base level obstruction, most likely during REM sleep.
What makes you say that they are tongue base level obstruction and occur during REM?
3. I have tongue base (tongue/lingal tongsil, epiglottis) obstruction, and my flow limitations look exactly like his...
How do i prevent it? Am currently using bipap as cpap at any setting wasnt enough but bilevel seems to help a lot. sadly theres still some flow limitations but nothing compared to before

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Nocibur
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Re: Do I quit? Am confused on what to do now....in the UK

Post by Nocibur » Wed May 28, 2025 4:09 pm

musculus wrote: ↑
Wed May 28, 2025 6:18 am
Nocibur wrote: ↑
Wed May 28, 2025 2:46 am
musculus wrote: ↑
Tue May 27, 2025 8:30 am
 flow limitation charts look like tongue base level obstruction, most likely during REM sleep.
What makes you say that they are tongue base level obstruction and occur during REM?
1. timing of the FL clusters
2. the PAP pressures were high and soft palate (due to it's anatomy/shape) usually respond well to PAP treatment. Tongue, more like a muscle ball when relaxed as opposed to a flat muscle sheet, doesn't respond that well to higher PAP pressure.
3. I have tongue base (tongue/lingal tongsil, epiglottis) obstruction, and my flow limitations look exactly like his...
Yeah, I'm not seeing where there is an FL/REM relationship. Can you point it out?

Also, do you have any documentation in re: your theory of obstruction sites in OSA as a predictor for effective pressures?

TIA.
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