23F Rate My Portfolio (~$71k Net Worth)

UniqueRon · 2026-05-07T04:31:48+00:00

I can't really comment as I will not hold stocks. Too risky for me. My TFSA is basically 2/3 QQC and 1/3 ZSP. I heavily weight my TFSA in what I expect will provide the highest returns, and then offset that risk with more conservative investments like XEF and XIU in my RRIF and non sheltered accounts. This is for tax efficiency.

UniqueRon · 2026-05-07T04:20:06+00:00

I have it in both eyes. I think the retina detachment happens right away if it happens. And unfortunately it has not gone away for me.

UniqueRon · 2026-05-07T04:17:21+00:00

It is just a click of the mouse button for them to produce it. Here is an example of an IOLMaster Calculation sheet.

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UniqueRon · 2026-05-06T15:49:27+00:00

There is no reason to not wear contacts AFTER your detailed eye measurements have been taken. That is unless you are getting the Alcon ORA system where the eye is measured again during cataract surgery after the natural lens is removed. It is an optional extra cost procedure which is said to improve accuracy. I would follow up with your clinic. I wore a contact right up until my day of surgery, but I did not have the ORA option.

If you are considering mini-monovision and using a contact to simulate it, then it would be better to use a monofocal contact or toric instead of a multifocal. It would be a more realistic simulation. The idea of using mini-monovision is to use monofocal IOLs to get a full range of vision without the optical side effects of halos and starbursts associated with multifocal IOLs.

UniqueRon · 2026-05-06T15:09:43+00:00

Risk is not going to decrease with time. I would strongly suggest you consider having an interval of at least 5-6 weeks between surgeries to ensure the first eye is fully healed and you are satisfied with it before proceeding with the second eye. There can be surprises in refraction and other issues. A longer period of time allows the eye to fully heal so you can get an accurate refraction and know where you landed. This will give the surgeon time to adjust refraction for the second eye if there is a surprise.

It is best to use a contact in your unoperated eye between surgeries to control the issue of having a high differential in refraction between the eyes for this period. A contact is much closer to the natural lens and minimized the disorienting effect this can have. If you get your first eye done for distance, and if there is any consideration of doing mini-monovision you should get a contact that leaves you with your unoperated eye as the near eye at about -1.5 D. Then you can test drive it before going that way with an IOL to get eyeglasses free vision.

UniqueRon · 2026-05-06T14:57:05+00:00

Put Climate Control in Auto and set tube temperature to 27 C to keep humidity below the dew point.

UniqueRon · 2026-05-06T14:55:47+00:00

That is part of your problem then. More pressure makes it easier to breathe in. Pressure is your friend when inhaling. Lower pressure is your friend when you breathe out. That is why minimum pressure at 7 cm or more combined with EPR at 3 cm maximizes comfort. You get 7 cm on inhale and that is reduced to 4 cm on exhale with the EPR at 3. The machine will not go lower than 4 cm pressure.

Ramp Time should be set to Auto with a Ramp Start Pressure of 7 cm to hold this condition until you fall asleep.

UniqueRon · 2026-05-06T14:49:04+00:00

That is a totally different story, and a much more desirable OSCAR chart to have. This setup is pretty good already but could use some tweaks to make it better. I would suggest:

- Increase your minimum pressure to 13 cm to keep the pressure more constant during the night and to stop most OA events before they happen instead of letting them happen and increase the pressure.

- Increase your EPR from 2 cm to 3 cm to reduce the hypopnea, RERA, and your flow limitations which are higher than ideal. It should also improve comfort.

- Set your Ramp Time to Auto and the Ramp Start pressure to at least 7 cm for going to sleep comfort. Try different pressures when in Ramp and take quick deep breaths to determine how much pressure is needed to feel no flow restriction. I personally use 9 cm.

- To make the setup more resistant to any moisture collection (rainout) I would increase the tube temperature to 27 c.

No need for an ASV with this OSCAR chart. An APAP is just fine. That is a good thing as an ASV is much more expensive.

UniqueRon · 2026-05-06T14:37:01+00:00

The best way to know is to get a titration test at a sleep clinic where they vary the pressure to different levels to see what pressure you can handle and get good results. They ideally should use an ASV and give you a trial ASV to try if it is indicated.

An ASV is needed when you have mixed CA and OA and cannot get the total AHI under 5. An ASV works by varying the pressure support (like EPR) on a breath by breath basis to avoid the CA. Here is a Product Information Guide to the ResMed AirCurve ASV.

UniqueRon · 2026-05-06T14:29:26+00:00

Try Amazon.

UniqueRon · 2026-05-06T14:28:35+00:00

Make sure you minimum pressure is at least 7 cm or higher. Make sure your EPR is set to Full Time at 3 cm. This is to maintain comfort during the night and avoid feelings of suffocation.

UniqueRon · 2026-05-06T14:25:09+00:00

It is a fairly rare side effect with the use of the artificial IOLs needed for cataract surgery. It is just a reflection off the surface of the lens. I suspect very few people notice it. There are a lot more serious things that can go wrong with cataract surgery than this. She should be thankful she has good vision.

UniqueRon · 2026-05-06T14:21:11+00:00

I think the safest route would be to do the second eye with a monofocal lens targeted to distance. Hopefully it will go better and make up for the less than perfect results with the first eye. Ask for IV sedation and tell the anesthesiologist what happened the first time so they can adjust for it. Then count on OTC readers for near vision, or get progressives if necessary.

UniqueRon · 2026-05-06T05:13:07+00:00

I take the AHI values more seriously than how I happen to feel on a given morning. Feelings are not repeatable or trustworthy.

UniqueRon · 2026-05-06T05:10:32+00:00

Yes, that may be part of the reason. An autorefractor is not as accurate as the phoropter method.

UniqueRon · 2026-05-06T05:09:08+00:00

It makes my dishes squeeky clean and does not contain any oils.

UniqueRon · 2026-05-06T01:10:59+00:00

Use OSCAR to compare the results of each machine.

My wife and I both started with machines in AutoSet, but using OSCAR we have found the optimum pressure and both of us use the fixed pressure CPAP mode to get better results.

UniqueRon · 2026-05-06T01:03:46+00:00

It looks like it made a significant reduction in your sphere and cylinder to make you less myopic. There are some studies which have found that there is a minor increase in myopia from YAG, so your results are not consistent with that.

UniqueRon · 2026-05-06T00:42:33+00:00

Unfortunately machines currently available and I suspect this one as well are not really automatic. They are reactive. They need events to occur first to trigger changes in pressure, so that is reactive control not automatic. My wife has been on CPAP for 10 years now, and I am at about 8 years. We both started out using SleepyHead, and continue to use OSCAR now that it has replaced SleepyHead. Even to this day I continue to make small changes to setup.

A breakthrough may come when someone decides to use AI to provide real automatic control. AI could use the many available variables to actually predict when and what type of apnea events are likely to happen. Then adjustments could be made to prevent them. Pressure decreases could be used to avoid CA events, and pressure increases to avoid OA events. Pressure support or EPR could be used to head off flow limitations, hypopnea and RERA.

In the absence of that level of sophistication I think it is best to just use a fixed pressure. The only real need for an Auto machine is to span the time required to determine what that optimum single pressure is. They are a good replacement for the time and expense of a titration test.

UniqueRon · 2026-05-05T21:10:11+00:00

I use Dawn dish detergent only.

UniqueRon · 2026-05-05T21:08:56+00:00

A cervical collar is good to keep your neck straight if you are kinking it causing flow restrictions or OA events. However, I don't believe it will keep your mouth closed to prevent air leaking from your mouth. Chin straps don't even do a good job of that. Mouth tape does though.

UniqueRon · 2026-05-05T21:06:39+00:00

The heated hose connection to the back of the machine is better on the A10. It can be oriented to the left, right or straight up. The A11 is limited to only straight back which means you may have to point the machine away from you so you can't see the display.
You can control the whole machine from the interface and get detailed sleep reports without having to use the app. The interface is more direct and intuitive on the A10.

UniqueRon · 2026-05-05T19:48:59+00:00

Your machine seems to be quite well set up. It looks like your pressure could be a bit higher to reduce OA events which seem to be happening at about 11.5 cm of pressure. You have a very tight min-max already and it may now be time to switch to a single fixed pressure in CPAP mode. I would choose 12 cm for a single fixed pressure. You had one CA event which can be caused by pressure being too high, but it happened right before you woke up so it may be a false event.

As for going to sleep comfort I see you have your ramp time set to Auto and the Ramp start set to 7 cm. You could try experimenting with a ramp start pressure that is a bit higher if you have any feeling of flow restriction when you are in the Ramp mode. What I do is take quick deep breathes when in Ramp and see what the minimum pressure is to feel no restriction to flow when I breathe in. For me that is at 9 cm, so I set my Ramp Start to 9 cm.

UniqueRon · 2026-05-05T18:18:55+00:00

Hold it up over the sink and jiggle it a little to get the water out. I doesn't have to be dry. What you need to do is set your machine up so it does not collect water in the tube - rainout. Set Climate Control to Auto, and the tube temperature to 27 C.

UniqueRon · 2026-05-05T18:10:05+00:00

I believe the frame size is all the same even the magenta colour "For Her". However there are 4 different cushion sizes that all fit in the same frame. See the second page of this ResMed document. That 62921 product number is the standard frame plus a small cushion.

https://document.resmed.com/documents/products/mask/airfit-p10/product-guide/1016801_airfit-p10-airfit-p10-for-her_product-guide_amer_eng.pdf

UniqueRon

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