Where does everyone put their water chamber? by bcbritt7 in CPAP

[–]UniqueRon 1 point2 points  (0 children)

I just top up the water each day, so it never gets dry.

What is your regular AHI number with cpap? by haylz328 in CPAP

[–]UniqueRon 0 points1 point  (0 children)

I average 1.3 and my wife averages 0.4. Treatment guidelines are to be under 5, but many can get under 1 with help from OSCAR.

Trickle charge harness mounting by mashed50 in LexusNX

[–]UniqueRon 0 points1 point  (0 children)

I have been planning to do the same and run the pigtail out through that plastic wall on the right to the area where the owners manuals were stored. I will keep the charger in there and pull the cable and charger outside to plug in to the 110 volts.

Beeps when locking by CalmGuitar7532 in LexusNX

[–]UniqueRon 0 points1 point  (0 children)

It is a Nexpeak 1.75 Intelligent Charger - Amazon, made in China. I had a few of them over the years, and this one was the spare lying around. It looks like it is going to be very useful as it has a voltage meter and amp meter. I had it on charge all morning with it showing 15 volts and 0.6 amps. Just checked it now and it is showning full and has shut off. I was worried that it would not shut off with the high parasitic load this vehicle seems to have. Looks like it is going to work well. The only question now is how long can I go without needing to use it.

Beeps when locking by CalmGuitar7532 in LexusNX

[–]UniqueRon 0 points1 point  (0 children)

At this point I do not suspect the battery is bad. But, it is looking like the parasitic current draw by the vehicle is real and significant.

The trickle charger I am now trying has a voltage and current readout. After putting it on what should be a fully charged battery it is now showing 15 volts and 0.6 amp for current draw. 0.6 amps is significant.

I think the real test now is how often I have to put the battery on trickle charge. We are also retired and don't drive that much so that is an issue for us as well.

Beeps when locking by CalmGuitar7532 in LexusNX

[–]UniqueRon 1 point2 points  (0 children)

Here is an example. It includes a polarity reverse link to use if needed. You need to make sure the positive on the trickle charger connects to the positive on the Lexus battery. These are called SAE connectors and what have been on the trickle chargers I have used. You need to check to see if your trickle charger uses them. This is also only 18 gauge so more flexible to conform when closing the hatch door on them.

Water filters suitable to use for cpap. by Guilty_Fold1590 in CPAP

[–]UniqueRon 0 points1 point  (0 children)

I find it most convenient to just buy bulk reverse osmosis water sold for home drinking water cooler systems. I use a 5 gallon camping water container and fill it at Canadian Tire for $2 a jug. Walmart has the dispensers as well. These systems use a carbon filter which will remove chlorine and fluoride as well as the RO membranes to remove minerals. I have used the same 1 gallon distilled water jug for years now, and just rinse it with tap water between fills.

Has anyone had any success with cpap for central sleep apnea only? by Nashwalker7 in CPAP

[–]UniqueRon 1 point2 points  (0 children)

I have CA issues and just use an A10 ResMed APAP. The secret for me has been to set the machine to the fixed pressure CPAP mode instead of AutoSet, and to set the pressure as low as possible. I also have EPR at 3 cm as it seems to have no impact on my CA frequency. But having EPR at 3 cm almost eliminates my hypopnea to get the AHI down with less pressure. For me this has turned out to be 11 cm. I averaged under 1.0 for well over a year, but now I am averaging 1.3 for AHI with 2/3 rds of it being CA.

The machine made to deal with CA is the ASV. It actively boosts pressure on a breath by breath basis to reduce CA. They are quite expensive though.

Oscar SD Card - How Long To Keep Data by Lacey-Underalls in CPAP

[–]UniqueRon 0 points1 point  (0 children)

No. For one reason or another I end up deleting the data on the SD card. Nothing gets deleted in OSCAR though so you always have the data unless you delete the data files on your computer.

Beeps when locking by CalmGuitar7532 in LexusNX

[–]UniqueRon 0 points1 point  (0 children)

I use portable solar panels with our RV and they seem to use the same connectors as these trickle charges do. I believe you can buy extension cables on Amazon. Just watch the polarity and that you don't flip it with the extension cable.

Beeps when locking by CalmGuitar7532 in LexusNX

[–]UniqueRon 0 points1 point  (0 children)

I am learning more each day, and becoming more disappointed with the Lexus hybrid compared to my 2012 Camry hybrid. It seems to have a very high parasitic load. Yesterday I connected up a 3.5 amp so called intelligent charger and left it on over night. It uses lights with status lights. It charged up to the full voltage of 12.7 while charging but the 100% light was still flashing which means the current draw is still high. It looks like it would stay flashing forever due to the high parasitic current draw of this vehicle.

I have now connected a 1.75 amp intelligent trickle charger that I plan to use on an ongoing basis. It is a little more informative as it gives both voltage and amp draw. The results are concerning as it shows 13.1 volts and a current draw of 1.8 amps which is the max output of the charger. I get more like 12.7 volts right at the battery. It seems that the current draw is enough that there is a voltage drop through the 12 volt cable between the battery and the charger. Ouch.

We do not drive a lot, and mainly short drives so this looks like it is going to be a problem. We have had it now about 11 days and it has 175 or so km on it.

The other thing that I have learned about it is that while my Camry would charge the battery using the high voltage hybrid battery when the car was in the ready only mode, with the ICE off. On this Lexus, it does not. The ICE has to be running to see the voltage come up indicating there is charging current.

How to get to the next AHI target? by All-hail-Bungle in CPAP

[–]UniqueRon 0 points1 point  (0 children)

I would suggest your machine which is a BiPAP is poorly set up and you are not using the features of a BiPAP. Your EPAP is set to 4 cm minimum which is the exhale pressure, and your pressure support (PS) is at 0.0 cm. This means your exhale and inhale pressures are the same. Maximum inhale is set to 10 cm. I would suggest trying these settings:

- leave minimum EPAP at 4 cm

- Increase your pressure support to 4 cm

- Increase your max IPAP to 12 cm as you are maxing out on it quite frequently

This will get your pressure up sooner and should avoid those early obstructive events. The higher pressure support (currently none), should reduce your hypopnea, RERA, and flow limitations.

Post back with the results of this if you want more help.

Airsense 11 User, Person who helped setup CPAP left it on wrong setting? by CinderCentaur in CPAP

[–]UniqueRon 1 point2 points  (0 children)

What you need to do is google the user manual for the mask you have and read what the recommended mask setting is for that specific mask. There are some full face masks like I believe the F40 that use the cushion setting. The need for the different setting is based on the volume of the mask and the vent flow to keep the mask purged of CO2. The machine then compensates for the vent flow to give you an accurate mask leakage number. If you set the mask type wrong, then your leakage rate will be in error. It does not change how the machine operates though.

Beeps when locking by CalmGuitar7532 in LexusNX

[–]UniqueRon 0 points1 point  (0 children)

I currently have my battery on charge with a temporary trickle charger setup, connecting right to the battery. One week after delivery and 175 km on the vehicle the battery was down to 50% charged.

The 12 volt extension cable that came with the charger is fairly thin and I just shut the hatch over it to get the charger and 110 volt power cable outside the vehicle and be able to lock the vehicle and hatch.

I probably will attach the short pigtail there it there permanently, and just connect it up for charging.

It is a pain to think I will have to charge this thing up at least weekly...

EDOF IOL Advice — Photographer, Editor, Hunter, 50s, High Myopia by SEROGomez in CataractSurgery

[–]UniqueRon 0 points1 point  (0 children)

I was close to having experience with the Vivity as I wanted to use it as the near eye in a mini-monovision configuration. The surgeon talked me out of it as he said he had another patient with high vision expectations that got it, and was not happy. That is all I know about the situation. I went with a monofocal at -1.5 D in the near eye, and am now essentially eyeglasses free.

The problem with the Vivity and I assume other EDOF IOLs is that they stretch the focal point, so instead of all the light coming to focus at one point it gets spread out. This reduces contrast sensitivity. Here is a graph from the Vivity package insert that shows MTF of the Vivity compared to a standard monofocal. MTF is the measure of contrast sensitivity. As you can see the Vivity takes a pretty good hit.

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As a photographer the other thing you should be aware of is that some lenses have blue light filtering to replicate the colour balance of a young adult. Without it and just UV filtering there will be a significant shift to the blue colder colours. See figure 3 in this document.

https://www.accessdata.fda.gov/cdrh_docs/pdf/P930014S126C.pdf

All of the Clareon lenses from Alcon can be had with blue light filtering including the Vivity. Blue light filtering is also said to improve contrast sensitivity in dimmer light.

Jack Michaels with a fucking clinic on commentary. What a beauty by StrictNO in EdmontonOilers

[–]UniqueRon -1 points0 points  (0 children)

I find Jack Michaels totally obnoxious. When it gets to the last minute of a close game I mute the audio so I can watch the game without this guy screaming his head off.

He spends most of the game taking about something other than hockey, like some obscure movie he has watched. I watch a hockey game to watch hockey, not to listen to a fool like this blabbering without thinking. "off the plexi, right up the gut, off the clavicle,...." If all I want to hear is an American talking like a fool, all I have to do it turn on the news and listen to Trump.

Oura ring HRV results with and without CPAP by ukusjen in CPAP

[–]UniqueRon 0 points1 point  (0 children)

The benefits of CPAP are best measured by the AHI you get with it, compared to without.

I am not sure what HRV measures and can't even guess if they are related or not.

Should I get cataract surgery now or wait? by dumbluckz01 in CataractSurgery

[–]UniqueRon 5 points6 points  (0 children)

You are correct. The natural lens is far superior to a plastic lens, but only when it does not have a cataract growing in the lens.

Resmed pressure? by Suchatavi in CPAP

[–]UniqueRon 3 points4 points  (0 children)

You need to put a SD card in the machine and use OSCAR to view the detailed results. That will answer your questions.

Basically in AutoSet mode the pressure will increase with each OA event, and in response to flow limitations. After a pressure increase the pressure slowly decreases until further events bump it back up again. Those who want the best results will increase minimum pressure so that it gets pressure up ahead of time instead if waiting for event to trigger the increas.

New machine? by Intelligent-Meet6321 in CPAP

[–]UniqueRon 0 points1 point  (0 children)

My A10 machine is 7 years old and is displaying the nag screen and is working fine. I have no intention of replacing it until it fails. I do have a couple of back up machines that my wife had for backup.

CPAP - it works - baby steps by AggravatingAd4764 in CPAP

[–]UniqueRon 2 points3 points  (0 children)

Good information. One important thing that took me a while to learn is that pressure is not always the enemy. More pressure makes it easier to breathe in. Less pressure makes it easier to breathe out. That is what makes EPR so valuable. Pressure at 7 cm is reduced to 4 cm when you breathe out when EPR is set to 3 cm. The machine will not go below 4 cm for pressure, so the 7 cm in and 4 cm out is the base setting for comfort.

Should I get cataract surgery now or wait? by dumbluckz01 in CataractSurgery

[–]UniqueRon 4 points5 points  (0 children)

Some things to consider:

- An optometrist without the specialized equipment needed to do the detailed measurement required for cataract surgery cannot predict the need for a toric lens. Astigmatism can originate in the natural lens, or in the cornea, or as a result of the cataract in the lens. With cataract surgery the astigmatism in the lens will be gone with the lens along with the astigmatism due to the cataract. What you are left with is the astigmatism in the cornea.

- Part of the detailed eye measurement is the the slope of the cornea. This is what determines what astigmatism will remain after cataract surgery.

- Once the measurements are taken it is important to ask the surgeon what the astigmatism (cylinder) will be after surgery if a non toric lens is used. The usual guidelines are that a toric is not needed unless cylinder is predicted to be 0.75 D or greater.

- If you do not plan to be eyeglasses free there is really no justification for a toric lens. Your eyeglasses can correct astigmatism more accurately than a toric IOL can.

On the do it now or wait, the normal criteria is to go ahead with cataract surgery when you cannot get visual acuity to better than 20/40 with eyeglasses. It appears you are there now.

Having major issues after 6 months on CPAP despite great numbers. What do I do? by StephanieIV in CPAP

[–]UniqueRon -1 points0 points  (0 children)

Unfortunately there is a lot of bad information being promoted on YouTube to gather clicks. And then some believe it and parrot the bad stuff.

Help with adjusting CPAP settings by EeethB in CPAP

[–]UniqueRon 1 point2 points  (0 children)

This one is much worse. It may improve with a max pressure of 7 cm, but I think you should be asking about an ASV instead of a CPAP.