Do you Need Oxygen Wearables During Sleep? O2 Monitoring.

Going over O2 monitoring and if it is really needed.
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[@Freecpapadvice]

What do you think of O2 wearables after viewing this video? Thank you for watching! All comments welcome. Links: 1. Have a PAP Analysis with me at: axgsleepdiagnostics.com 2. As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1 Check out my latest VIRAL 😂 cat channel video. Really got some people heated: kzbin.info/www/bejne/rZnNgoV7hKdqd7csi=orH4N9_vkwKxiPdC Use my CPAPSupplies.com (affiliate link): bit.ly/38yPlXk Use Discount Code: LEFTY20 Check out my new Amazon Store: www.amazon.com/shop/thelankylefty27 (or....use my Amazon affiliate link every time you shop Amazon. I earn on all qualifying Amazon Purchases using the link. Thanks!) Join this channel to get access to perks: kzbin.info/door/g_Rj5qrxlCo4OX6MMq08gQjoin

[@debramccawley1714]

My Wellue continuous pulse oximeter is what finally convinced my husband's cardiologist to finally order a sleep study for him. The same test his former GP refused to order, I might add. His O2 sat rate was going down to 70 over and over throughout the night. I use the O2 ring on occasion to make sure that my settings on my cpap with oxygen are working. It's peace of mind in our case.

[@DoubtingThomas333]

Have you noticed the "cove" voice selection on ChatGPT sounds like you? - kind of hilarious

[@TedKau]

Not everyone can read graphs like you, Jason. I don’t spend that much time on this, just a few seconds each day to record results for my doctor.

[@CPAPReviews]

I'm loving that salt and pepper afro, Gramps, and we really appreciate the SleepHQ shout-outs, too. Thank you! I find the ring's movement data beneficial for patients experiencing positional sleep apnea ( 50% of patients ). I personally benefit from the ring's pulse rate alarms due to my 'Holiday Heart Syndrome.' To manage this, I've set a pulse rate vibration alarm for 130 bpm, as my heart rate can spike to over 230 bpm for 20-30 minutes on some nights without it. This gentle vibration effectively wakes me. Moreover, I frequently share my ring, which I affectionately call Roxanne, with others. It serves as an excellent screening tool for sleep apnea (without the hassle of doctor visits, labs etc). Do you need it? Absolutely not, but it has some other useful features besides monitoring SpO2. Cheers

[@kappa7]

Hi Jason. While I agree that you can see most features from the airflow profile I think there is still value in having SpO2 monitoring. For a start it can show you how much benefit you get from CPAP compared to sleeping without CPAP. CPAP can't tell you anything about your sleep once you've ripped off the mask! It's a level 4 sleep study you can do every night... Also I think there is value in the detailed pulse rate data (every 4s), particularly if you can synchronize the CPAP and SpO2/pulse data graphs to within a couple of seconds (which is admittedly not easy for most). This could help distinguish between spontaneous or LM arousals (pulse increase before breathing event) and breathing related arousals. There's no reasonably cheap EEG for regular consumers so we can't all go down that path...

[@devnull1313]

I used a night of ring-wearing over two sessions to compare my SPO2 over my with-CPAP hours and without-CPAP hours. The "Insight O2" software "Sleep Report" (which Jason has no use for) doesn't provide much, but it does show how much time you spent in various 5%-wide SPO2 intervals. Builds an easy-to-grasp bar graph summary in the morning, or as I have come to call it, "last night's stairs". Probably indeed not worth the ring price for most people, and it does feel as if it will simply just physically fail within a year. YMMV. I note the results in my SleepHQ "journal". Hopefully in the future, I will acquire some astute predictive powers, based solely on CPAP machine data displayed on screen.

[@cebruthius]

It's pointless to compare benefit of CPAP vs not using CPAP precisely because it only shows you desaturation. You didn't understand what big Lanky said at all.

[@nomadsolos]

@@devnull1313 So that being said when it is all said and done if you need Oxygen you have to have it prescribed by a Doctor. If you are waking up during the night, and you wake up with a headache, short of breath, feeling bad you need to have the doctor look at you anyway. An O2 ring is not going to fix it.

[@kappa7]

@@cebruthius Not sure of your interpretation here... sounds like a bit of an absolute statement on your part. In the bulk of the analysis of the graphs Jason correctly identified periods of desaturation by looking at the breathing profile. Presumably the reverse is also true... one could identify periods of SDB by looking at the SpO2 graph. There's also a correlation between heart rate spikes and arousals, which is a potentially useful metric to infer sleep quality.

[@cebruthius]

@@kappa7 "Presumably" is exactly where you are wrong.

[@debbief6923]

I like the Wellue O2 ring! The heartrate portion tells me incidents of Bradycardia (or tachycardia). The oxygen portion tells me CPAP has made a big difference, and as I've increased the level on the CPAP, the amount of time spent between 100-95% has consistently improved, which makes me feel better. Unfortunately, as you mentioned, my flow rate and arousals still don't look great, so the O2 ring isn't the whole answer, but a data point.

[@gregblank247]

Here are 2 ways I find it useful: 1) I lend it to people who suspect they may have apnea... If we see lots of o2 dips that are clinically significant then they can advance forward (with Dr and a study etc). If we don't see significant dips then at least it's not likely medium or severe. Also it can be used to A/B test positional therapy. Then they can try positional therapy and see if they feel better. 2) To A/B test different other therapies... to see if oxygen dips through the night improve. While its not a complete diagnostic by any means... it helps to give indications that can aid direction when marked results change.

[@Freecpapadvice]

That's definitely a good use.

[@ac27934]

I use it to increase my confidence that quitting CPAP was the right move, and to catch any potential relapse.

[@cebruthius]

You didn't listen to the video 😆

[@ac27934]

I actually did. What do you think I missed?

[@nomadsolos]

IMHO if you quit CPAP you will know it was the right move when you wake up in the morning feeling like someone kicked your ass all night, and you have a throbbing headache - might be your sign that you need CPAP and maybe a sleep study.

[@cebruthius]

@@ac27934 You can have all sorts of breathing abnormalities detrimental to your sleep quality that do not appear on as desaturation *at all*. I fell in to this trap myself back in 2015.

[@richeleortiz5181]

The 02 ring has been a great tool for me. My oxygen levels were running average of 88 during the day. Dr. was super concerned, ordered $1000+ in tests that came back clear. I bought the 02 ring and played with my cpap levels and now my levels and sleep are improving. Dr. was extremely happy that I purchased the ring and showed him my data from it. Also something that wasn't touched on, I can download the ring onfo from the night into the app on my phone in 2 seconds and have the info I need to see what kind of night I had. No pulling the card and uploading on a computer etc... which is super annoying and time consuming. Honestly I find the whole sleep HQ and Oscar upload a pain in the arse since I mainly use my phone or my tablet. So ring is a big fat win as far as I'm concerned. Just in case nobody has reminded you lately. But since you are a "Christian/Cat channel" I'm sure your put some prayers out their to get those fixed or should I just throw the bottle in the litter box? Thanks Jason, love your videos bur not this one. Oh and your sprayer on your cleaner bottles suck!

[@richeleortiz5181]

That last line was supposed to be after the reminder portion.....

[@nomadsolos]

Question, did the Doctor not put you on Oxygen right away? When I showed up in the doctors office I walked out the door with an oxygen tank and told that a DME would call me at home and deliver oxygen within the hour.

[@fritobanditoquakerparrot6727]

No he did not. I was thinking the same thing when I got home and did some research. 88 is ER time according to Google. Lol But when I asked my Dr. he said that for ongoing low 02 related to illness our bodies adapt to that low level. Its only an oxygen emergency if your levels are usually normal and suddenly drop below 90.

[@Jc7270-b7c]

You can use the junk ring to put on other parts of your body to keeps things up.

[@cris_miko]

Thank you for all the great info you give us.

[@RyanWilliams222]

I know so many people who have sleep apnea but don’t realize it, or suspect they have sleep apnea but are hesitant to get a study done to confirm it. Loaning these people one of my Wellue O2 rings can make a big difference in their life by convincing them to get diagnosed and treated for sleep apnea. (Note: I recommend ignoring the reported desaturation numbers, especially “drops over 4%”; the people I know who have the worst sleep apnea have “drops over 4%” numbers that are barely above 5, or even below it. Instead, just look at how much the oxygen graph “smears” downward.) On the other hand, I agree that pulse-oximeters are useless for UARS. In fact, you have to be careful on that front because one might be tempted to conclude that nothing is wrong with a person’s sleep breathing when you see that they have virtually no oxygen desaturations. But UARS has nothing to do with oxygen drops, of course; it is invisible with respect to one’s oxygen levels.

[@jodowick]

I got that ring and discovered that when I took a specific medication at night, my o2 levels would drop into the 70’s at night (for as much as an hour total). The CPAP also creates a lower O2 levels at night than without it (when I skip the meds).

[@kathykutchen7207]

But what about the 02 ring being able to wake me up if my oxygen level goes down... It has an alarm...🤷🤦

[@cebruthius]

You're joking right

[@nomadsolos]

🙄

[@sanfo2003]

I mouth tape with a nasal mask since I'm a mouth breather. I have a power failure alarm on the same electrical outlet that my machine uses to wake me up if needed. But what if the machine fails with power to it...that's when the ring vibrates and wakes me up if O2 saturation gets below 90. No concern with mouth taping now.

[@tarajones-legros3661]

“You have all this information. . .” - not everybody does. I have a Luna II that provides zero readable information. Yes, there’s a memory card. What’s on it? Nobody knows. My pulmonologist can’t read the data. I can’t read the data. The only data outside of AHI that I can look at is the O2 Viahealth ring that helps inform me on a couple of things (one of them being resting hr for recovery purposes (endurance athlete) and the other thing is major desaturations. I only wear the thing periodically.

[@doctorxring]

I like knowing the precise data from my O2 Ring. I also get heart rate data and movement data. I don’t “need” it but I like it. Thanks for posting this info for those whose discretionary income is tight.

[@scowell]

Anyone interested in experimenting with their pressures could use one profitably.... I used one to verify that my bi-level titration was good. I use it now just to have another thing to geek out on. When the battery quits I'll hack it like I did my dash-cam and put a big fat zombie battery holder on it. I find the O2 readings are great but the pulse for some reason jumps around crazily.... I wore a fit-bit to make sure I wasn't having aFib.

[@JasonPiepmeier]

Appreciate the honest opinion! And bought the Hurricane a while back, it’s an excellent product!

[@narellelaw7570]

It certainly does matter to me as my sp02 drops to as low as 77 every night. I am so scared as it is now starting to affect my brain, my memory is getting worse every day. This is no joke to me. Don’t tell me cpap, I can’t tolerate them.

[@cebruthius]

Try BiPAP. It's the bees knees.

[@suerawley3141]

I started with a O2 ring that said I was plummetting at night in the 80s and at the very lowest 72-75. I was a non-compliant CPAP patient. I'm now very faithful.

[@suerawley3141]

And feel soooo much better with my CPAP!!

[@amypeterson7463]

Awesome, thank you! I thank I am one of the people that asked you about them. I thought I might need it because I live at 7,000ft and I get a lot of CA's back to back throughout the night. I am new to BiPAP, so I guess I will just let my CNP worry about it.

[@tiko722]

I wear a garmin fitness tracker with the O2 monitor and I like and use it as a nerd to geek out on data because it’s there. I hope I don’t get the chance to find out this year but wonder if it would pickup a lower O2 reading as the air quality drops when the summer forest fires blow in. As for the Hurricane dryer I bought one a year ago and with shipping and duty it was almost $400 cnd but I would buy it again in a second it’s been that good, so with your discount that’s a great deal.

[@cebruthius]

It won't.

[@nomadsolos]

Had one for 5 years now and when it dies I will have another it is GREAT ! I live in the humid south and the PAP Hose would not dry out hanging over the shower door plus who wants mold & mildew in the hose?

[@BrendaMalone]

Well now, Dad of LeggoMan, I'm gonna have to have my first difference of opnion on this. I have COVID lungs and while CPAP (BiLevel) has helped, I need to record how long my O2 stays in the 70s and 80s. Some nights it is for an hour or two. I need this information to get qualified for adding Oxygen. So, true, once the need is established, I should be okay without monitoring, I would still do so. I even wear a second Wellue O2 ring during the day because my O2 randomly dips into the 70s, at which point I have to deep breathe. But, I am probably an exception. 🙂

[@cebruthius]

You're probably hypercapnic. But there is no ring for that.

[@nomadsolos]

Take it from me - You need the doctor to do this because at the end of the day the doctor will have to prescribe it,. You monitoring it will not fix it. Save your money, because without insurance Oxygen Concentrators are EXPENSIVE - Three Thousand Dollars and Up.

[@gmtechsystems]

I like the forest for the trees analogy. Its not that the data is bad, I have found it very useful for home screening of family and friends, using a good overnight fingertip oximeter. It is handy reinforcement when talking to cpap users about their sleep, picking up odd low O2 levels and most usefully the sleeping heart rate. The elevated spiked heart rate will give away UARS. Young, fit individuals you would never convince to have a sleep study otherwise. Unfortunately, it can be a blinding distraction to many users after starting cpap. It does seem to have a hypnotic effect just like the AHI score.

[@nomadsolos]

FYI - I agree with Jason (Johnsoon) -I have COPD, Sleep Apnea, and I have been on Bi PAP and O2 for +6 years. My doctor monitors my sleep quality, as has even sent me home with a O2 sensor to wear all night. I asked him point blank if I have 02 crash at night is that a good idea to sleep without 02? His answer was for one night to study oxygen it is not a problem. If your oxygen falls you will wake up. FYI - they would take me off 02 if they could I am sure, but they do not. I have been monitoring my sleep and with OSCAR, as well as Sleep HQ and I find for me the same observation when my apneas, and hypopneas happen Oxygen saturation drops even a little even using 02 . I do not need to monitor it and if I do not need to I do not see most needed to either.

[@juliemcmahan1207]

Your hair!! 😆Actually, it looks cute. Half of my hair is ALMOST like that. I had brain surgery in Feb and they shaved the right side of my hair. The rest of my hair is long. 😆I've actually had some challenges with my AHI after surgery. I couldn't use my CPAP for 2 weeks after surgery because of the pressure (this is what my Neurosurgeon told me). But now my AHI's are higher than they used to be before surgery. Is that normal? Also, I LOVE my hurricane dryer. I bought it a few years ago based on your recommendation. It's still going strong! Thank you!!

[@CPAPfriend]

I agree! O2 is irrelevant if we have the flowrate. Movement and pulse are telling though. On an unrelated note, buddy is getting wrecked by flow limitation :')

[@kcory112233]

Thanks, Jason. Great advice!

[@ukchnz]

Hi there. Love your channnel! I fhave learned so much about my sleep. -but, but , but please! I would love there to be something on WOMEN!. Yes, this this explains there being no relevance to the current video. Yes I know! No segeway here, even to CPAP supplies :)! We all know how ignorant our GPs and sleep physicians are in not looking at the real data, but for we women this is on another level! As a woman I am soooooo frustrated with the little info out there about the under-diagnosis of women with apnea, because of the difference in presentation ( fatigue rather than sleepiness), using the unvalidated (for women) questionnaire. And I gather we have the potential to have worse impacts longterm on brain etc. Please can you put something out there for us. We desperately need advocates!

[@Thatsmessedupman]

Isn't there some value in knowing how low the number actually goes? During my at home sleep they said my low was 82. When there be some value in knowing how bad the desaturation is for safety reasons?

[@DianeRuotsalainen-ne8cr]

Spent a lot of time in 36 years as a nurse looking at folks' data and don't really understand why anyone would want to do that if they didn't have to. I put on my mask, go to sleep, and when I wake up in the morning say thank you for a night of excellent sleep. I have the SD card in my machine, and someday if I run out of things to do, I might look at my sleep data on OSCAR. Don't see the point now, though.

[@nomadsolos]

yeah right - look at data to diagnose a problem; not look at data to fix nothing.

[@gmrob552]

IF you know how to read and understand the graphs in Oscar, you might not need the 02 ring. I have spent far too much time trying to understand what I am seeing in Oscar. I have gotten straightforward info from my 02 ring! I was able to demonstrate to my sleep Doc that my CPAP therapy wasn't helping me because the AHI doesn't tell the whole story. As a result of sending her several of my reports from the 02 ring, she ordered a new sleep study! As a result of that study, I am now on considerably higher pressure on BiPAP. I am now seeing much better result and if I had not had the ring, I would have given up on sleep apnea therapy!

[@OneIdeaTooMany]

My breathing chart is erratic compared to the ones you show. I purchased an o2 ring just to rule it out. It did but the ring tracks pulse rate and movement which can be ysed in conjunction with the breathing chart to confirm awakenings and movement.

[@unclefreddy2009]

Omg you just read my mind , I was considering getting an apple watch for this purpose. To verify if cpap is needed and or working

[@cebruthius]

That won't work, save your money

[@dmdunn]

Is this video a dig at "CPAP Reviews" video from about a year ago?

[@alwestpfal1245]

Thanks for the video

[@danyelle6525]

Jason, where can I find a link for your Amazon stuff??

[@maze644]

Thank you!

[@terri90069]

What about rings that show sleep stages?

[@ThanksForTheLaugh]

Using finger O2 is only measuring blood circulation in that hand/arm. Ever wake up after sleeping on an arm that's ice cold because the blood supply was cut off? Same with hand and sleeping position. Unless you're a back sleeper not very helpful.

[@JoePhillips-b2s]

I use mine. Lazy! Don’t have to pull and up load SD card. Hahaha. I am on nocturnal O2. Hey which nasal mask do you like? Pillows or cushions

[@plastic_manc]

OSCAR it's not working for me long time now, can't see a thing on it :( can't upload any data

[@jherigleaton9867]

Only if you’re obsessed OR you have REAL serious problems and are working with someone train in the sleep disorder field to try and address those problems.

[@bryantaylor2523]

A basic doctor's appointment would cost me more than the cost of the O2 ring, and that's not even considering they'll probably charge something for a rental of the device also. Are the O2 rings useful enough to buy one instead of paying more to get something from a doctor for only a couple days?

[@snospmoht3252]

Not to mention the fact that you may not even be able to talk a doctor into ordering an O2 monitor for you to wear for 3-4 nights. If your AHI is within an "acceptable" range many doctors will just refuse to do anything additional often because they can't satisfy any justifying requirements your insurance company demands.

[@dmdunn]

Is there a ResMed O2 sensor that attaches to the Airsense 10? Would that be any good?

[@lordofthstrings]

So, just out of curiosity, what was the fix for your example? Obviously everyone is different but my chart looks VERY similar to theirs

[@Squeeeez]

So, are there any EEG devices for at home?

[@MrCurtis475]

I recently bought a travel CPAP machine. It doesn't give me any data. I am thinking that maybe the data from the Wellue O2 ring can give me some indication of whether or not the travel machine is properly adjusted. I have a Transcend Micro.

[@cebruthius]

It cannot give you any indication because obstruction without desaturation is invisible to it. Big Lanky has explained this specifically.

[@alfreddiaz9610]

Surprise legal man didn't say something about your hair lol

[@joelow1282]

Nick on Cpap reviews pushes the Spo2 monitors . Think he sells them for like 300 bucks 😂😂😂😂

[@BrendaMalone]

No, He is selling them at the regular retail rate of $189.

[@cebruthius]

That tells us precisely what kind of guy he is right

[@CPAPReviews]

@cebruthius, how dare he sell a pulse oximeter that connects via Bluetooth to his app. What an asshole!

[@eljefe5306]

Can you get any useful data from the pulse rate tracking? I wake up and typically my pulse history is very hairy, a lot of spikes, and I wonder who I was wrestling in my dreams. But maybe it doesn't mean anything at all and it's totally normal?

[@kappa7]

I think pulse tracking is useful. How big of a pulse change are we talking here, and how frequently? I expect that there are many possible factors here, many normal, like REM sleep which will tend to have a higher variation in pulse rate. For me things like PLM can cause jumps in pulse rate of 10-15, while with some arrythmias the rate can be jumping all over the place (like from 70-140).

[@scowell]

I find the O2Ring pulse tracking hit or miss... sometimes it's spiking at 200bpm! Crazy... I've worn a fitbit and an Apple watch and verified it's not doing that... but the O2 readings are good.

[@kappa7]

@@scowell Transmissive measurement should be more reliable than the reflective measurement that a watch style wearble is doing, but the O2Ring is relatively heavy and could get confused by movement. I use a Viatom SleepU (electronics on wrist strap with finger sensor similar to O2Ring, but with just the led+sensor and vibration motor on the finger) and don't see any crazy HR spikes, apart from when I actually have crazy HR spikes (as confirmed by ECG style measurement). I suspect the Viatom HR logic has a fairly short averaging period compared to Fitbit and Apple Watch, it is also doing continuous HR monitoring which most watches do not do by default outside an activity.

[@jeffreyv8547]

I was the 70th like. Sorry 69. Giggity!

[@deepderp9957]

It makes my finger hot.

[@scowell]

I cut all the elastic parts and just tape it to my finger tip lightly.

[@sandragilbert8875]

Hi from 🇦🇺the most important thing is to USE your CPAP in sickness and in health that’s the most thing you can do for your health. Cheers. 🧑‍🦳