Part 7: OSCAR Tutorial. Fix Problems with CPAP and Improve your Sleep for Free. Empower Yourself

[@kimberlys4075]

I’m a clinical sleep educator for Mayo. I love your videos. I refer patients to your videos all the time. Keep up the great work.

[@Freecpapadvice]

Thank you Kimberly! I appreciate that. 😄

[@ToJoFickleFan]

Nice. Clinical sleep educators are needed everywhere-especially in the rural areas. Bravo. I passed the sleep educator course in 2015 but did not go on to earn the CCHS. It would not have garnered me a job, and at my age it just didn’t make sense.

[@plishtrin]

Great classic Lanky. It is so helpful to get an idea of what is not an apnea and how to recognize arousals which may not be apnea, but still may affect sleep quality.

[@MrPoetPoetPoet]

You can be serious. And, when you are serious, you are incredibly lucid and helpful. Thanks.

[@Freecpapadvice]

You're welcome......don't tell anyone about the other stuff.

[@irsalman]

I cant believe this does not have 100k likes.

[@Freecpapadvice]

It will in the year 2133. Be patient.

[@ToJoFickleFan]

I like your take on what we know is REM related respiratory variability. Side note: I believe this is the reason we so often over titrate severe COPD patients. For such patients, normal respiratory variability in REM may provoke desaturations due to the diseased lung, even when the PAP is adequately titrated. Unfortunately, we often fail to move these same patients to BiLevel soon enough to deal with internal respiration issues that occur in the diseased lung. Thanks.

[@semiephemeral9]

Thanks for doing these! They are awesome.

[@josiahbeam]

I am feeling more and more confident about my long term treatment with all of your helpful info. Thank you! Makes me want to look into OSCAR/sleepyhead more and maybe even the pulse ox add on.

[@ViolaMelody03]

I had one call, within 14 days of starting therapy, one check in with doc about 60 days in and well, I’m riding the bike on my own now. Love Oscar, if I have string of a few bad nights I go there to figure out what is going on. I pop on one of boards if I really need some analysis help.

[@chasers03]

Beamer me too....I have added a LOOKEE® Ring Sleep Monitor which I use religiously. It helps me attest how good I sleep with my CPAP ie. a Resmed S9, w/heated tube connected to a Dreamwear Nasal.....

[@jeremyclimbs]

When you talk about snugging up the pressures, do you have a video of showing how to read the data to snug them up? I have watched many of your videos and am still trying to figure that out. Thank you!

[@TheChipMcDonald]

Great, concise video. Liked the info/detail about waveform appearance during REM, decrease amplitude leading to a real obstructive event, good stuff.

[@Freecpapadvice]

Thanks Chip!

[@mayanksharma7513]

3:45 OSCAR starts

[@semiephemeral9]

Could you do a video fleshing out what to look for in the mask pressure graph? Thx :)

[@markowens4046]

It's time for the compliance report. This the navigation window to the right doesn't open, nor do the analysis icon light up. Did anything change with Oscar? Please help.

[@screamtoasigh9984]

1:39 is not fun. I have convergence insufficiency (binocular vision issue where my eyes don't work together sometimes) and that is exactly how text looks when my eyes don't work together (kind of, the text usually doubles underneath not to the left but, same same). soooo mean!

[@bobstrawn4994]

Cannot get registered! Have tried multiple times, even after easy code, it kicks me out ☹️

[@christianbinder4655]

Just imported for the first time, don't know if I'm worried or very worried, for me it looks so bad, :( , as for the treatment part, I see a therapist, see her every six month, get told I'm doing good good AHI, long sleep (6h) ... and here is your new mask, pay and go, but why do I still feel tired all the time? On my test night i had average 44 incidences an hour the longest lasting one was for 98 seconds.

[@screamtoasigh9984]

imho it's because they're looking at averages (like on resmed my air or luna on the machine it'll say average .8 AHI, but when exported to Oscar it shows insane numbers in a short window). If you sleep 9 hours a night and have good sleep for 6 of them, your average will be really low and look good but the other 3 hours will be terrible. (Before OSCAR i knew my data was off because my garmin watch was showing my spo2 was at 82% for most of the night - just like pre-cpap). Bottom line, use Oscar - make sure your export has all those charts (it has to be set to plus in settings, I forgot what it is called), and then make sure your therapist has that data not the averages. (I know this is late, but I figured people scrolling through might find it helpful).

[@nanomaine]

TheLankyLefty27, OSCAR, and the forums were a great help to me - thanks to all!

[@nanomaine]

A key to my success, is using the EPR settings.

[@walterbobruk2310]

I have a chromebbok, can I download and will it work for me?

[@marcojean6578]

Thanks for the video! I understand that it’s pretty simple to purchase an SD card and go through the import process but, I am wondering why we can’t access the data directly from the machine? I mean, you bought it, it’s yours but, somehow, the data only gets to your DME which, as I can see form comments (I will get my first machine this week) seem to treat the data as proprietary...

[@Freecpapadvice]

I think there is some software made by each manufacturer, but they're pretty bad...and they don't make you aware of the existence of these programs. OSCAR is superior in my opinion.

[@bluwatcher]

Does Oscar support Apple Watch sleep data?

[@judybordson178]

I have been on cpap therapy for 10 years. Use it 7 hours everynight. Have airsense 10 score of 92 to 94, mostly mask leaks. Have never noticed a difference in sleep except for not snoring. Am I wasting my time?

[@BeyondTshirts]

I recently got a new computer running Win 10. I reinstalled OSCAR but it won't import my data. The card is in the data reader but when I click on CPAP importer, it launches a window asking me to select a DIRECTORY or a FOLDER. It doesn't ask for the card reader drive and automatically import like it did on my old computer that ran Win 7. I even tried running OSCAR in compatibility mode for Win 7 and it's still not importing. Frustrating...

[@traciechandler03]

Is the is Oscar available in the UK?

[@Freecpapadvice]

sleepfiles.com/OSCAR

[@traciechandler03]

Thankyou :) I don't have my machine yet :( but due to your videos I'm actually looking forward to starting my treatment ☺️ I want to feel normal again :) and u have given me so much information I now honestly believe I can do this X at the beginning I thought I couldn't do it and didn't want to do it lol

[@rogerscarlett8535]

I have been on a Respironics System One for 11 years and will be getting a new CPAP machine very soon. I am wondering if I should get the Airsense 10 which is compatible with OSCAR, or the Airsense 11 which is not YET compatible. My inclination is to “futureproof” by buying the brand new model, but I don’t know how long I will have to wait for OSCAR to be available. Do you have a recommendation? Thanks.

[@bobstrawn4994]

So it would appear your emphasis for us to look at besides the obvious, is flow rate?

[@Freecpapadvice]

Flow rate and leak.

[@bobstrawn4994]

TheLankyLefty27 yes Jason, my leaks aren’t practically nothing with the new Airfit FFM I’m tinkering with. Learning to expand and isolate those events was both useful and interesting.

[@letsrun1007]

When I click on “Daily” I do not get any data. Blank screen on the right side says: “There is no data to graph. Summary only “. Overview and Statistics work fine, and I can see my AHI numbers in the left side frame.

[@Freecpapadvice]

What machine to you have? It may not be fully data capable.

[@letsrun1007]

@@Freecpapadvice All fixed. I just discovered the card must be in the machine “while I sleep.” I was inserting it in the machine when I awoke in the morning to get data. Thanks, enjoy the videos and your advice.

[@mikebrock1965]

I'm wondering if my 3 year old Dream Station is faulty. The max pressure is set at 19 but Oscar shows it never going over 9. There have been several nights in the past month that woke up gasping and the machine didn't seem to be putting out enough pressure.

[@Freecpapadvice]

Without seeing your machine settings and looking at the data I don’t know. Sounds like any events aren’t being captured to cause the pressure to increase. May want to change to CPAP mode and increase it to 12cmH20.....then see what happens after several nights.

[@mikebrock1965]

@@Freecpapadvice Thanks. I'm going to have my GP refer me too a different sleep doctor and start this process all over. I have never been titrated or had my pressure adjusted in 3 years. I never heard of that until I saw your videos.

[@walterbobruk2310]

I have puffy cheeks( air pressue) with dreamware under nose nasal mask that I really like .Do I have to chnge to a diffterent MASK? please help.?? all comments appreciated. I just started CPAP therapy.

[@screamtoasigh9984]

mouth tape?

[@plexibreath]

Do you have an introduction video on Oscar? I thought this would be it, but this assumes you got the data from the machine to the computer. I have a AirSense 11 I picked up two days ago and am having a hell of a time figuring this all out. I got a SD card, eventually figured out how to initialize it, put it into the slot on the side of the machine, then nothing. Maybe somehow the machine transferred the data to the SD card without telling me. So I remove it from the machine, insert it into the card reader on my Mac and now my Mac can't read it and asks me to initialize it again. I also don't see the Navigation side bar in Oscar, what I see when I run Oscar looks nothing like what I see in this video. Help!

[@screamtoasigh9984]

why would you initialize it? did you ever figure it out?

[@plexibreath]

@@screamtoasigh9984 I could never figure it out. In the end, the device didn't work for me so I went back to a mandibular advancement device.

[@Kristie111]

Hi Jason, is the SD card supposed to come with my resmed cpap machine? Mine doesn't have one thank you .

[@Freecpapadvice]

Yes, but I've been hearing that they aren't included anymore. The two I have came with SD cards. No worries, you can insert any SD card and it will work. They're pretty cheap.

[@Kristie111]

@@Freecpapadvice thank you

[@jamesf8783]

I'm not sure what I'm doing wrong but I've been waking up at least once a night. I've tried magnesium, melatonin, I still wake up. I check my events on myair and they are low 2-3 average. Is it normal to wake up every night around 2am-4am?

[@robertsimpson4984]

James. I've been waking up at 3:30 am for my whole life... just plan accordingly. Dishes, laundry , bookkeping, my " todo list " for the day....even though I go back to sleep from 5 am to 9 am... I wake up and do the list. This seems to work for me . There is an explanation for this ...I'll see if I can find it.

[@robertsimpson4984]

James F see if you can watch this... she seem to explain why we wake up... : static.xx.fbcdn.net/rsrc.php/v3/y4/r/-PAXP-deijE.gif

[@robertsimpson4984]

bad link... I'll see if i can find it some other way.

[@robertsimpson4984]

facebook.com/realfoodcures/videos/1058102221257617/?fref=gs&dti=339632696679078&hc_location=group

[@robertsimpson4984]

Worth watching !

[@dougofford6567]

My AHI averages approx. 5 to 7 with the majority of incidents being Clear Airway apneas at pressure 10.4 Is it true that increasing the pressure won't help reduce "CA" apneas?

[@ntbohl]

I must say, this video is more of a tutorial on what tool someone can use to fix treatment problems but does not describe "how" to do so. I think the title is misleading. All of your examples are data points we should throw out, and then towards the end when you finally see what could be a legitimate event (at 10:58) you dismiss that one as well. How do I identify a real apnea event and HOW I could make improvements when I see a data point like that? The video does not contain any methods or techniques to leverage Oscar to improve sleep/CPAP treatment, despite the title. Really all this video does is give me the sense that I'll get no value out of Oscar and I need to just give up and remain sleepy all the time :(

[@Freecpapadvice]

The purpose of the video is meant to show people what is out there in as short a form as possible. In the description box I have links to actual tutorials...several of them that go over this in more detail. The information that you are looking for are in those videos in the description box. Not sure what you're going on about with the title as this is a short form series. Probably why I didn't put "how to" in the title. Use OSCAR or not. It's up to you. It's a tool available for you to use for free, as are my other tutorials. I have a playlist of them on my channel so people can find them easier.

[@hollypaladino2651]

Can I send my Oscar data to you ? Can you analyze for a fee?

[@joeshmoe7899]

Nope. Won't load data from SD card.

[@dunnkenny]

Only 6 hours is a good night? I'd hate to see a bad night then 😳

[@Freecpapadvice]

Good in terms of initially starting CPAP. Many people have a difficult time getting a full 8 hours because they are so used to getting by on much less. It's just a good goal to shoot for.

[@kennymai681]

Honestly this wasn't that helpful. You basically showed us what is NOT a real apnea, but you didn't show what is a real one to look for? Even the one you said looked real, you called it off saying it was because it was REM sleep. So what does a real apnea/hypopnea actually look like?

[@Freecpapadvice]

Is the video titled, "this is what an obstructive apnea looks like." ?

[@kennymai681]

Maybe you should rename it "OSCAR Tutorial. Fix problems with CPAP and Improve your Sleep for Free by looking at your OSCAR data and only seeing what is NOT an obstructuve apnea"

[@Freecpapadvice]

"OSCAR Tutorial. Fix problems with CPAP and Improve your Sleep for Free by looking at your OSCAR data and only seeing what is NOT an obstructuve apnea as well as no content on car repair, weightlifting, cooking, tennis technique, make up application, hiking, camping, pharmaceuticals, running, apparel also not included. There is no movie content, political content, drawing, woodworking, home repair, animals or pets, geography, space exploration included....also no........" Yeah....I think I'll continue to title videos the way I see appropriate.