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WesL

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The aftermath of the Hard Rock Hotel collapse looks post apocalyptic.

Word is they’re expanding the evacuation zone because the crane that is 300 feet tall is still teetering.

I'm sure adding rain won't help the issue.
 

Kory

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The crane saga continues in New Orleans. Planned demolition of the cranes went awry. One crane flew sideways and is now on Rampart street in the Quarter and the other is dangling off the building over Canal Street.



 

WesL

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Reading this story will be the best WTF moment you’ve had this week. Trust me.

Back in May, three Indiana judges got into a fight. It was the crescendo of an incident brimming with colorful details: a gaggle of judges drinking the night before a judicial conference, a failed attempt to visit a strip club called the Red Garter, a brawl in the parking lot of an Indianapolis White Castle.
 

barcncpt44

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After my appearance on A&E, the network is coming back to East Alabama for a new season of 60 Days In where they will profile the Etowah County Jail. This ought to be good.

 

ARCC

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Talladega County Commision voted 5/0 tonight for the Coosa River Express. When Its built, that will bring massive changes to the southern Talladega area.
 

WesL

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Anybody else on here use a CPAP/BiPAP? It's been an interesting experience for me so far.
I'm Team CPAP. Took a few weeks for me to get used to it but I consider it life changing now.
 

KoD

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It takes some getting used to positive airway pressure devices but most everyone says it's well worth it. Be sure to keep it clean though.
 

Jacob

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I'm Team CPAP. Took a few weeks for me to get used to it but I consider it life changing now.
I've heard a lot of people say that, and I'm *hoping* that I'll be one of them soon. A quick backstory is I slowly fell apart in 2019, energy level got worse and worse as the year went on, then around October/November I would occasionally be woken up gasping for air and/or feeling light headed. I hadn't really considered sleep apnea as an issue, I don't really fit the "classic" profile for OSA. After a host of other unexplained issues that popped up, and waking up not breathing getting more frequent, I had a sleep study done and had a nice AHI value between 30-40.

They weren't able to find a good pressure on my first sleep study, so they had me come back for a second sleep study. Still weren't able to get a good pressure for me, so they sent me home with a BiPAP and a "best guess" pressure and told me to use it for a while and see how I adjust. That pressure was too high for me so I had them lower it so I could at least get use to it, but at the new pressure I developed TECSA (treatment emergent central sleep apnea).

I'll probably get barked at the next time I go to the doctor in March, but I figured out how to get into my device and have been tinkering with my pressure settings, trying both CPAP and BiPAP. CPAP eliminated the central sleep apnea issue, but I had a high AHI from obstructive apneas and (mostly) hypopneas. BiPAP all but eliminated the OSA/Hypopneas, but I had a high AHI value from central sleep apneas. Finally after doing a little research, I've been able to find a setting on BiPAP with a smaller pressure differential that has made a huge difference. I've been on it since mid-December, but I only made that change about 10 days ago, and I am really starting to notice a difference now.
 
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Jacob

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It takes some getting used to positive airway pressure devices but most everyone says it's well worth it. Be sure to keep it clean though.
I was admittedly bad about cleaning it (and knew I would be going forward) so I bought the SoClean2 device that sterilizes it daily. Actually just got that in yesterday.
 
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Jacob

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What causes sleep apnea?
There's two different kinds of sleep apnea, obstructive and central. Obstructive is by far the most common, and in the most simple terms, it is your airway becoming blocked while sleeping. It can be caused by the shape of your tongue, the way your jaw is shaped, being overweight, etc. When you sleep you relax, and those muscles relaxing can cause your airway to be blocked. You'll often stop breathing for a few seconds, then your brain will realize you aren't breathing and you'll rustle a little and take a deep breath. Typically you don't ever wake up, but it's enough to keep you from ever getting into a good deep sleep. Central sleep apnea causes similar effects, but is simply you stop breathing in your sleep with a clear airway. It can be from heart issues, if you've had a stroke, etc. Sometimes it can happen in healthy people for unexplained reasons as well.
 

WesL

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I've heard a lot of people say that, and I'm *hoping* that I'll be one of them soon. A quick backstory is I slowly fell apart in 2019, energy level got worse and worse as the year went on, then around October/November I would occasionally be woken up gasping for air and/or feeling light headed. I hadn't really considered sleep apnea as an issue, I don't really fit the "classic" profile for OSA. After a host of other unexplained issues that popped up, and waking up not breathing getting more frequent, I had a sleep study done and had a nice AHI value between 30-40.

They weren't able to find a good pressure on my first sleep study, so they had me come back for a second sleep study. Still weren't able to get a good pressure for me, so they sent me home with a BiPAP and a "best guess" pressure and told me to use it for a while and see how I adjust. That pressure was too high for me so I had them lower it so I could at least get use to it, but at the new pressure I developed TECSA (treatment emergent central sleep apnea).

I'll probably get barked at the next time I go to the doctor in March, but I figured out how to get into my device and have been tinkering with my pressure settings, trying both CPAP and BiPAP. CPAP eliminated the central sleep apnea issue, but I had a high AHI from obstructive apneas and (mostly) hypopneas. BiPAP all but eliminated the OSA/Hypopneas, but I had a high AHI value from central sleep apneas. Finally after doing a little research, I've been able to find a setting on BiPAP with a smaller pressure differential that has made a huge difference. I've been on it since mid-December, but I only made that change about 10 days ago, and I am really starting to notice a difference now.
Dude. What a mess! @KoD cover your eyes for a second.... yeah I had a pressure issue and going back to a specialist a few times at $45 a pop was getting old. I downloaded SleepyHead and started looking at my data and learned how to adjust my pressure as well. Took a few times but I got it right and never heard a complaint when I gave my data to my doc. Didn't exactly admit that I had changed it either I did notice they updated the number on the chart. Glad you have figured a lot of that out and wish you the best on your journey. I know in the first few weeks I had it I would throw it on the ground in the middle of the night. One morning I found the hose and mask detached and thrown across the room. However, now I just live with the tube and such. I did however stop using distilled water in the unit because I found it actually made some my sinus issues worse.
I was admittedly bad about cleaning it (and knew I would be going forward) so I bought the SoClean2 device that sterilizes it daily. Actually just got that in yesterday.
Love my SoClean! Best time saving investment ever! Don't be surprised if it discolors your headbands a little.
 

Jacob

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Dude. What a mess! @KoD cover your eyes for a second.... yeah I had a pressure issue and going back to a specialist a few times at $45 a pop was getting old. I downloaded SleepyHead and started looking at my data and learned how to adjust my pressure as well. Took a few times but I got it right and never heard a complaint when I gave my data to my doc. Didn't exactly admit that I had changed it either I did notice they updated the number on the chart. Glad you have figured a lot of that out and wish you the best on your journey. I know in the first few weeks I had it I would throw it on the ground in the middle of the night. One morning I found the hose and mask detached and thrown across the room. However, now I just live with the tube and such. I did however stop using distilled water in the unit because I found it actually made some my sinus issues worse.

Love my SoClean! Best time saving investment ever! Don't be surprised if it discolors your headbands a little.
I had them lower my IPAP/EPAP pressures from 16/12 to 10/6, and ever since they did that I've had no problem keeping the mask on at night. Seems like I've been fortunate in that regard, a lot of people don't sleep well with it. The changing of the pressures on the BiPAP is almost therapeutic like, I've had no issues going to sleep with it. I've kept it on for 7+ hours nearly every night for a month now.

SleepHead is what I've been using too. Really cool program, though the only problem I have with it is sometimes I feel like I have too much information and it's given me anxiety over what some of the data was showing. I had a few of the central apnea events last over 2 minutes, and my oxygen level would drop into the 70s when I'd have repeated apnea events. My AHI values were typically in the 12-14 range each night, which isn't terrible, but I'd have some nights where my machine would record 300 or 400 pressure pulses. I found in some medical journals where too high of a differential pressure between IPAP/EPAP was known to cause TECSA in some patients. Even though 4 cmH2O between the two isn't very large, I tried tightening it and that made all the difference. After some slight moving around, for now I've settled in at 9.5/7 for IPAP/EPAP. Over the last 5 nights my AHI values have been between 2-3 for the night, and I've only recorded 15-30 pressure pulses each night as well.

I also suppose I'm rambling at this point, but people that don't have sleep apnea or have it but know nothing about their settings/stats have just looked at me cross eyed when I've talked about it.
 

Jacob

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Sleep apnea sounds like hell on earth. I am a crazy person the next day if I don't sleep well.
The bad part about it is I didn't know. Looking back on it I think I've had it to a small degree perhaps my whole adult life, but my snoring has gotten progressively worse the past 2-3 years (my wife has let me know about that repeatedly), so it's likely that the apnea just slowly got worse and worse until it was affecting my overall health.

Older members here know I use to play a lot of competitive golf as a teenager, and back then walking 36 holes on a hot day was nothing. I've been out of the sport for a few years now, but got back into it last spring and played 60+ rounds last year. By the fall (and not even on a hot day), I'd ride 18 holes and be completely zapped for the rest of the day. I was drinking coffee at 4-5PM so that I could make it until 9-10PM. Now I know I'm not a teenager anymore, but a healthy 31 year old should be able to ride 18 holes of golf on a nice day and not be completely drained. I suppose I'm fortunate that I started waking up gasping for air, otherwise I might not have known where to start looking for the problem.
 

ARCC

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This whole coosa bridge thing is becoming really interesting. If I were single and didn't have 6 kids, I'd definitely go to the Shelby commission meeting later this month. There will be fireworks for sure.
 

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