▲ 7 r/CPAP

CPAP app that works with OSCAR without a SD card?

A few days ago I stumbled across a post (or maybe a comment) here about an app that runs on your phone and grabs the data from a Resmed machine over Bluetooth and sends it to OSCAR without a SD card.

It was not one of the apps that uses a WiFi SD card.

I closed the tab and now I can't find it again. I think it was hosted on github.
Any idea what app this is? Or did I hallucinate it?

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u/Shufflebuzz — 11 days ago

Megathread: Proposed Changes to Irish Naturalisation Requirements

There has been quite a bit of discussion recently about proposed changes to the requirements for Irish naturalisation.

For a while, this was little more than a comment from an individual politician. It now appears that proposals are being brought forward for consideration, so this has moved beyond the level of "something someone said on the internet."

##Rules for seeking Irish citizenship to be tightened under proposals due to go to Cabinet

Since this directly concerns Irish citizenship, I'm making this one dedicated thread for discussion.

Normally, the answer to political discussions here is "No Politics." That rule still stands. This is a narrowly defined exception for discussion of a proposed change to citizenship policy that is directly relevant to this subreddit.

##This is a discussion about Irish citizenship policy. It is not a general immigration debate.

A few ground rules:

  • Keep the discussion focused on the proposed changes and their implications for Irish citizenship and naturalisation.
  • No anti-immigrant rhetoric, racism, xenophobia, or dog whistles. Those will be removed and may result in a permanent ban.
  • Claims that migrants or asylum-seekers are inherently dishonest, are "taking advantage" of the system, are lying about being in danger, etc. are not going to be entertained here.
  • No "Ireland is full," "go home," or variations thereof. You will be banned. This is your only warning.
  • Don't use this thread as an excuse to debate whether immigrants are good or bad for Ireland.
  • Keep speculation clearly identified as speculation. There is a difference between what has actually been proposed, what is being reported, and what someone thinks might happen.
  • If you're making factual claims about the proposal, please provide a source where possible.
  • Don't turn this into a referendum on Irish political parties or politicians.

##Please report comments that violate these rules.

I can't read every comment in every thread, and I won't necessarily see something unless someone reports it. If you see something that crosses the line, report it. You don't need to get into an argument with the person or try to moderate the thread yourself. Report it and I'll see it and take action.

The purpose of having one thread is to give people who are actually affected by potential changes to naturalisation somewhere to discuss them without turning r/IrishCitizenship into another general-purpose immigration or politics subreddit.

Separate threads about this topic will be removed and redirected here.

If this thread turns into the usual collection of anti-immigrant rubbish, it will be closed. This subreddit will not be place for a bunch of eejits to spew hate.

Keep it civil, keep it relevant, and keep it about citizenship.

u/Shufflebuzz — 1 month ago

Can I donate blood six weeks after a total hip replacement surgery?

I checked the website and the only relevant medication I'm on is aspirin and that will be done a couple weeks before the blood drive.

For surgery it says something like, "someone will evaluate you when you show up"

I didn't have a transfusion and I'm not worried about my hemoglobin level. It was strong before surgery and I'm sure it will have recovered from whatever blood loss there was when they chopped up my bones. lol

I also asked my surgeon to make sure she's cool with it.

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u/Shufflebuzz — 3 months ago

Food Trucks

I'm feeling the urge to go get some food truck food on a Saturday evening.
Not necessarily this Saturday.

I'm having difficulty finding where and when they'll be.

Share your food truck recommendations along with where and when I can find them!

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u/Shufflebuzz — 3 months ago
▲ 2 r/CPAP

30 days in: Should I adjust my APAP pressure range?

I've been on CPAP for about 30 days with a ResMed AirSense 11.
My initial sleep study had an AHI of 21.2 and my O₂sat got down to 82%

After a rough start (my DME steered me into an F40 that I couldn't tolerate), I'm now using a P30i and it's going much better. I still wake up with a sore nose sometimes, but overall I'm doing well.

Current settings:

  • AutoSet for Her
  • 5-18 cmH₂O
  • EPR 3, full-time
  • Ramp off

Current results:

  • Residual AHI: ~0.3
  • 95% pressure: ~8.6 cmH₂O
  • Max pressure: ~12 cmH₂O
  • Average pressure: ~6.5 cmH₂O
  • Leaks are very low.

One important detail is that I'm recovering from a hip replacement, so I've been sleeping on my back much more than I normally would. Before surgery I was mostly a side sleeper.

At my 30-day follow-up with a NP sleep specialist, I asked whether it might improve comfort to narrow the pressure range to something like 6-13 (or similar).

The NP's answer was essentially, "No. Your numbers are excellent. The machine is adjusting appropriately, so I wouldn't change anything."

I'm curious what the experienced users here think.

Is there a good argument for narrowing the pressure range at this point, or would you leave it alone until I have more months of data (and am back to sleeping on my side)?

I'm looking for comfort optimization, not trying to chase numbers.
If you think I should leave it alone, I'd also appreciate understanding why.

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u/Shufflebuzz — 3 months ago

Positive THR Experience: From 5:45 AM Check-In to Discharge by 10:15 AM

I found these kinds of posts incredibly helpful before my surgery, so I thought I'd pay it forward and describe my experience while it's still fresh in my mind.

#Surgery: Anterior Total Hip Replacement

My arrival time was 5:45 AM, so I went to bed around 10:00 PM the night before and woke up at 4:15 AM. I took my third Hibiclens shower, made my wife her morning tea, and we left the house at 5:15 for the 20-minute drive to the surgical center.

#Pre-op

After checking in and signing what felt like a mountain of paperwork, I was brought back to a semi-private pre-op bay around 6:00 AM.

My nurse (I'll call her Nurse J) was fantastic. She explained everything as she went, which really helped keep me relaxed.

I changed into the gown, had my vitals taken, and my blood pressure was a little elevated (around 130/90). She smiled and said that was actually fine because everything they'd be doing that morning would tend to lower it.

She reviewed all the usual questions:

  • When I last ate and drank
  • Medications and supplements
  • Allergies
  • Medical history

Then she took me over to a set of practice stairs to make sure I knew the proper technique with a cane. Stairs had been one of my biggest concerns because I have two steps into my house without a handrail.

I had taken a picture of them beforehand, and she said, "That's fantastic. You'll have no problem with those."

That alone was incredibly reassuring.

Back in my room, she gave me Tylenol and Celebrex (per the surgeon's orders), and I made one last trip to the bathroom before the nurse anesthetist started my IV.

I asked if I could have some Versed, and he laughed and said, "Not yet. We still need you to consent to a few more things first."

Fair enough.

Next, the surgeon stopped by. He was in a great mood, marked my operative leg, and answered all of my last-minute questions.

I confirmed I was getting a Smith & Nephew Oxinium implant and asked whether it would squeak.

"It won't. I used to use ceramic on ceramic and those would sometimes squeak. Patients would come back," as he mimed moving his leg up and down, "Doc, why does it squeak like this? But your implant is but is ceramic on highly cross-linked polyethylene. It won't squeak."

I also asked if there were any special nutritional recommendations after surgery, like focusing on calcium or iron.

He said, "No. Eat whatever you want."

I replied, "So what I heard is that I should have a ribeye tonight."

He laughed and said, "Absolutely. Make it a surf and turf if you want."

The OR nurse came by and reviewed more medical history and allergy questions.

The physical therapist checked my walker and gave my Skechers slip-on shoes a big thumbs-up.

Finally, the nurse anesthetist came back with the Versed.

Then a little more Versed.

That stuff is wonderful.

#Surgery

Around 7:00 AM I was wheeled into the operating room as the first case of the day.

I transferred onto the operating table.

They had me hunch forward while they administered the spinal anesthetic. It was just a little pinch. Less painful than getting the IV.

That's the last thing I remember.

#Recovery

My next memory was waking up back in my pre-op room with Nurse J standing there.

From my perspective, it was instantaneous.

I woke up and could see the clock outside my room. It was 8:20 AM.

Over the next hour she periodically asked me to wiggle my toes and do ankle pumps while the spinal wore off. Then I progressed to heel slides.

Once I could sit up, she offered drinks and snacks. I had cranberry-apple juice and saltines.

She also gave me several small doses of IV fentanyl while I was in recovery, which kept me very comfortable.

The surgeon stopped in and said everything had gone perfectly.

I told him I was happy I could be an easy first case to start his day.

He said my hip was really bad, with many bone spurs. He said he couldn't believe I was walking on it. I guess it's amazing what you get used to. He said I'm going to love the new hip.

#Going home

Once I was more awake, the physical therapist reviewed my exercises and recovery plan with both me and my wife.

The instructions were very straightforward:

  • Walk every hour while awake.
  • Don't sit for more than 60 minutes at a time.
  • Do these exercises today, every hour.
  • Do these exercises tomorrow, and add in these on the following day.
  • Begin outpatient physical therapy one week later.

Nurse J then reviewed all of my discharge instructions:

  • Medication schedule
  • Things to watch for
  • When to call the surgeon
  • When to go to the emergency room

It was a lot of information, but everything was printed out and organized in a folder. And a nurse would call tomorrow to check on me.

As the surgeon had promised, I officially have no movement restrictions.

I joked, "So I can run that half-marathon tomorrow?"

Nurse J replied, "You can run the full marathon."

(For anyone wondering, no, I won't be doing that.)

Before I could leave, they had me walk about 30 feet to the bathroom with my walker. They wanted to make sure I could urinate before discharge.

I couldn't.

Back in bed they did a quick ultrasound and confirmed my bladder was empty despite the three liters of IV fluids I'd received. Nurse J said that happens fairly often.

So I was cleared for discharge.

I asked if I would use the fake stairs again now with the new hip, and the physical therapist said no, we don't want to use up your strength. Save it for when you get home. You'll be fine.

Pain was surprisingly mild:

  • Incision soreness
  • Some superficial pain over the front of my thigh
  • Some deeper aching that I assume is from the femur

The nurses helped me get dressed, put on compression socks (and gave me a spare pair), and wheeled me out to the car.

I had no trouble getting into the car, getting back out at home, or climbing the two steps into my house. That was a huge relief!

I was on my way home by 10:15 AM.

From arrival to departure, I spent only about 4½ hours at the surgical center.

Honestly, I was amazed.

If you're reading this because you're anxious about your upcoming hip replacement, I know everyone has a different experience, but mine couldn't have gone much more smoothly. The entire team was organized, reassuring, and clearly knew exactly what they were doing.

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u/Shufflebuzz — 3 months ago

Share your sleep tips for the days after surgery

My left anterior THR surgery is tomorrow. I'm worried about sleeping in the first few days after surgery.

I'm typically a side sleeper, and sleep with a weighted blanket.
I'm not a great sleeper (though I recently started using a CPAP, and I think things are getting better)

What helped you?
What hindered you?

Were you still able to side-sleep? Presumably on the non-operated side?

Did you find it helpful to use any OTC medication, like melatonin or Benadryl? Something else?
Did you ask the doc for a prescription sleep medication?

reddit.com
u/Shufflebuzz — 3 months ago

Tell me about stairs after surgery. How soon will I be using stairs confidently on my own?

My surgery is in a few days. One unresolved concern I have is stairs.

I know they say I'll do stairs at PT in the surgical center right after the surgery. Like that's required for them to clear me to go home or something.

It sounds too good to be true.
My point of reference is when I broke my ankle a few years ago and I was no-weight-bearing for two months. Stairs were hard. And scary.

I'll have two stairs to go up to get in the house after surgery. There's no railing. Then one more step into the doorway.

At home, I have everything I need on the first floor. There's a full bathroom and I've set up a temporary bedroom in the guest room. But my (real) bedroom and office are upstairs. I want to be able to go up there, and safely back down.

What's your experience with stairs been like in the immediate days after TRH?

edit: Thanks everyone for all your responses. I'm blown away. This is very encouraging as it has been one of my biggest worries. I'm feeling a whole lot better about it now.

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u/Shufflebuzz — 3 months ago

A Quick Word on Anti-Immigrant Sentiment

Given recent events, this shouldn't need to be said, but apparently it does.

This subreddit is for helping people with Irish citizenship. It is not the place for anti-immigrant nonsense, racist talking points, xenophobic dog whistles, or any variation of "I'm only asking questions..."

If you're in the comments having a go at immigrants instead of helping someone with an Irish citizenship question, you've wandered into the wrong subreddit.

Going forward, moderation on this will be exceptionally straightforward.

#If you post anti-immigrant comments, you're getting a permanent ban.

Not warned. Not given a "please be civil." Not invited to debate whether your dog whistle is technically a whistle.

Just banned.

Overt bigotry gets a permanent ban. Thinly veiled bigotry gets a permanent ban. "I'm just asking questions..." followed by the same recycled anti-immigrant talking points gets a permanent ban.

For everyone else: if you see this shite, report it. Don't waste your time arguing with people who aren't here to help anyone. Hit the Report button, carry on with your day, and I'll take care of the rest.

The overwhelming majority of people here are decent people who just want to help others navigate the Irish citizenship process. Let's keep it that way.

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u/Shufflebuzz — 3 months ago

Is there any way to see items with same-day shipping in my cart?

I like to save things I don't need right now in my cart to use as filler items later when I want to get free same day delivery. But when they're in my cart, I can't tell which ones!

Is there any way to tell? Maybe a browser add-on or something?

reddit.com
u/Shufflebuzz — 4 months ago

Active folks under 65: what assistive devices were actually useful after your THR?

I'm a 52-year-old man scheduled for an anterior total hip replacement in a couple of weeks.

I'm reasonably active and independent aside from the hip itself. No major mobility limitations other than what the arthritic hip causes.

I spoke with my surgeon's PA yesterday and asked what assistive items I should have at home after surgery. Beyond the walker, the answer was essentially, "Some people like them, some don't."

We discussed things like:

  • Shower chair or bench
  • Grabber/reacher tool
  • Sock aid
  • Leg lifter
  • Gel ice packs (better than plain old ice?)
  • Compression socks
  • Raised toilet seat
  • Toilet safety rails
  • tray or pouch for the walker

The response was basically that none of them were considered essential.

So I'm curious what actual patients found useful.

If you're relatively active, under 65, and had a modern THR (especially anterior approach), what was the one item that turned out to be a lifesaver during the first few weeks?

Conversely, what did you buy or borrow that ended up sitting in a closet unused?

I'm trying to decide what to pick up before surgery while I still can.

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u/Shufflebuzz — 4 months ago
🔥 Hot ▲ 6.7k r/trailerparkboys+3 crossposts

Cheap refreshing anti-soda fizzy drink

I rarely drink commercial sodas. Instead I carbonate juices… it’s really simple.

Half gallon of organic 100% apple juice… pour out a cup of the juice

Fresh organic ginger- about 1 1/2 to 2 ounces

Rinse and slice ginger and drop the pieces into the jar of juice

Screw top on juice

After about 3 days, slowly unscrew top so the buildup releases a little at a time.

It will continue to carbonate until every bit of sweetness in the juice is gone so try to drink it within a few days.

u/DriverMelodic — 4 months ago
▲ 5 r/CPAP

What should I ask at my CPAP pickup/fitting appointment? What should I expect to go home with?

New CPAP user here. I was recently diagnosed with moderate OSA (AHI 21.2, O2 nadir 82%) and I'm scheduled to pick up my equipment from a local DME next week.
I've been doing a lot of reading and watching videos, but I'd love to hear practical advice from people who have actually gone through the setup process.

They've confirmed I'm getting a ResMed AirSense 11 AutoSet.

I'm a side sleeper and tend to roll from side to side during the night. I have a mustache and goatee, not a full beard. So I'm looking at trying the P30i, but I'm open to whatever works for me.

  • What questions should I ask at the pickup/fitting appointment?
  • What equipment, supplies, and accessories should I expect to go home with on day one?
  • Are there any settings, features, or options I should make sure are enabled?
  • Any common mistakes new users make when choosing a mask?
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u/Shufflebuzz — 4 months ago
▲ 5 r/mead

One bottle's cork was pushing out. It carbonated. What to do with the rest of the batch?

I made a blueberry mead. Man Made Mead's blueberry cinnamon recipe.
I follwed the procedure to the letter. After fermentation was complete, I added k-sorb and crushed campden, waited 24 hours, backsweetened and bottled.
It was 4 months from start to bottling, then another 4 months after bottling.
~16% abv
Bottled in wine bottles with corks.
Bottles were stored on their side in my 50-55 F cellar.

Today I noticed one bottle's cork was halfway out. I put it in the fridge for a few hours and uncorked it. Lots of fizz. It had carbonated.

Now what do I do? I have to assume the other bottles are carbonating too, yeah?
I could uncork and pasteurize via the sous vide method. Or unbottle back into a fermenter, degas and stabilize with more k-sorb and campden. Then bottle again in 24-48 hours.

Is there any saving this?

u/Shufflebuzz — 5 months ago

I've been dealing with osteoarthritis for more than a decade and it's time for the hip to go. I'm getting a left total hip replacement anterior approach. I'm getting one of those Smith+Nephew Oxinium implants. Titanium stem, Oxinium ball, titanium cup, highly cross-linked PE cup.

I have lots of questions but for now I need to schedule my post-op PT. I want to get a particular therapist and they book ~2 months out.
Doc says:

> Most of our patients go home with a set of home exercises to do on their own for the first couple of weeks. At which point, 2-4 weeks out, you can start outpatient PT.
> If you have a ride or a way to get to outpatient PT prior to that, you can start as early as 3 days post op.
>Let us know what you decide, truly either way is fine, you will do very well.

So, how long after surgery did you start outpatient PT?
How often did you go? Once a week? Twice a week? For how long?

I'm pretty sure my insurance covers all the PT.

reddit.com
u/Shufflebuzz — 6 months ago