The bigger problem is that this model is inherently flawed. Even if end-to-end encryption with browser crypto were implemented, there is never any security since the code in the browser can simply be swapped with compromised code that diverts the plaintext somewhere.
I've been forced to use this service, by way of healthcare professionals just disclosing correspondence to this service without asking for my consent.
CPAP makes breathing harder than normal. It's antiquated technology, superseded by something called bilevel-CPAP (BiPAP) which has the quality that it makes breathing actually _easier_. It's slightly more expensive than plain CPAP so insurance and doctors withhold it from the patients and try to keep it a secret.
He did say that having successive revisions is doing it wrong. Literal quote (from the translation)
"So then you get these version numbers, even with decimals, version 2.6 or 2.7. That's nonsense. While version 1 should have been the finished product."
So I think the nuance you are trying to make is unsupported. He did mean: think it through once, write it out once, version 1. Done.
That's Jason Sazama a.k.a. TheLankyLefty27. He's good, he knows about UARS and flow limitation. His experience with bilevel/ASV modalities is very limited though.
* My symptoms at the nadir were (all resolved with self-administered xPAP): chronic fatigue; chronic pain (skeletal muscles were all like bricks); insomnia throughout the night every night; tinnitus; reflux; chronic anxiety; all sorts of cognitive problems with memory, concentration and executive function.
* You describe CPAP rejection as something specific to UARS. It really is not, many people with "plain OSA" reject CPAP. For some people SDB causes intense anxiety, others get a bit numb. I guess CPAP is doable for the numb population. Obviously having resistance imposed on your breathing while being in Fight or Flight mode constantly is a big no-no. I experienced this myself, CPAP gave me back to back anxiety attacks. Describe this to doctors, and they will gaslight you. Their talk is cheap, they don't have to sleep like that. Fortunately my first device was a BiPAP (by total coincidence) and turning the BiPAP mode on was like turning a key and opening a door. I went to sleep instantly and we became best friends :) Barry Krakow MD is a rare exception. He says the following in his article [0]
> From our perspective, reliance on CPAP in a sizeable proportion of OSA/UARS patients violates the dictum, primum non nocere. Accordingly, 15 years ago we ceased use of CPAP and switched all patients to bilevel modes.
* Joseph Borelli MD, an adult UARS survivor describes his experiences in a video from the American Sleep Apnea Association. [1]
* In my experience nasal congestion can also be caused by the SDB. The Bilevel breathing assistance compensated for my nasal resistance at the beginning, and after a while my nose just opened up. I haven't had any trouble with it since, also while performing strenuous activity and sports. I never had anything done to my nose, let alone surgery.
* It's very hard to know when you are fully treated, with any intervention if there is no hard data. I started with BiPAP, and for 3 years I was adjusting my pressure every 3-4 months and gained improvement. But I was never sure that I had reached the ceiling. I did have some regular "worse days" that could be blamed on residual breathing issues. The DSX900 AutoSV records every individual breath on its SD card, so I can verify that it is achieving total flow normalization. [3]
* Around october 2020 I had some discussions, giving input to the author of this article [2] and I became sure that I had to try ASV at some point to try and achieve complete "flow normalization" which Barry Krakow MD describes in a webinar [3]. Finally I in january 2021 I had the opportunity to try a DSX900 AutoSV and copy my Bilevel settings onto it with some headroom for the ASV algorithm to work. It did turn out that I had a lot to gain cognitively, my concentration, memory and executive function became much better, particularly reading and studying "hard" text became much easier and "transparent," i.e. no more clinging to the lines of text. So this is a warning, while any relief from the most dire symptoms is good, I consider years lived with inadequate treatment to be years wasted in a sense. Of couse the 15 years I went completely untreated as a young teen going through school and university as a tired, neurotic wreck I will never get back.
* Mouth taping probably works because it keeps the lower jaw stabilized. It tends to drop and then fall back. A soft cervical collar would probably also work. My current mask (F30i) hooks under my lower lip and that probably also helps.
* I use an ultrafine allergy filter in my machine and it still does a lot of work for me, so allergies cannot be considered the main cause. In my case it's facial anatomy such as retrognathia, large tongue, Mallampati class IV.
* I was gaslighted by doctors for 3 years. I was finally diagnosed with UARS (3rd PSG with Pes this time) in october 2020 but no treatment was offered as "there was no protocol." I had to do everything myself.
* Toughing it out isn't sustainable, my final crash was in 2017.
> If none of that is convincing, in the US it's illegal to sell a CPAP to someone without a prescription.
Like that means anything. I've bought a DSX900 ASV machine from the US, no problem. I've been self-treating UARS for 4 years now. None of the "sleep doctors" I've talked to even understand the thing, I had to do everything myself.
Think outside the chair. https://salli.com/en/home/ It simulates standing from the waist up, so it offers all the advantages of standing without the disadvantages (slouching, getting tired) I'm hooked for life, so the 600 euros was worth it for me.
No, the Pebble used a Sharp Memory LCD, a different transflective technology. It can only do greyscale while pixelQi uses prisms to separate the colors. That's why you get color with backlight and greyscale out in the sun.