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1 month review please?!
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #1
1 month review please?!
Well, I have survived 1 month. I have flip flopped between the F10 and P10 and ended up with the F10 because I was unable to conquer my mouth breathing. (I will visit that beast again later...I really like the P10)

I have a Doctors followup in 2 days and I plan to take a netbook with SH on it so we can review my data if he doesn't look at it in ResScan.

Overall I have averaged around AHI 7.5, I hit 3.5 ONE day and have hit as high as 25 one day. Most of the time during any one night my AHI is around 2 or 3, but I tend to have clusters which drive the overall average up. Those clusters go as high as AHI 50 to 60 for 20 to 30 minutes per cluster. Usually 1 cluster per night, but on really bad nights 2 or 3 clusters. The clusters seem to be related mostly to highly variable breathing rate areas - which some here have indicated could be REM sleep periods. (none last night)

I have attached two shots from last night. A full night with a lead in nap during the afternoon, and a zoom in on a very small (almost not worth calling it that) cluster.

RERA's seem to always make the highest percentage, or they are in second place. CA and OA flip flop between 2nd and 3rd place percentage wise.

Interestingly, I tend to do things backwards, now that I am starting to get this under control, I am sleeping less. Previously I was sleeping maybe 8 to 9 hours a night with occasional naps in the day time. I never really needed a nap, but if I was in the mood, or wanted to test something, I could lay down and fall asleep for 30 minutes easily. Now, I am down to 5 to 6 hours at night with a nap if I want to during the day, but in general I am still basically tired most of the time.

So, I would appreciate some help evaluating this and interpreting it for what to do/focus on going forward. I "think" the leaks are mostly under control at this point, obviously they could be better, but I will take what I have, I am pretty sure the only "large leak(s)" are when I scratch my nose.

[Image: SH1.png]

[Image: SH2.png]

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
05-04-2016 03:03 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: 1 month review please?!
The machine report RERAs but RERAs are not part of AHI
If were me, I set the machine on auto, something like 8-12, let the machine do the work and see what pan out
I use nasal mask and the chinstrap helps minimize mouth leaks YMMV
05-04-2016 03:32 AM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #3
RE: 1 month review please?!
(05-04-2016 03:32 AM)zonk Wrote:  The machine report RERAs but RERAs are not part of AHI
If were me, I set the machine on auto, something like 8-12, let the machine do the work and see what pan out
I use nasal mask and the chinstrap helps minimize mouth leaks YMMV

Apparently Sleepyhead considers RERAs to be part of it's reported AHI - Sad

I tried several versions of chin straps and never succeeded. I even took a 4 inch ACE bandage and wrapped my face up so I looked like a mummy, and managed to breath through my mouth somehow - lol...

I am holding off using Auto mode until after I speak with the doctor. He was opposed to getting an Autoset to start with saying that my sleep study contra indicated APAP mode, I think he was mainly concerned with the Centrals in the Sleep study. That is one thing I want to discuss with him Friday.

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
05-04-2016 03:39 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: 1 month review please?!
(05-04-2016 03:39 AM)FrankNichols Wrote:  Apparently Sleepyhead considers RERAs to be part of it's reported AHI - Sad
Not really ...
1st chart ... AHI 7.68
CA 3.43 + OB 1.38 + Hypopnea 2.45 = 7.68

The AutoSet in autoset mode only score central apnea but does nothing for it, no pressure increase
Only increase pressure in response to apnea (obstructive), snoring, and flow limitation (pre-cursor to obstructive apnea)
(This post was last modified: 05-04-2016 03:56 AM by zonk.)
05-04-2016 03:54 AM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #5
RE: 1 month review please?!
(05-04-2016 03:54 AM)zonk Wrote:  
(05-04-2016 03:39 AM)FrankNichols Wrote:  Apparently Sleepyhead considers RERAs to be part of it's reported AHI - Sad
Not really ...
1st chart ... AHI 7.68
CA 3.43 + OB 1.38 + Hypopnea 2.45 = 7.68

The AutoSet in autoset mode only score central apnea but does nothing for it, no pressure increase
Only increase pressure in response to apnea (obstructive), snoring, and flow limitation (pre-cursor to obstructive apnea)

Oops! Thanks for pointing that out. Since the pie chart shows the RERAs I never bothered to add them up. Maybe including RERAs in the pie chart should be optional.

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
05-04-2016 03:59 AM
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sdb7802 Offline

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Posts: 199
Joined: Jan 2016

Machine: PR DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: built-in with heated hose
CPAP Pressure: 9.5-14 C-Flex 3
CPAP Software: SleepyHead

Other Comments: Retired Electrical Engineer; began using cpap in 2001; FlashAir wifi card and FlashPAP app

Sex: Male
Location: Georgia, USA (The Margravate of Azilia)

Post: #6
RE: 1 month review please?!
Frank,

When I first started cpap, I used a nasal mask and a chin strap (for the mouth breathing). After a while, I ditched the strap and basically stopped mouth breathing and eventually moved to the pillows. Every now and then, I have a problem but it's rare. I seemed to have trained myself to keep my mouth shut (at least at night). Still working on the rest of the day.

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
05-04-2016 05:22 AM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #7
RE: 1 month review please?!
(05-04-2016 05:22 AM)sdb7802 Wrote:  Frank,

When I first started cpap, I used a nasal mask and a chin strap (for the mouth breathing). After a while, I ditched the strap and basically stopped mouth breathing and eventually moved to the pillows. Every now and then, I have a problem but it's rare. I seemed to have trained myself to keep my mouth shut (at least at night). Still working on the rest of the day.

well, I tried two chin straps, no chin strap and an ace bandage over a period of about 2 weeks. Here is one of my better days - notice the large leaks - lol...

[Image: SH3.jpg]

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
05-04-2016 05:47 AM
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sdb7802 Offline

Advisory Members

Posts: 199
Joined: Jan 2016

Machine: PR DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: built-in with heated hose
CPAP Pressure: 9.5-14 C-Flex 3
CPAP Software: SleepyHead

Other Comments: Retired Electrical Engineer; began using cpap in 2001; FlashAir wifi card and FlashPAP app

Sex: Male
Location: Georgia, USA (The Margravate of Azilia)

Post: #8
RE: 1 month review please?!
What about surgical tape. No joke. Not an insult.

I realize your post is mainly for SH analysis.

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
(This post was last modified: 05-04-2016 06:12 AM by sdb7802.)
05-04-2016 06:01 AM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #9
RE: 1 month review please?!
(05-04-2016 06:01 AM)sdb7802 Wrote:  What about surgical tape. No joke. Not an insult.

It's possible, I am going to use my F10 for a while until I get my AHI down below 5, then one that is stable, I will try again to find a way to keep my big mouth shut - it has always gotten me into trouble, now it is doing it here too Smile

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
05-04-2016 06:10 AM
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
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CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #10
RE: 1 month review please?!
Hi Frank,
I notice you don't have Periodic Breathing listed in your events graph. Be sure it's checked on the drop down box at bottom right of page.
It's possible you didn't experience PP, but would be good to see along with the Clear Airways.

It's looks like going from a pressure of 10 to 11 caused even more clear airway events.

I would be curious what your doctor will recommend. Putting you in APAP mode with a higher pressure may or may not cause even more clear airways, but will take care of the hypopneas, Obstructives, and RERAs.

RERAs are important (even though they are not counted in the AHI), because they disrupt your sleep. They cause mini arousals.

They will probably try bipap, but it's possible you will need to be on an ASV machine. Dont-know

OpalRose
(This post was last modified: 05-04-2016 07:15 AM by OpalRose.)
05-04-2016 07:13 AM
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