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$45 Tip to Sleep Doc.
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #11
RE: $45 Tip to Sleep Doc.
Did your sleep test show you actually had CAs??? Alot of stuff can show up as CA flagged by the machine that arent.
I still have the occasional CA, nothing to do with pressure. Alot of that is simply your brain and cardio trying to get back in sync concerning O2 levels in the blood after it being disrupted by SA for a period of time before Cpap.

Not a doc but unless your sleep study when your brain waves were being monitered showed you had CAs that is probably all it is.
Your brain senses more O2 than its used too and says ok to much o2 we dont need to breathe.

Then lower 02 blood hits its triggers and it goes ooops breathe. And you do. So your probably not being O2 starved by those CAs. I get em when I know im awake and turned over, didnt breathe as soon as the machine thought I should and it will flag one after pulsing my airway.

I dont get as many as you are though. And yours could be pressue induced. But as another said you need to get the min max spread narrowed first to clear the OAs which are cutting your o2.
12-10-2014 01:39 AM
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saltydawg2 Offline

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Posts: 92
Joined: Sep 2014

Machine: Resmed S9 autoset
Mask Type: Full face mask
Mask Make & Model: F/P Flexi-fit 431
Humidifier: h5i
CPAP Pressure: 11.8 min-14 max
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: North Carolina

Post: #12
RE: $45 Tip to Sleep Doc.
Thanks for the replies. Last night was not a good night to base anything on, really. Did not sleep well initially. Sounded like Darth Vader, until I realized the EPR was still set at 3, and was dropping way too much for 8 minimum. Moved it to 1, so when I got up to the 14 range I would get some relief. Was able to have mask a little looser; less pressure, but mask could not handle being bumped when on side. Just got a climateline hose,(thanks, Pugsy), but it is heavier, and I will need to hang it, cause it is hanging off side of bed. Need to do some overall tweeking before screenshots will help.
12-10-2014 08:11 AM
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Galactus Offline

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Posts: 1,388
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #13
RE: $45 Tip to Sleep Doc.
keep in mind it is also very difficult to ascertain whether changes are working in a single night. You should make your changes and then record a week of data to see the effects and get a coarse tuning, then make a change and record another week. In this fashion you'll be able to have some evidence of what is or isn't working.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
12-10-2014 01:37 PM
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PaytonA Offline
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Posts: 3,016
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #14
RE: $45 Tip to Sleep Doc.
Correct me if I am wrong saltydawg2 but aren't you currently at 14cm continuous with EPR=3 ?
12-10-2014 01:46 PM
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Galactus Offline

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Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #15
RE: $45 Tip to Sleep Doc.
(12-10-2014 01:46 PM)PaytonA Wrote:  Correct me if I am wrong saltydawg2 but aren't you currently at 14cm continuous with EPR=3 ?

He adjusted to 8-14 and EPR 3, then lowered EPR to 1 based on what I read in the thread, so I believe currently APAP 8-14 EPR 1.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
12-10-2014 01:58 PM
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PaytonA Offline
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Posts: 3,016
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #16
RE: $45 Tip to Sleep Doc.
Ok, no prob. I guess what I saw on the charts is out of date. Sorry, did not mean to jump in the middle but it looked like things might have been headed the wrong way. Carry on, chaps, eh.
12-10-2014 05:08 PM
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saltydawg2 Offline

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Posts: 92
Joined: Sep 2014

Machine: Resmed S9 autoset
Mask Type: Full face mask
Mask Make & Model: F/P Flexi-fit 431
Humidifier: h5i
CPAP Pressure: 11.8 min-14 max
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: North Carolina

Post: #17
RE: $45 Tip to Sleep Doc.
Thanks, guys. Not really planning on any additional changes for awhile, just didn't want anyone contributing think I had hung up on them. Just changed settings last night, after visit with Doc. No new info worth sharing. One think I mentioned to Doc was I had an actual dream a couple of weeks ago. He liked that, then his eyes glazed over, again.
12-10-2014 06:23 PM
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saltydawg2 Offline

Preferred Members

Posts: 92
Joined: Sep 2014

Machine: Resmed S9 autoset
Mask Type: Full face mask
Mask Make & Model: F/P Flexi-fit 431
Humidifier: h5i
CPAP Pressure: 11.8 min-14 max
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: North Carolina

Post: #18
RE: $45 Tip to Sleep Doc.
Changed my mind. Here are the results from last night. So off the wall almost funny. That's why I initially decided not to show them.
12-10-2014 07:10 PM
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Galactus Offline

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Posts: 1,388
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #19
RE: $45 Tip to Sleep Doc.
Hi there, It seems quite obvious though from those numbers that the pressure is too low for you. The machine is topping out at 14 and you needed a higher pressure. That's my opinion from the flags and the pressure rises. If I were you I would turn the top end up to 20, and leave the bottom end at 8-9, and see if that doesn't help you.

You should also list the days min max and ahi pie chart from the stats page, it would be helpful.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
(This post was last modified: 12-10-2014 07:34 PM by Galactus.)
12-10-2014 07:32 PM
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surferdude2 Offline

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Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #20
RE: $45 Tip to Sleep Doc.
It's obvious that 14 cm isn't cutting it so you should let the machine have its head and see where it leads. Set it for 18 or even max it out at 20 for a test run and let's see how that goes. You should probably turn up the min a couple notches too. I'd say 10 min and 18 max for a test run. You may need even higher but I hesitate to crank it up fully since the leaks may get too high to make the data useful.

edit: oops, doubled with Galactus so it looks like we agree mostly, you need more pressure.
(This post was last modified: 12-10-2014 07:38 PM by surferdude2.)
12-10-2014 07:36 PM
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