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5 Month Check-in - SleepyHead Data
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MeDee Offline

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Posts: 21
Joined: Jan 2016

Machine: ResMed AirCurve Vauto
Mask Type: Nasal mask
Mask Make & Model: Swift FX Nano
Humidifier: Yes
CPAP Pressure: IPAP: 4, EPAP: 10 (PS 4)
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA (Thermian)

Post: #1
5 Month Check-in - SleepyHead Data
I am at my 5 month mark using biPap. Still not feeling great but have managed to find a mask that works and a pressure that keeps the aerophagia at a bearable level. I'd love someone to look over my SleepyHead data and give me a read. My doctor will not see me until the 1 year mark and feels my numbers are fine. My body is still massively tired.


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09-12-2016 12:48 AM
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MeDee Offline

Preferred Members

Posts: 21
Joined: Jan 2016

Machine: ResMed AirCurve Vauto
Mask Type: Nasal mask
Mask Make & Model: Swift FX Nano
Humidifier: Yes
CPAP Pressure: IPAP: 4, EPAP: 10 (PS 4)
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA (Thermian)

Post: #2
RE: 5 Month Check-in - SleepyHead Data
Is there a place to edit a post? I wanted to correct something.

edited: well, that's odd. I can edit my reply (found the edit button) but not my OP.
(This post was last modified: 09-12-2016 09:52 AM by MeDee.)
09-12-2016 09:51 AM
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OpalRose Offline

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Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
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: #3
RE: 5 Month Check-in - SleepyHead Data
McDee,
Here is some info on editing posts.
http://www.apneaboard.com/forums/misc.php?action=help&hid=17

OpalRose
09-12-2016 10:26 AM
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Sleeprider Online
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Advisory Members

Posts: 3,369
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #4
RE: 5 Month Check-in - SleepyHead Data
The graph only shows some CA events. If you want to clean those up, reduce your pressure support in clinical settings. Change the value next to PS from 4.0 to 3.0 and let's see if you feel better. We may want to change EPAP min from 4.0 to 5.0, but let's limit this to one thing at a time.

Why were you provided a bilevel rather than CPAP?

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 09-12-2016 10:47 AM by Sleeprider.)
09-12-2016 10:40 AM
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MeDee Offline

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Posts: 21
Joined: Jan 2016

Machine: ResMed AirCurve Vauto
Mask Type: Nasal mask
Mask Make & Model: Swift FX Nano
Humidifier: Yes
CPAP Pressure: IPAP: 4, EPAP: 10 (PS 4)
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA (Thermian)

Post: #5
RE: 5 Month Check-in - SleepyHead Data
When we did the sleep study the pressures were originally much higher. However, I developed severe aerophagia so my doctor lowered the settings to the current numbers. I think the fact that the higher pressures also blew open my Eustachian tube and was pushing air into my inner ear was also a factor.
09-12-2016 11:14 AM
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MeDee Offline

Preferred Members

Posts: 21
Joined: Jan 2016

Machine: ResMed AirCurve Vauto
Mask Type: Nasal mask
Mask Make & Model: Swift FX Nano
Humidifier: Yes
CPAP Pressure: IPAP: 4, EPAP: 10 (PS 4)
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA (Thermian)

Post: #6
RE: 5 Month Check-in - SleepyHead Data
(09-12-2016 10:40 AM)Sleeprider Wrote:  The graph only shows some CA events. If you want to clean those up, reduce your pressure support in clinical settings. Change the value next to PS from 4.0 to 3.0 and let's see if you feel better. We may want to change EPAP min from 4.0 to 5.0, but let's limit this to one thing at a time.

I typically have an OA between 1-2 every night. The CA averages between 2-3. Do we need to work on the OA (which Bipap treats) or the CA (which Bipap does not treat)? How would lowering the PS help with the CA? Would it make my aerophagia worse?
09-12-2016 01:21 PM
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Maskup Sleepwell Offline

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Posts: 55
Joined: Aug 2016

Machine: Respironics Dreamstation Auto BiPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10 FFM
Humidifier: Dreamstation Heated Humidifier
CPAP Pressure: EP 16-20 IP 17.5-20 PS 1.5-4.0
CPAP Software: SleepyHead EncorePro

Other Comments: Untreated AHI 48.0 - Treated AHI 1.1 (30 day average)

Sex: Male
Location: Santa Clarita, California

Post: #7
RE: 5 Month Check-in - SleepyHead Data
I've actually been playing with my BiPAP PS range numbers that past 3 nights to try to reduce my hypopnias. I increased my PS number 1.5-2.5 above what it has been, and voila my CAs completely disappeared. Prior to 3 nights ago, I was always getting some CAs every night. Yes this is opposite of what sleeprider was suggesting, so I'd try it for a week and see what the response is ...

I also see you 95% EPAP is close to 6. Your min EPAP is 4. I'd bump the EPAP min up to 5.5 or 6.
09-12-2016 05:10 PM
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Sleeprider Online
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Advisory Members

Posts: 3,369
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #8
RE: 5 Month Check-in - SleepyHead Data
(09-12-2016 01:21 PM)MeDee Wrote:  
(09-12-2016 10:40 AM)Sleeprider Wrote:  The graph only shows some CA events. If you want to clean those up, reduce your pressure support in clinical settings. Change the value next to PS from 4.0 to 3.0 and let's see if you feel better. We may want to change EPAP min from 4.0 to 5.0, but let's limit this to one thing at a time.

I typically have an OA between 1-2 every night. The CA averages between 2-3. Do we need to work on the OA (which Bipap treats) or the CA (which Bipap does not treat)? How would lowering the PS help with the CA? Would it make my aerophagia worse?


McDee, in Bilevel, the EPAP min treats OA. Increase by 1.0. CA can result from too much PS. I went through this same thing, and decreased my AHI from the figures you're dealing with to less than 1 by decreasing pressure support a bit.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
09-12-2016 05:26 PM
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MeDee Offline

Preferred Members

Posts: 21
Joined: Jan 2016

Machine: ResMed AirCurve Vauto
Mask Type: Nasal mask
Mask Make & Model: Swift FX Nano
Humidifier: Yes
CPAP Pressure: IPAP: 4, EPAP: 10 (PS 4)
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA (Thermian)

Post: #9
RE: 5 Month Check-in - SleepyHead Data
OK the consensus seems to be to focus on the CA first, then the OA.

Step 1: decrease the PS from 4 to 3. This may make my aerophagia wose, but it might help the CA.

if that does not work, then step 2:
Put the PS back to 4, but this time increase the EPAP to 5. That could help the OA.

Have I got it right?
09-12-2016 07:07 PM
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Maskup Sleepwell Offline

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Posts: 55
Joined: Aug 2016

Machine: Respironics Dreamstation Auto BiPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10 FFM
Humidifier: Dreamstation Heated Humidifier
CPAP Pressure: EP 16-20 IP 17.5-20 PS 1.5-4.0
CPAP Software: SleepyHead EncorePro

Other Comments: Untreated AHI 48.0 - Treated AHI 1.1 (30 day average)

Sex: Male
Location: Santa Clarita, California

Post: #10
RE: 5 Month Check-in - SleepyHead Data
Sounds like you have a good plan. I'd spend a week at each pressure to see if the change is helpful or harmful.
09-12-2016 07:15 PM
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