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Aussie Paul needs some help...
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trailrider Offline

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Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #31
RE: Aussie Paul needs some help...
Hi Paul, I'm sure you are being looked after well by yourself and the Mrs. I'm a bit concerned about the pain and you may be going into a pain/wakening spiral at night, as you stiffen and get uncomfortable again. Do any light painkillers help at all? paracetamol, naproxen, ibuprofin?

Having previously gone through a crushed L3 and more recently a hand fracture requiring pins, I know first hand how pain can bring one down. Even a bit of relief from the over the counter meds might help enough to thin that dark cloud a bit and get some improved rest. I recall when I was moved to a higher pain med and I felt joyous at the relief! (No it wasn't the pharma effect.). Chronic pain hurts us more than just physically; it is a weight on the soul.

Best wishes for better sleep and recovery.
03-12-2015 11:11 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #32
RE: Aussie Paul needs some help...
yes. I agree try xflex at 2 and pressure at 10.5.
leaks may be disruptive, but they look like they are mostly under LL (large leak) criteria.
there are ways of making leaks not as disruptive. cotton cloth between skin and the silicon sealing piece make it so you hardly feel the leaking.
good luck.


QAL

ps. it is very interesting that your flow came down so much in the 03:00 to 03:45 timeframe. Did your insp time and exp time go up quite a bit in that region? From 02:00 to 3:40 looks like a point of a sharpened pencil.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
03-12-2015 06:18 PM
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Aussie Paul Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: Philips remstar pro C-Flex+
Mask Type: Nasal pillows
Mask Make & Model: Nuance nasal pillow
Humidifier: Philips system one heated
CPAP Pressure: 11.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ballarat, Victoria, Australia.

Post: #33
RE: Aussie Paul needs some help...
(03-12-2015 08:45 AM)Sleeprider Wrote:  Your leaks are a mess and are probably disruptive to your sleep. How old is your mask or pillows?

It would help if your charts included Events, Flow, Pressure and Leaks with the Details on the left. Use the F12 key to take the screenshot. It is stored in My Documents/Sleepyhead/Screenshots. Here is a tutorial https://sleep.tnet.com/reference/tips/imgur

You are still showing a high rate of H, OA, CA clustered at various times of the night. I would try a 1.0 cm higher pressure and see if that reduces it. I'd guess these events occur when you change position (back sleeping?) or at certain sleep stages (REM).

Mask and pillows are 5 months old, and yes, at the moment I am having some difficulty with the fit. Last night was better.

Now, let me see if I have done the pics on Imgur.

http://paulbruty.imgur.com/all/

Aussie Paul. Smile
03-12-2015 09:20 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #34
RE: Aussie Paul needs some help...
your pic albums are private, not shared. the way we usually do it, is post individual images via their links.

get one of your pictures up, then look on the right hand side. There are several ways you can provide the link, select one that has [img] starting it. embed that phrase in your post.


Code:
[img]http://i.imgur.com/jbVrde2.png[/img]

creates:
[Image: jbVrde2.png]


QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
03-12-2015 09:45 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,015
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: #35
RE: Aussie Paul needs some help...
Link gives the message "not publicly available".
03-12-2015 09:49 PM
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Aussie Paul Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: Philips remstar pro C-Flex+
Mask Type: Nasal pillows
Mask Make & Model: Nuance nasal pillow
Humidifier: Philips system one heated
CPAP Pressure: 11.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ballarat, Victoria, Australia.

Post: #36
RE: Aussie Paul needs some help...
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This old dog has to learn new IT tricks!!!

Aussie Paul. Smile
(This post was last modified: 03-12-2015 10:13 PM by Aussie Paul.)
03-12-2015 10:01 PM
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Aussie Paul Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: Philips remstar pro C-Flex+
Mask Type: Nasal pillows
Mask Make & Model: Nuance nasal pillow
Humidifier: Philips system one heated
CPAP Pressure: 11.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ballarat, Victoria, Australia.

Post: #37
RE: Aussie Paul needs some help...
Ok, this was last night. I could not get to sleep and got up to double check sugar and play Solitaire for a while. Then had a toilet rak, then pillows camw off mask!!!

Aussie Paul. Smile

[Image: HtnXhze.jpg]
03-13-2015 11:04 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #38
RE: Aussie Paul needs some help...
Most of your CAs are coming when you first go to sleep, or immediately after the break at 02:45. I think they can safely be ignored for now, as they seem to be happening during the transition into sleep. The leaks could be a concern - I'm not really sure what counts as a "large Leak" on a PR machine but they look pretty big to me. That's probably the main thing to focus on at the moment - make sure your mask is comfortable and that leaks are under control. You might need to try several different masks until you get one which suits, so develop a nice close relationship with the nice people at the clinic!

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
03-14-2015 03:20 AM
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Sleeprider Offline
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Posts: 3,381
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: #39
RE: Aussie Paul needs some help...
I recommend you buy a set of nasal pillows (maybe 2), and replace that part of your mask. If the headgear is stretched, replace that too. If you're not happy with the Nuance, switch to the Resmed Airfit P10. You are not preventing enough H and OA at your current pressure. I will stand by my original recommendation to increase pressure to 11.0 and see if you see a reduction.

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03-14-2015 08:32 AM
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PaytonA Offline
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Posts: 3,015
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: #40
RE: Aussie Paul needs some help...
It looks to me like when you started the machine up the 2nd and 3rd time that you did not get your mask fitted right possibly causing the large leaks.
03-14-2015 11:55 AM
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