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[Diagnosis] Started CPAP 3/13 found form and joined
#1
My condition was, I waited way to long for help.
Diagnosis 39 events per hr
Drop to 70% oxygen level
Heart rate dropped to 31 bpm
Needless to say, after at least ten years of sleepy existence I hit bottom.
I have ResMed software installed and data saved on .pdf. File is 3,839kb.
Can I upload this to see what members think of my progress and other thoughts or concerns. If someone can help, sure would like to know.
I think my AHI is average 3.9 for my usage up to now, going by the report.
Think that's real good but other data concerns me, always feel better, but some days I feel great but just some.
Still MUCH better than before.
Thanks to everyone for this form
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#2
My statistics page.
Statistics
3/12/2015 - 3/26/2015 Device: AirSense 10 Elite (S/N: 2314235----)
Device Settings
Therapy Mode: CPAP Set Pressure: 13.0 cmH2O EPR: FULL_TIME
EPR Level: 1.0 cmH2O EPR Enable: OFF EPR Patient Enable: OFF
Ramp Time: 45.0 Minutes Essentials: ON
Leak - L/min
Median: 3.6 95th Percentile: 31.2 Maximum: 49.2
Respiratory Indices - events/hr
Apnea Index: 3.7 Hypopnea Index: 0.2 AHI: 3.9
Obstructive: 0.4 Central: 3.1 Unknown: 0.0
% Time in CSR: 0.0
Total Usage
Used Days >= 4 hrs : 14 Used Days < 4 hrs : 1 % Used Days >= 4 hrs : 93
Days not used: 0 Total days: 15 Total hours used: 116:08
Median daily usage: 8:12 Average daily usage: 7:44
Name: ----------Patient ID: nn
Reference ID: nn
Date of Birth: 25 September 1958
ResScan
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#3
Hi J McCoy,
WELCOME! to the forum.!
Hang in there, someone will be along to help you with your report.
Much success to you with your CPAP therapy.
trish6hundred
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#4
(03-28-2015, 10:31 PM)J McCoy Wrote: EPR: FULL_TIME
EPR Level: 1.0 cmH2O EPR Enable: OFF EPR Patient Enable: OFF
Ramp Time: 45.0 Minutes Essentials: ON
Leak - L/min
Median: 3.6 95th Percentile: 31.2 Maximum: 49.2
Respiratory Indices - events/hr
Apnea Index: 3.7 Hypopnea Index: 0.2 AHI: 3.9
Obstructive: 0.4 Central: 3.1 Unknown: 0.0
% Time in CSR: 0.0

Hi J McCoy,

I suggest you edit your previous post to delete personal info such as birth date.

Welcome to Apnea Board. I think you are off to a great start.

Your Median Leak is small (3.6 Liter/minute) which is great, and your 95th Percentile Leak (31.2) is not huge and is not too bad. We try to keep the 95% Leak below 24 L/min).

Mathematically, a 95% Leak of 31.2 means the Leak was 31.2 OR LOWER for AT LEAST 95% of the time while the machine was operating at your normal therapy pressure of 13. (The Ramp period does not count.)

Mathematically, a 95% Leak of 31.2 also means the Leak was 31.2 OR ABOVE for AT LEAST 5% of the time.

For ResMed machines, only the Unintentional Leak is reported. (The air flowing through the mask vent holes is intentional leak and is not reported by ResMed.) Other manufactures may report the "Total Leak", meaning the sum of the intentional airflow through the mask vents plus all other leaking.

It is not uncommon for new patients to have a small amount of Central Apneas like are shown in your statistics (CAI, Central Apnea Index, of 3.1 per hour) and for the CAI to gradually keep decreasing over the first few weeks or months of therapy. But even your present CAI of 3.1 is not excessive and is nothing to worry about (and it will likely gradually decrease).

It looks like EPR is turned off (EPR Enable: OFF) and normally I would suggest requesting for EPR to be enabled (or enabling it yourself), and also changing EPR Patient Enable to "ON" or "PATIENT" so you will be able to adjust it without having to enter the Clinician Menu.

However, in your case your CAI is the dominant component of your AHI (Apnea Hypopnea Index) and turning on EPR or increasing the amount of EPR often increases the CAI. So if you are managing to get enough sleep now, without EPR, then I suggest leaving EPR disabled. If you are having difficulty breathing out against the pressure then I suggest enabling EPR but keep an eye on the CAI and if the CAI skyrockets then I think it would be best to disable EPR again.

Also, it looks like the Ramp may be adjusted to a long time (45 minutes). Not shown is what the Start Pressure is. If the low pressure at the start of the Ramp time is uncomfortably low, making you feel slightly smothered, the Start Pressure should be increased closer to your therapy pressure (13), or the Ramp period may be reduced to zero to completely skip the Ramp.

If the Ramp time is set to "Auto" (instead of 45 minutes) this would mean the pressure would stay fixed at the Start Pressure until your breathing pattern makes it seem like you have fallen asleep (or until a fairly long period has passed) and then the pressure would gradually increase until it reaches 13.

Take care,
--- Vaughn



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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#5
Welcome to the board and best of luck with your therapy!
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#6
(03-28-2015, 10:12 PM)J McCoy Wrote: My condition was, I waited way to long for help.
Diagnosis 39 events per hr
Drop to 70% oxygen level
Heart rate dropped to 31 bpm
Needless to say, after at least ten years of sleepy existence I hit bottom.
I have ResMed software installed and data saved on .pdf. File is 3,839kb.
Can I upload this to see what members think of my progress and other thoughts or concerns. If someone can help, sure would like to know.
I think my AHI is average 3.9 for my usage up to now, going by the report.
Think that's real good but other data concerns me, always feel better, but some days I feel great but just some.
Still MUCH better than before.
Thanks to everyone for this form

Hi J. Sounds like we're in about the same boat. I started on the 16th of this month, after probably being in this situation for around 10 years too. We're within a couple of years of each other in age. My AHI from the sleep study was 39. My AHI is ranging from 3-6, I'm on an A10 using P10 pillows. My heart rate is high instead of low though.

I think it would help a lot if I could just sleep through the night without waking up a bunch of times...

There are some folks on here who may ask you for graphs to be posted.
There is a tutorial: imgur tutorial
You could get a head start by reading that.

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#7
(03-28-2015, 10:12 PM)J McCoy Wrote: My condition was, I waited way to long for help.
Diagnosis 39 events per hr
Drop to 70% oxygen level
Heart rate dropped to 31 bpm
Needless to say, after at least ten years of sleepy existence I hit bottom.
I have ResMed software installed and data saved on .pdf. File is 3,839kb.
Can I upload this to see what members think of my progress and other thoughts or concerns. If someone can help, sure would like to know.
I think my AHI is average 3.9 for my usage up to now, going by the report.
Think that's real good but other data concerns me, always feel better, but some days I feel great but just some.
Still MUCH better than before.
Thanks to everyone for this form

Hi J McCoy,
My stats were similar to yours. 33 Events an hr, 69% oxygen level, heart rate in the 40's. Plus I know now that I had sleep apnea for at least 5 to 6 years prior to
diagnosis.
The important thing is now you are being treated, and move forward from here.
Everyone is different, some take longer to feel better than others. Just watch your data, and try not to compare yourself with others.
OpalRose
Sleep-well
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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.




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#8
Thanks for the replies, I had no idea how bad I was until I woke up after first night or two of cpap. Somewhere else I would have to try and explain all that falls apart when you don't sleep well, not here. I can tell just from Worn Out In Lebanon's replie and name he uses he was feeling bad.
I hope the best for everyone. As I learn I will contribute back also.
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#9
Welcome J McCoy. I echo that it looks like a great start. By now, you are realizing a lot of what was normal before treatment is now abnormal. And, its a good thing, because no rational person would call those conditions normal.

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.
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