(07-29-2014, 11:07 AM)Clementine Wrote: My pressure was upped to 11/5 from 10/4 a few days ago. I have had not good results since then; at least not really any better than before. last night my ahi was 12.
One night does not a trend make.
But even so, it's worth asking: What's the distribution of events? In other words, what's the OAI? the HI? and the CAI?
Quote:Am I being too impatient? I was so thrilled that it only took me 2 weeks to get used to the nasal pillows mask and I no longer rip it off my face in the middle of the night.
Perhaps. It takes some people several weeks to sort out learning how to sleep with the equipment. And it takes many people a few more weeks of sleeping well
with the equipment before they notice much difference in how they feel during the daytime.
What was your AHI running when the settings were 10/4?
And why were you switched from plain CPAP/APAP to the VPAP?
And are you running in fixed VPAP mode with IPAP = 11 and EPAP = 5 all the time? Or are you running in VPAP Auto with max IPAP = 11 and min EPAP = 5 and PS = WHAT?
Quote:I've noticed that with the higher pressure (I know, it's increased very little) that the nasal pillows move around more. Have had more leaks.
Are the leaks still under 24 L/min? And how much are the leaks waking you up? With the higher pressure you may need to tighten the head gear somewhat. Are you using the P10 that has no head gear adjustments (except for how far apart the straps are) or are you using a nasal pillow that has an adjustable headgear?
Quote:I anticipate that the dr will up the pressure even more --- and then I don't know how the nasal pillows are going to stay in place.
Has the doc actually looked at the daily data report from your VPAP? Or did he bump the pressure up based on nothing but summary data?
Quote:I think I need to try the nasal mask rather than the pillows. I move a lot and the pillows just don't want to stay in place very well.
There are a lot of people who prefer nasal masks over nasal pillows masks. And there are some very minimalistic nasals with minimalistic headgear out there on the market.
Quote:Wish it were sooner.
Ask to be put on the cancellation list. Also be very specific in explaining why you want to see the doc sooner than your current appointment. In other words, don't just be vague and say, "I'm still not feeling very good." Give the doc something to work with: "I'm still not feeling very good and I think it's because I'm waking up too many times adjusting the mask and I'm having trouble getting to sleep" gives the doc a lot more to work with.