Dugy40 [Doug's Therapy Thread]

[jaswilliams]

The machine was at its max pressure of 11 so could not do anything about the OA maybe increase the max pressure to 15, your flow limitations are low so it should only go higher if it needs to. Your numbers look great just sleep with the machine for a week and get used to it

[Sleeprider]

From 23:15 to 00:45 you appear to have no expiratory flow suggesting an oral exhale. You are not having enough events to justify changing settings. This actually looks pretty good, other than you awoke and need to put together a good night of sleep.  If there is anything you can think of about the therapy that is disruptive to you, we can make adjustments for comfort. Flow limits is 0.0 in the 95% stat, so if needed we can reduce EPR.

Compared to your previous therapy on the Philips, your tidal volume has increased from 380 to 420 mL and minute vent is up from 5.0 to 6.0 L/min.  RERA and snore is considerably lower.  I think with time you will adjust, but if you want to back down to EPR 2, I won't argue.

[Dugy40]

The machine was at its max pressure of 11 so could not do anything about the OA maybe increase the max pressure to 15, your flow limitations are low so it should only go higher if it needs to. Your numbers look great just sleep with the machine for a week and get used to it

Thank you all.  I tried the multi quote function with no luck.  Stupid me went back to sleep and didn’t put SD card back. Oh well.  
Sleeprider what does oral exhale mean? Mouth breathing? Thank you all again Doug

[Sleeprider]

It is mouth breathing, but since we see an inspiratory wave, it is likely nasal inspiration and oral expiration. It's pretty common, and most people are not even aware of it.

[Dugy40]

It is mouth breathing, but since we see an inspiratory wave, it is likely nasal inspiration and oral expiration. It's pretty common, and most people are not even aware of it.

I woke up once and thought to myself. Man my mouth is dry.  “Wonder if I was mouth breathing? I’ll tighten my chin strap.”  I loosened it off last night to be more comfortable.  It was almost making a sore.   I used a soft cotton ankle sock and put it in between my chin and strap. Felt good.  Should have not loosened it.  
 I see below the line it’s straight.  I reset the graph like you had me do before.  Dotted line and y axis at 80.  Thank you for the explanation.  I bet I’ll do better tomorrow.  Have a great day.  Doug

[Dugy40]

Had to post this at least once.  Was 98 before I went back to sleep. 
[attachment=24699]

[Dugy40]

Had to post this at least once.  Was 98 before I went back to sleep. 

I wanted to add that the suggested pressure was 8-12.  I accidentally had it on 8-11.  It is now set to 8-12.

[Dugy40]

3 screenshots of my overnight sleep study. Back in 1996.  To me it looks like two ahi’s 34 for one position.  15 for another.  Thought I’d share.  
[attachment=24711][attachment=24712][attachment=24713]

[Sleeprider]

Dude! 1996?

[Dugy40]

Dude!  1996?

yeah is that bad? my recent i just wore a watch with a lead on my finger. oxygen dropped to 75-80 many times in the night. i was waking up gasping for air. heart racing. that has stopped since cpap. Dr wrote script on that test. she did see my 1996 one too. back in 1996 i wore cpap prob 30min and never wore again till june 2020. wish i had this forum then.
how does last night look? any recommendations? looks like mouth breathing around 4:45 area?   i just set large leaks to show. not in screenshot. they look brief.
[attachment=24723][attachment=24724][attachment=24725]