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First Night
#11
Leave. It. Alone.

Don't mess with the numbers. You just got the dang thing. Your body is still going "what the....". Use it for 2 weeks minimum before you start mucking about. The vast majority of medications do not start working immediately. Same with the CPAP.

Your body and brain and habits and sleep and all that stuff are all changed. You have a lot to get used to.

One night of data is not a trend. Two weeks of data is. In two weeks, look at all the data and see what your high is and where you stay the most. THEN set the machine. Feel free to look at the data each night. It's cool to see. But don't make any conclusions from it.
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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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#12
(04-18-2012, 10:09 AM)PaulaO2 Wrote: Leave. It. Alone.

Don't mess with the numbers. You just got the dang thing. Your body is still going "what the....". Use it for 2 weeks minimum before you start mucking about. The vast majority of medications do not start working immediately. Same with the CPAP.

Your body and brain and habits and sleep and all that stuff are all changed. You have a lot to get used to.

One night of data is not a trend. Two weeks of data is. In two weeks, look at all the data and see what your high is and where you stay the most. THEN set the machine. Feel free to look at the data each night. It's cool to see. But don't make any conclusions from it.

I agree with Paula - patience is good. One night's data isn't a trend, its an anomaly. While I personally think that the numbers need tweaking, there's no huge rush to get there. The first month, two months, etc, you're tweaking to get the ideal setup, both for the pressure settings and the hardware. Not to mention, just plain getting used to it all.
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#13
(04-18-2012, 09:58 AM)Abearir Wrote: I'll go out on a limb and say I'll tweak a setting or two and be close to that number for tomorrow.

I agree completely with both Paula02 and CHanlon. Don't make hurried adjustments - and anything less than 2 weeks data for a new cpap user would be hurried, IMO. Among other things, make sure you take note of whether the data seems to indicate an increase in clear airway apneas, or however your software reports these issues. Increasing pressure can lead to an increase in this type of apnea, and have critical results.

Breathing keeps you alive. And PAP helps keep you breathing!
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#14
Duly noted and understood. Hopefully night 2 won't be another waterboarding exercise until it gets up to pressure.
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#15
(04-18-2012, 02:42 PM)Abearir Wrote: Duly noted and understood. Hopefully night 2 won't be another waterboarding exercise until it gets up to pressure.

It could be, but even if it is, that's a good thing. Its all part of the process, and we've all been there... fore 99% of the people here, CPAP wasn't an instant fix, no matter how much we wanted it to be. Not to mention the fact that you're still in a sleep deficit situation - you've been sleep deprived so long that you're going to feel tired even after a good nights sleep. Once you've banked a few good nights, even if they're not *perfect* nights, you'll start to feel better, one way or another. At *that* point, and with the data of several days as a starting point, then you can start fine tuning and tweaking out the numbers. Get used to the mask, the noise of the machine, the feeling of the air pressure, etc. and let your body become more accustomed to actually having O2 in your bloodstream, and do anything you need to to manage and minimize leaks, then look for ways to improve your numbers once you've reached a comfort level with all this stuff.

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#16
Do you have ramp turned on? If so, turn it off. That might help.
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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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#17
(04-18-2012, 05:50 PM)PaulaO2 Wrote: Do you have ramp turned on? If so, turn it off. That might help.

Yeah, that's true too, I turned it off on mine in the first few days. I found that while it made it easier to ignore the pressure, by the time it ramped up to the "low" pressure in my range *that's* then it started to leak...and woke me up again anyhow. Found it much easier to just start it up, fix leaks, and then go to sleep. :-)

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#18
Turned the ramp off last night. Found it to be better but the "low" end of the settings I think are still too low (6cm). Might try the machine in straight cpap tonight and see how that works. I don't have issues with the pressure or leaks. Pretty much plug and play for me. Mask goes on, hit run, fall asleep. No big deal.

Last nights AHI score 18.4

First nights score was 8.1 and the software showed no central, 1.8 Hypopnea, 6.3 OSA...all at max pressure. My 95th was 15cm.

We'll see what the software says for last night when I get a chance.
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#19
Yeah, so, *probably* you'd be better off with something like 8 to 16, or something like that. Don't change it. Keep watching, see what you get for another couple nights, then talk to your RT and give him the numbers you're getting... for that matter, print 'em out and take the reports in, or bring him your sd card. He'll touch base with your dr, and make the changes (or at least confirm them for you.)
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#20
What is the leak shown on the S9 screen and how many hours you sleep with the mask
I don,t use SH but on the Rescan you would see when events occurred, the duration of each apnea, if spaced out during the night or in clusters and the pressure breath by breath so really cant say if you need more pressure bc the more pressure the more side effect and the idea to be at the lowest pressure possible without compromising the therapy. Don,t you have a follow up appointment with the sleep doctor bc medically qualified sleep professional knows more how to interpret the data and make sense out it.
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