In order to get the machine adjusted properly you'll need to use SleepyHead software with it to analyze the data it
collects each night. (Free!)
It's not hard to learn and gives you a valuable tool to help schedule the best therapy for YOU.
Lots of folks here to help you get that set up too.
"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton
SO... what does all of this mean
What Zonk said.
Great results. It would probably be best to wait till you see the pressure charts on Sleepy Head until lowering the max pressure setting - if you want to lower it at all. Many folks will look at the data every day until they see what's going on and get everything adjusted just right, then look at the data every few days. Make sure to download the data at least every 7 days though or you will lose the high detail data because the machine only leaves 7 days of that on the card.
If you aren't having any trouble without EPR, I wouldn't mess with it. If you feel like you are having a hard time breathing out against the pressure then EPR might help. Some claim it can raise AHI though.
Smart Start just makes the machine turn on automatically when you put on your mask and breath and shut off when you take the mask off. I've never found it useful because pressing a button isn't all that hard, but it's there if you think it might be handy.
My advice is simple:
Leave it alone.
View the data each day just to get a feel for what you can do with the software. Figure that beastie out first. It will also give you the chance to see your daily results and start noticing trends or averages or whatever.
If, on day 5 or so, you see you never go over a certain point, go ahead and lower that top number. Same with the bottom. If you see the only time you are at the lowest start is when you first lay down, you may want to consider raising it. But, really, only if you have trouble with it. (I couldn't breathe with a pressure that low! I mean, I know I would be getting enough air but I'm so used to my higher pressure!)
The goal is to observe the data and reach some tentative conclusions. Sometimes an APAP will "run off" and race to the max setting. My theory is they are like any computer: Sometimes you just need to do a hard boot. So by narrowing down that range a bit, you have better control over the thing.
It will take about 2-3 months for you to reach solid conclusions. By then, you'll know what is within your norm and what is not. And remember, an odd night here and there is normal for all of us. (Zonk and I fully believe it is alien abductions messing with the data. Their systems are not compatible with ours and it messes stuff up.)
Just like with any other health condition, there's going to be constant changes in us. Our blood pressure is never the same so why should our apnea events be? Some nights, I have more central than obstructive. Other nights, I have loooong hypopnea events. (aliens, really!)
Apnea Board Moderator
Breathe deeply and count to zen.
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