[Health] Is this CSR? How much should i panic?

[Madcat207]

So, this morning, I wake up feeling pretty good, and see the info my machine has to tell me; I slept pretty well last night indeed.. AHI under 1.  Woot!
I hit DreamMapper, and notice that it said I had two disconnects, instead of one, which is weird, since I only used my machine once that night.  So, over to Sleepyhead for the 411, and I see this graph:



I gotta admit, I do not remember waking up at all last night; but that graph sure looks like I did.  But I also notice that the graph has one whole session; other times where I have turned my machine off, I notice Sleepyhead has two or more sessions marked.  Anyone have an idea?  If I had to guess, I would guess that I somehow bumped off my mask last night, and managed to fix it (in my sleep???).  I really have no recollection of anything like that, so I am a bit humorously stumped...

[Madcat207]

So, i wanted to edit my post to add something, but i cant seem to.. anyway..

I also noted this morning that my nose bridge was a bit sore and red (but blanchable, not a serious rub). I use a Wisp mask, but can't say i have normally had this. I wonder, perhaps, if i rolled on my stomach (how i used to sleep), and in the process temporarily disturbed my mask, and wound up mouth breathing. But i am not sure if MB shows up as a large leak, and the times i have opened my mouth while awake, i can feel the pressure/vacuum made by doing it; i am surprised i could have slept through that.

[Walla Walla]

I don't think you turned the machine off. I believe the machine just didn't record the flow rate for a short time. Your still showing pressure and leak rates during that time. It could be the machine couldn't record the flow rate due to the large leak.

[Madcat207]

I don't think you turned the machine off. I believe the machine just didn't record the flow rate for a short time. Your still showing pressure and leak rates during that time. It could be the machine couldn't record the flow rate due to the large leak.

That certainly makes sense.  I just wish i could figure out what happened.  I really don't remember waking up (and i pretty much do remember all the times i do, including rolling over), but i am at a loss otherwise.  Im not worried per-se, just curious.  Between my sore nose and no memory, i am guessing face down and mouth, but its only a guess

[Madcat207]

So, it seems like i have gotten over one issue, and am bounding on to my next.

This morning again, i had another leak, and another red nose line (which is starting to scare me, as i know the nose skin is delicate); i even used some barrier film, but it still irrated my bridge. I do remember last night, that again for some reason, i was biting my tongue; in doing so, i was moving my lip/jaw enough that my mask was leaking from the bottom. I do remember once i gave my hose some slack, it seemed better, and the rest of the night was good. But i am still really worried about the nose issue, and why i am now suddenly getting leaks (and why i am getting them when i am having the lowest AHI i have ever had......)

Since i seem so prone to messing it up, i am really considering trying the philips dreamwear mask. The amara view i have felt like attaching a hurricane to my face, and i like the idea of minimal stuff on my face to get dislodged.

I swear, i am trying to stay positive, but it is so hard to do right now. I am sleeping great, but i cant keep beating my nose up like this, or i am in for some REAL problems. I cant stop my cpap though... argh... so stressed....

[DeepBreathing]

Madscat, not sure if we discussed using a mask liner (eg pad-a-sleep or Remzz) to provide some protection to your skin and help control leaks. I just use a square of flannelette folded so that its 15 cm long x 3cm wide and three layers thick. Drape it over your nose so the cloth sits between the silicon and the skin. Works marvels, but you may need to adjust the length, width and thickness to suit your own face.

[Madcat207]

Madscat, not sure if we discussed using a mask liner (eg pad-a-sleep or Remzz) to provide some protection to your skin and help control leaks. I just use a square of flannelette folded so that its 15 cm long x 3cm wide and three layers thick. Drape it over your nose so the cloth sits between the silicon and the skin. Works marvels, but you may need to adjust the length, width and thickness to suit your own face.

i had tried liners on my previous attempts, but not this go round with the mask. I am thinking, perhaps if nothing else, a small bandage might help.  But i also have a totally different set of headgear on the way (kind like the less invasive idea all around) that i want to try, so it might become a moot point.  Still, I like the flannel idea too, and will keep that in mind should this new mask fail.

On a might lighter note; it got a chuckle out of me for sure, but i have to point out that you put an "s" in my name where one does not belong.

[Madcat207]

I really wouldn't give the PB a second thought.
As well as the high pressure ..if the machine stats are right, and a lot of the time they are wrong. You need to zoom  in and see if the respiration rate is the same as the exhales per minute. Med 18 breaths per minute is a bit high and tidal volume is a bit low. See what happens after you lift the pressure and I'd use a mask that covered my mouth as well while I set up a machine. You need one when you have a cold anyways

So, I really fear that I have driven off everyone reading my thread (really wish a new thread wasn't taboo..), but if anyone is, I would like to revisit this comment about the resp rate.  

From reading, I see that my rates seem pretty bad, especially when looking at my 95% values.  Could anyone take a look at my data, and give me their feedback? 
For what its worth, I am totally out of shape, obese, but working on it by walking more and eating better). But I am concerned that it is already a sign of problem, especially reading sites online

Here are my stats using my Wisp nasal mask:


And here are my stats using a Dreamware Gel mask (my nose is still getting used to this setup.. ow).


I know I worry way too much, but the feedback does help, and I appreciate any advice people can give.

[Sleeprider]

MadCat, some comments by ajack are better to disregard, and that is one of them. He once told me "I hope you're getting attention for that", referring to may high tidal volume and a resp rate higher than he thought I should have. Your respiratory rate is well within normal expectations, and any concerns about tidal volume or respiratory issues are a whole lot better addressed in a doctor's office beginning with a general physical and some simple pulmonary function test. A respiratory evaluation is often part of our annual physical exam, and you might not even know it. Here is an example of the questions used to screen for problems. https://medical-dictionary.thefreedictio...assessment

I don't mean to come down hard on ajack as he has many good insights and more knowledge of the ST, IVAPS and a number of things he has researched online, but I do object to his tendency to make unfounded alarming observations or questions.

[DeepBreathing]

(really wish a new thread wasn't taboo..)

It's not taboo. We do prefer you to keep your stuff together but if you feel the thread has drifted too far then by all means start a new thread. What really makes life difficult is if people start a new thread every day.

But I am concerned that it is already a sign of problem, especially reading sites like this:
https://www.normalbreathing.com/

It's half-past-midnight here so there's no way I'm going to read that site in any detail. What I will say is that it bears all the hallmarks of a crank site. It may be a commercial site within our rules in which case the link will disappear tonight or tomorrow (once I'm a bit rested). But really, sites put together like that really are best ignored.