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Hello from a new BiPAP user
#31
The saw-tooth IPAP is just a characteristic of the Philips auto pressure algorithm to test a higher setting. This looks pretty good and it might be worth sticking with this for a while. If any changes, I think increase PS min by 0.5 to 3.5 minimum, with the idea of reducing hypopnea and RERA. As I said, nothing here shouts "change me".
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#32
(05-18-2017, 09:07 AM)Sleeprider Wrote: The saw-tooth IPAP is just a characteristic of the Philips auto pressure algorithm to test a higher setting.  This looks pretty good and it might be worth sticking with this for a while.  If any changes, I think increase PS min by 0.5 to 3.5 minimum, with the idea of reducing hypopnea and RERA.  As I said, nothing here shouts "change me".

Thank you Sleeprider.
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#33
Following the recommendation from Sleeprider, I upped my PS Min from 3.0 to 3.5 on Saturday, May 20th. No other changes were made. These are the shots from Sleepyhead of the nights since then.

From Friday, the last night with the PS Min at 3.0:
[Image: 66HXSQol.png]

Saturday night, PS Min upped to 3.5:
[Image: zKBdw4al.png]

Sunday night, PS Min still at 3.5:
[Image: aaJfJJtl.png]

Monday night:
[Image: lL63yR8l.png]

And last night (Tuesday night):
[Image: 9xTPtZ6l.png]

As always, all feedback is greatly appreciated. Thank you all!
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#34
Here is a shot of the statistics including the prescription settings on my machine that I have made based on the great support from this forum.

Should I be concerned about the uptick in some of the  numbers after I upped the PS Min to 3.5? Should I also up the PS max any? The initial prescription setting for the PS was 2.0-6.0 and I've increased the Min 1.5 but no changes to the max - is that any concern?

How about the uptick in the average AHI? I know anything less than a 5.0 is considered good - is this ok? Some of the numbers bounce around a bit from night to night based on the nightly SH data but all in all I feel really rested. Probably my most frequent issue during the night is somehow rolling onto my back and then waking up with a very dry mouth or an occasional small leak blowing around my nose (I have a very thin nose). 

However, I cannot describe how much better I feel that I am sleeping since beginning therapy. Thank you all for your support!

[Image: mtftwIPl.png]
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#35
I'd say the increased PS has effectively reduced hypopnea, although I would have expected less flow limitation as well. These are overall good results. Comparing results from the previous page, your event average is down, but it is variable from night to night. Both hypopnea and obstructive events are less than before you made the adjustments, and snores are way down. It may be that the minimum pressure increase has had more effect than minimum PS. I don't see much benefit from the most recent increase of PS from 3.0 to 3.5. It's possible that an increase in EPAP min to 11.5 might knock out the remaining obstruction.

How are things feeling to you?
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#36
(05-24-2017, 08:31 AM)Sleeprider Wrote: I'd say the increased PS has effectively reduced hypopnea, although I would have expected less flow limitation as well. These are overall good results.  Comparing results from the previous page, your event average is down, but it is variable from night to night.  Both hypopnea and obstructive events are less than before you made the adjustments, and snores are way down.  It may be that the minimum pressure increase has had more effect than minimum PS.  I don't see much benefit from the most recent increase of PS from 3.0 to 3.5.  It's possible that an increase in EPAP min to 11.5 might knock out the remaining obstruction.  

How are things feeling to you?

Thanks! Overall, I'm feeling so much better than before I started therapy and, after I've allowed a few days for my body to adjust to each change, it gets better and better. 

Should I go back to a PS Min of 3.0 or leave it as is? I can increase the EPAP min to 11.5 and see what happens but I probably should only do one change at a time. If you see no advantage to resetting the PS min to 3.5 I'll leave it alone and just increase the EPAP min first?

Thank you.
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#37
I hate to throw a lot of variables in at once. I'd try the EPAP min adjustment first.
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#38
(05-24-2017, 09:28 AM)Sleeprider Wrote: I hate to throw a lot of variables in at once. I'd try the EPAP min adjustment first.

I agree so I will make that change to the EPAP min tonight and give it a few days to see how it goes. 

Thanks!
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#39
I'm watching your progress with interest. I've just started to use a BiPAP to hopefully get even better therapy. Seeing how what you change affects your therapy might help me fine tune my settings. Please keep posting as it's possible others are watching as well.
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#40
(05-25-2017, 03:09 AM)holden4th Wrote: I'm watching your progress with interest. I've just started to use a BiPAP to hopefully get even better therapy. Seeing how what you change affects your therapy might help me fine tune my settings. Please keep posting as it's possible others are watching as well.

I definitely will keep posting my results to share with anyone who cares to read them. This is an amazing forum with some incredibly generous people so I am gladly willing to share everything that I learn and experience as I move forward. 

I did change my EPAP min last night from 11.0 up to 11.5 so I'll post some more data in a few days after I get used to the change. 

And good luck to you as well!
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