Post Reply 
Help to understand the numbers
Author Message
DonC Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: ResMed AirCurve 10 ASV
CPAP Pressure: Unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Massachusetts, USA

Post: #1
Help to understand the numbers
Hello Again Everyone,
As some of you know I have been sleeping with a mask for 9 days and have imported the information for those days into SleepyHead. I am concerned that I am not doing as well as I should. My AHI is averaging 13.45 with last night being 11.17.
As you can see from the attached files I am trying to use the mask all night but do experience problems where the pressure builds up in my FFM to the point that I have Chipmunk cheeks and an extended nose. I do not know how to deal with that and end up turning the machine off. Anyway it looks like I can't cope with pressure over 13 or 14, should I change the machines settings?
Just so you know I started with an "Amara View" FFM but couldn't deal with the nose piece. I changed to the Simplus on the 14th and think it is better. I hope you can tell me.
I really do not think I am sleeping well and would like some guidance on what I can do to help the situation. The one graph that I have no idea about is the By Pressure one. Does it say that the higher pressures are causing the occurrences????
My wife is really hoping you can help me as she is having a tough time with me wearing the mask.
Help!!!!

[attachment=1795][attachment=1794][attachment=1793][attachment=1792]

-------------------------------------------------------------------

Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.
Thomas A. Edison
(This post was last modified: 10-17-2015 05:04 PM by DonC.)
10-17-2015 05:01 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Mike1953 Offline

Preferred Members-2

Posts: 134
Joined: Aug 2014

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Resmed Hi5
CPAP Pressure: 12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Kansas USA

Post: #2
RE: Help to understand the numbers
http://www.apneaboard.com/wiki/index.php...SleepyHead

For free Medicare assistance for your state check out this page. http://www.seniorsresourceguide.com/directories/National/SHIP/
or here http://www.medicareinteractive.org/
10-17-2015 05:13 PM
Find all posts by this user Post Reply Quote this message in a reply
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #3
RE: Help to understand the numbers
You might want delete the last attachment "CPAP Statistics" with your full details
10-17-2015 05:23 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #4
RE: Help to understand the numbers
  • Did you have mixed apnea in your sleep study? Did they give you a breakdown between Central and Obstructive events? You are going to need this info
  • Did you go right to sleep? If not, perhaps that cluster of CA at the start can be thrown out....

IF you had centrals in your sleep study, you may need a more advanced machine to treat your apnea (ASV) but if not you can tighten the range of the apap and lower the amt of EPR. A fair number of people have "Clear Airway" events in response to pressure changes. If that night is like the other 8, you could set your pressure to max where you felt comfy - you spend the vast majority of time below that number. up the minimum as well... by a small amt at a time, until the spread is much lower. Set epr to 1 or 0.

You must also have ramp on - since your lowest pressures are just above 4 and your minimum is set to 8. the CA events are largely at that low.... maybe just turning ramp off will make a big improvement.

Also - It does take some time to get used to the device... it's not ideal! I long to be able to crawl into bed without it and sleep restfully!!! but I know it won't happen....


you should ignore the "by pressure" graph, don't think it works correctly.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
(This post was last modified: 10-17-2015 05:58 PM by DariaVader.)
10-17-2015 05:48 PM
Find all posts by this user Post Reply Quote this message in a reply
DonC Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: ResMed AirCurve 10 ASV
CPAP Pressure: Unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Massachusetts, USA

Post: #5
RE: Help to understand the numbers
Hi,
Thanks Zonk

After advice I tried to remove one of the charts but ended up removing them all. Here they are again.

If you click on the attachment that says statistic.doc you can see the overall details. Sorry for the confusion again.

[attachment=1798][attachment=1796][attachment=1797]

[attachment=1799]

-------------------------------------------------------------------

Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.
Thomas A. Edison
(This post was last modified: 10-17-2015 06:22 PM by DonC.)
10-17-2015 06:07 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
drgrimes Offline

Preferred Members-2

Posts: 235
Joined: Sep 2013

Machine: S9 Resmed Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Dreamwear
Humidifier: resmed
CPAP Pressure: 5-15
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Texas

Post: #6
RE: Help to understand the numbers
Don, in respect to the "chipmonk cheeks", do you have problems keeping your mouth closed? If that's the case, try rolling up a hand towel making a pad to put between your chin and chest to keep mouth closed. This eliminates having to use a chin strap. Also, don't be too concerned about your results. All of us have problems getting used to cpap in the beginning. Your numbers will get better as you get used to it. I promise that will happen. I almost quit in the beginning due to many problems. They are all solvable, just keep getting advice from this forum.
10-17-2015 08:50 PM
Find all posts by this user Post Reply Quote this message in a reply
DonC Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: ResMed AirCurve 10 ASV
CPAP Pressure: Unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Massachusetts, USA

Post: #7
RE: Help to understand the numbers
Thanks for the advice Mike, DariaVader and drgrimes.
I am certainly going to stick with it but last night was another tough night. It looks like I slept ok for just over two hours but then the night went to "#5*!" (a bad place).
I am attaching last nights information and that will bring this thread to the top of the board for the last time, I promise.
Please comment on the numbers, I really need to learn.
I am being told that I cannot go back to the doctors for 30 days and, of course, due to his prior engagements it will be almost two weeks after that before I can get to him. I feel that I am sleeping worse than before but I was having 72 AHI per hour at my sleep test so that cannot be.
Thanks in advance.

[attachment=1803][attachment=1801][attachment=1802]

-------------------------------------------------------------------

Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.
Thomas A. Edison
10-18-2015 11:48 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #8
RE: Help to understand the numbers
The majority of your events are CA (Clear Airway), and the reason for this needs to be understood. That is why I asked questions about the initial sleep study. Either you have PAP induced CA - and will benefit from tighter pressures, or you have complex apnea and need a different type of machine, as CPAP/APAP will not address Central Apnea.

The information that is most useful is Pressure, Events, Leak and the info down the side (middle pic) You could drag those + Flow Limitations to the top and post just that for the most part - and certainly that is where you want to concentrate your attention.

Your leak rate looks fine, mostly low and when there is a spike it is very short (although it may be rousing you when it happens it looks manageable)

My suspicion is that you need an ASV - but your sleep study numbers would confirm that.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
10-18-2015 12:02 PM
Find all posts by this user Post Reply Quote this message in a reply
DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #9
RE: Help to understand the numbers
ps: Don't worry about bumping your thread when you still need help... You're allowed to do that! Bigwink

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
10-18-2015 12:07 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DonC Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: ResMed AirCurve 10 ASV
CPAP Pressure: Unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Massachusetts, USA

Post: #10
RE: Help to understand the numbers
(10-18-2015 12:02 PM)DariaVader Wrote:  The majority of your events are CA (Clear Airway), and the reason for this needs to be understood. That is why I asked questions about the initial sleep study. Either you have PAP induced CA - and will benefit from tighter pressures, or you have complex apnea and need a different type of machine, as CPAP/APAP will not address Central Apnea.

The information that is most useful is Pressure, Events, Leak and the info down the side (middle pic) You could drag those + Flow Limitations to the top and post just that for the most part - and certainly that is where you want to concentrate your attention.

Your leak rate looks fine, mostly low and when there is a spike it is very short (although it may be rousing you when it happens it looks manageable)

My suspicion is that you need an ASV - but your sleep study numbers would confirm that.

Hi DariaVader,
Thanks for looking at the numbers for me.
First of all the Sleep Study was a bit of a mess because I couldn't go to sleep and ended up only doing the test for 4.5 hours which, so they told me, did not allow them time to test me with a machine. My insurance company would not allow me to go back and then when I saw the sleep specialist I did not know what to ask and ended up 20 days later with the machine I am now. I am only just starting to understand where I am and what I should be saying.
I spoke to the nurse at the machine suppliers on Friday last week and she intimated that I may need another machine but that I would have to wait until I see my doctor again which is some way away.
As for the leek rate - it seems to occur when I get an enormous build up of pressure. I heard someone say that the machines do not give out enough pressure to blow up a balloon but I don't think my cheeks believe that. I get chipmunk cheeks, enormous leeks that I try to control and when I cannot I turn the machine off.
Anyway thanks for the review. I will reorganize the graphs and go from there.
All the best and sleep well.
Don

-------------------------------------------------------------------

Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.
Thomas A. Edison
10-18-2015 01:29 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  numbers scottb908 2 221 10-30-2016 10:59 PM
Last Post: trish6hundred
  Trying to understand apnea and cpap KCap 7 299 10-27-2016 04:28 PM
Last Post: Sleeprider
  Ontario question...Understand ADP Rules? cate1898 21 2,777 10-13-2016 12:15 PM
Last Post: Raff
  Big variations in nightly AHI numbers JaneAM 22 1,073 09-30-2016 06:39 AM
Last Post: OpalRose
  24 AHI Pie Charts: Trying to understand where I Am Spy Car 21 806 09-14-2016 06:26 PM
Last Post: Spy Car
  [Pressure] 'AHI numbers too high lbroelofs 4 533 09-05-2016 12:19 PM
Last Post: OpalRose
  Numbers Good, Still Feeling Bad, What Would SleepyHead Tell Me? crezman 7 653 09-05-2016 06:16 AM
Last Post: cate1898

Forum Jump:

Who's Online (Complete List)