(10-17-2015, 05:01 PM)DonC Wrote: . . .
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????
. . .
Welcome to this forum. You will find lots of folks here who are willing and able to help you find your way thru this process.
1) The Pressure graph shows the Inhalation pressure the machine is providing moment by moment. The machine analyzes your breathing and responds by raising the pressure when it sees patterns that suggest that you have (or soon may have) an obstructive event. It does this to try to prevent or shorten such an event. The conditions that cause the machine to raise pressure are Flow Limitation, Snore, and Obstructive events. The machine does not respond to Clear Airway events.
2) When the pressure and/or leakage wakes you up, just momentarily turn off the machine, then turn it right back on again. This causes the machine to drop back to its starting pressure, which should alleviate your chipmunk cheeks and other discomfort.
3) As others have said, your prevalence of Clear Airway events may be occurring because you are just beginning your CPAP treatment. These events may subside as you get more accustomed to the machine. If not, then a different machine may be indicated.
4) In the meantime, there are some things you can do. For MANY patients, the rate of Obstructive events is related to sleeping position. For these people, it is usual that sleeping Supine (on their back) is the worst position. In my own case, my apnea index is almost 20 times as bad supine compared to sleeping on either side. There are some simple things you can do to try to avoid back-sleeping. Search the forum for various suggestions: wearing a Tee shirt with tennis balls in pockets on the back, large pillows wedged behind you, wearing a backpack loaded with lumpy objects, etc. In my own case, initially I had trouble getting my AHI below the 10-15 range. Once I started trying various measures to avoid back-sleeping, my AHI is rarely over 2, usually below 1. These are basic things you can try to see if they have any effect on your numbers or your sleep.
5) I use a F&P Simplus FFM. There is a sizing guide for this mask. Go to one of the listed online suppliers (link at the top of every forum page), find one that sells the Simplus, and there should be a link to the Sizing guide. This is a PDF document, meaning that it will print to size accurately. Print a page with the guide, cut out the gauges, and see how they fit to your face. This isn't a substitute for a personal fitting with a knowledgeable Respiratory Tech, but it can help you evaluate what they are telling you.
6) Try using a mask liner. I use the RemZzz liners, and I like them. The most bothersome leaks for me occur around my eyes. The mask liner may improve the seal, but even if it doesn't, it helps diffuse any leak to make it less irritating. By the way, the RemZzz folks present their product as a use-once item. I use mine multiple times, then wash them, and use them again, repeatedly. The resultant cost per day is negligible.
I hope these suggestions and ideas may help you on your journey.