Post Reply 
I'm New and I'm Tired...zoom of CA's
Author Message
Hilobarbie Offline

Preferred Members

Posts: 57
Joined: Feb 2015

Machine: S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Unsure
Humidifier: Resmed H51
CPAP Pressure: 7 and 14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ajijic, Chapala, Jalisco, Mexico

Post: #1
I'm New and I'm Tired...zoom of CA's
Someone asked me to provide a Zoom of the CA's. I was reading how to use the program and discovered how to zoom, so here is the link://imgur.com/Z2VyYB2][Image: Z2VyYB2.png][/url]

Barbara
Ajijic, Chapala, Jalisco, Mexico
03-02-2015 12:16 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Hilobarbie Offline

Preferred Members

Posts: 57
Joined: Feb 2015

Machine: S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Unsure
Humidifier: Resmed H51
CPAP Pressure: 7 and 14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ajijic, Chapala, Jalisco, Mexico

Post: #2
RE: I'm New and I'm Tired...zoom of CA's #2
this is a different segment of CA's
//imgur.com/XcTAtD8][Image: XcTAtD8.png][/url]

Barbara
Ajijic, Chapala, Jalisco, Mexico
03-02-2015 12:22 PM
Find all posts by this user Post Reply Quote this message in a reply
quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #3
RE: I'm New and I'm Tired...zoom of CA's
Are you considering changes to your pressure?

Looks like you'll land at the 9 min 15 max range.

I wonder if you changed EPR to 1 if it would help some with the CAs. Changing only that for a week or so would give you an idea if that is part of the equation.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
03-02-2015 12:46 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Hilobarbie Offline

Preferred Members

Posts: 57
Joined: Feb 2015

Machine: S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Unsure
Humidifier: Resmed H51
CPAP Pressure: 7 and 14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ajijic, Chapala, Jalisco, Mexico

Post: #4
RE: I'm New and I'm Tired...zoom of CA's
(03-02-2015 12:46 PM)quiescence at last Wrote:  Are you considering changes to your pressure?

Looks like you'll land at the 9 min 15 max range.

I wonder if you changed EPR to 1 if it would help some with the CAs. Changing only that for a week or so would give you an idea if that is part of the equation.

QAL

Actually, I don't know enough to determine what might help. I just changed the EPR to 1, as you suggested. So....can you explain what that will do? I tried finding some info, but digesting it with brain fog is not easy. So, I reduced the exhale pressure which should make it easier to exhale? Some things I read said they turned it up or they turned it OFF or whatever they did felt better but caused more CA's. Nothing is blk or White. I'm guessing this is one if those things that may need adjusting from time to time to fit the individual needs.

Barbara
Ajijic, Chapala, Jalisco, Mexico
03-02-2015 06:59 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: #5
RE: I'm New and I'm Tired...zoom of CA's
(03-02-2015 06:59 PM)Hilobarbie Wrote:  Actually, I don't know enough to determine what might help. I just changed the EPR to 1, as you suggested. So....can you explain what that will do? I tried finding some info, but digesting it with brain fog is not easy. So, I reduced the exhale pressure which should make it easier to exhale? Some things I read said they turned it up or they turned it OFF or whatever they did felt better but caused more CA's. Nothing is blk or White. I'm guessing this is one if those things that may need adjusting from time to time to fit the individual needs.

a higher EPR is associated with causing pressure induced CA. Reducing overall pressures may also help with pressure induced CA. For inherent CA neither of those is not going to help.

Higher EPR gives greater exhalation relief, and reduces renovascular resistance. As you said, it is something that needs to be set according to individual needs. example. When pressure is 12 and EPR is 2, exhalation pressure is 10.

I didn't catch what your AHI is running and how many CA events you are having in a night, but if I remember correctly those numbers are in the moderate apnea range, and that you also have symptoms of OSA (snoring, gasping, etc) If that is the case, you probably have complex apnea, and you may need a ASV type machine to get the relief you need.

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
03-02-2015 07:19 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Hilobarbie Offline

Preferred Members

Posts: 57
Joined: Feb 2015

Machine: S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Unsure
Humidifier: Resmed H51
CPAP Pressure: 7 and 14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ajijic, Chapala, Jalisco, Mexico

Post: #6
RE: I'm New and I'm Tired...zoom of CA's
(03-02-2015 06:59 PM)Hilobarbie Wrote:  
(03-02-2015 12:46 PM)quiescence at last Wrote:  Are you considering changes to your pressure?

Looks like you'll land at the 9 min 15 max range.

I wonder if you changed EPR to 1 if it would help some with the CAs. Changing only that for a week or so would give you an idea if that is part of the equation.

QAL

Actually, I don't know enough to determine what might help. I just changed the EPR to 1, as you suggested. So....can you explain what that will do? I tried finding some info, but digesting it with brain fog is not easy. So, I reduced the exhale pressure which should make it easier to exhale? Some things I read said they turned it up or they turned it OFF or whatever they did felt better but caused more CA's. Nothing is blk or White. I'm guessing this is one if those things that may need adjusting from time to time to fit the individual needs.

I made it for less than two hours before I had to remove the mask. My cheeks filled up with air until the air flapped my lips to escape. It was initially more comfortable and natural feeling breathing though.

Barbara
Ajijic, Chapala, Jalisco, Mexico
03-03-2015 09:25 AM
Find all posts by this user Post Reply Quote this message in a reply
quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #7
RE: I'm New and I'm Tired...zoom of CA's
so if you look at those 2 hours, and it is anything like the previous nights, two things occur to me:

1. initially you feel more comfortable because the inhale and exhale are more alike. your start is at 5, so your exhale is at 4.
2. later, (my guess) is that the pressure went right up to about 10 cmH2O. at that point you are exhaling against 9 cmH2O, instead of 8 cmH2O, and it may feel harsher than before, thus the stop and remove mask.

The key is, of course, starting the machine up again, as it starts back at the lower pressure.

If you do this, over and over, at some point you are going to feel deprived at the start point of 5 cmH2O. Others have discussed this syndrome as you get more acquainted with the pressure you notice it isn't there and this registers in your awake brain that you are not able to breathe in enough. This is fiction, of course, but the feeling is hard to shake when you are experiencing it, it is dark, and nobody is stirring. I think we all gradually wish to start at a higher pressure. [Of course, your numbers actually look like you'll eventually want to start above 8 cmH2O.]

Over the next 3 or 4 days you should see the CAs reducing (even though they might actually have increased last night, and tonight).

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
03-03-2015 02:24 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Hilobarbie Offline

Preferred Members

Posts: 57
Joined: Feb 2015

Machine: S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Unsure
Humidifier: Resmed H51
CPAP Pressure: 7 and 14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ajijic, Chapala, Jalisco, Mexico

Post: #8
RE: I'm New and I'm Tired...zoom of CA's
(03-03-2015 02:24 PM)quiescence at last Wrote:  so if you look at those 2 hours, and it is anything like the previous nights, two things occur to me:

1. initially you feel more comfortable because the inhale and exhale are more alike. your start is at 5, so your exhale is at 4.
2. later, (my guess) is that the pressure went right up to about 10 cmH2O. at that point you are exhaling against 9 cmH2O, instead of 8 cmH2O, and it may feel harsher than before, thus the stop and remove mask.

The key is, of course, starting the machine up again, as it starts back at the lower pressure.

If you do this, over and over, at some point you are going to feel deprived at the start point of 5 cmH2O. Others have discussed this syndrome as you get more acquainted with the pressure you notice it isn't there and this registers in your awake brain that you are not able to breathe in enough. This is fiction, of course, but the feeling is hard to shake when you are experiencing it, it is dark, and nobody is stirring. I think we all gradually wish to start at a higher pressure. [Of course, your numbers actually look like you'll eventually want to start above 8 cmH2O.]

Over the next 3 or 4 days you should see the CAs reducing (even though they might actually have increased last night, and tonight).

QAL

The cheeks blowing up and air fluttering out of my lips is what kept waking me. I also recall to deep breaths. Since an accident seven years ago I have an involuntary deep inhale event several times a day. It is much less frequent in the past year or so. I'm attaching screen shots of last night's two hours.//imgur.com/3vIGP74][Image: 3vIGP74.png][/url]

//imgur.com/PISOfQr][Image: PISOfQr.png][/url]

//imgur.com/sNHZOJy][Image: sNHZOJy.png][/url]

//imgur.com/LDHSMt2][Image: LDHSMt2.png][/url]

//imgur.com/03QIRdv][Image: 03QIRdv.png][/url]
Is there a way to print the daily reports?

Barbara
Ajijic, Chapala, Jalisco, Mexico
(This post was last modified: 03-03-2015 07:44 PM by Hilobarbie.)
03-03-2015 07:42 PM
Find all posts by this user Post Reply Quote this message in a reply
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,307
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #9
RE: I'm New and I'm Tired...zoom of CA's
Pressures are pretty low for pressure induced CA. I would first of all suggest that your overall incidence of apnea of all kinds is very low. This does not seem to require more aggressive ventilation to resolve. My suggestion is turning your EPR down to 1 if exhalation is not difficult at your therapy pressure. For some of us, the pressure swing can induce CA. You may be able to tolerate lower pressures, but with the EPR at 3, the variable pressure in each inhale/exhale cycle may be obscuring what is going on at these low pressures. The key data missing in the graphs above is leaks, and that information could change everything if leaks are excessive.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
03-03-2015 07:56 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Hilobarbie Offline

Preferred Members

Posts: 57
Joined: Feb 2015

Machine: S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Unsure
Humidifier: Resmed H51
CPAP Pressure: 7 and 14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ajijic, Chapala, Jalisco, Mexico

Post: #10
RE: I'm New and I'm Tired...zoom of CA's
(03-03-2015 07:56 PM)Sleeprider Wrote:  Pressures are pretty low for pressure induced CA. I would first of all suggest that your overall incidence of apnea of all kinds is very low. This does not seem to require more aggressive ventilation to resolve. My suggestion is turning your EPR down to 1 if exhalation is not difficult at your therapy pressure. For some of us, the pressure swing can induce CA. You may be able to tolerate lower pressures, but with the EPR at 3, the variable pressure in each inhale/exhale cycle may be obscuring what is going on at these low pressures. The key data missing in the graphs above is leaks, and that information could change everything if leaks are excessive.

I may not understand exactly, I'm just too new, but my EPR was set at 1 last night. Prior to last night it was 2, but never 3. The second graph has leak rates and the last graph I included to show the data summary box on the left. Not knowing what I'm seeing on the graphs is a disadvantage, but the leak rate spike seems to correlate with the CA's. The first graph is zoomed in, the others are not. I do appreciate your input.

Barbara
Ajijic, Chapala, Jalisco, Mexico
03-03-2015 08:46 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
  [Treatment] One Year in and still have tired days Sleepyv 17 418 Yesterday 02:58 AM
Last Post: kwhenrykerr
  When does the "tired" feeling go away? Cranberry Ray 8 438 11-30-2016 10:10 AM
Last Post: Cranberry Ray
  New, very tired, and need help beckysmith 35 1,265 11-28-2016 06:53 PM
Last Post: robysue
  Good stats, good sleep, but still tired... Lourens1190 14 832 11-03-2016 05:40 PM
Last Post: kwhenrykerr
  [CPAP] still very tired and don't know what to do mlasham 30 1,450 10-10-2016 09:11 PM
Last Post: Violetskyye
  cpap therapy still tired wyu177 12 828 09-21-2016 09:32 AM
Last Post: wyu177
  extremely tired all the time. need advice. dorlow 63 4,380 09-11-2016 08:34 PM
Last Post: eseedhouse

Forum Jump:

Who's Online (Complete List)