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Intro and questions
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truetopath Offline

Preferred Members-2

Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Lake View, NY

Post: #11
RE: Intro and questions
It took me about a week to get used to the mask. I could never get the mirage fx to seal right, so maybe a different mask might help you? Also, if you're opening your mouth perhaps a chin strap could help? Regarding mask tightness, too tight is just as bad as too loose. Best of luck with your therapy, and welcome to the board!
05-14-2015 09:23 AM
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wxmcpo Offline

Preferred Members

Posts: 77
Joined: Apr 2015

Machine: ResMed AirCurve 10 VAuto
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Heated (attached to machine)
CPAP Pressure: VAuto
CPAP Software: ResScan SleepyHead

Other Comments: Looking forward to a good night's sleep

Sex: Male
Location: Texas

Post: #12
RE: Intro and questions
(05-14-2015 06:33 AM)OpalRose Wrote:  Preferably Screenshots of:

Event Graph
Flow Rate Graph
Pressure Graph
Leak Rate
Snore and Flow Limitation Graphs

Also include the left Side Bar. You can hide the calendar. Do not include the right sidebar.

Will post as soon as my post limit allows me to post photos.
05-14-2015 01:19 PM
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OpalRose Offline

Monitors

Posts: 3,159
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #13
RE: Intro and questions
(05-14-2015 01:19 PM)wxmcpo Wrote:  
(05-14-2015 06:33 AM)OpalRose Wrote:  Preferably Screenshots of:

Event Graph
Flow Rate Graph
Pressure Graph
Leak Rate
Snore and Flow Limitation Graphs

Also include the left Side Bar. You can hide the calendar. Do not include the right sidebar.

Will post as soon as my post limit allows me to post photos.

Oops! Sorry, I forgot about the post limit.

OpalRose
05-14-2015 02:03 PM
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wxmcpo Offline

Preferred Members

Posts: 77
Joined: Apr 2015

Machine: ResMed AirCurve 10 VAuto
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Heated (attached to machine)
CPAP Pressure: VAuto
CPAP Software: ResScan SleepyHead

Other Comments: Looking forward to a good night's sleep

Sex: Male
Location: Texas

Post: #14
RE: Intro and questions
Figured it out. See post below. Thanks
(This post was last modified: 05-15-2015 01:29 AM by wxmcpo.)
05-15-2015 01:24 AM
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wxmcpo Offline

Preferred Members

Posts: 77
Joined: Apr 2015

Machine: ResMed AirCurve 10 VAuto
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Heated (attached to machine)
CPAP Pressure: VAuto
CPAP Software: ResScan SleepyHead

Other Comments: Looking forward to a good night's sleep

Sex: Male
Location: Texas

Post: #15
RE: Intro and questions
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05-15-2015 01:29 AM
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OpalRose Offline

Monitors

Posts: 3,159
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #16
RE: Intro and questions
Your AHI reading is way too high. You are having mostly Clear Airway Events.
Also see a high leak rate. Your mask could be too tight, too loose, or you are mouth breathing.

I am not well versed in the machine your are using, so I won't try to advise you on pressure settings, but I'm sure with some adjustments, you will see improvements.
Someone will be along soon that can help you with that.

Great screenshots!

OpalRose
05-15-2015 08:17 AM
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OpalRose Offline

Monitors

Posts: 3,159
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #17
RE: Intro and questions
wxmcpo,
Just going back and reading your original post. Have you gone back to your doctor? He can't possibly be happy with such high AHI readings.
Hopefully someone else will advise you on better pressure settings.

OpalRose
05-15-2015 10:39 AM
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wxmcpo Offline

Preferred Members

Posts: 77
Joined: Apr 2015

Machine: ResMed AirCurve 10 VAuto
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Heated (attached to machine)
CPAP Pressure: VAuto
CPAP Software: ResScan SleepyHead

Other Comments: Looking forward to a good night's sleep

Sex: Male
Location: Texas

Post: #18
RE: Intro and questions
(05-15-2015 08:17 AM)OpalRose Wrote:  Your AHI reading is way too high. You are having mostly Clear Airway Events.
Also see a high leak rate. Your mask could be too tight, too loose, or you are mouth breathing.

I am not well versed in the machine your are using, so I won't try to advise you on pressure settings, but I'm sure with some adjustments, you will see improvements.
Someone will be along soon that can help you with that.

Great screenshots!

Yeah that's one of my AHIs (highest I have seen is over 44 though) and they fluctuate just about every night. The last two nights I actually tightened the mask a little (think I had it too loose and that was the reason for the high leak rate) and my AHI went down to a little over 12 two nights ago to a little over 18 last night. I know I also do some mouth breathing because my wife tells me.

(05-15-2015 10:39 AM)OpalRose Wrote:  wxmcpo,
Just going back and reading your original post. Have you gone back to your doctor? He can't possibly be happy with such high AHI readings.
Hopefully someone else will advise you on better pressure settings.

I go back on 29 May and hopefully will get some news about my therapy and improving it so the AHI number comes down. I think I need a pressure adjustment because it feels like the numbers are too low for me, but I don't want to mess with the pressure until I see the doc and he tells me where I truly need to be.

Appreciate the replies.
05-15-2015 12:02 PM
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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: #19
RE: Intro and questions
YIKES ALMIGHTY!

ok - this many CA readings definitely points to the need for other treatment options. One 'might' be an adaptive servo ventilation machine that helps maintain a steady respiration rate.

machines may not be the only treatment, though. I sure hope the doctor has a lot to say, and not just 'hmmmm.'

hate to make the suggestion, but maybe someone should - try a straight 6 cmH2O setting IPAP max 6 PS= 0. see if this brings down CAs to below 5 and keeps total AHI below 10 consistently.

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.
05-16-2015 11:32 AM
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wxmcpo Offline

Preferred Members

Posts: 77
Joined: Apr 2015

Machine: ResMed AirCurve 10 VAuto
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Heated (attached to machine)
CPAP Pressure: VAuto
CPAP Software: ResScan SleepyHead

Other Comments: Looking forward to a good night's sleep

Sex: Male
Location: Texas

Post: #20
RE: Intro and questions
(05-16-2015 11:32 AM)quiescence at last Wrote:  YIKES ALMIGHTY!

ok - this many CA readings definitely points to the need for other treatment options. One 'might' be an adaptive servo ventilation machine that helps maintain a steady respiration rate.

machines may not be the only treatment, though. I sure hope the doctor has a lot to say, and not just 'hmmmm.'

hate to make the suggestion, but maybe someone should - try a straight 6 cmH2O setting IPAP max 6 PS= 0. see if this brings down CAs to below 5 and keeps total AHI below 10 consistently.

QAL

Yeah there were 246 CA events on that night. Went down to 79 events the next night and back up to 147 and 142 the following two nights. I feel like I have slept better the last three nights and have had AHI readings of 12.83, 18.68 and 19.33 respectively. I certainly am hoping my doctor has some things to say other than hmmmm as well. The one constant has been there has been no consistency since I started my therapy.
05-16-2015 02:58 PM
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