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It's been a while
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ST1300 Offline

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Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

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Sex: Male
Location: Nova Scotia, Canada

Post: #1
It's been a while
I haven't been here for a couple of weeks. I'm ready for a nap most evening by 7-30pm. Sometimes I can beat it but sometimes it over takes me and puff 30 mins have past. Here is last nights snap shot

   
03-19-2016 06:51 AM
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DeepBreathing Offline
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Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Perth, Western Australia

Post: #2
RE: It's been a while
Well your AHI is well below the threshold of being "treated" - 5 events / hr, and for much of the night you had hardly any events. But if you're still not feeling fully rested you might try bumping up your minimum pressure just a tad to see if it helps those hypopneas and RERAs. And while you weren't in large leak territory there were a few periods of largish leaks which might have disturbed your sleep. Is your mask comfortable and fitting properly?

DeepBreathing
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03-19-2016 07:24 AM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #3
RE: It's been a while
(03-19-2016 07:24 AM)DeepBreathing Wrote:  Is your mask comfortable and fitting properly?

Funny you ask. I woke up at 6am til 620 then readjusted my mask as it felt a bit tight. These past few night I had it to tight I think. I had my lower pressure raised to 7 before but found I was over pressured and lowered it back to 6.5. I should give it another try at 7.
03-19-2016 07:57 AM
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OpalRose Offline

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Posts: 3,163
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: #4
RE: It's been a while
Just went back to the prior thread you started and looked at the graph you posted as a result of raising your pressure to 7. It looked much better...lower overall AHI and lower RERAs.

RERAs, even though they are not added to the AHI number actually cause distress. Your airway is closing, and you end up being aroused many times during the night. Could explain why you are so tired.

It will take a higher pressure than the 6.5 you are willing to tolerate in order to combat RERAs and hypopneas.

I had to raise my minimum pressure because of the same issue. I pretty much elimated all RERAs. Raising your pressure from 6.5 to 7 shouldn't cause you discomfort. If you look at your chart, you are at 8.6 and under for 90% of the night.

OpalRose
(This post was last modified: 03-19-2016 08:52 AM by OpalRose.)
03-19-2016 08:49 AM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #5
RE: It's been a while
Thanks for you replies. My signature says 7 but it was actually 6.5. Tonight 7 it is
03-19-2016 06:14 PM
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OpalRose Offline

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Posts: 3,163
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: #6
RE: It's been a while
(03-19-2016 06:14 PM)ST1300 Wrote:  Thanks for you replies. My signature says 7 but it was actually 6.5. Tonight 7 it is


I couldn't remember if you were using a flex setting, but you could try setting it to 1 or 2 and that would help you when breathing out.

OpalRose
03-19-2016 06:26 PM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #7
RE: It's been a while
   
(03-19-2016 06:26 PM)OpalRose Wrote:  using a flex setting, 1 or 2 and that would help you when breathing out.
I do you #2

Was not to bad of a night. Looks like my H went way up. I should have waited for a week for the download.
03-20-2016 06:08 AM
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OpalRose Offline

Monitors

Posts: 3,163
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: #8
RE: It's been a while
Give it some time to settle. On a good note, Obstructives and RERAs went down.

OpalRose
03-20-2016 06:59 AM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #9
RE: It's been a while
I'm still sleeping ok.

Can the experts look and see if my results are good or do I need to increase/lower something.

Thanks again for all the help

   
04-09-2016 05:17 AM
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OpalRose Offline

Monitors

Posts: 3,163
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: #10
RE: It's been a while
Hi ST1300,
I'm certainly no expert, but your minimum preasure is still too low. I think you need to be around 8 as a start pressure.

Your AHI is considered treated if under 5, but the question here would be: How do your feel in the morning and during the day? If your feeling good, then just watch for a few weeks, but if you want to lower the Obstructives and hypopneas, and RERAs, it will take a higher start pressure.

Hang in there as others may have a different opinion.

OpalRose
(This post was last modified: 04-09-2016 07:31 AM by OpalRose.)
04-09-2016 07:30 AM
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