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Just checking in
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readyforsleep Offline

Preferred Members-2

Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #1
Just checking in
[attachment=798]I've had my machine now for almost a month - seems like longer - each night is such an adventure. I am feeling much better, my mind is actually clear in the morning. I seem to have control over my leaks. I think I have good sleep hygiene - lots of water during the day, don't eat or drink after 8PM, getting more exercise... I just can't seem to get my events down - I have about 30/night. My AHI is hanging in there under 5. Earlier in the month my AHI was 3.5 - I seem to be creeping up.

Any ideas or do I just have to be patient and hang in there knowing I am on the right track?

2010 sleep study 63 AHI, 2014 3.0
(This post was last modified: 04-26-2014 06:37 AM by readyforsleep.)
04-26-2014 06:32 AM
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JimZZZ Offline

Advisory Members

Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #2
RE: Just checking in
(04-26-2014 06:32 AM)readyforsleep Wrote:  Any ideas or do I just have to be patient and hang in there knowing I am on the right track?
From my limited knowledge, it appears that you are doing all the right things with good results. I think you're right with your belief that you are on the right track and (dang it) must be patient. The important thing now is to assess whether you feel good during the day. There are no numbers for that but it is, after all, our goal.
04-26-2014 06:54 AM
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justMongo Offline

Monitors

Posts: 3,845
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #3
RE: Just checking in
Keeping in mind that I'm not a medical professional of any sort... I think your doing well.
Leaks look good. Your machine is responding to events well.

You are having a few central apneas. They may reduce with time.

Keep in mind that every night is different. for example, I went to bed about 2 hours later than my regular routine last night.
Yet, my AHI was 0.8 last night while it's been running about 3.

Keep at it... and best wishes.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-26-2014 07:15 AM
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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: #4
RE: Just checking in
Events flags and flow rate charts are missing
Look at duration of events too

Leak rate appear to be quite good but those spikes indicate some mouth leaks, have you tried chinstrap?

Experiment with EPR levels or turn off if you can live without, some people reported better results but might not works for everyone
(This post was last modified: 04-26-2014 07:17 AM by zonk.)
04-26-2014 07:16 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #5
RE: Just checking in
It appears to me that there is a lot of range between the min and max pressures. In the example you posted, look at the second session of the night. From 2:00 - 4:30. Notice that your pressures had settled down to a lower rate, and at the same time your apnea events reduced substantially.

I wouldn't do anything until Paula or RobySue has a chance to weigh in on this, but it looks to me like you might be well off by reducing your max pressure to around 14.
04-26-2014 12:04 PM
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readyforsleep Offline

Preferred Members-2

Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #6
RE: Just checking in
(04-26-2014 07:16 AM)zonk Wrote:  Events flags and flow rate charts are missing
Look at duration of events too

Leak rate appear to be quite good but those spikes indicate some mouth leaks, have you tried chinstrap?

Experiment with EPR levels or turn off if you can live without, some people reported better results but might not works for everyone

Zonk,

See attached for event flags and flow rate charts. I have tried a chinstrap and they don't work for me. I am currently taping and as you have noticed still mouth leaking ( through 2 layers of tape ) Until my FF mask arrives, this is my best option. Looks like taping does not work at these new high pressures. I now have more incentive to make the FF mask work. Last night was a record on CA's. What is going on????

As far as the EPR levels I'll give that a shot.

2010 sleep study 63 AHI, 2014 3.0
04-26-2014 01:57 PM
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Gabby Offline

Preferred Members-2

Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #7
RE: Just checking in
How do you know when you are having mouth leaks in your sleep as opposed to nose leaks?
The only thing I read about leaks is my 95% number.
Could someone please tell me what graph I should be looking at please? Especially if it will tell me if I am having mouth leaks.

Readyforsleep, so happy things appear to be going well for you. You sound as if you are reaping benefits, you go girl.

Sleep Tight...
Gabby
04-26-2014 07:57 PM
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readyforsleep Offline

Preferred Members-2

Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #8
RE: Just checking in
Yes zonk how can you tell they are mouth leaks??

2010 sleep study 63 AHI, 2014 3.0
04-26-2014 08:47 PM
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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: #9
RE: Just checking in
(04-26-2014 08:47 PM)readyforsleep Wrote:  Yes zonk how can you tell they are mouth leaks??
Post #1 http://www.apneaboard.com/forums/Thread-...ersion-4-3

ResScan Report Interpretation Guide ... page 57
This detailed leak graph shows significant leak episodes in some periods and none at all in other periods

The high level of leaks (> 24 L/min) and their characteristic plateau shape (steep rise, flattening off then returning to the base line) indicate the presence of significant and variable leaks, most likely mouth leaks.
04-26-2014 11:03 PM
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Gabby Offline

Preferred Members-2

Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #10
RE: Just checking in
(04-26-2014 08:47 PM)readyforsleep Wrote:  Yes zonk how can you tell they are mouth leaks??

Thanks for your help Zonk.

I use SleepyHead software as well. Looks like we have to download the ResScan software programme.

Sleep Tight...
Gabby
(This post was last modified: 04-27-2014 02:57 AM by Gabby.)
04-27-2014 02:56 AM
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