Post Reply 
Looks like I did everything wrong. I need help
Author Message
okrobie Offline

Preferred Members

Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #21
RE: Looks like I did everything wrong. I need help
Well, there is good news and bad. The bad is that I unconsciously took off my mask after 1:35 hours. That may be because in an effort to reduce leakage I tightened the headgear and it may have been bothering me.

The good news is that during that short interval, my leakage came down to 18. I guess that's good news since it's an improvement.

Here is a screenshot of my results:
Thanks for any and all feedback...
P.S. I increased my pressure max to 15 (My bad)
[Image: 11-19-15.jpg]
(This post was last modified: 11-20-2015 09:49 AM by okrobie.)
11-20-2015 09:47 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,181
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: #22
RE: Looks like I did everything wrong. I need help
As stated prior, your leak rate is too high, and we still don't know what the "unknown" events are.
As long as the leak rate is high, the AHI is suspect.

Your report shows only 1.35 hrs used??

I think your starting pressure is too low, but can't make recommendations with a high leak rate.

Overtightening a mask can be as bad as leaving too loose. Try to determine if your mask is not fitting properly or you are mouth breathing.

Why not trial a nasal mask or a nasal pillow mask, or the new Dreamwear mask?

OpalRose
11-20-2015 10:04 AM
Find all posts by this user Post Reply Quote this message in a reply
okrobie Offline

Preferred Members

Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #23
RE: Looks like I did everything wrong. I need help
Hi OpalRose, thanks for your observations. I don't have the kind of budget that will allow me to "try" various options. For the time being, I'll need to work with what I have. I did recently buy a new cushion for the mask I have and It seems to have made an improvement. I have looked at old data which was using CPAP mode, and the leakage seems to be worse now that I am on APAP mode. The CPAP fixed pressure was set at 8cmH2O so the pressure on APAP now is quite a bit higher. Would that account for more leakage? Thanks again, Jim
11-20-2015 10:22 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
justMongo Offline

Monitors

Posts: 3,853
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: #24
RE: Looks like I did everything wrong. I need help
(11-20-2015 10:22 AM)okrobie Wrote:  ...I have looked at old data which was using CPAP mode, and the leakage seems to be worse now that I am on APAP mode. The CPAP fixed pressure was set at 8cmH2O so the pressure on APAP now is quite a bit higher. Would that account for more leakage? Thanks again, Jim

It can. Often people adjust their mask at starting pressure, and then it leaks with increased pressure. I note you're getting up to your 15 max; that can be more difficult to keep a seal. But, I manage it at 18.. so, it can be done.

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.
11-20-2015 10:39 AM
Find all posts by this user Post Reply Quote this message in a reply
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #25
RE: Looks like I did everything wrong. I need help
(11-19-2015 10:35 PM)OpalRose Wrote:  
(11-19-2015 10:30 PM)cpetku Wrote:  
(11-18-2015 10:30 PM)PaulaO2 Wrote:  - Take a little notebook and put by your machine. Write down the changes you make and when.
If you use SleepyHead then it will keep track of changes to the machine pressure setup for you (assuming you download the dataregularly).


cpetku, yes, that's true, Sleepyhead records all changes, but it can't tell how you feel after making those changes. That is the reason for keeping a log.

It also makes one think more, feel responsible for their changes, a sense of empowerment.

In SH, the changes made are on a different tab and I have never liked the arrangement of it. Add in the color coding for "good" or "worse" setting change and it distracts from the information needed. It is good for "at a quick glance" information.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
11-20-2015 12:02 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Tacoma Droner Offline

Preferred Members

Posts: 52
Joined: Sep 2015

Machine: PR System One autoSV BiPap
Mask Type: Nasal pillows
Mask Make & Model: Optilife
Humidifier: PR System One
CPAP Pressure: 9-18
CPAP Software: SleepyHead

Other Comments: Became a hosehead in 2004-still going strong!

Sex: Male
Location: TACOMA WA

Post: #26
RE: Looks like I did everything wrong. I need help
Jim--just sent you a PM. Since you're new here, not sure if you know what a PM is. Look at the top of any page where it say "Private Message." That's it.
11-20-2015 12:56 PM
Find all posts by this user Post Reply Quote this message in a reply
okrobie Offline

Preferred Members

Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #27
RE: Looks like I did everything wrong. I need help
Hi all, well... I got the leakage down. Will it be easier to interpret the rest of my numbers? Please have at it. Thanks, Jim
P.S. I made an executive decision to keep increasing my max pressure as long as my 95th is hitting the top of the range.
[Image: 11-20-15.jpg]
(This post was last modified: 11-21-2015 05:56 AM by okrobie.)
11-21-2015 05:51 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,181
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: #28
RE: Looks like I did everything wrong. I need help
Are there pressure and leak graphs on ResScan software like Sleepyhead has. Would be helpful to see something like that.

Anyone out there who uses this software, can you advise?

OpalRose
(This post was last modified: 11-21-2015 12:23 PM by OpalRose.)
11-21-2015 07:14 AM
Find all posts by this user Post Reply Quote this message in a reply
cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #29
RE: Looks like I did everything wrong. I need help
[attachment=1902]

OpalRose, here's a copy of some graphs. I don't know much about ResScan's software but from the little I've seen in the once I've used it, looks pretty much similar to SH. Only bad point is that I have to fire up and use the windows laptop. Everything is so much easier and faster on mac Oh-jeez

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-21-2015 08:03 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
okrobie Offline

Preferred Members

Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #30
RE: Looks like I did everything wrong. I need help
Hi OpalRose and cate, I have SleepyHead running now so here is a screenshot. There is much more data so let me know if this is enough.

[Image: 11-20-15%20SH.jpg]
(This post was last modified: 11-21-2015 12:17 PM by okrobie.)
11-21-2015 11:50 AM
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
  snoring has increased what is wrong? irenek2013 7 463 08-15-2016 11:10 PM
Last Post: irenek2013
Question wrong time in apnea bord soft natyprueba 2 263 07-15-2016 12:13 PM
Last Post: natyprueba
  Help on stats: what's wrong? Visitor 15 925 06-06-2016 12:55 AM
Last Post: Visitor
  Am I doing something wrong? whitetail 6 697 03-24-2016 11:25 PM
Last Post: Napmeister
  Can sleep studies be wrong? shewhorn 14 1,296 03-04-2016 03:15 PM
Last Post: shewhorn
  What's wrong with this picture? DeepBreathing 13 1,653 11-23-2015 12:05 AM
Last Post: SideSleeper
  Machine time set wrong Rastur 11 1,757 08-21-2015 07:06 PM
Last Post: DariaVader

Forum Jump:

Who's Online (Complete List)