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Need help please! High events per hour
#31
RE: Need help please! High events per hour
Agree with trying cervical collar. OAs are highly clustered.
Nothing I post is medical advice and should not be taken as such, always consult a medical professional for guidance.
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#32
RE: Need help please! High events per hour
Melman, thank you for that. Makes total sense - I should have picked up on that when I was adjusting the settings. I will now turn the EPR to off. I'm going to pick up a soft cervical collar for tonight. I do not feel like using the P10 nasal pillows mask tonight as my nostrils still feel quite tender. Will rather use my Mirage FX nasal mask or my F20 full face mask. Your thoughts on this please - EPR at 0, 7-15 pressure setting, and a cervical collar?

Thank you!
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#33
RE: Need help please! High events per hour
Use the mask you find most comfortable. Just be sure to set the machine to the type of mask you are using. There are settings for full face, nasal and nasal pillows. I use the AirFit F20. The pressure setting of 7-15 and EPR 0 is fine for now. We will have a better idea once we see results with the cervical collar. I'm assuming you have read the cervical collar article. If not, please see the link below.
Download OSCAR

Organize Charts
Attaching Charts

Mask Primer
Soft Cervical Collar

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.

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#34
RE: Need help please! High events per hour
Chart looks great! There’s a partial zoom-in (lighter color) but no reason at all to redo this one.

To soothe your nose and promote healing, you might try Lansinoh, which is made for nursing mothers but works well on noses too.

The cervical collar may help you with mouth breathing as well as obstructive events. Two other ideas for avoiding mouth-breathing.

One is to try putting your tongue up against your palate with the tip of your tongue behind your front teeth, then swallowing to create a little suction. You can practice this during the day. It works really well fo some people, not so much for others.

You can also try putting tape over your mouth. Some people would rather not, out of concern for asphyxiation if the power goes out or inhaling vomit if you suddenly vomit in the night. I put a circuit alarm in place so I’ll wake up if the power fails, and I’m not worried about the nausea scenario. I use Somnifix strips; lots of people do fine with micropore tape.
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#35
RE: Need help please! High events per hour
WOW!!! Look at this! My numbers have dropped enormously to 4.78 - the lowest EVER!! I am so happy about this! I used the P10 mask again and a soft cervical collar I purchased at CVS. I also turned off the EPR. 

I look forward to receiving further comments about my next steps?

Thank you all again!


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#36
RE: Need help please! High events per hour
The experts will advise you about next steps, but I want to chime in to say this is a fantastic, dramatic improvement -- well done!
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#37
RE: Need help please! High events per hour
(11-25-2019, 10:57 AM)Dormeo Wrote: The experts will advise you about next steps, but I want to chime in to say this is a fantastic, dramatic improvement -- well done!

Thank you very much Dormeo! Looking forward to further advice!
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#38
RE: Need help please! High events per hour
Hello everyone! I am attaching a readout of last night's experience with my CPAP machine and P10 mask. My AHI nearly doubled over the previous night. I wore the cervical collar throughout the night, had the EPR turned off and the pressure settings are still set at 7-15. I was aware that I was breathing through my mouth at times plus I woke up with a very dry mouth. 

I would very much appreciate input and an interpretation from forum members as to what the OSCAR chart shows and what the likely cause of the problem is and how to remedy it? 

Thank you very much again!


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#39
RE: Need help please! High events per hour
Hello again everyone. I hope it will be possible for me to receive a reply to my last two messages in time for me to make any suggested adjustments to my settings for tonight!

Thank you again so very much!

Thanks
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#40
RE: Need help please! High events per hour
Congrats on your success on getting your numbers lower!

I'm not an expert, but thought I'd respond.

If you're not able to keep your mouth closed, then the P10 isn't giving you proper treatment. So - to me - that would explain why your AHI could be higher. And I'd encourage you to keep working at keeping your mouth closed, or find a FFM that you like.
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