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Need help please..New to forum
#1
Need help please..New to forum
       

I was diagnosed from home study with 20 AHI. Doctor prescribed Airsense 10 at 8 min and 12 max with dreamwear nose pillow and chinstrap. Chinstraps didn't help with chin drop and air going into mouth. Solved that with internet search and going with full mask and 4" collar.  At my request Doctor changed to 6 min and 10 max for a month but sleep didn't seem as deep so went back to 8min to 12 max. 

Sleep is definitely better and much deeper since starting ACAP and tracking with myair my AHI is normally 2 to 3 . Since I got Oscar I can now see that most of my events are CA and usually they are highest in last hour of sleep which is also when my sleep is worst.  

Any suggestions on settings would be appreciated as my doctor has been worthless.


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#2
RE: Need help please..New to forum
Welcome to Apnea Board.
OK a few things; turn off Ramp and EPR to 0 to reduce pressure swings that induce CA.

Second, look on OSCAR to see if you can reset graph to default or see my signature for the link on chart setup. Your screenshots are somewhat varied in presenting the most needed info to start with. I've pieced it together for the time being.

Third, the sleep study, if you have it or when you get it, post it redacted. We need a full detailed sleep study not just a single page summary. Most important is event counts, to see what apnea you've gotten then and now. We need to ID your CA. If you're in the US, HIPAA says you can legally obtain the report I mention. Back to the CA type, if it's treatment emergent, we need to avoid it for up to 3 months while your body gets used to breathing with PAP. If the sleep study tells us otherwise on the CA, then we will tackle that at that time.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: Need help please..New to forum
Dave is right the only thing I would do is to put EPR to off or 0.  Like he said pressure swings are one of the reasons for Centrals so turning off the EPR may not help much sense it is only 1 but it may help a little.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#4
RE: Need help please..New to forum
Another consideration is that some of these CA were possibly while you were bouncing between sleep and wake giving SWJ/sleep-wake junk, but you'd have to help by signifying if you think you may have been waking up during the segment with higher CA counts. Again, it's just a possible scenario.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: Need help please..New to forum
Thanks for the quick response Dave.

I don't presently have access to change those setting but I think I read somewhere I could hold home and options button and it would give me access.

I will change Oscar View.

I will try to get Sleep study.

I have been using CPAP for over 3 months.

Jack

Yes, I definitely sleep wake during the last hour or so of sleep.


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#6
RE: Need help please..New to forum
You may want a free clinician manual above in CPAP Setup Manual; look for your exact PAP and it looks like yours is the ResMed AirSense 10 AutoSet. The whole phrase is needed. And to enter the clinical menu just click/hold Home and Dial on the PAP together for about 5 seconds. Then you're in the menu to change pressures, etc.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: Need help please..New to forum
Get the manual at the top of the site. But i wii tell you how to get to the menu to make changes. 
1. Turn on the screen by pressing the round button. 
2. Press and hold the round button and the home button (not the start - top button) at the same time for 3 seconds.
Now you are in the correct menu
4. Move up and down but turning the round button and choose the option you want to change then press the roun button. 
5 use therounf button to the change you want to change and lock it in by pressing the round button 

Continue doing this until all changes have been made then press the home button and you should be done.

Here is a you tube

https://www.youtube.com/watch?v=tBgNdoJ6-bI
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#8
RE: Need help please..New to forum
Thanks staceyburke. What would we do without youtube "how to do it" videos.
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