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Need help with SH results b4 sleep doc follow-up appt
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cate1898 Offline

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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: #1
Need help with SH results b4 sleep doc follow-up appt
[attachment=1881][attachment=1882][attachment=1883]


I am attaching 3 screenshots showing last nights SH results.

So I have an appointment this week with the sleep doc after he upped my pressure from 6 to 7.6 on October 8. Prior to the pressure adjustment I have no data as before that they had saddled me with an S9 Escape Data-less POC.

According to my A10 Elite my AHI is consistently under 1. But I still have concerns regarding my quality of sleep after just over 2 months of CPAP therapy.

-still getting morning headaches which I admit are greatly reduced in severity, possibly a different cause-I don't know

-according to hubby I am still snoring although at about 40% volume of before and seemingly much less frequently during a night - hopefully something I can completely stop?? Otherwise could be a side effect of 12 years hooked on Otrivin?


I know the sleep doc told me it could take up to 6 months for symptoms to go away, but I am losing faith in that.

Would a pressure adjustment up likely help either or those problems? Or is a pressure adjustment something he will likely not look at doing now that my AHI is below 1? Another idea I am wondering about is would an Auto CPAP machine help those issues? I have decided that after I am written a prescription for my new CPAP machine purchase I will most likely buy out of pocket an Auto CPAP from Supplier #2.

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

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-15-2015 07:36 AM
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shadowfx78 Offline

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Posts: 33
Joined: Oct 2015

Machine: A10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed AirFit N10
Humidifier: Intergrated w/ ClimateAirLine
CPAP Pressure: 8 EPR: On, full-time
CPAP Software: SleepyHead

Other Comments: Panhypopituitarism, Asthma, Allergies

Sex: Male
Location: Southeastern Massachusetts

Post: #2
RE: Need help with SH results b4 sleep doc follow-up appt
Your AHI may not be entirely accurate given your leak rate. Its likely your mask is not fitted properly and needs adjustment. If your still snoring it may be that your pressure is not high enough to keep your airway open. Do not know about the side effects of that medication. How long ago was your last sleep study?
(This post was last modified: 11-15-2015 01:19 PM by shadowfx78.)
11-15-2015 01:17 PM
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sonicboom Offline

Advisory Members

Posts: 474
Joined: May 2015

Machine: Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10, Dreamwear
Humidifier: Integrated
CPAP Pressure: 4.6-7.6
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Washington

Post: #3
RE: Need help with SH results b4 sleep doc follow-up appt
Your leak rate is below 24 which is good but it does look like you are breathing through your mouth given the leak pattern. Flat wave usually signifies open mouth from my readings here. You may need to master the tongue trick or get a chin stap. Snoring is likely from open mouth. Once that is mastered then headaches might subside.

Coffee
11-15-2015 01:29 PM
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JudgeMental Offline

Advisory Members

Posts: 324
Joined: Feb 2012

Machine: Respironics DreamStation Auto-CPAP
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics
CPAP Pressure: 11-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida USA

Post: #4
RE: Need help with SH results b4 sleep doc follow-up appt
In dealing with the issue of raising the pressure. If AHI is well established below 3 or 4 then quite possibly Doc will leave things alone, especially if he/she has already told you that it may take up to 6 months to show improvements. Doc's don't like to constantly tweak things like us patients do. The advent of recording CPAPS and internet software programs to show us what's going on, goes against the grain of most Docs. They don't like self medicating.
I think the snoring and headaches will settle down a bit with longer usage.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
11-15-2015 02:06 PM
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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: #5
RE: Need help with SH results b4 sleep doc follow-up appt
Last sleep study was my titration September 1, 2015.

Otrivin is a nasal decongestant. It has the active ingredient of Xylometazoline or Oxymetazoline (US name) at .05% strength. I got hooked on it when I was pregnant the first time due to congestion when I laying down. I used it only at night to be able to breath so I could get to sleep. Somehow I just never got off it. ....until 12 years later. If you google it, you will find there are others complaining of the same thing.

I had been told by the sleep lab tech the night of my titration that I did not open my mouth while sleeping. However this sleep tech was in charge of 4 patients that night so who knows how much she was able to observe me. As I am a night time teeth grinder, last night I was wearing my night guard which is just a cheapo Equate Walmart brand night guard that is worn on the upper teeth and could be interfering with my tongue laying properly at the roof of my mouth. I will sleep tonight without it and see before I graduate to trying a chin strap. What in particular should I be looking at in the SH data that will show an improvement for that?

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

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
(This post was last modified: 11-15-2015 02:17 PM by cate1898.)
11-15-2015 02:16 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: #6
RE: Need help with SH results b4 sleep doc follow-up appt
I think a chinstrap would helps, I use the "Ruby adjustable", I get my supplies from Supplier #10
With pressure being at the lower end, full face mask might be an option, if can be tolerated
It doesn't matter if you open or/and breathe through your mouth using this type of mask
(This post was last modified: 11-15-2015 03:17 PM by zonk.)
11-15-2015 03:16 PM
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sonicboom Offline

Advisory Members

Posts: 474
Joined: May 2015

Machine: Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10, Dreamwear
Humidifier: Integrated
CPAP Pressure: 4.6-7.6
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Washington

Post: #7
RE: Need help with SH results b4 sleep doc follow-up appt
(11-15-2015 02:16 PM)cate1898 Wrote:  What in particular should I be looking at in the SH data that will show an improvement for that?

IMHO, 95% rate numbers less than 10 and spikes rather than longer flat top lines.

Coffee
11-15-2015 03:51 PM
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