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parkerdt Offline

Advisory Members

Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #21
RE: New Member Here
Here's what SleepHead said:

Average Hours per Night 05:09
Compliance 100%

Therapy Efficiacy
AHI 7.57
Obstructive Index 6.41
Hypopnea Index 0.19
Clear Airway Index 0.97

Leak Statistics
Average Leak Rate 7.33
90% Leak Rate 18.00
% of time above Leak Rate threshold 2.28%

Pressure Statistics
Average Pressure 8.00
Min Pressure 8.00
Max Pressure 8.00
90% Pressure 8.00
05-23-2015 07:18 PM
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2PAPs Offline

Preferred Members

Posts: 58
Joined: May 2015

Machine: PR System One 750p
Mask Type: Full face mask
Mask Make & Model: ResMed Ultra Mirage
Humidifier: PR System ONe
CPAP Pressure: 8-20
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location: California

Post: #22
RE: New Member Here
New to the Board, but have been Dx with OSA for almost 5 years. I've been compliant. Now to find out what I'm doing.
05-23-2015 07:21 PM
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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: #23
RE: New Member Here
(05-23-2015 07:18 PM)parkerdt Wrote:  Here's what SleepHead said:

Average Hours per Night 05:09
Compliance 100%

Therapy Efficiacy
AHI 7.57
Obstructive Index 6.41
Hypopnea Index 0.19
Clear Airway Index 0.97

Leak Statistics
Average Leak Rate 7.33
90% Leak Rate 18.00
% of time above Leak Rate threshold 2.28%

Pressure Statistics
Average Pressure 8.00
Min Pressure 8.00
Max Pressure 8.00
90% Pressure 8.00

It looks to me like you should sneak the pressure up just a little. I'd rather you were on a nice, well restricted range such as minimum 7, maximum 12, but I'd settle to see you stay on CPAP and increase it to 9. Then run a couple of days and see where you're at.
05-23-2015 08:16 PM
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bronty Offline

Members

Posts: 12
Joined: Apr 2015

Machine: PR System One RemStar AutoSV Advanced (950) with Humidifier
Mask Type: Nasal mask
Mask Make & Model: Wisp (M)
Humidifier: PR System One
CPAP Pressure: 8-16
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS50F SPo2, SoClean2, Hibernate Hose

Sex: Male
Location: Upstate NY

Post: #24
RE: New Member Here
Welcome! I am pretty new to therapy and also am a number freak so I love digging into the data. I am still trying to get the masks to fit (DME gave me incorrectly sized masks) so I fought needlessly trying to get a too big mask to fit. I am currently on the Wisp and I get no major leaks most of the time.

I wish you the best with your therapy!
05-23-2015 08:35 PM
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parkerdt Offline

Advisory Members

Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #25
RE: New Member Here
Thanks. 8 did it for me in my sleep study, but obviously a different machine, and the medium sized pillow for the P10 rather than large, and no wine before bed. No EPR on the Sleep Lab either, so in trying to reproduce what I saw on my sleep study, I turned that off too. Last night was 6.0 AHI, so a step in the right direction. Gonna try the medium size nose pillows for the P10 tonight, and see if I tolerate them better than at the sleep study. If not, it's back to the large, and will try a chin strap as well. Try to get rid of some of the mouth leaks.

I am changing one thing at a time. When I prove to myself I can't find a way stay under 5 AHI, I'll up the pressure. Smile Even where I am now, 6.0 vs 67 AHI in my study, I feel better, so we're on the right path, I think.

thanks,
Dave
05-25-2015 07:54 PM
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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: #26
RE: New Member Here
You're right about the changing one thing at a time Dave. Good plan. I think if it was me, I would leave the pillows alone for now, and sneak the pressure up a little. You're at 8? I'd go to 9.

I just noticed I said that last time. I think maybe I'm beginning to sound like a broken record. But that's still what I'd do.
(This post was last modified: 05-25-2015 08:01 PM by retired_guy.)
05-25-2015 08:00 PM
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parkerdt Offline

Advisory Members

Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #27
RE: New Member Here
Also I suppose what my ResMed S10 calls 8 could be somewhat different from the Sleep Lab's Respironics 8, eh? Sure feels like less air blasting here at home.

Thanks for the suggestion of going up to 9. Smile I'm not ignoring it, I promise you - just trying to get to a baseline "goodness". 8 did it for me at the sleep study, so the engineer in me wants to find out why 8 doesn't work as well at home.Smile Thus the medium pillow - it is the last variable I can control with a difference from the lab.

Dave
(This post was last modified: 05-25-2015 08:10 PM by parkerdt.)
05-25-2015 08:04 PM
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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: #28
RE: New Member Here
Very different. Very much simply because of the environment. Sleep lab tests in their bed, at home actuals in your own bed. The lab numbers just give us a good idea of what's going on as a starting point.
05-25-2015 08:09 PM
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parkerdt Offline

Advisory Members

Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #29
RE: New Member Here
Last night was much better. Started off with the Medium-sized pillows in the mask, but they hurt like heck after 2 hours, as expected. switched back to the Large, and noticed where a significant leak was happening. Fixed that, and my numbers remained similar through the rest of the period.

Six hours is about all I can stand currently, but at least I am tolerating that well. Here's the report:

AHI 2.94
Obstructive Index 1.73
Hypopnea Index 0.00
Clear Airway Index 1.21

Leak Statistics
Average Leak Rate 6.19
90% Leak Rate 13.20
% of time above Leak Rate threshold 0.37%


Pressure Statistics
Average Pressure 8.00
Min Pressure 8.00
Max Pressure 8.00
90% Pressure 8.00
(This post was last modified: 05-26-2015 09:55 AM by parkerdt.)
05-26-2015 09:53 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: #30
RE: New Member Here
Hey Parker, you're doing well. Keep up the good work. Basically what has to change now is the "Six hours is about all I can stand currently" to "I slept x hours and loved every minute of it." You'll get there. Probably when you up your pressure just a tad............ Yeah, yeah, I know.... Broken record. Naggie Mom... All of that.
05-26-2015 10:51 AM
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