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#11
Well done

looking at your charts you are showing mostly centrals. Your obstructive apnea seems to be in good control.

It will help a great deal if you can post details from your sleep study, especially anything about Central Apnea. This is very important info we cannot get from your machine.

That said keep your min at what it is, do not raise it for a while. And let's bring down the max and see if the centrals drop.
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#12
Hi ricardobocardo,
WELCOME! to the forum.!
I wish you good luck with your CPAP therapy, hang in there for more responses to your post.
trish6hundred
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#13
Upload your attachments to an online file services such as Imgur, or Google Drive, then link to it in your posts.
                                                                                                                                                                                  
Please organize your SleeyHead screenshots like this.
I'm an epidemiologist, not a medical provider. 
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#14
Ricardo, you have predominately central apnea. We need to make some changes to your machine settings. As you can see, you have no obstructive events, no flow limitations and no snores. Your pressure is too high and needs to be reduced to a comfortable level. My recommendation is for you to set your pressure a 6.0 cm fixed. To do this, just press the control knob and home button at the same time for a few seconds until you can enter clinician mode. Enter settings, and find mode. You can select either CPAP or Auto mode. In CPAP mode, set pressure to 6.0. In Auto mode set the minimum pressure to 6.0 and maximum pressure to 6.0. I think you should set EPR (exhale pressure relief) OFF. This should significantly reduce central events.

If your central apnea cannot be reduced with the above settings, you will need to work with your doctor to get a machine that treats this kind of apnea, an Adaptive Servo Ventilator (ASV). CPAP does not treat centrals, it treats obstructive apnea, and from all appearances you are being improperly treated. ASV is expensive, so insurance will resist paying for it unless it is demonstrated to be medically necessary. Do you have high deductibles and copay? It makes a difference as we move forward.
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#15
(01-29-2017, 10:26 PM)Sleeprider Wrote: Ricardo, you have predominately central apnea.  We need to make some changes to your machine settings. As you can see, you have no obstructive events, no flow limitations and no snores.  Your pressure is too high and needs to be reduced to a comfortable level.  My recommendation is for you to set your pressure a 6.0 cm fixed.  To do this, just press the control knob and home button at the same time for a few seconds until you can enter clinician mode.  Enter settings, and find mode.  You can select either CPAP or Auto mode.  In CPAP mode, set pressure to 6.0.  In Auto mode set the minimum pressure to 6.0 and maximum pressure to 6.0.  I think you should set EPR (exhale pressure relief) OFF.  This should significantly reduce central events.

If your central apnea cannot be reduced with the above settings, you will need to work with your doctor to get a machine that treats this kind of apnea, an Adaptive Servo Ventilator (ASV).  CPAP does not treat centrals, it treats obstructive apnea, and from all appearances you are being improperly treated.   ASV is expensive, so insurance will resist paying for it unless it is demonstrated to be medically necessary.  Do you have high deductibles and copay?  It makes a difference as we move forward.

Thanks for all the input Sleeprider, I will change the settings tonight and will update you as I go along, I'm trying to get the results from my initial study, will share those as soon as I have them available, i bought this machine out of my own pocket, Im uninsured, so hopefully we can resolve them with the change on settings.
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#16
[attachment=3137]Sleeprider, I'm very glad to say that last night was the best night I have had with this machine, my AHI was 2.87WOW!, I have included the daily summary picture. Thanks so much for the Help, I greatly appreciate.
Ricardo
Thanks
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#17
You're welcome Ricardo. I think you should stick with those settings for a while. It's a great improvement, but there are a lot of signs of central apnea there. Hopefully we can see that RERA diminish as well. We may fine-tune this, but this is a good sign so far.
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