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New and confused. feeling worse with treatment
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Rob S Offline

Preferred Members

Posts: 44
Joined: May 2015

Machine: ResMed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: min EPAP 6, 90% IPAP16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New England. USA

Post: #11
RE: New and confused. feeling worse with treatment
figured i'd make a smaller change than suggested
EPAP to 6 , PS min to 4, Max PS to 12

been trying it like this for the last 30 minutes i think it will help. added bonus i can loosen the mask a lot with no serious leak so far.

thanks for all the responses
05-25-2015 10:55 PM
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Rob S Offline

Preferred Members

Posts: 44
Joined: May 2015

Machine: ResMed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: min EPAP 6, 90% IPAP16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New England. USA

Post: #12
RE: New and confused. feeling worse with treatment
AHI 0.00
large leak 3.93 over
no headache
eyes still hurt but not as bad

think i can lower PS min to 3 and PS max to 10 like suggested and maybe loosen mask a bit more.

thanks again everyone
05-26-2015 07:27 AM
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MobileBasset Offline

Advisory Members

Posts: 198
Joined: May 2015

Machine: ResMed AIRCURVE 10 V Auto
Mask Type: Nasal mask
Mask Make & Model: Fisher Paykel Zest
Humidifier: Integrated
CPAP Pressure: 10 (minE 6,maxI 12, PS 3)
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Female
Location: Florida

Post: #13
RE: New and confused. feeling worse with treatment
Not saying this is applicable to you but might give you hope. I started out with a PS that was too high for me and while the auto set pressure was operating as designed, there was this heavy pulsing of pressure change between inhale and exhale that kept me from sleeping and added many CAs to my Event count. When I brought the PS down the CAs stopped, the pressure variation decreased and everything became much more comfortable.

if you can't decide then you don't have enough data.
05-26-2015 08:28 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #14
RE: New and confused. feeling worse with treatment
@Rob - outstanding! great news.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
05-26-2015 08:34 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: #15
RE: New and confused. feeling worse with treatment
Good job Rob..
05-26-2015 10:48 AM
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Rob S Offline

Preferred Members

Posts: 44
Joined: May 2015

Machine: ResMed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: min EPAP 6, 90% IPAP16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New England. USA

Post: #16
RE: New and confused. feeling worse with treatment
i've finally adjusted to therapy and feel really good most days. stats so far look good, would any changes further improve things? mask leaking is still an issue and constant ramping up and down is something that keeps waking me up. any suggestions?


CPAP Statistics
30 days of CPAP Data, between Wed May 20 2015 and Fri Jun 19 2015
Details Last Session June
CPAP Usage
Average Hours per Night 06:55 05:32
Compliance 100% 89%
Therapy Efficiacy
AHI 0.00 0.34
Obstructive Index 0.00 0.00
Hypopnea Index 0.00 0.29
Clear Airway Index 0.00 0.00
Leak Statistics
Average Leak Rate 4.03 7.15
90% Leak Rate 4.80 13.20
% of time above Leak Rate threshold 0.00% 0.13%
Pressure Statistics
Average EPAP 6.60 6.60
Min EPAP 6.60 6.60
Max EPAP 6.60 6.60
Average IPAP 13.55 13.69
90% IPAP 16.12 16.96
Min IPAP 6.78 6.60
Max IPAP 18.60 18.60

Changes to Prescription Settings
First Last Days AHI FL Machine Pressure Relief Mode Pressure Settings
Sun Jun 7 2015 Fri Jun 19 2015 13 0.23 0.00 VPAP Adapt ASV (36037) None ASV EPAP 6.6 PS 5.0-12.0 (cmH2O)
Sat May 30 2015 Fri Jun 5 2015 7 0.46 0.00 VPAP Adapt ASV (36037) None ASV EPAP 6.6 PS 5.0-12.0 (cmH2O)
Wed May 27 2015 Fri May 29 2015 3 0.36 0.00 VPAP Adapt ASV (36037) None ASV EPAP 6.0 PS 4.0-12.0 (cmH2O)
Tue May 26 2015 Tue May 26 2015 1 0.37 0.00 VPAP Adapt ASV (36037) None ASV EPAP 6.0 PS 4.0-10.0 (cmH2O)
Wed May 20 2015 Mon May 25 2015 6 0.37 0.00 VPAP Adapt ASV (36037) None ASV EPAP 7.0 PS 6.0-15.0 (cmH2O)
(This post was last modified: 06-29-2015 11:52 PM by Rob S.)
06-29-2015 11:49 PM
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