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New charts !!!
#1
New charts !!!
Here's my data, awaiting suggestions. I admit I am sleeping much better!! On the 8th I cut my grass so allergies kicked in so data might appear to be worse but it's because of allergies. Please keep that in mind

http://imgur.com/a/gSC4u   - Main Chart
http://imgur.com/a/edeIK     - July 4th
http://imgur.com/a/D5ftA     - July 5th
http://imgur.com/a/qsPfA     - July 6th
http://imgur.com/a/4bOW6  - July 7th
http://imgur.com/a/VpTgD    - July 8th
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#2
RE: New charts !!!
Where are your old charts, Why are you at 9-13?
These say more pressure but I don't know your history.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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#3
RE: New charts !!!
I'd try 11 min 15 max and turn the flex off or 1 for the CA. You are going to need to set your charts up as per bonjour's link in his signature, to get detailed advice.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#4
RE: New charts !!!
(07-09-2017, 10:39 AM)bonjour Wrote: Where are your old charts,  Why are you at 9-13?
These say more pressure but I don't know your history.

http://www.apneaboard.com/forums/Thread-Charts.    Old charts
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#5
RE: New charts !!!
The old charts are really not reliable. I was not using the machine consistently. NOW I am starting on July 4th, so that's why I didn't post any charts prior to. My settings are now:
Flex = 1
Min = 9
Max = 12
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#6
RE: New charts !!!
TNS, you look to me like a person that would benefit immensely from a soft cervical collar. The clusters of obstructive events suggest posture issues that are obstructing your airway. I'll let someone with experience using them say more, but they can be comfortable, prevent leaks and prevent an airway from closing up due to tucking your chin to chest and other issues. You are looking for a comfortable fit 2-inches larger than the circumference of your neck and just tall enough to support the jaw when your head falls out of alignment (measure your neck from collarbone to jaw and subtract 1". It's a very small investment that has worked very well for some people.
Sleeprider
Apnea Board Moderator
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: New charts !!!
(07-09-2017, 05:52 PM)Sleeprider Wrote: TNS, you look to me like a person that would benefit immensely from a soft cervical collar. The clusters of obstructive events suggest posture issues that are obstructing your airway.   I'll let someone with experience using them say more, but they can be comfortable, prevent leaks and prevent an airway from closing up due to tucking your chin to chest and other issues.  You are looking for a comfortable fit 2-inches larger than the circumference of your neck and just tall enough to support the jaw when your head falls out of alignment (measure your neck from collarbone to jaw and subtract 1".   It's a very small investment that has worked very well for some people.

Wow, now THIS is interesting! I will definitely investigate this!! Thanks!! I am VERY used to wearing the mask, quicker than I thought. I only wake up when I have to use the restroom.
The help from this site is increible!1 Thank you all
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#8
RE: New charts !!!
trickyneedsleep,

Your usage is indeed much improved.

Your AHI numbers are still too high, but you knew that already.

I'll throw in my 2 cents of advice with some comments:

1) I don't think you have enough CAs to worry about.  Use the Flex setting that is most comfortable and natural feeling to you.

2) When posting daily data, please post the event chart. It's not showing up when I look at your images. Likewise, for some reason the scales on your SleepyHead graphs are not showing up when I look at the images. That makes it hard to evaluate the leak data.

3) The leaks appear to be well controlled until the end of the night. Any chance you tend to sleep on your back at the end of the night?

4) If you are looking for advice on how to tweak the pressures, here's what I'd do:
  • For a cautious, more slow approach, I'd bump the pressure range up to 10-14 for 3 or 4 days, and then if needed, bump it up again if the AHI doesn't come down. (My guess is that you may need several rounds of "bump the pressures up by 1cm, use them for 3-4 days, and then bump it up again" before your AHI starts to come down.)
  • For a less cautious, speedier approach, I'd use a 10-20 (or 9-20) range for 2-4 nights to see just how high the machine wants to go. It clearly wants to go higher than you are letting it go right now, and the question is how high does the machine want to go and what kinds of things drive the pressure increases?  Once you have 2-4 nights of auto-titration, we'll have enough data to make an intelligent guess as to what your min and max pressures should be set at.
Note: The only real downsides to using an APAP range of 10-20 for a few days are: (1) Increased chance of large leaks, particularly at higher pressures and (2) increased chance of triggering aerophagia problems.  If you're not having any problems with aerophagia, I'd recommend using an autotitration range of 10-20 for a few days.  If you are having problems with aerophagia, I'd recommend going slower and increasing the pressures by no more than 1cm at a time.
Questions about SleepyHead?  
See my Guide to SleepyHead
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#9
RE: New charts !!!
Honestly, I was thinking that going from an AHI of 38.4 to the lowest being 6.6 is GREAT progress!
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#10
RE: New charts !!!
Great progress for sure! But I would wager if you follow the advice above you will do much better than 6 on a consistent basis.
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