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New member, getting (re)started
#11
RE: New member, getting (re)started
The main reason to change epr was to help with flow limits (they are just smaller apnea - see signature).  And it did limit them a little - but not as much as I thought it would.  You said that the feeling of the machine was different but how are you feeling..  Do you feel it help you?  You could try epr to 3 and see if it helps.  All it is doing is lowering your low pressure on exhale.  It does help with upper airway obstruction - flow limits. 

Your main type of event is central, and you are a new user.  Most centrals clear up after you get use to the machine.  A central is when you have no obstruction and you do not breath (hold your breath).  It happen to new users because your body reacts to co2 and with the therapy you have less co2.  After a while the body gets adjusted, most of the centrals go away.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#12
RE: New member, getting (re)started
Just clarification - I've been a CPAP user for almost 15 years now, so while the machine is new, the therapy isn't. Wasn't sure if you were

Anyway, the new machine definitely feels stronger than my older one. It took me a couple days to get used to it. Now, getting used to the EPR is a new hump to get over - it's already better than it was night 1, so hopefully won't notice it anymore before too long.

I feel good in the mornings, no dragging myself out of bed and I feel pretty alert as soon as I wake up. I feel like I'm waking up during the night more; it's very brief - enough to realize it - but doesn't impact my ability to fall asleep instantly again.
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#13
RE: New member, getting (re)started
Even if you have been on Cpap for years, this is a change and your body needs to adapt to it. I hope it keeps getting better.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#14
RE: New member, getting (re)started
You didn’t say what type of machine your old one is but from your comments about epr I would guess your previous machine was from Phillips we prefer the Resmed here but as it’s algorithm I’d different to the Philips range of machines it can take some getting used to
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#15
RE: New member, getting (re)started
Gotcha - I just realized I never finished the sentence in my post which probably confused things.

Anyway, I really appreciate the help with the new machine - my old machine was a F&P Icon+.

I'll post 3 more days tomorrow and see if you guys have any additional input.
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#16
RE: New member, getting (re)started
Last 3 days. I adjusted the EPR to 3 just to see if it was less abrupt on the end of the inhale. Didn't see much of a difference.

LL on Monday around 6:00 was a restroom trip. Felt good all 3 nights - didn't get as much sleep last night as I would've liked, but Forged in Fire had a marathon... Wink

Any thoughts would be appreciated!


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#17
RE: New member, getting (re)started
I don't know if you feel any better but your flow limits are much better using the EPR.  Take a look at your old chart on flow limits and the new ones, it is quite a bit better.  Flow limits are apnea also just not as large and they are not timed (see my signature at the bottom of the page)  Flow limits can cause you to wake up or not get to deep sleep so I would hope you will start to feel a difference from your therapy.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#18
RE: New member, getting (re)started
(12-10-2020, 11:16 AM)staceyburke Wrote: I don't know if you feel any better but your flow limits are much better using the EPR.  Take a look at your old chart on flow limits and the new ones, it is quite a bit better.  Flow limits are apnea also just not as large and they are not timed (see my signature at the bottom of the page)  Flow limits can cause you to wake up or not get to deep sleep so I would hope you will start to feel a difference from your therapy.

So you're referencing the 95% flow rate number being better with EPR, correct?

I don't want to chase numbers, but what's the goal with all the data we are able to collect and analyze? If Flow Rate is good and I feel good in the mornings, is that the goal or are there still things we look to tweak or adjust to 'get better'? I've been reading up on the different measures and it sounds like an AHI < 5 is considered good - should it be lower, though?

What are the numbers for all of these measures on a healthy non-apnea person?

It's silly, but after being on CPAP for years, I really never thought about what the end goal was besides a good night's sleep... Once i hit that (very) subjective thing, do I just carry on?
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#19
RE: New member, getting (re)started
As time goes on things change as we age. Your settings will need to change. That is not to say each and every day you need to look at OSCAR but you do need to keep checking and see if things are different. The main goal is to feel better. Usually a lowere number is better. I my opinion just being under 5 is not real good but how you feel is what is important.

After coming to this site I went from 4.— to .3 or less for over 6 months and I do feel better.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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