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New to cpap
#21
Welcome! I'm new as well and there is a WHOLE lot of information here to digest. Thankfully everyone is very helpful!
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#22
(05-14-2017, 01:10 PM)Raggaemon Wrote: ajack:

I will give the Cpap treatment the full 3 months of the evaluation period under Medicare guidelines.

The other concern I'm having is the discrepancy between reports/data ... my machine sends a daily sleep report to my computer using WIFI, THAT report says that I'm having approx 3 apnea episodes per hour, each night so far ... the Sleepyhead data loaded from my SD card says there have been NONE, ZERO apnea episodes over the 3 weeks I've been using the machine, that doesn't seem right, one report is wrong, how to find which one?

My sleep study indicated 34 episodes per hour.

Be sure that in the Clinical Menu, the options for Essentials is set to PLUS (not just on).  This will allow efficacy data to be displayed in the Sleep Report on the machine display.  If the events there are not similar or the same as Sleepyhead, there is a problem.  Sometimes power-cycleing the machine fixes this problem, and events will properly display.
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#23
Heres some sleepy head results!
First try with the sleepy head



http://imgur.com/Od0s9Cj
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#24
The graph is excellent, and in terms of AHI, there are not any problems indicated here. Even your tidal volume and other metrics are very good. The only possible concern is a relatively high flow limitation. Normally we would not do anything to "treat" that unless there are other consequent problems. If this was my chart, I would increase minimum and maximum pressure by 1 cm each, and also increase EPR from 2 to 3. That would be entirely to address FL, and if that caused an increase in AHI or decrease in comfort, I'd head right back to where you are at right now. Well done!
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#25
Cool, Yes I do have a call into my primary doc because when I did talk to my resp doc he said  was maxing out at 15?
That was a 2 fridays ago, they havent gotten back to me...  IM assuming this is what you were referring to.   I didnt know how high they were going to move it.

What does EPR do again?

I also noticed that Sleepy head only did my my results for the day I posted previous days say Summary Only Sad

Did I do something wrong ?
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#26
(05-15-2017, 10:08 AM)aeilers Wrote: What does EPR do again?

EPR: Exhale Pressure Relief - The setting is 1 - 3 and represents the amount in pressure reduction measured in cm H2O.  However the minimum the pressure will be reduced is down to 4cm H2O.  If you have your machine set at 6cm and an EPR of 3, it will only go to 4cm and not 3cm.

Here is the Wiki link for a Glossary of terms and Acronyms:
http://www.apneaboard.com/wiki/index.php...=Wiki_Home

(05-15-2017, 10:08 AM)aeilers Wrote: I also noticed that Sleepy head only did my my results for the day I posted previous days say Summary Only Sad
Did I do something wrong ?

This usually occurs if you didn't have the SD card inserted in the CPAP or it was set to Write-Protect during the Sleep session.
______________________
Useful Links -or- When All Else Fails:
Posting SleepyHead Charts in 5 Easy Steps
Robysue's Beginner's Guide to Sleepyhead
Apnea Helpful Tips
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#27
(05-15-2017, 10:08 AM)aeilers Wrote: Cool, Yes I do have a call into my primary doc because when I did talk to my resp doc he said  was maxing out at 15?
That was a 2 fridays ago, they havent gotten back to me...  IM assuming this is what you were referring to.   I didnt know how high they were going to move it.

What does EPR do again?

I also noticed that Sleepy head only did my my results for the day I posted previous days say Summary Only Sad

Did I do something wrong ?

See my response in the new thread you started.
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#28
(05-15-2017, 10:08 AM)aeilers Wrote: Cool, Yes I do have a call into my primary doc because when I did talk to my resp doc he said  was maxing out at 15?
That was a 2 fridays ago, they havent gotten back to me...  IM assuming this is what you were referring to.   I didnt know how high they were going to move it.

What does EPR do again?

I also noticed that Sleepy head only did my my results for the day I posted previous days say Summary Only Sadhttps://sleep.tnet.com/resources/sleepyhead/shorganize

Did I do something wrong ?

First, it's clear you are near the top of your CPAP pressure range.  What is interesting about your Resmed Autoset is that with EPR it is actually a bilevel (BiPAP) machine. Standard titration protocols treat flow limitation and hypopnea with "pressure support" (PS).  Pressure support is the same as EPR, provided you also increase minimum pressure.  So, my suggestion does not change your current pressure, unless you reach the new maximum (IPAP) pressure.

At a CPAP range of 13-15 with EPR 2, your actual pressure in bilevel notation (IPAP/EPAP) is 13/11 to 15/13. My suggestion changes that to 14/11 to 16/13. Not much change, but in theory should help with the flow limitation.

That's probably a bit technical, but that's the basis of my suggestion.
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#29
(05-15-2017, 08:58 PM)Sleeprider Wrote:
(05-15-2017, 10:08 AM)aeilers Wrote: Cool, Yes I do have a call into my primary doc because when I did talk to my resp doc he said  was maxing out at 15?
That was a 2 fridays ago, they havent gotten back to me...  IM assuming this is what you were referring to.   I didnt know how high they were going to move it.

What does EPR do again?

I also noticed that Sleepy head only did my my results for the day I posted previous days say Summary Only Sadhttps://sleep.tnet.com/resources/sleepyhead/shorganize

Did I do something wrong ?

First, it's clear you are near the top of your CPAP pressure range.  What is interesting about your Resmed Autoset is that with EPR it is actually a bilevel (BiPAP) machine. Standard titration protocols treat flow limitation and hypopnea with "pressure support" (PS).  Pressure support is the same as EPR, provided you also increase minimum pressure.  So, my suggestion does not change your current pressure, unless you reach the new maximum (IPAP) pressure.

At a CPAP range of 13-15 with EPR 2, your actual pressure in bilevel notation (IPAP/EPAP) is 13/11 to 15/13.  My suggestion changes that to 14/11 to 16/13.  Not much change, but in theory should help with the flow limitation.

That's probably a bit technical, but that's the basis of my suggestion.

I did change my epr to 3 last night..... my numbers jumped     13.9 events per hour
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#30
Once you get your SD card, please post your Sleepyhead data so that we can see what is going on/what happened. See my signature line below on how to arrange your data.
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