Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Newbee - Suggestions on Proper Approach?
#11
RE: Newbee - Suggestions on Proper Approach?
(02-19-2019, 08:01 PM)Sleeprider Wrote: I have never intentionally inhaled water to my sinuses, but have experienced the sensation while water skiing. Sounds like some kind of medieval torture to me.

Yeah, this is real strange for sure!!!  I think I'll have to watch the video...sounds real fun, huh?  -  Ughhhh!


I told the instructor that I sometimes feel a tickling at the top of my nose which causes me to sneeze a fair amount.  This came on shortly after I began the cpap treatment. - - I thought it was allergies which I seldom get, but she said the cpap can cause those symptoms.   So she described the sinus-rinse process which is pretty gross. - - She said you hold one nostril closed while shooting the saline solution in the other...gets where it comes out??? - - Thinking-about   If you said, "your mouth", you're the winner!  - I can't believe this is all leading to this!!!      Oh-jeez
Post Reply Post Reply
#12
RE: Newbee - Suggestions on Proper Approach?
(02-19-2019, 08:01 PM)Sleeprider Wrote: I have never intentionally inhaled water to my sinuses, but have experienced the sensation while water skiing. Sounds like some kind of medieval torture to me.

HAHA!  That was my reaction when my wife suggested a Neti Pot for my allergies long before we even considered CPAP.
It took a little getting used to, but it's just a matter of reversing our CPAP "training" and closing off the nose to mouth-breathe.
My wife likes the squeeze bottle, but I find that I don't get a good flush of the upper sinuses and prefer the actual "pot" style with the long spout.
You use a warm saline solution, so it is not irritating at all once you get used to flowing water through your sinuses.  
Left to right, then right to left, then blow the crap out and it's amazing how much of the day's dirt and debris comes out.

You aren't really inhaling water, just pouring it through from one side to the other.
(02-19-2019, 09:23 PM)Snoring Bear Wrote: She said you hold one nostril closed while shooting the saline solution in the other...gets where it comes out??? - - Thinking-about   If you said, "your mouth", you're the winner!  - I can't believe this is all leading to this!!!       Oh-jeez

What in the actual frig she said that?
No...  Tip your head over leaning forward over the sink, and let it run through.   When you get the angle of your head right, you'll feel it really getting back into the upper and lower cavities.  Then reverse to the other side for the other half of the pot and blow.
It never needs to go into your mouth.
The way she described will not flush your sinuses... it will only flush your nose... no better than simply blowing.

https://www.youtube.com/watch?v=EDSlUuAOnN0
-- Rich
Links to Download OSCAR here
OSCAR Installation and Setup

Using Attachments to Post Images on Apnea Board

INFORMATION ON 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 WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

Post Reply Post Reply
#13
RE: Newbee - Suggestions on Proper Approach?
Rich,

You are absolutely right! - I went to YouTube and looked up NeilMed Sinus Rinse which was the product I bought at the hospital pharmacy. I found a similar video that explained it the way you did. Here's the video for those who want to give it a try...
https://www.youtube.com/watch?v=LW9mvVe7Mk4

It was real easy and I felt great afterwards! - - I don't know why the "teacher" said you close one nostril while pouring the saline solution through the other...??? My video and yours seem to be the right way and a good way to clear things up.

By the way, for the benefit of those who are new to this like I am, I'll explain how this question came up in the class. Last night I was a bit congested; the first time this has happened in my week on cpap. So, at one point, although I could inhale through my nose, I wasn't able to comfortably exhale through my nose. So, for just a few breaths I exhaled through my mouth, like blowing through a straw. It seemed to help me, but I knew it was wrong to do. - - That was the context of her suggesting I do a sinus rinse 3 hours before bedtime. - - Anyway, who said you can't teach an old dog new tricks? I'm surprised it took me this long to learn about this!

Now I'm hoping for a <5 AHI for this evening. If I make it, I'll get my new Resmed 10 with humidifier and the P10 mask tomorrow. If not, I'll have to forge on until I make the mark! - - Thanks again to you and SR for all your help!
Post Reply Post Reply
#14
RE: Newbee - Suggestions on Proper Approach?
Well, the good news is I was only at 2.58 AHI last night! The bad news is I had some huge leaks! - -  The attached report says I was in the "large leak" category for 16.19% (I assume that means % of time). My highest leak rate was 62.4!!! My 95% or less of time was 49.2;  my median was 10.8.  I know this can't be good!!!  I know the threshold for the Resmed 10 is 24...  Funny enough, the Resmed machine screen still gives me a "happy face" for my leaks. Smile

I am still using my original issue mask (F&P Eson2);  the lady yesterday said that's an easier mask to use than the Airfit p10,  although I know I good many of the users on this forum are using the p10.   - - If they don't flunk me out because of the large leaks, I'll be getting the p10 along with the new Resmed AirSense 10 Autoset this afternoon.   I'm hoping to be able to give the p10 a try to see if that helps with my leakage issue. 

As an aside, I was going to see if they have the Resmed 10 For Her model;  I suspect they probably will not, so I'll just go with the regular S10-Autoset.

Edit: Btw, I turned-off my "ramp-time" feature last night. That wouldn't be a reason for me having large leaks shortly after take-off, would it???
Post Reply Post Reply
#15
RE: Newbee - Suggestions on Proper Approach?
(02-20-2019, 02:25 PM)Snoring Bear Wrote: Well, the good news is I was only at 2.58 AHI last night! The bad news is I had some huge leaks! - -  The attached report says I was in the "large leak" category for 16.19% (I assume that means % of time). My highest leak rate was 62.4!!! My 95% or less of time was 49.2;  my median was 10.8.  I know this can't be good!!!  I know the threshold for the Resmed 10 is 24...  Funny enough, the Resmed machine screen still gives me a "happy face" for my leaks. Smile

I am still using my original issue mask (F&P Eson2);  the lady yesterday said that's an easier mask to use than the Airfit p10,  although I know I good many of the users on this forum are using the p10.   - - If they don't flunk me out because of the large leaks, I'll be getting the p10 along with the new Resmed AirSense 10 Autoset this afternoon.   I'm hoping to be able to give the p10 a try to see if that helps with my leakage issue. 

As an aside, I was going to see if they have the Resmed 10 For Her model;  I suspect they probably will not, so I'll just go with the regular S10-Autoset.

Edit: Btw, I turned-off my "ramp-time" feature last night.   That wouldn't be a reason for me having large leaks shortly after take-off, would it???

Just to let you know the airsense autoset will only show the red frowny face if your leaks occur 30% of the night.
Post Reply Post Reply
#16
RE: Newbee - Suggestions on Proper Approach?
(02-20-2019, 02:57 PM)yankees123 Wrote:
(02-20-2019, 02:25 PM)Snoring Bear Wrote: Well, the good news is I was only at 2.58 AHI last night! The bad news is I had some huge leaks! - -  The attached report says I was in the "large leak" category for 16.19% (I assume that means % of time). My highest leak rate was 62.4!!! My 95% or less of time was 49.2;  my median was 10.8.  I know this can't be good!!!  I know the threshold for the Resmed 10 is 24...  Funny enough, the Resmed machine screen still gives me a "happy face" for my leaks. Smile

I am still using my original issue mask (F&P Eson2);  the lady yesterday said that's an easier mask to use than the Airfit p10,  although I know I good many of the users on this forum are using the p10.   - - If they don't flunk me out because of the large leaks, I'll be getting the p10 along with the new Resmed AirSense 10 Autoset this afternoon.   I'm hoping to be able to give the p10 a try to see if that helps with my leakage issue. 

As an aside, I was going to see if they have the Resmed 10 For Her model;  I suspect they probably will not, so I'll just go with the regular S10-Autoset.

Edit: Btw, I turned-off my "ramp-time" feature last night.   That wouldn't be a reason for me having large leaks shortly after take-off, would it???

Just to let you know the airsense autoset will only show the red frowny face if your leaks occur 30% of the night.


Oh okay, thanks for that! I was wondering what it took to get the red-faced guy...  It seems the titration process requires that the AHI just gets below 5.   Maybe since I was only in the "large leak" range for 16% of the time, I passed!!!  I'll know for sure in a couple of hours.  Thanks again!
Post Reply Post Reply
#17
RE: Newbee - Suggestions on Proper Approach?
"I read a thread just a while ago about someone who was going to need ASV treatment.   Although you said it's premature to be overly concerned about having Complex Apnea at this stage, I have some questions:"

Think that person was probably me - if I were you I really wouldn't worry your charts look infinitely better than mine - I'm the 'before' to your 'after' if you like :-) I'd say you're a long way from being worried about anything other than obstructive, keep working on leaks and positional therapy - I put off a cervical collar for long enough and it made the biggest difference to my treatment from anything suggested.

You're doing great, keep learning and listening and this will all be old hat soon

Rob
Post Reply Post Reply
#18
RE: Newbee - Suggestions on Proper Approach?
(02-20-2019, 07:13 PM)Technopauper Wrote: "I read a thread just a while ago about someone who was going to need ASV treatment.   Although you said it's premature to be overly concerned about having Complex Apnea at this stage, I have some questions:"

Think that person was probably me - if I were you I really wouldn't worry your charts look infinitely better than mine - I'm the 'before' to your 'after' if you like :-) I'd say you're a long way from being worried about anything other than obstructive, keep working on leaks and positional therapy - I put off a cervical collar for long enough and it made the biggest difference to my treatment from anything suggested.

You're doing great, keep learning and listening and this will all be old hat soon

Rob
Hey Rob, thanks for reaching out and thanks for the encouragement! It's amazing how many issues get raised here on this forum... and as a new guy, I guess it's normal to question if the issue applies to me.  Although I have quite a ways to go to fully understand my charts, it's good to know that things are pointing in the right direction.

I just got my own new Resmed 10 Autoset and Airfit P10 mask ... I passed the titration test!!!   I'm anxious you see if the new mask is comfortable enough and if it helps eliminate the leaks. Btw Rob, what type of cervical collar did you end up getting.  If I continue to experience clusters as SR mentioned, I'll need one too.

Rich- I spoke to the respiratory specialist lady today when I got my new stuff and asked her about the sinus rinse. She said I did not misunderstand the process she had explained yesterday! ?  She said when you do it her way, your sinuses are thoroughly cleaned as compared to the method shown in the videos you and I posted yesterday... Really?!?!?! I'm going to do a bit more research on YouTube... Stay tuned! ?
Post Reply Post Reply
#19
RE: Newbee - Suggestions on Proper Approach?
The popular cervical collar seems to be Corder ReLeaf - tried it and it was too soft for me

The one I've found that works for me is called Nine Max Foam Cervical Collar which I think is just a standard kind of thing.

Do it sooner than later though

Rob
Post Reply Post Reply
#20
RE: Newbee - Suggestions on Proper Approach?
(02-20-2019, 11:28 PM)Technopauper Wrote: The popular cervical collar seems to be Corder ReLeaf - tried it and it was too soft for me

The one I've found that works for me is called Nine Max Foam Cervical Collar which I think is just a standard kind of thing.

Do it sooner than later though

Rob

Thanks Rob!  I'll look into those and peruse the forums here.  I know I have a tendency to have my head a bit forward during the day (sitting, walking or whatever);  I'm sure this is carrying over to my sleep posture and hence causing my "positional apnea" that SR alerted me to.  - - I will order one within 24 hours so that I can start using it asap.   I'm sure all these little tweaks are going to get my AHI down to a respectable number.  Thanks again!
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Complex Sleep Apnea? Suggestions? Unkikonki 55 2,933 03-08-2024, 08:35 PM
Last Post: stevew168
  Suggestions for correcting class 6 flow type on Oscar Gugliano 5 253 03-03-2024, 09:03 AM
Last Post: Sleeprider
  [CPAP] Help - Initial Titration Suggestions gli890 2 305 02-17-2024, 01:04 AM
Last Post: CPAPfriend
  Dreamstation 2 feels like it isn't treating my apnea (any suggestions)? Sunday3 4 288 02-05-2024, 10:01 AM
Last Post: Sleeprider
  Decent - but we all deserve better than that! Suggestions please. CPAPveteran 9 586 12-28-2023, 08:20 PM
Last Post: Gideon
  Chin Strap Suggestions Jose Castro 9 819 12-17-2023, 08:09 PM
Last Post: eok361
  Flow Rate Interpretation and PAP Mode / Pressure Settings Suggestions ABC1234 3 605 10-16-2023, 07:34 PM
Last Post: ABC1234


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.