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Newbie looking for Feedback
#1
Newbie looking for Feedback
Hello, 
I am new to this board and recently had a Home based sleep study (given by my Sleep Center), after my PCP suspected Sleep Apnea. My diagnosis was moderate OSA (AHI 24.1) with moderate O2 saturation. I suspect I may had this for several years.
I have been using CPAP (PR Dreamstation with FlexPlus Auto Ramp 4 - 18 cm set by Sleep Center),
with Dreamwear Nask Pillow mask for 2 weeks now. See latest Oscar report below.

Questions :
1. Even though my AHI is below 5 for the past 2 weeks, I am still not feeling fully refreshed in the morning. Was wondering how many days/weeks does it take to see improvements. I understand the CPAP efficacy varies from person to person.
I am sleeping overall more hrs ( 8 - 9 hrs) than before CPAP ( 6-7 hrs). Not sure if my body is trying to catch up with my sleep debt Smile  

2. Based on my OSCAR reports, am I on right track in terms of statistics ?

I am still digesting the different aspects/terminology of my long Aleep Apnea journey.
But I already feel part of this family, after reading excellent different posts here and any suggestions/guidance will be appreciated.


Attached Files
.docx   Sep19_2018.docx (Size: 184.64 KB / Downloads: 16)
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#2
RE: Newbie looking for Feedback
Hi, and welcome.  The first thing that occurs to me is in your description of your pressure settings.  They start as low as 4.0.  That is much too low.  When we get newcomers here who  complain as you do about how you feel, despite good numbers each morning, we often find that their low pressure point is near 4.0.  When we suggest they consider bumping it up to 5.5 or even up to 6.0, they almost always come back and say that it's a big improvement.  So, if you feel comfortable getting into your 'settings' and options, see if you, or your monitoring group, can't bump that up at least to 5.0 (but I would strongly go with at least 5.5, even 6.0).

When first getting into PAP therapy, whatever it consists of, you're dealing with change.  You need a period of adjustment.  Sleep changes, your awareness of your circumstances changes, even mood later the next day.  Some report 'brain fog' that they didn't seem to have before using PAP.  Consider the next two or three months a trial period where you, your new machine, and your body, will have to shake hands often and sit down and 'talk' it out.

I haven't looked at your information yet, but I'll do that now and add anything I feel might be helpful to you.  You'll be sure to get some great advice from others who will see things I don't see....so please be patient and wait for other comments.

Edit [added] - Your charts are hard to see because they are small. Would you please read the organizing your charts instruction, found in the link to OSCAR, found at the top dark marquee. We don't need the calendar, for example, and could use other information presented in different order. It really helps us to standardize our approach to helping everyone.
Serial Tapist
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#3
RE: Newbie looking for Feedback
Thanks mesenteria.
Appreciate the suggestions.
Not sure if I can bump up the low pressure point. I may need to reach out to the Sleep center.
I have inserted my OSCAR info based on the instructions.

   
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#4
RE: Newbie looking for Feedback
You certainly can.  At the top of the page you see a link titled setup manuals.  follow the instructions to get the one for your machine.  It is a manual process so don't expect an instant response.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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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#5
RE: Newbie looking for Feedback
Hi and welcome to Apnea Board. The chart doesn't look real bad. Like mesenteria mentioned, a bump of your pressure minimum would be helpful; I'd suggest 6 for now. We see that with most users of the Respironics machines that it's a bit slower in responding to events. That pressure bump helps to minimize that slowness in responding. And it can help if it feels like you're not getting enough air through the mask.

You can adjust it yourself once you access that clinician menu. You can obtain a clinician manual in the link at the top banner. Just search for your specific machine.
Dave Sparky DukeNukem

I'm not a doctor in real or fictional life. My posts include opinions based upon user experience and researched info regarding CPAP therapy and should not be considered medically professional directions or advice.


Wiki Info for Beginners
OSCAR Chart Organization
Mask Primer
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#6
RE: Newbie looking for Feedback
Thank you so much for the suggestions. Will go ahead and try setting the min pressure to 6.
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