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One month in - how can I do better?
#11
RE: One month in - how can I do better?
Some people do fine on a dreamstation everyone here will work with you and get it working as well as possible. Just like all of us just keep working on it. It is an on going process.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed 
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#12
RE: One month in - how can I do better?
Stacey, FYI, BiPAP is a proprietary term for a BiLevel built by Philips. It is often used as a generic term like Kleenex instead of tissue.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
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#13
RE: One month in - how can I do better?
Thank you, I learn something new here everyday!!
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: One month in - how can I do better?
Good morning all. Here is my Oscar data from last night after your recommendations. A couple of points I want to bring up. 
1. I woke up after roughly 4 hours but I was able to fall right back to sleep! No tossing and turning. First time in quite a while. 
2. I did not have to use the bathroom last night either, first time in a while. 
So while AHI is still high (but improved) I got my best night's sleep in quite a while.


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#15
RE: One month in - how can I do better?
Good to hear you had a more satisfying sleep. With the auto pressure on, and a minimum pressure of 7.0, we have a better view of how events occur and the machine's response to them. Needless to say, the next step is an increase in minimum pressure to 8.0 as events remain obstructive and require more pressure to resolve. The Philips Auto CPAP algorithm is somewhat slow to increase pressure, so it is important to optimize the minimum pressure to titrate out obstruction. In spite of the fact we limited the maximum pressure to 12.0, that setting was not a factor, and your maximum pressure was just over 10.0. The early obstructive events in our session at 21:20 and 22:10 are clustered. This often happens when you tuck your chin and physically or "positionally" obstruct your airway. Be aware of it, and avoid pillows that are tall or firm enough to tilt your head forward. Without those early clusters, your AHI would have shown considerably more improvement.

Please increase minimum pressure to 8.0, and I think you will find we are getting closer.
Sleeprider
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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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#16
RE: One month in - how can I do better?
Thanks sleeprider!!! I will do that this evening and report back in a few days. 
I cannot express my gratitude enough for everyone's help along with such positive attitudes here. 
Thank you SO MUCH!
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#17
RE: One month in - how can I do better?
I was camping and slept at 9500 feet for a couple of nights. Slept horribly so no need to share that data! But now I am back at low altitude in Salt Lake City (4500 ft)! Here is last night's data. It's actually my best to date (as far as AHI). I know I can do better of course so I would love to hear suggestions! I am using a cervical collar. Thanks all.


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#18
RE: One month in - how can I do better?
Looks to me like events may be sneaking past the pressures and some clustering is still evident. It seems like pressure and collar adjustments may be called for. I am pretty sure the collar wouldn't help the CA cluster at the beginning of segment one. I would think the segmented therapy sessions to be a bit disruptive to sleep.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#19
RE: One month in - how can I do better?
Are you saying I should raise the pressure a bit?
I will work with the collar as well.
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#20
RE: One month in - how can I do better?
If in doubt when using a Philips, increasing pressure is nearly always the right solution. The Philips Auto CPAP is basically an auto CPAP that needs to be setup like a fixed CPAP. It will never get ahead of events unless you do it with settings.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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Organize your OSCAR Charts
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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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