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Please help
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annbower1125 Offline

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Posts: 28
Joined: Jul 2014

Machine: Remstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: System One Heated Humidifier
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments: find me on Facebook, Ann Margaret Simmons-Bower

Sex: Female
Location: Pinellas Park, Florida USA

Post: #1
Question Please help
for the last few days during the day I feel like I am having a hard time breathing, the picture I am posting is only 2 minutes but it seems like between 1am and 2am is my worst time, maybe someone might have a suggestion for me, I haven't talked with a doctor or anyone about my machine and I have had it for over a month, I am freaking out how do you have a ahi that high, I tried google and I cant seem to make heads or tails about what I am reading, thanks you all
08-03-2014 05:13 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: Please help
It's not what we want it to be, but it's not all that freakish either Ann, so relax time: Ommmm...

Your sidebar indicates your pressure is 4/20. Is that correct? It would be helpful to see your graphs - pressure, leak, etc -- for the whole evening.

But yes, you probably do need to have a conversation with your Doc since you are concerned about daytime breathing. You could have something else going on that needs attention. For instance, you may have swallowed your cat. Have you noticed anybody missing around your place?

Mostly don't fret too much. This is solvable.
08-03-2014 05:22 PM
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annbower1125 Offline

Preferred Members

Posts: 28
Joined: Jul 2014

Machine: Remstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: System One Heated Humidifier
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments: find me on Facebook, Ann Margaret Simmons-Bower

Sex: Female
Location: Pinellas Park, Florida USA

Post: #3
RE: Please help
[attachment=978]

is this what you need? and yes my pressure starts at 4 and can go to 20 not sure if it ever got that high though
08-03-2014 05:33 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #4
RE: Please help
I like that period between 4:30 and 5:30. So what's different about that time frame versus the 12:00 - 4:00 stuff?

Well, it looks to me, in my uneducated way, that your body is happy once things settle down. Once the pressure gets to about 15, the leaks stay mild, and the chickens have all gone to sleep for the night. Your body is at peace, and so is your apnea's.

Earlier, your pressure is running up and down from 4 to 15 or so, and your body is having lots of apnea events.

When you talk to your doc, ask him/her if setting your start and max pressures much closer together might not be a bad idea. I personally do much better --- actually so much better that it allows my therapy to be effective --- if my low and high are in a more tightly bound range. Not fixed at any particular pressure, but a range of 4 or 5 between low and high.

I think that may be what your body is trying to tell you.
(This post was last modified: 08-03-2014 05:46 PM by retired_guy.)
08-03-2014 05:45 PM
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DNB128 Offline

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Posts: 37
Joined: Feb 2014

Machine: Resperonics System One A-flex
Mask Type: Full face mask
Mask Make & Model: AirFit F10
Humidifier: Resperonics System One
CPAP Pressure: 9-18
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Rochester, MN

Post: #5
RE: Please help
What is your AHI? That shows up on the details tab; if it's under 5, there may not be anything to be concerned about, but of course we do have to look at the whole picture, which includes the daytime issues.
08-03-2014 05:45 PM
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bwexler Offline

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Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #6
RE: Please help
Yes. That helps.
If it were me, I would raise my minimum pressure to around 6 or 7 and max to about 17
The min would increase your start and end of night pressure a bit. The max is above your highest actual pressure. Sometimes tightening the range helps. After a week or so look at the results and how you feel. Then you can make smaller adjustments as you focus on what works best for you.
Pressure of 4-20 cm is a lazy practitioner leaving the machine wide open.
I would not worry about offending your dr or rt they don't seem to care much and may never notice your adjustments.
Your AHI is actually within acceptable range, just not perfect.

You may also want to read the thread about Medical Mafia.
(This post was last modified: 08-03-2014 05:51 PM by bwexler.)
08-03-2014 05:48 PM
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surferdude2 Offline

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #7
RE: Please help
The AHI would appear to be 3.4 which isn't all that bad. I do agree that setting your lower pressure upward will give you some relief from those early on events that you are having. It's like trying to enter the freeway by driving 5 mph on the on-ramp.

Edit: See a doctor about that daytime breathing problem.
(This post was last modified: 08-03-2014 05:56 PM by surferdude2.)
08-03-2014 05:53 PM
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annbower1125 Offline

Preferred Members

Posts: 28
Joined: Jul 2014

Machine: Remstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: System One Heated Humidifier
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments: find me on Facebook, Ann Margaret Simmons-Bower

Sex: Female
Location: Pinellas Park, Florida USA

Post: #8
RE: Please help
thank you all for the kind words, my machine is a auto cpap so I don't think I can set my pressures. can you set your pressures on a auto?
08-03-2014 06:41 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #9
RE: Please help
Yes you can Ann,

Find and download the clinician manual for your machine. It should be around here someplace...

Oh yeah, here it is.....
http://www.apneaboard.com/adjust-cpap-pr...tup-manual
08-03-2014 06:55 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #10
RE: Please help
Now, if you would like to try setting the pressures yourself, I'm good with that. But please leave the top end at 17 or so until you get a little experience with the results. The low end, were it my machine, would sit around 8 to start? Something like that. That's a much wider range than I like to see, but you need to sneak up on your sweet spot, not jump up and down on it all at once. Change things a little at a time, and once you get started, only one thing at a time. For instance this week change the pressures (yeah, that's actually two things) then next week change the sheets, then the next week change the low end a little more...... That sort of stuff.
08-03-2014 06:59 PM
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