Post Reply 
Please help. Data interpretation. Feel like crap.
Author Message
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: #11
RE: Please help. Data interpretation. Feel like crap.
(05-15-2015 01:58 PM)Mark Douglas Wrote:  It would seem so. I am going to get a FFM next pay day and see it that helps.

"Oh No, Mr. Bill... Say it aint so!!"

Have you considered a pillows mask? Say for instance the P10? By doing that now, you won't have to do that later when all the rest of the world is clamoring to get them. Resistance is futile.
05-15-2015 02:41 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #12
RE: Please help. Data interpretation. Feel like crap.
Mark, getting the machine is the easy part unfortunately. Getting used to the masks is hard. You will be adjusting humidity, straps, the bed pillows, and hose. You will find your sweet spot. But it will take time. And that is a pain.
05-15-2015 03:07 PM
Find all posts by this user Post Reply Quote this message in a reply
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #13
RE: Please help. Data interpretation. Feel like crap.
(05-15-2015 02:29 PM)Terry Wrote:  FWIW, if you want to declutter your display you can turn off PRS1_01, PRS1_02 and all the UF events in the graph. Nobody knows what they are, so they just make it messy but provide no information.

Terry

Terry I turned on the custom events hoping to see if I was having a problem with lots of "almost" events. My AHI indicates as I have been told I'm doing pretty well yet I feel exhausted.
Maybe lots of little pin pricks can add up to am unhappy night?

Quote:Custom User Event Flagging. I'd recommend that a new PAPer leave this unchecked. It can be useful if you have a lot of "almost" apneas or "almost" hypopneas showing up in your detailed data, but it really is an advanced feature.

   

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
(This post was last modified: 05-15-2015 03:11 PM by Mark Douglas.)
05-15-2015 03:08 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #14
RE: Please help. Data interpretation. Feel like crap.
(05-15-2015 03:07 PM)trailrider Wrote:  Mark, getting the machine is the easy part unfortunately. Getting used to the masks is hard. You will be adjusting humidity, straps, the bed pillows, and hose. You will find your sweet spot. But it will take time. And that is a pain.

So it would seem. Sigh. I just wish I felt as I did after the first two nights.....

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
05-15-2015 03:12 PM
Find all posts by this user Post Reply Quote this message in a reply
quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #15
RE: Please help. Data interpretation. Feel like crap.
I see a couple things:

1. UF2 is really occurring lots, but RERA and FL is not. Zoom in on that patch near 0500, and tell me if you see halting breathing.
2. Pressure Pulse is occurring quite a bit, too. Zoom on a few of those and see if they correlate with any other feature like short breathing halts.

I would normally expect that pressure changes might be irritating you to the point of disturbing your sleep, and ability to transition to deep sleep or REM sleep. If it was just recently that you changed to the biPAP, you may still be getting used to the feeling of the system pressure shifts.

Hope this clears up.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
05-15-2015 03:30 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #16
RE: Please help. Data interpretation. Feel like crap.
(05-15-2015 01:58 PM)Mark Douglas Wrote:  
(05-15-2015 01:07 PM)DariaVader Wrote:  If I am seeing your leak rate properly, it looks very high - and consistently high. Are you mouth breathing? have a bad fit?

It would seem so. I am going to get a FFM next pay day and see it that helps. I have worn FF HAZMAT respirators for many years and while I don't like them I am acclimated to them. I bought the Wisp in large part because of the quick disconnect/swivel features but it may not be what I need otherwise.

Actually your leak rates do not look that bad. PR machines report total leakage which includes the designed in leakage through the vent. It looks to me like the worst the unintentional leakage was somewhere in the 20's l/min.

On the other hand, if you want to ensure that mouth leakage does not affect your therapy then a FFM may be the way to go. Be aware that it may take some determination to get the FFM working right for you. For one thing, they generally need to be somewhat tighter than the nasal masks when the CPAP pressure is on. If you have prominent cheek bones and/or a deeply recessed nasal bridge I would recommend either the Mirage Quattro or the Simplus FFMs.

Best Regards,

PaytonA
05-15-2015 03:38 PM
Find all posts by this user Post Reply Quote this message in a reply
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #17
RE: Please help. Data interpretation. Feel like crap.
[Image: YERTZp5.png]

[Image: WKL4VZ9.png]

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
05-15-2015 03:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
AshSF Offline

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #18
RE: Please help. Data interpretation. Feel like crap.
Mark. My 2cents.

Since your pressures are below 15 and you are not going into large leak territory with your nasal mask, I see no reason to go the FFM route.

You already have the best mask on the market and it works for you. As RG says - everyone will eventually clamor for a P10. Resistance is futile.

I get a feeling that you are trying to rush/brute force it with the therapy. You are probably thinking that you have leaks, pressure settings and AHI under control so why am I not feeling awesome. Your body will take its time to acclimatize to the new paradigm of ample oxygen and nearly absent choking episodes. Your breathing pattern (MV,RR, IE ratio, TV) will normalize to regular values while on cpap. Your diaphragm muscle will gain strength to not tire out due to breathing against pressure.

While all this is going on, your hormones will adjust to the new normal. Your brain will adjust to a new sleep stage frequency. So there will be days that you will check your AHI, it will be probably less than 1 but you will feel like crap.

This is what I have synthesized from my extensive reading and my personal experience with xPAP. I had leaks and AHI under control from day one but I truly started feeling good after 140 days. YMMV.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
(This post was last modified: 05-15-2015 04:05 PM by AshSF.)
05-15-2015 03:59 PM
Find all posts by this user Post Reply Quote this message in a reply
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #19
RE: Please help. Data interpretation. Feel like crap.
@AshSF you are undoubtedly correct but ..

[Image: JjKs8V0.jpg]

I bought a vpap so I could cover almost all the bases.
I have wondered if a different mode would be more appropriate.

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
(This post was last modified: 05-15-2015 04:12 PM by Mark Douglas.)
05-15-2015 04:10 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,309
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #20
RE: Please help. Data interpretation. Feel like crap.
Let me take a wild guess...your tidal volume is kinda low. I don't know how big a guy your are, but mine averages in the upper 500s to mid 600 range. The last closeup graph you showed indicates you might not be fully exhaling at your current settings, and this might be affecting your volume per breath. An increase in minimum PS can promote improved respiratory exchange.

Here is a thought to try...your choice. Keep all settings the same, but increase minimum PS to 4.0 and maximum to 7.0. Drink two beers with a piece of pizza, and call me in the morning. Smile

Seriously, this should continue to control the OA that is looking pretty good. If it doesn't aggravate CA, then the result should be a bit better ventilation rate.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-15-2015 06:54 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Flow Rate Interpretation nadprok 2 211 11-13-2016 06:08 PM
Last Post: nadprok
  1 night off of cpap.....feel great! duece12345 6 514 10-31-2016 08:55 AM
Last Post: robysue
  I Feel So Dumb - Climateline Hose Violetskyye 14 825 10-08-2016 11:15 PM
Last Post: Violetskyye
  New AHI Low but Didn't Feel That Great holden4th 1 265 09-09-2016 04:59 AM
Last Post: DeepBreathing
  I have gained 10 lbs and I never feel rested on cpap Lalae 18 1,020 09-08-2016 05:59 PM
Last Post: doll
  New CPAP user feel like crap markrb 20 6,524 09-06-2016 07:24 AM
Last Post: mikeindc
  Sleepyhead data vs. Doctor's data Daisylouu 8 1,373 09-01-2016 06:10 PM
Last Post: eseedhouse

Forum Jump:

Who's Online (Complete List)