Please help with treatment review

[Sleeprider]

The thing that stands out to me without EPR is the relatively high and disruptive flow limits. All we really need to know is that you’re more comfortable and sleeping better. That is really the end game.

[DaveL]

Thanks.
I learn so much from posts on the forum.

Clearly I don't have the knowledge that many people here have.

In the 35 years of treatment for OSA I've felt that there has been negligence shown by the sleep docs I have and the system that supposedly treat OSA in Ontario Canada.

All the improvements in my knowledge, care and health have come from you participants here.

I'm very grateful sleeprider for what you've done! Thank you.

[DaveL]

The thing that stands out to me without EPR is the relatively high and disruptive flow limits. All we really need to know is that you’re more comfortable and sleeping better. That is really the end game.

Now my emphasis will be on sleep hygiene.  I need to get more hours in!

Sleeprider I like your avatar.  We're dog owners too.

Last night Morgan wanted up beside me. She already had her Thunder Shirt on.  She stayed with me for quite a while, to make sure that I wasn't frightened with the thunderstorm. ;

Seriously I need more hours of sleep each night. I missed a few last night.

[DaveL]

Woke up this morning. I slept longer (on purpose) and I feel better.
Took my mask off. One of the straps was off!
Here's my screenshot.

Thanks so much for encouragement and help.


S10 "for her"
humidifier/heated hose
N20

[DaveL]

I've used the apap for several weeks now.

Last time I reported I felt much better, and more rested.

I don't feel that way now.  For instance this morning I feel quite blah...

Would  you please look at this screenshot and give advice ?

Thank you!
Dave

[Sleeprider]

Based on this chart, your minimum pressure is too high resulting in no change in pressure through the night.

[Sleepster]

Starting at 12:50 am you were mouth-leaking for quite a while. If a chin strap or soft cervical doesn't eliminate the problem you will have to go to a full face mask.

I had the same problem and started feeling much better after switching to a FFM. Even if the leaks are below the threshold, they can still disturb your sleep.

[DaveL]

Thanks so much!


Full Face Mask.

I've tried hard to wear one. Except FFM won't stay on. I'm claustrophobic. I"ve tried many. The best was the ResMed F20. I kept it on longer; but it leaked terribly on my face. I tried it for several nights. Typically I wore it for 2-4 hours. Other full face masks haven't stayed on an hour.


Mouthbreathing

I have worn my Knightsbridge dual strap every night for more than a week. Most nights have been better than last night's use. When I woke up this morning I felt really flat. I remembered how well I felt when we dialled in my EPR settings. I genuinely felt great that night.


Pressure:

Thanks for your comment... I'll reduce the minimum pressure, by 2.

That's a guess!

edit: my S10 minimum pressure is now set lower; 13 (and that's my prescribed pressure).

Other thoughts

I've watched the video for the Knightsbridge dual strap again...twice in fact. The owner has been very helpful when I've had questions.

[DaveL]

Thanks for the suggestion.  
Changes.
-Minimum pressure reduced to 2, to my prescription pressure
-Took real care putting the Knightsbridge strap on, after watching the vendor's video
-Forgot to fill the humidifier tank; that's why there's a gap right after going to bed. Filled it.

Feelings.
-Feel like I had a better night's sleep
-Feel rested.

Questions?
-What's a Rera?

Here's the screen shot....

[staceyburke]

You are doing so much better, congratulations...  I don't have any more improvements to offer.  great job working through this.  Keep us informed.