Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

[Pressure] Back at it - new charts
#1
Back at it - new charts
After a 6-month hiatus (due to some "fun" medical conditions and surgical recoveries - nothing related to apnea), I'm back at seeing if I can get further improvements to my numbers. 

Unfortunately, since last time my best numbers are about twice what they were before (from below 2 to about 3.5 AHI). A SWAG nightly average would be between 4 to 5. Some of this may have been due to the gain of about 10 pounds (due to medically-directed "thou shalt not do squat" associated with the above recoveries - I'm currently in the process of recovering from the recoveries), not sure how much.

Some background info since the last time: 
  • Bonjour suggested that I up my minimum pressure from the factory-default 4 to 7. I made this adjustment at that time: may have improved things a small amount.
  • Based upon leak rate, at the suggestion of a couple of folks I tried to switch to a cervical collar: both a "standard medical" foam one and the "Releaf" travel version. Despite attempts to "tough it out", multiple nights trial with each resulted in waking up with a significantly-stiff neck and a splitting headache due to the pressure that this was placing on my neck. Aside from getting some resulting quality time with my chiropractor, my numbers were actually worse, due to the fact that the collar was essentially forcing me to sleep exclusively on my back. I'm therefore back to the chinstrap at this point.
  • During one surgical recovery when I was directed to sleep face down, my numbers were consistently below 2 AHI, frequently below 1 AHI. My apnea is very positional, with a significant tongue-obstruction component. Unfortunately, forcing myself to sleep all night exclusively on my side or face down creates other physical problems. 
  • I'm still battling somewhat with my mask. The AirFit P10 seems to work best overall from a comfort standpoint, although it's a bit sensitive to being bumped when I shift position. My AirTouch F20 is okay for short naps, but AHI numbers were actually worse when I gave it multiple nights, not to mention the couple of experiences of being force-fed air. I tried the AirFit P30i, but couldn't find a way to keep the pillows from being painfully forced into my septum. 
Suggestions appreciated, especially new ones that I haven't tried yet. Thanks much!

         
Post Reply Post Reply
#2
RE: Back at it - new charts
Look at your obstructive events.  They are a bit clustered at a somewhat lower level.  The typical 'fix' is a cervical collar, but for now just watch them to see if they get worse.  If they do we will need to find some way to maintain your cervical alignment.  

Was your previous cervical collar too tall?  This is different than managing leaks.
Post Reply Post Reply
#3
RE: Back at it - new charts
(01-20-2020, 07:40 PM)bonjour Wrote: Look at your obstructive events.  They are a bit clustered at a somewhat lower level.  The typical 'fix' is a cervical collar, but for now just watch them to see if they get worse.  If they do we will need to find some way to maintain your cervical alignment.  

Thanks for the response, Fred - I'm up for trying again with an SCC, or possibly an anti-snore collar like the Eliminator (which to my memory wasn't available when I instead tried the Releaf). I'd just need the eliminate the previous symptoms somehow.

As it stands now, I'm back to waking up once or twice a night, as well as the associated tendency to fall asleep on the couch in the afternoon. Some of the latter could be due to stamina lost during the weeks of sedentary recovery, but not likely all of it.

Quote:Was your previous cervical collar too tall?  This is different than managing leaks.

Not sure ... I'm not an expert at cervical collars, so it might have been. The problems with the SCC were IMO related to a combination of its stiffness, it's relatively-square edge, and the thickness in the back. Even after a lot of gyrations with the pillow and the tightness of the velcro strap, laying on my back often felt like I was trying to dislocate my cervical spine from the base of my skull with a (square-edged) tennis ball. Laying on my side, my shoulder would force the "edge" of the collar into my ear and / or lower jaw: there was no position or collar tightness that I could find that would avoid this.

My attempt with the Releaf was intended to address the square edge of the SCC. It helped somewhat, but still had the same problems - just to a slightly-lesser degree. This makes me wonder if an anti-snore collar like the Eliminator / Dr. Dakota, which lacks padding in the back, might help solve these issues.

From past experience (which was positive up until a year or two ago, hence the switch to APAP) with a dental appliance, I was getting significant benefit from preventing my jaw and tongue from falling back, as well as keeping my mouth closed ... to the tune of AHIs reducing from 38 to 0.5. Between that and my recent experience with sleeping face down, it seems like the key for me might be in there somewhere.
Post Reply Post Reply
#4
RE: Back at it - new charts
The chart didn't say to do it now, but to watch for it possibly increasing. For a trial you can wrap a towel around an old tie, make sure the knot is not in the back.
Post Reply Post Reply
#5
RE: Back at it - new charts
The "towel around a tie" idea is interesting - I'll likely try it out in the next couple of days.

Thanks, Fred!
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Help Interpreting Charts to ID Potential Palatal Prolapse - Deep Sleep Issue reedro287 5 102 03-26-2024, 08:39 AM
Last Post: G. Szabo
Question I'm back, tired, and hopeless. But is Bilevel the answer ?? weuw 83 4,974 03-23-2024, 08:16 AM
Last Post: Sleeprider
  Oscar Charts: Interrupted sleep with high heart rate xaid 1 108 03-19-2024, 08:15 AM
Last Post: G. Szabo
  Wake and can't get back to sleep hydra 11 521 02-23-2024, 12:05 PM
Last Post: Lucid
  Help Interpreting Oscar Charts - Huge Clusters of OA Heaviside 3 378 02-22-2024, 09:58 PM
Last Post: Sleeprider
  [Symptoms] Help my symptoms got better at first but then they came back after a month LordofthStrings 14 934 02-22-2024, 03:28 PM
Last Post: LordofthStrings
  Side sleeper vs. Back sleeper readings Bob Cali 4 402 02-21-2024, 09:54 PM
Last Post: PaulaO2


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.