RERA [help understanding them]

[Shel]

Sorry. I have another question. Sleepyhead shows my events as 0.0, but MyAir shows as .9. Is there a reason why they're different? Usually they are the same so I'm more curious than anything.

[Walla Walla]

Check the start and end times on both. Odds are the clocks are off from each other so they're reporting different time periods. Most likely it's the My Air time that's off.

[Shel]

Just a little update. After the other night when I had changed my own settings for the 2 hour nap, my fiance got all freaked out that I'd get booted out by my prescribing doctor or the DME or my insurance company so I reset it back to where it was at originally. I saw the prescribing doctor today (not sure this is relevant, but he is a PA at a pulmonary clinic) and he sent orders for the DME to up my pressure from 7 to 9, but no change in the EPR. I also asked about being switched to an autoset machine and he kept saying I didn't need BiPap so I was confused on that, my limited knowledge is Bipap and an autoset machine are not the same...am I wrong on that? I came home and checked later and saw the DME had upped the pressure so I went for a nap. It only lasted 1h20m. My events per MyAir were 1.5. Unfortunately, I forgot to place my SD card back in the machine after my appointment and am unable to check the data via SH  .  The only problem I seemed to have after this nap was waking with palpitations. I do have a pretty severe anxiety disorder so it could be from that though I've not woken with palpitations before. Now, I am still under the compliance phase or whatever so how do I get a change to autoset? I don't see this doctor again until November. He wasn't even going to up the pressure, but my fiance mentioned that I'm still snoring at times. Also, can DME tell that the changes I made actually came from me? I know I could use airplane mode, but that seems like they wouldn't be able to let my insurance company know I am compliant? The SD card didn't come from the DME, I bought it myself to use with SH. Sorry for the ramble and thanks for any advice.

[Sleeprider]

The Airsense 10 Autoset is a CPAP that automatically adjusts pressure. The Elite is a CPAP that has fixed pressure. Both have EPR. All bilevel machines are branded "Aircurve 10". Don't assume your doctors or PA have any actual experience or knowledge of settings or even machines other than "pressure". It's really up to them to prove otherwise give the widespread ignorance of how things actually work.

[Shel]

Me once again. I am attaching 2 screenshots and would just like to know if things look normal-ish. Thanks.

[Walla Walla]

Overall your numbers are great. Your still getting some flow limitations though. I would still increase EPR to reduce them along with the hypopnea events. But it really depends if they're disturbing your sleep still. If not than I'd leave things alone.

[Shel]

I will raise it tonight. I forgot to put my SD card back in my machine last night so no graphs : but I had machine on for 5h36m and events were 2.5 . I wish I could talk my doctor into an autoset machine. Should I put EPR at 2 pr 3? And thank you again for the help.

[Walla Walla]

I would try 2cm EPR first and see if that helps, if after a couple of days it doesn't help try 3cm. Keep an eye on the obstructive events. If they start to increase you'll want to bump the minimum pressure up one also.

[Shel]

I just changed it to 2 so I don't forget at bedtime. My machine is on a fixed pressure of 9 so if I start having more OAs, I'll need to raise it to 10?

[Shel]

I guess I was wrong and did have the SD card in   It seems the reras and all but two of the hypopneas happened during my second block of sleep where I changed out my mask. The first block of sleep has the OAs. The first block, I was using F&P Brevida nasal pillows, but when I woke, my nose was feeling slightly sore so I changed over to Resmed nasal pillows (forget the actually name of them, sorry). The graphs from yesterday, I had been wearing a soft cervical collar, but last night I used a chinstrap. Could the mask changes or using chinstrap cause any of the changes in my data? I also tend to worry that I'm not breathing right while sleeping, is there anything in the data that indicates that or am I just being paranoid? Thank you and sorry for so many questions.