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Sanity check on next steps (still tired)
#51
RE: Sanity check on next steps (still tired)
Flow Limits and centrals can definitly be a balance act.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
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#52
RE: Sanity check on next steps (still tired)
Thanks Dormeo. That's interesting. 

The attached looks like a RERA, right? There's sort of a recovery breath afterwards, and even after that my breathing is irregular, which I presume means I was awake (arousal breathing?)...

I have no problem having high CAs if I feel more rested... even when I've gotten my AHI down to 1.5 or so for a night, I don't feel well rested, so I'm more than willing to make adjustments that may address other issues and ignore AHI.

Sorry for flooding with posts. I'll wait for another response...


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#53
RE: Sanity check on next steps (still tired)
I set EPR to 2 and have been slowly increasing the min and max pressure by 0.2 over the last couple of nights to try to get the flow limits down.

The CAs are relatively stable and still seem lower when I sleep in a sitting position.

I figure that I'll keep increasing the pressure slowly until I stop seeing results in flow limits. Please let me know if this isn't a good approach.

Attached are OSCAR results from the other night, a zoomed in view during a period of flow limits, and an anomaly in breathing that wasn't flagged. Anyone know what that would be?
  • I wear a mouth guard, mouth tape, and a chin strap, so I don't think it's snoring...
Thanks!


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#54
RE: Sanity check on next steps (still tired)
You're pretty young. If you're sleep apnea isn't primarily central maybe you want to consider MMA (jaw surgery). Most people that have used CPAP and then had MMA report they sleep better after MMA compared to CPAP. The surgery really isn't that bad if you go to a good surgeon. I'm going that route myself later this year.
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#55
RE: Sanity check on next steps (still tired)
In addition to tracking the FLs, keep close track of how you feel. That's hard to quantify but no less important.

The odd incident looks to me as though you held your breath after breathing in, then expelled it abruptly and paused before taking some recovery breaths. Maybe you held your breath while changing the position of your body and then paused as you settled into the new position??
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#56
RE: Sanity check on next steps (still tired)
(09-16-2020, 08:09 AM)TSomm Wrote: I set EPR to 2 and have been slowly increasing the min and max pressure by 0.2 over the last couple of nights to try to get the flow limits down.

The CAs are relatively stable and still seem lower when I sleep in a sitting position.

I figure that I'll keep increasing the pressure slowly until I stop seeing results in flow limits. Please let me know if this isn't a good approach.

Attached are OSCAR results from the other night, a zoomed in view during a period of flow limits, and an anomaly in breathing that wasn't flagged. Anyone know what that would be?
  • I wear a mouth guard, mouth tape, and a chin strap, so I don't think it's snoring...
Thanks!

It's good to see your post here.
I'm Canadian too...and starting to see good results with my apap machine.
DaveL
Compliant for 35+ Canadian years

I'm just a cpap user like you. I don't give medical advice. I hope to learn from you, and share my experiences with you. 
Seek the advice of a physician before seeking treatment for medical conditions including sleep apnea. Sleep-well

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