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Sleepless in Seattle
#11
(05-31-2017, 04:55 PM)TASmart Wrote: I have found that the type of mask also has a lot of effect on nasal swelling. RIght now, I seem to do best with a Eson 2 small, or medium, and with a Airfit P10 small. The P10 medium was a total disaster. KI also have to use a chinstrap to reduce mouth breathing and nasal strips to open my nasal passages.

Sleep hours may come along as you gain comfort and belief in xPAP beng healthy and good, but some minds are more stubborn than others.

Thank you for the advice. The one thing that has helped my sinuses so far is the increase in min pressure. I hope this trend continues.

Is there a way to tell from my Sleepyhead data if I'm having leaks associated with mouth breathing?

GuppyDRV
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#12
It seems that you are sleeping on your back.  Because of that, I'd recommend upping your lower pressure up to 9.0cm and increase your maximum to 12cm for additional allowances.  It won't use the top pressure unless it needs it.  Your flow limit looks a little high and may respond favorably to using the Flex mode to reduce pressure during exhale.  Since I'm a Resmed user, I will need a P-R user to advise on this idea as well as, which Flex mode.

Good luck!
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#13
I went and got my nose opened up. It has made a huge improvement and was a lot less trouble than I was told it would be. I should not have put it off for so long.

Sleep-well
For more information explore and read the wiki or just start with the link below.
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Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
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#14
I agree with Crimson Nape on the pressure adjustments.  Your Flow Limitation is a little high.

As far as the Flex settings go, this is something you just have to try, which I think you said you did and settled on Flex 1.  

I had the same problems with Flex as it is flow based and doesn't give you true pressure relief like a ResMed machine.
The most you can get is 2cm drop in pressure no matter which setting you use, so go by how you feel with it.

Here is a brief description on how Flex works, which I think is a bit confusing, but may help.

You can receive up to 2cm pressure relief, but is flow based.
• C-Flex – Provides pressure relief upon exhalation.
• A-Flex/C-Flex+ – Provides pressure relief taking place at the end of inhalation and at the start of exhalation.
OpalRose
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#15
OpalRose,

Thanks for the explanation! That makes sense as it felt like someone was messing with my breathing near the top of my breath. I'm guessing Aflex1 just backs that algorithm off a bit. What exactly is a flow restriction? How can people tell I'm sleeping on my back.

I'll wait for a bit more feedback before deciding on my next changes.

GuppyDRV
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#16
From the Wiki

'''Airflow Limitation (Flow Limitation)''' - Partial closure of the upper airway with reduced airflow. ...low Limitation''' - Partial closure of the upper airway, which impedes the flow of air into the lungs.


Which is why the recommendation for a higher pressure.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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#17
(06-04-2017, 02:58 PM)OpalRose Wrote: From the Wiki

'''Airflow Limitation (Flow Limitation)''' - Partial closure of the upper airway with reduced airflow. ...low Limitation''' - Partial closure of the upper airway, which impedes the flow of air into the lungs.


Which is why the recommendation for a higher pressure.

Ah Wiki....who knew! I'm going to bump my pressures up one notch to 8-11 and leave the Aflex set at 1 as that seemed to work. I'll report back when I have more data. 

Thanks again to everyone for all the help.

GuppyDRV
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#18
Thank you for asking questions. Reading the answers brings out a bunch of good information.

like
For more information explore and read the wiki or just start with the link below.
http://www.apneaboard.com/wiki/index.php...re_success

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
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#19
@Guppy - the post you showed really looked good to me, especially that the Aflex is put to 1.  I anticipate that some of your H scores are because of feedback from the extra flex in the breath (in other words, not due to obstructions).  While I would have stayed at the 7 to 10, (because you didn't ever hit 10, and all your OAs are suppressed) you will still be ok at the 8 to 11.  But, please do yourself a favor, and stay at the setting for a while.  Especially, if you now can sleep comfortably.  Gotta get that rest, eh?

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.
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#20
(06-05-2017, 12:49 PM)quiescence at last Wrote: @Guppy - the post you showed really looked good to me, especially that the Aflex is put to 1.  I anticipate that some of your H scores are because of feedback from the extra flex in the breath (in other words, not due to obstructions).  While I would have stayed at the 7 to 10, (because you didn't ever hit 10, and all your OAs are suppressed) you will still be ok at the 8 to 11.  But, please do yourself a favor, and stay at the setting for a while.  Especially, if you now can sleep comfortably.  Gotta get that rest, eh?

QAL

Thanks QAL,

I went with 8-10 Aflex1 last night for that exact reason. Having only hit 9.5 I felt let's only change one thing at a time. The 8 min felt good as far as air flow as I had some issue with air starvation bellow 7. I'll post my SleapHead for last night later as I'm not in front of my computer at the moment but short version AHI slightly less at 3. I felt worse this morning and am still not falling asleep with regularity or sleeping long enough. I'm going to stay with 8-10 Aflex1 for the next week to really get a base line. 

Thanks again.

GuppyDRV
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