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So far so good? SleepyHead report #1
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Lambsydoats Offline

Preferred Members-2

Posts: 117
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit ™ P10 Nasal Pillow
Humidifier: AirSense 10 AutoSet for Her-integrated
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments: Initially: AHI=52; 2nd: AHI=18; CPAP 11-10-14; as of 8-18-15: AHI consistently under 5.0

Sex: Female
Location: Southwest Michigan, USA

Post: #21
RE: So far so good? SleepyHead report #2
Here's the latest & greatest report. Does more data give you any more opportunity to educate me about what's happening?

The last two nights, I woke up with a tickle in my throat and took the mask off to cough awhile. Apparently I was too tired to put it back on until something (an apnea?) woke me up and I realized something was missing.

Happy weekending! I must go take a nap.

Lamb

To all, to each, a fair good-night,
And pleasing dreams, and slumbers light.
Scott—Marmion. L’Envoy. To the Reader.

Diagnosed with OSA September 2014
AHI=18
Lowest SpO2: 79%
11-22-2014 01:07 PM
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vsheline Online

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #22
RE: So far so good? SleepyHead report #2
(11-22-2014 01:07 PM)Lambsydoats Wrote:  Here's the latest & greatest report. Does more data give you any more opportunity to educate me about what's happening?

Hi Lamb,

How are you feeling, regarding daytime mental clarity, energy level, sleepiness or fatigue?

Your statistics look pretty good.

Your compliance is great and your Leak statistics are great, too. Good going.

The AHI is around 4 or 5, comprised mostly from the Central Apnea Index (CAI) which is around 3 or 4.

Your EPR setting is already only 1, which is probably a good place to keep it (unless it would be perfectly comfortable for you to lower it to zero).

In future, after achieving over a month of therapy, if the CAI is still the majority of the AHI, I would suggest you ask your doctor about trying a lower pressure (like maybe 8) for a month, to see if this lowers the AHI. If the AHI drops lower, you could try reducing a little more (perhaps to 7) to try to find the Pressure Setting which gives you the lowest AHI or RDI (Respiratory Disturbance Index, which is equal to the AHI plus the RERA index, which is the average number of RERA events per hour)

A lower Pressure of 8 or 7 might increase the obstructive component of AHI slightly but may reduce the CAI component by a greater amount, resulting overall in a lower AHI or RDI.

But more important than AHI or RDI is how you feel. So, every day, remember to notice how you feel, and perhaps keep notes in a notebook or smart phone so you can track your progress.

Take care,
--- Vaughn

ADDED: Another option (to discuss with doctor) would be to change from the "CPAP" therapy mode you are presently using to the gentle "AutoSet For Her" therapy mode, with Max Pressure setting of 9 cm H2O like now, but with Min Pressure setting of 7 or 8. Because this would lower your average pressure it might lower the CAI.

Also, it looks like your Ramp "Start Pressure" setting is presently 4. If 4 feels uncomfortably low, the Start Pressure can be raised to 5 or 6.

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 11-29-2014 03:12 PM by vsheline.)
11-29-2014 02:31 PM
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Lambsydoats Offline

Preferred Members-2

Posts: 117
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit ™ P10 Nasal Pillow
Humidifier: AirSense 10 AutoSet for Her-integrated
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments: Initially: AHI=52; 2nd: AHI=18; CPAP 11-10-14; as of 8-18-15: AHI consistently under 5.0

Sex: Female
Location: Southwest Michigan, USA

Post: #23
RE: So far so good? SleepyHead report #2
(11-29-2014 02:31 PM)vsheline Wrote:  How are you feeling, regarding daytime mental clarity, energy level, sleepiness or fatigue?

Well, I don't really feel a lot of difference. Usually when I wake up in the morning, I do feel more awake than before, but throughout the day, I feel the same as I had pre-CPAP. And on weekends, I still take naps--which prior to about 4 years ago was unheard of for me.

(11-29-2014 02:31 PM)vsheline Wrote:  In future, after achieving over a month of therapy, if the CAI is still the majority of the AHI, I would suggest you ask your doctor about trying a lower pressure (like maybe 8) for a month, to see if this lowers the AHI. If the AHI drops lower, you could try reducing a little more (perhaps to 7) to try to find the Pressure Setting which gives you the lowest AHI or RDI (Respiratory Disturbance Index, which is equal to the AHI plus the RERA index, which is the average number of RERA events per hour)

A lower Pressure of 8 or 7 might increase the obstructive component of AHI slightly but may reduce the CAI component by a greater amount, resulting overall in a lower AHI or RDI.

Thanks--I'll keep that in mind. I'm guessing that because my CAs were "up there" even during my no-pressure home studies, they may have nothing to do with the pressure.

(11-29-2014 02:31 PM)vsheline Wrote:  But more important than AHI or RDI is how you feel. So, every day, remember to notice how you feel, and perhaps keep notes in a notebook or smart phone so you can track your progress.

I've made a couple of notes right in the journal that comes with SH; I figure it'd be nice to have everything pertaining to SA in one place. Not much to write home about yet. Except...until Wednesday, my pain level had decreased noticeably. (I have fibromyalgia among other health issues.) Then I must have overdone it on Wednesday and Thursday, because the pain was back with a vengeance yesterday and today. My numbers weren't so good night before last nor last night either (here's the latest report). I don't know whether the pain is causing the CAs, but it sort of makes sense that it could.

(11-29-2014 02:31 PM)vsheline Wrote:  ADDED: Another option (to discuss with doctor) would be to change from the "CPAP" therapy mode you are presently using to the gentle "AutoSet For Her" therapy mode, with Max Pressure setting of 9 cm H2O like now, but with Min Pressure setting of 7 or 8. Because this would lower your average pressure it might lower the CAI.

(11-29-2014 02:31 PM)vsheline Wrote:  Also, it looks like your Ramp "Start Pressure" setting is presently 4. If 4 feels uncomfortably low, the Start Pressure can be raised to 5 or 6.

I'm not sure why I even have it ramping; nine is fine at all times. Thinking-about

Lamb

To all, to each, a fair good-night,
And pleasing dreams, and slumbers light.
Scott—Marmion. L’Envoy. To the Reader.

Diagnosed with OSA September 2014
AHI=18
Lowest SpO2: 79%
11-29-2014 10:43 PM
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Sparkle Offline

Preferred Members-2

Posts: 131
Joined: Jan 2015

Machine: Res Med Air Sense 10 Auto Set
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro
Humidifier: ResMed S10 37028
CPAP Pressure: 4-14
CPAP Software: SleepyHead

Other Comments: 3 brothers on CPAP; rescue mom to Bootsie Bella; wishes the APAP matched the decor in my bedroom :)

Sex: Female
Location: Northeastern MA

Post: #24
RE: So far so good? SleepyHead report #1
(11-15-2014 06:51 PM)Lambsydoats Wrote:  (By the way, I put my mask on when I first go to bed and then I read awhile--I don't really get 10 hours of sleep a night!)

I do the same thing - ha! and I thought I was the only one wearing the mask before actually going to sleep.
01-15-2015 11:13 AM
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