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Starting My Therapy
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worn_out_in_lebanon Online

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Machine: Resmed A10 Autoset
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Mask Make & Model: F20 (newest Resmed ffm)
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CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #21
RE: Starting My Therapy
Congratulations on getting to this point! Smile

I'm going to suggest you tighten up the lower end of your range (at some point). Like you said, this is just one day, but it looks like there is probably no reason you ever need to dip below 8 or 9. You might be able to head off some of those obstructions from even starting, if you keep the pressure floor a little higher.
(This post was last modified: 05-01-2015 06:24 AM by worn_out_in_lebanon.)
05-01-2015 06:22 AM
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OpalRose Offline

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Other Comments: Started CPAP Therapy October 23, 2014

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Location: Northeast Ohio, USA

Post: #22
RE: Starting My Therapy
Agree with worn_out_in_lebanon,

Your starting pressure is too low. According to your pressure graph, raising it to 8 would be ideal.
If you can't tolerate that higher pressure right away, then make changes slowly, but at a setting of 5, the machine may take too long to get to optimal pressure to head off those apneas.

OpalRose
(This post was last modified: 05-01-2015 10:02 AM by OpalRose.)
05-01-2015 10:01 AM
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DariaVader Offline
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Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

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Post: #23
RE: Starting My Therapy
a tighter range may help the CA profile as well.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
05-01-2015 10:05 AM
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AlanE Offline

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Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

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Post: #24
RE: Starting My Therapy
My first <1 AHI Big Grinnie

[Image: screenshot-20150513-061836.png]


It might have been a bit higher if I didn't get up for an hour and a half but regardless it would have been better than any previous.

Had to run the Doc prescribed pressure for at least a week or so to see what would happen. Min-5 Max-15. I ran it 12 days. Based on the graphs from SH my min pressure never really dropped below 6 and whenever it approached 6 I had events. I took you guy's advice and raised the min to 7. I'll run this for awhile and see what the what.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
05-13-2015 05:30 AM
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
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Other Comments: Started CPAP Therapy October 23, 2014

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Location: Northeast Ohio, USA

Post: #25
RE: Starting My Therapy
Alan,
Your numbers look good. Watch it for a few days, you are likely to see some ups and downs, but looks great so far. Wink

OpalRose
05-13-2015 07:05 AM
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quiescence at last Offline

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Machine: REMstar System One with Autoflex
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Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

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Post: #26
RE: Starting My Therapy
what's the verdict AlanE? Are you liking the 7-15 setting?

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.
05-16-2015 10:11 AM
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AlanE Offline

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Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
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CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

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Location: Southwest Florida

Post: #27
RE: Starting My Therapy
Well sir, I only had that one great night. Since that night it has been back to ~3. Overall I'm heading in the right direction. My AHIs seem to be low but last longer and/or are more spread out. If I'm reading the graph right. Quite a few have posted that I should try 8 as a min pressure. I'll try that next week as I still want to at least give this setting a fair go an all. So far it has been the best combination.
As for how I'm feeling, I'm still irritable and grumpy at times but that might not be due to apnea.

Last night's graph.

[Image: screenshot-20150516-115931.png]



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
05-16-2015 11:01 AM
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worn_out_in_lebanon Online

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Posts: 270
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #28
RE: Starting My Therapy
It looks like you need around 10-11 to tame most obstructions when they start happening. If you set a floor closer to this, they might not happen in the first place. It will be interesting to see what happens when you bump it up the next time.
05-16-2015 12:15 PM
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retired_guy Offline

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Post: #29
RE: Starting My Therapy
(05-16-2015 11:01 AM)AlanE Wrote:  As for how I'm feeling, I'm still irritable and grumpy at times but that might not be due to apnea.

Yes, just letting things settle in a little is probably a good idea. Then, when you get bored, I would up the bottom end from 7 to 7.5. 1/2 a point at a time. Watch the OA's and see if they don't mostly go away without the CA's getting cranky.

As to the irritable and grumpy thing? I know about that too. I got up this morning "out of sorts." So if anyone has a few sorts they don't need, I could sure use them.
05-16-2015 12:20 PM
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wxmcpo Offline

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Post: #30
RE: Starting My Therapy
I dream of numbers like those. The lowest I have seen my AHI is still 10+ so seeing things like this gives me hope. I have way more CA events than anything else so hoping when I go back to my doctor on the 29th she can tell me something that will get those and my AHI down.
05-16-2015 03:09 PM
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