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Starting My Therapy
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AlanE Offline

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Posts: 1,523
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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

Sex: Male
Location: Southwest Florida

Post: #31
RE: Starting My Therapy
(05-16-2015 12:20 PM)retired_guy Wrote:  I got up this morning "out of sorts." So if anyone has a few sorts they don't need, I could sure use them.

Have you tried eBay? Sorts



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
(This post was last modified: 05-16-2015 07:57 PM by AlanE.)
05-16-2015 07:56 PM
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AlanE Offline

Advisory Members

Posts: 1,523
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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

Sex: Male
Location: Southwest Florida

Post: #32
RE: Starting My Therapy
(05-16-2015 03:09 PM)wxmcpo Wrote:  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.
Ouch! I wish I could give advice like I've been getting but I would be guessing and that wouldn't be fair to you. Did you just start your therapy?



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 08:00 PM
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quiescence at last Offline

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Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #33
RE: Starting My Therapy
Encouraging part of your charts is that 7-15 is effective even if not optimal. It is good, and will result in you getting better.

You'll notice some pressure spikes are higher than others for the same number of events (and in some cases even without events). This is because there are non-events that the machine is sensitive to, and the adjustments are because it noticed those things happening, too. Look in particular at the timeframe of 11 to 11:30 pm on 5/12. There was definite pressure adjustment going on, but no events logged.

One example is flow limitations that can indicate restricted airway.

At any rate, the two charts I've seen indicate that a lot of the night you remain stable in the 7-8 range. We have seen others that just continue to top out over and over throughout the night. You do not need to rush to shift to a higher minimum pressure.

Have a great day!

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.
05-21-2015 08:07 AM
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AlanE Offline

Advisory Members

Posts: 1,523
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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

Sex: Male
Location: Southwest Florida

Post: #34
RE: Starting My Therapy
Thanks. If I have good nights like last night I probably won't change anything for awhile. Last night was the best #-wise ever with a 0.96. I also feel better than usual. We'll see if that lasts the day though. It might have been the relief of having the house air conditioning again and not the sound of the annoying window unit blasting all night.

[Image: screenshot-20150521-093310.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
(This post was last modified: 05-21-2015 08:35 AM by AlanE.)
05-21-2015 08:27 AM
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DocWils Offline

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Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #35
RE: Starting My Therapy
Bloody marvellous, I think! Well done, Alan!
05-21-2015 08:41 AM
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AlanE Offline

Advisory Members

Posts: 1,523
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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

Sex: Male
Location: Southwest Florida

Post: #36
RE: Starting My Therapy
Thank you sir and thanks to those who took the time to look at my charts and make suggestions. Smile



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
05-21-2015 08:46 AM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #37
RE: Starting My Therapy
Good job Alan. I think the only thing you'll want to change now is your mask when it comes time for you to be assimilated into the P10 group.

Other than that? Looking great!
05-21-2015 09:59 AM
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AlanE Offline

Advisory Members

Posts: 1,523
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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

Sex: Male
Location: Southwest Florida

Post: #38
Started My Therapy
Mornincoffee Annoying thing happened last night. I woke up around 2:45 to my nose pillows going left right blowing air all over. I guess my machine sensed something and jumped the pressure. Nothing showed on the chart though? Loco

I couldn't get the pillows to seal with that pressure so I tore off the mask and went and got a glass of water. Dodgy

[Image: screenshot-20150604-080847.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
(This post was last modified: 06-04-2015 07:21 AM by AlanE.)
06-04-2015 07:16 AM
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tedburnsIII Offline

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Posts: 196
Joined: Mar 2015

Machine: 3B RESmart APAP
Mask Type: Nasal mask
Mask Make & Model: Wisp nasal; ResMed FX nasal
Humidifier: came with unit-I vary it, currently set at '3', '5' is max
CPAP Pressure: 10 cm CPAP
CPAP Software: Other Software

Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

Sex: Male
Location: San Diego

Post: #39
RE: Starting My Therapy
I've read through the entire thread and found one important item not mentioned, unless I skipped over it.

What was the optimal (necessarily fixed) pressure as a result of the titration study?

I ask this question because there was at least an implied oximetry 02 sats/desats issue raised by the OP.
(This post was last modified: 06-29-2015 12:34 PM by tedburnsIII.)
06-29-2015 12:04 PM
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AlanE Offline

Advisory Members

Posts: 1,523
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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

Sex: Male
Location: Southwest Florida

Post: #40
RE: Starting My Therapy
I don't have the full report from the titration. Just the interpretation from the initial sleep study.

My pre-sleep study (overnight oximetry) showed my O2 dropping below 89% for 25% of the time.

For the PSG the O2 was not that terrible at all:
The average SaO2 was 97%. Average desaturation was 4%
Lowest desaturation was 88%
Length of time below 89% 0.6 minutes.



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
06-29-2015 02:58 PM
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