I don't really have a sleep doctor so to speak. My GP gave me a trial on an APAP at my request at which point it was obvious I had Apnea. I hadn't had a good night's sleep in 20 years until the first night on the APAP.
Adding the exhalation resistance has added to the sense of being well rested and it has further cut down on my nightly bathroom breaks.
I know all this is N=1 but I want to get this right. MY EPR is set at 2 and my pressure is 7.6 to 12. If I go higher the pressure becomes what disturbs my sleep.
I want to get this right and would prefer to do it without the added cost of TheraVent. I am quite comfortable with the resistance it provides but I have to tape my mouth partially shut and use a full face mask or tape completely with 2 inch 3M tape and use a nasal mask or pillow.
Are the CAs because the pressure is too high or too low?
07-08-2015, 01:30 PM
(This post was last modified: 07-08-2015, 01:32 PM by DocWils.)
Please see a qualified sleep doc to get this right - a GP simply does not have the knowledge to get your script right for your needs, and frankly, I do not see how you can get anything resembling a true reading based on your current set up - I really think you need to see a proper specialist.
Your CAs would be most likely ( if you do not have complex apnoea, and it is impossible to tell without a proper clinical exam and overnight test) from too high a top pressure, however, there are too many variables here - an ill-fitted mask, mouth breathing, etc, so I really feel now would be a good time to see a specialist and get the testing done properly. Once done, it should be possible to adjust your therapy and your machine and mask requirements to give you the best possible outcome.
The massive numbers of CAs registered in the one sampling you posted might indicate not actual CA events but instead some other form of interrupted breathing or response pressure that your machine is interpreting as a CA. Only a combined pulse-ox and heart monitored testing system could determine that, combined with an EEG. For this you need a sleep clinic test. You have a good start, but you need now to move beyond proof of illness to a proper diagnosis and titration. Also you do not need to tape your mouth shut - there are chin straps to keep your mouth closed, but I am uncertain if they are necessary on full face masks.
Can you make another screenshot of 10 minutes from each night.
7.6.15 03:22 to 03:32
7.7.15 03:08 to 03:18
Can you make another full night that has theravent as well?
It would be great if you could change your y-axis to -80 to +80.
Dedicated to QALity sleep.
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