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Theoretically everything is fine...
#11
RE: Theoretically everything is fine...
Most of the professional techs therapy pressure settings seem no more scientific than guessing if it'll rain or snow. When they get paid to make these supposed educational decisions, why do they so often act like tons of heavy deep thinking is involved to "voila! the prefect pressure for you is...4-20!" Lazy dufus defaults. I look at it like this though, if these techs did their job better, Apnea Board wouldn't have so many people asking why therapy is bad, why am I airstarved, can therapy be better than AHI 19, blah blah.

Since we know in reality every person needs personalized settings yet no doc or tech seems to get it right, I think places like AB will be open for quite a long time to come. There is no such thing as one answer for every apneic out there, nor is there one mask or machine that is best for all. Cookie cutter therapy never seems to get it right, so we exist here. Just sayin'.
Dave

OSCAR
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#12
RE: Theoretically everything is fine...
BB, I need you to trust me here and make some changes. 

Mode: Autoset Soft or Standard
Minimum Pressure 6.0
Maximum Pressure 10.0
EPR: on full time
EPR setting: 2

We just have to deal with the flow limits, and the EPR will help and should feel more comfortable.  This actually lowers your exhale pressure. I want to increase maximum pressure to 12 when you're ready, but you really need the EPR.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
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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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#13
RE: Theoretically everything is fine...
I used Sleeprider's settings and got my lowest AHI ever. I'm excited! It's hard to say how it felt because I was really anxious last evening/night, and so I felt like I was low key suffocating even while I was breathing normal air. However, once I turned the ramp back on the CPAP didn't really feel any worse than normal air, so I'm going to go ahead and assume that on a normal night it would be fine. Hopefully tonight I will be able to relax more.


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#14
RE: Theoretically everything is fine...
OSCAR data looks pretty good. Flow Limits are still there but below .25 as I see it. That may be the only thing that might need addressed yet, but otherwise it looks fine. That cluster of CA at the latter end is possibly a SWJ/sleep-wake junk episode or positional change breath holds. SWJ can occur as we transition from sleep to wake with the respiratory control switching from sleep to waking.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#15
RE: Theoretically everything is fine...
Looks a lot better. I would not mind seeing minimum pressure at 7.0, maximum pressure increased to 11.0 and EPR at 3, but all in good time. Give it try when you're ready.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#16
RE: Theoretically everything is fine...
Update:
I haven't changed the settings yet. Been dealing with a lot of stress from other health issues and current events, but that's all started to calm down enough that I have enough bandwidth to more actively deal with my sleep apnea again. I was feeling noticeably less tired, but recently I think I've been drifting back towards my normal levels of tired. I'm not sure if that's because of the aforementioned stress or because my AHI has not been as great this past week. I'm posting OSCAR charts from last night and from a recent night that seems to be representative of an average night since I've last changed settings. Should I still be increasing the pressure and EPR? I think I've been having more centrals, but I'm not sure if it's significant or just centrals being consistently inconsistent.


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