Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Therapy numbers, lack of them, weight loss, etc
(11-02-2014, 09:07 PM)retired_guy Wrote: It clearly shows two things:

1. On October 31st you turned into a pumpkin.

2. Not going to bed until around 3:00 am is a goofy thing to do.

On the bright side no one tried to carve me.

And acknowledging I'm goofy is as much a revelation as you're being retired Eat-popcorn

Besides I'm getting my 6-8 hours so who cares when? lol

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
Post Reply Post Reply
(11-02-2014, 08:51 PM)Galactus Wrote: At 3.5 it started to be a bit annoying, then I adjusted, at 4 it started to annoying again, and I have almost completely adjusted. It is still a tiny bit annoying, but no more so than say Retired_Guy poking me asking me if I'm awake yet.

Now the real question, based on the results of the data below does it seem like I am gaining anything at 4 that I didn't get at 2?

Hi Galactus,

How have you been feeling? A high PS does for us some of the work of breathing, and some people feel better with higher PS. In particular, higher PS also helps reduce the likelihood of Flow Limitation caused Respiration Effort Related Arousal (RERA) events.

Judging by the data you posted, I suggest reducing PS to 3.5 or 3.0.

These are still coarse tuning experiments, just one week at each setting. Eventually (when fine tuning in future), better to have data for several weeks before further changes.

Compared to the numbers for other values of PS, the numbers for PS of 3.5 look best, I think. The 7-day average AHI was 0.67, and only 2 out of 7 nights had AHI of 1.00 or worse.

For PS = 2.0, 2.5 or 3.0 the percentage of nights with AHI above 1.00 was higher (3 or more nights per week), and the 7-day average AHI was higher (above 1.00 for PS = 2.0, 2.5, or 3.0).

For PS = 4.0, the percentage of nights with AHI above 1.00 actually looked best (just 1 out of 9 nights) and the 9-day average AHI (just 0.72) was only slightly higher than the 7-day average for PS of 3.5, but the one bad night (Oct 31) had especially high AHI = 2.25, with much of it concentrated in the last 15 minutes. (Was Leak was okay during that last 15 minute period, and do you remember whether you were still asleep?) But in any case, after several days you still find it at least a little annoying, so I suggest it would be good to lower PS.

After a while at the lower PS setting, at some point you might want to try lowering the Min EPAP setting by 1, to see whether obstructive events remain acceptably low, and whether you feel better or worse with lower EPAP.

Take care,
--- Vaughn




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.
Post Reply Post Reply
Hi Vaughn,

Overall most days I am feeling ok.

Thanks so much for the input. Yes, you can pretty much attribute any of my las "10-20 minutes" as my being awake. I have a bad habit of just laying there with the machine on while I'm still in bed, even after being awake. Most days I try and take it off as soon as I am awake so as not to mess up the results but on that morning I was considering going back to sleep, and apparently I considered too long.

I have noted a few nights my pressure ramping up to 19 and 20. And have noted the flat line of 13 most of the time as well. The 4 had been annoying at the start, but I have been adapting. I also now have 9 days at 4. I had been watching the events go down slowly as PS was raised, and raising by .5 was easier on me.

I'm considering staying at 4 for the rest of the month just to see what the data looks like, even if it is annoying now and again, I am feeling ok, and some days even better than ok. I think if we drop out that 2.25 bad night the rest looks like the best averages yet.

Thanks so much for all your help. It's been great having someone to help who knows the information so well.
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
Post Reply Post Reply


(11-03-2014, 12:24 AM)Galactus Wrote: Hi Vaughn,
I'm considering staying at 4 for the rest of the month just to see what the data looks like, even if it is annoying now and again, I am feeling ok, and some days even better than ok. I think if we drop out that 2.25 bad night the rest looks like the best averages yet.

A longer trial at PS=4 sounds good.

Keep an eye out for the effects of changes in sleep position. If feasible, you may want to take notes immediately upon getting up, noting how rested you feel and any changes in sleep position.

Sounds like you are making good progress!





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.
Post Reply Post Reply
Hi Vaughn, (I'm back for more lol)

Ok, so here's where I am at, I just posted the combined stats as it was too much day by day, and I didn't want to scare you away.

Please note on most of the AHI's that are 1+ it happens in the morning while I am laying in bed deciding whether or not to get out of bed or go back to sleep. Those events are while I am awake for the most part.

I also switched over to a heated climate line and the alternate humidity about 2 weeks ago.

Last night I made my first new change which was to lower EPAP to 12.

So what do you think? Any advice? Or am I really pretty much there? I get the impression I am never going to get to 0 no matter what I do, and I'm feeling like .2 to 1 is about as good as it gets for (though I'm not sure I need anything better).

[Image: 121vgyg.jpg]

[Image: 142akps.jpg]

[Image: 4g5g7d.jpg]

[Image: 2n7qziv.jpg]

[Image: 66xb9f.jpg]
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
Post Reply Post Reply
(12-20-2014, 12:28 AM)Galactus Wrote: Please note on most of the AHI's that are 1+ it happens in the morning while I am laying in bed deciding whether or not to get out of bed or go back to sleep. Those events are while I am awake for the most part.

I also switched over to a heated climate line and the alternate humidity about 2 weeks ago.

Last night I made my first new change which was to lower EPAP to 12.

So what do you think? Any advice? Or am I really pretty much there? I get the impression I am never going to get to 0 no matter what I do, and I'm feeling like .2 to 1 is about as good as it gets for (though I'm not sure I need anything better).

Hi Galactus,

You didn't mention how you are feeling, which is pretty important to keep track of.

Looks to me like reducing the Min EPAP to 12 is worth trying for a week or more. The first night saw an increase in Obstructive Apneas, but that isn't significant yet.

Take care,
--- Vaughn

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.
Post Reply Post Reply


Hi Vaughn,

I'm in a pretty stressful business, at a particularly stressful time of the year. I'm in a "mood", but I really think I feel better. I'm not up 3x+ a night to find the bathroom, I'm not falling asleep at the dinner table, I'm not falling asleep in the car as a passenger, or at the movies, or watching TV, or reading a book. So overall my mood I believe is just business as usual. The apnea symptoms I think are pretty much gone. The groggy always tired feeling is all but a thing of the past. The back pain here and there I attribute to work, not apnea. So I guess I'd say on a 1-10 I'm feeling about an 8 overall as it relates to apnea.

In regards to the reduction, I did that after I posted this data and had yet to download, that last day was just another one of my morning laying there deciding to get out of bed or not that put me up.

I have to say the 12 did feel a little better to me all of a sudden. So at 12/20 PS 2/7 that caps me at 19? I guess I should raise 2/8 to 2/9 unless 8 is max, I actually don't remember at the moment and really just thought about that. Though as you can see the 13 is flat, I mean it is almost never over so lowering to 12 certainly seems sensible.

As always I'm open to opinions. Thanks again!
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
Post Reply Post Reply
(12-20-2014, 06:44 PM)Galactus Wrote: The apnea symptoms I think are pretty much gone. The groggy always tired feeling is all but a thing of the past. The back pain here and there I attribute to work, not apnea. So I guess I'd say on a 1-10 I'm feeling about an 8 overall as it relates to apnea.

In regards to the reduction, I did that after I posted this data and had yet to download, that last day was just another one of my morning laying there deciding to get out of bed or not that put me up.

I have to say the 12 did feel a little better to me all of a sudden. So at 12/20 PS 2/7 that caps me at 19? I guess I should raise 2/8 to 2/9 unless 8 is max, I actually don't remember at the moment and really just thought about that. Though as you can see the 13 is flat, I mean it is almost never over so lowering to 12 certainly seems sensible.

Hi Galactus,

I think it should be okay to raise PS Max to 8, since the machine will increase PS only as much it's treatment algorithm indicates you need.

But you could also simply keep PS unchanged at 2 to 7.

If it were me, I'd probably increase PS Max to 8, mostly to see if PS ever goes that high when EPAP Min is set to 12. That is, unless I was experiencing anything troublesome which could be caused or made worse by the pressure getting too high, such as troublesome leaking or needing to keep the mask straps uncomfortably tight, or a painful amount of air-swallowing, or lung or eye or ear pain, or increased inner eye pressure making glaucoma worse, or hearing loss or dizziness or tinnitus.




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.
Post Reply Post Reply
I think that Galactus must be closely related to Retired_Guy. Can't keep from futzing.

Admin Note:
PaytonA passed away in September 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
Post Reply Post Reply




Possibly Related Threads...
Thread Author Replies Views Last Post
  Numbers at glance using Dreamstation in Auto mode TimtheEnchanter 1 109 12-08-2017, 08:33 AM
Last Post: Walla Walla
  [Pressure] How I decided on my APAP pressure numbers on my own DanGagner 14 316 12-06-2017, 09:26 PM
Last Post: DanGagner
  Understanding leak numbers Dawei 9 13,661 11-29-2017, 12:20 PM
Last Post: DebbCpap
  Lost therapy time Haynbo 2 149 11-03-2017, 10:37 AM
Last Post: HalfAsleep
  New Machine - Numbers Don't Match Aardvark08 45 1,211 11-02-2017, 03:50 PM
Last Post: Walla Walla
  AHi Changes Starting CPAP and Weight Hojo 11 548 10-20-2017, 08:48 PM
Last Post: Sleeprider
  interesting sleepyhead numbers Gary1of2 4 246 10-20-2017, 05:49 PM
Last Post: Gary1of2

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.