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Things settling down nicely---AHI 1.28
UA = Urinalysis.... to the rest of the world Big Grin

To a hosehead it is a Unidentified Apnea

CA = Clear Airway
OA = Obstructive Apnea


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
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(02-17-2015, 11:14 PM)SailingAway Wrote:
(02-17-2015, 12:08 PM)retired_guy Wrote: So I would leave the Ramp on for awhile, but with a beginning Ramp pressure of 6, and I'd set the minimum pressure to 8.

These are the changes I am making today.

BTW, I was just dragging my feet because several have said only tiny changes over weeks of time. As I mentioned above, last night was the first time I felt breathing was difficult for the first 20 minutes. I was planning to up the beginning ramp pressure up 2 as suggested.

Thanks for the help.

I look for stability. Sometimes that takes quite a while, and sometimes not so long. I also look to make small changes. In your case tonight, you are increasing your minimum by 2 points, which can sometimes be too much, but given your pressure results I think will be just fine.

Changing the ramp start pressure, or even whether or not you use ramp is more of a "comfort" issue than a therapy issue, so a big change (such as turning it plumb off) would not be a big deal to me. But, again in your case, I like the idea of leaving it on, just increasing the start pressure a little.

Depending on the specific circumstances I can tend to be very conservative, or very liberal in how I view what should be done. It's the same with my politics.... I'm an "ultra-right-wing conservative" with "closet liberal" tendencies.

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(02-17-2015, 11:48 PM)DariaVader Wrote: UA = Urinalysis.... to the rest of the world Big Grin

To a hosehead it is a Unidentified Apnea

CA = Clear Airway
OA = Obstructive Apnea


Thanks. I had checked the list but they are not the same abbreviations.

From the list:
UAI - Unidentified Apnea Events
CAI - Central Apnea Index
OSA - obstructive sleep apnea

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Quote:Sleeprider Wrote:
Looks pretty good. I would turn off the ramp and start pressure at 6.0 minimum. You're struggling a bit for breath when you're first starting, and that is unnecessary. These are very very good results for starting out. I'm impressed, and you should be successful at this

Sleeprider, How do you know this? Where or which graph are you seeing that shown? Flow limiting??

Last night for the first time, I felt I was struggling to breath for the first 20 minutes or so. I am bumping the start up to 6 tonight.
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Ok, last night changed the starting ramp pressure to 6 and minimum pressure to 8. AHI shot up to 5.9. Don't really think it was related to the changes made. Woke up quite a few times mouthbreathing. Do you guys see anything else in there?

Did not feel like I was struggling to breath in the beginning.

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Thanks as always!!
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actually it looks real good to me, your night seems more steady, and CA is probably first night jitters, now doing the wait 10 days, etc. will probably show gradual improvement as you adapt.

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.
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You asked where I was seeing flow limitations. They are in the bottom graph, and you can see the spikes correlate with pressure increases and some of the events. In your most recent night, they did not exceed about 0.3, but on the previous page of this thread, the flow limitations exceeded 0.5. The most recent night being the most acceptable.

Also in your most recent night of data, the numerous events from 5:45 to 6:30 may have been sleep/wake related. Don't be too discouraged by the overall stats, as most of the night looked pretty good. There are some clusters of OA that could be related to sleeping on your back or REM sleep.
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I agree with those other guys. Your graphs are looking great. Anytime we make a change, particularly to pressure, the ahi tends to go up for a night or two. Way too often when this happens folks panic a little and start making other changes. That's exactly why we encourage everyone to make small changes, and watch them for 3 to 5 years......

You are doing remarkable well. Congrats on that.

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Great data after a week!
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Thanks everyone for the kind works and guidance. Thought I'd post today's results which wraps up week one. Everything seems to be looking good, based upon my understanding. The AHI is pretty good. Not sure why I'm seeing these Flow limitations, still some leakage, but nothing that's being flagged or tripping the events threshold.

Still not clear on what causes the Flow limitations? Any advice there?

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This will wrap up this thread I think. Thanks again to everyone who commented. I am finding that although I'm sleeping less, I feel much more rested than before using the CPAP machine.
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