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Total Newbie - Help!!! Please...
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #51
RE: Total Newbie - Help!!! Please...
(11-09-2015 10:21 AM)Josh Wrote:  Yes, 5-20 was the setting last night
AHI was 11.4
90% was 8
What does that mean?

90% of the time your pressure was 8 or below. That's good, because it means the machine is not reaching the maximum pressure most of the time.

AHI of 11.4 is well above 5, which is not good, but doesn't matter much because you're sleeping without the machine on. Using it for part of the time means you're doing very poorly.

The other number you need to look at is your leak rate.

Sleepster
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11-09-2015 09:45 PM
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Josh Offline

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Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #52
RE: Total Newbie - Help!!! Please...
Thanks for the info. I actually didn't wear it last night so I don't have any updates. I will try to get Sleepyheads today and import the data and upload it.
A couple of things that I don't know if would skew the data: After wearing the mask for 3 hours, I took it off. I then woke up around 3:30 and put it back on for about 45 minutes, where I didn't fall asleep. I also found myself taking some deep breaths through my mouth.
I think that raising the lower lever to 6 would be good as I felt at times like I wasn't getting enough air.
I'll try to upload a graph later today if I can, or I'll provide an update in the morning with some new numbers.
Thanks all, I'm learning a ton.
11-10-2015 07:55 AM
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OpalRose Offline

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Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #53
RE: Total Newbie - Help!!! Please...
Josh, I agree that your starting pressure may be too low. I know when I started therapy, my doc set my machine at 4-20. It was horrible. It is a feeling of suffocation, like you just can't get enough air.
There is no reason not to move it to 6, but again as I said in earlier posts, we are flying blind here to help you with an optimal pressure range until you can get us some data.

OpalRose
11-10-2015 08:08 AM
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Josh Offline

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Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #54
RE: Total Newbie - Help!!! Please...
Here's the chart, I only highlighted the first part as I didn't fall asleep during the second part. Is there a way to delete it? There is also some information from 2013 which I should probably delete.
Thanks
http://i.imgur.com/9stwSPk.png
11-10-2015 09:11 AM
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OpalRose Offline

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Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #55
RE: Total Newbie - Help!!! Please...
Just looking at your pressure graph, tells me you would be better off starting at 6.

It may be a good idea to click on the detail chart and open up some of the events and check the length of events. On the left, click on clear airway and a drop down box will appear and show a number in parentheses. This is the amount of time it lasted.

Your not really getting to enough sleep, but you need to keep at it. If you wake up in the middle of the night, instead of turning machine off and or taking mask off, just hit the ramp button and it will take you back down to starting pressure. This may help you.

OpalRose
11-10-2015 09:32 AM
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Josh Offline

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Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #56
RE: Total Newbie - Help!!! Please...
New chart:
http://i.imgur.com/hmpS3NV.png

90% pressure is at 9.6 for a 7 day average (I don't see how to only get last night)
AHI 8.8 for 7 day average
Better? Worse?
What's this big scary looking Cheyne Stokes Respiration?
11-11-2015 07:29 AM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #57
RE: Total Newbie - Help!!! Please...
Improving, but It looks like your only sleeping 3 to 4 hours.

Doesn't the screen on the APAP show your AHI for Day1, then a 7 and 30 day average?

Day 1 is the AHI for last night, same as showing at the top of detail page to the left of your graphs which is 6.28

I wouldn't worry about the CSR/Periodic Breathing right now.

Let's give it a week or so, and see what the numbers are before making any more changes.

OpalRose
11-11-2015 10:48 AM
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Josh Offline

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Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #58
RE: Total Newbie - Help!!! Please...
I've been taking it off. The mask gets too uncomfortable on my face at night. It's been getting better though so hopefully I'll get more comfortable and be able to leave it on longer.
I don't have a 1 day, only 7 and 30. I'll play around and see.
I guess I'll leave it as is for a few days and upload a new graph over the weekend, once I'm able to get a few more days of info.
Thanks again. Smile
11-11-2015 11:04 AM
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OpalRose Offline

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Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #59
RE: Total Newbie - Help!!! Please...
Josh,
Unfortunately, the mask is the hardest part to adapt to, but keep trying. Sleep-well

OpalRose
11-11-2015 12:06 PM
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Sleeprider Online
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Posts: 3,390
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #60
RE: Total Newbie - Help!!! Please...
Josh, the CSR is a default label used in Sleepyhead, and it's probably wrong. Many of us change that to Periodic Breathing (PB) in the Preferences menu. You can do a search for periodic breathing, and see that it is simply a breathing pattern that may be harmless, or a serious medical concern. It is often recorded during sleep disturbances (sleep/wake junk), or can be seen in people adapting to CPAP and is not a concern. You can zoom in on the events and see the wave form. I can tell from your charts that you are not consistently experiencing CA or H events during those periods flagged as CSR, therefore it cannot be Cheyne Stokes.

Getting comfortable with the mask is a big deal. You might want to try out some nasal pillows.

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11-11-2015 04:07 PM
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