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[Treatment] May be Too Late for Me Too
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Tubaman Offline

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Posts: 46
Joined: Jun 2016

Machine: ResMed AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Air Full face mask
Humidifier: ResMed ClimateLineAir
CPAP Pressure: 9 to 17
CPAP Software: ResScan SleepyHead

Other Comments: Supporting equipment: CMS50EW pulse oximeter & Digital audio recorder, 4.0 lpm Oxygen

Sex: Male
Location: Northern USA

Post: #61
RE: May be Too Late for Me Too
Last night I had a lousy night's sleep (woke up a lot). Around 0930 I started getting a succession of apneas and my auto CPAP pegged out at its maximum set pressure value (12 cm h2o). Since it stayed at this pressure for over an hour and the events just kept coming, I wonder if the maximum pressure should be tweaked upwards.

Just a thought -- Thank you!
Tubaman
   
(This post was last modified: 08-24-2016 02:48 PM by Tubaman.)
08-24-2016 02:42 PM
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Crimson Nape Offline

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Posts: 1,335
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #62
RE: May be Too Late for Me Too
It sure looks like you're bouncing around the upper limit. You could raise it to around 16(ish) and see if you need it. It shouldn't go there if you don't need it.

Two other little things:
1. The mask pressure graph is a hypothetical and seems to only take up screen space. I would turn it off so you can include other graphs.

2. Your ramp pressure seems a little low. Have you considered upping it closer to your treatment pressure?

. . . What do I know? Thinking-about

Statistics prove that people who have more birthdays live longer.
08-24-2016 03:32 PM
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kwhenrykerr Offline
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Posts: 252
Joined: May 2016

Machine: DreamStation Auto, AirSense 10 Auto
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Philips, AirSense 10
CPAP Pressure: 12-20
CPAP Software: SleepyHead

Other Comments: 2L added oxygen with CMS50F to check usage

Sex: Male
Location: Florida

Post: #63
RE: May be Too Late for Me Too
I set my upper pressure at the max. If the machine need it I want it and I want to know about it. If is causes other problems I still want to know what they are and when they happen. I want to be informed.

I will trust the company that made my Auto CPAP enough to try it out. like my Auto CPAP.
Sleep-well

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
08-24-2016 03:50 PM
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surferdude2 Offline

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #64
RE: May be Too Late for Me Too
Tubaman, Your overall AHI report is pretty good but that doesn't tell the whole story. Considering what you have stated and viewing the graph to see if something jumps out, I have something for you to consider.

1. I think you will eventually need to raise both your lower pressure and the upper.

2. I don't think you should change either pressure just yet.

3. I think the pressure increase is what's waking you up repeatedly all night long. (so raising the pressure is a bad idea right now) What you eventually need and what you can tolerate right now are two different things!

4. You may even consider lowering the top pressure somewhat so you can get some sleep. Total AHI's can be secondary for the time being. Once you can tolerate the pressure, you can slowly bring it back up to therapy level. You will eventually be able to tolerate much greater pressure than you are using now but it will take some time. You need to do it slowly and be able to get some sleep along the way.

5. I also think lowering the EPR to #2 and eventually weaning off it altogether as soon as possible is a good idea. It can be more bother than value in some cases, such as where pressure changes are disturbing. Use it if you must and stop it when you can.

I'm basing my suggestions on how the graph shows your flow rate changes and OA's and how they link to your possible sleep disturbance pattern. It would be a good guess to say that at near the end of your session, where the cluster of OA's are shown on the graph, that you finally got so tired that you slept through it longer than all the preceding single OA's that are shown periodically through the earlier part of the session.

Long story short, lower the pressure and start all over and increase it gradually rather than abruptly. You already know approximately how much pressure you need to be effective but give yourself some time to sneak up on it. Trying to apply correct therapy pressure from the get go can be scary, disturbing and produce a level of anxiety that in itself is a sleep robber.

Dude
(This post was last modified: 08-24-2016 07:47 PM by surferdude2.)
08-24-2016 07:37 PM
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Tubaman Offline

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Posts: 46
Joined: Jun 2016

Machine: ResMed AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Air Full face mask
Humidifier: ResMed ClimateLineAir
CPAP Pressure: 9 to 17
CPAP Software: ResScan SleepyHead

Other Comments: Supporting equipment: CMS50EW pulse oximeter & Digital audio recorder, 4.0 lpm Oxygen

Sex: Male
Location: Northern USA

Post: #65
RE: May be Too Late for Me Too
These are last night's SleepyHead & Oximeter charts. I guess the results are satisfactory, however, I wish the oximeter results would improve from the marginal values I have been, more-or-less, getting lately.

[Image: G15CPga.gif][/url]
[Image: Tye7zU7.gif][/url]

If anybody has any suggestions, I would appreciate it much.
Tubaman
(This post was last modified: 08-26-2016 08:06 PM by Tubaman.)
08-26-2016 07:42 PM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #66
RE: May be Too Late for Me Too
If it doesn't get any worse than that graph shows, you don't have any problem other than accepting the therapy and waiting until you get tired of checking it daily. When the time comes, and it will come, when you think of your tuba more than how you are going to sleep that night or how your graph looked the preceding night, then you will start getting much better rest. How you feel is much more important than whether you got an AHI of 3.5 or 4.8 or even a goose egg.

I have a little concern that may or may not be important, so take what I say as merely my uneducated opinion. Next time you go see your doctor, tell him you think you have a high respiration rate and low tidal volume and see if he thinks that's true and if it's affecting you unfavorably. He may agree and prescribe a different machine for you. I may be way off base even suggesting that, so stick around for other opinions.

Dude
08-26-2016 09:10 PM
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kwhenrykerr Offline
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Advisory Members

Posts: 252
Joined: May 2016

Machine: DreamStation Auto, AirSense 10 Auto
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Philips, AirSense 10
CPAP Pressure: 12-20
CPAP Software: SleepyHead

Other Comments: 2L added oxygen with CMS50F to check usage

Sex: Male
Location: Florida

Post: #67
RE: May be Too Late for Me Too
It took me several month of added oxygen before I started to see a rise in the oxygen level. The slow change I think is due to some repair that the body was making. I feel so much better now.

And Yes I do not look at my charts as often, life has other things to hold my attention. Dude is well respected in my opinion.

Sleep-well

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
08-27-2016 03:07 AM
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Tubaman Offline

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Posts: 46
Joined: Jun 2016

Machine: ResMed AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Air Full face mask
Humidifier: ResMed ClimateLineAir
CPAP Pressure: 9 to 17
CPAP Software: ResScan SleepyHead

Other Comments: Supporting equipment: CMS50EW pulse oximeter & Digital audio recorder, 4.0 lpm Oxygen

Sex: Male
Location: Northern USA

Post: #68
RE: May be Too Late for Me Too
Can anybody tell me why I am getting blank spaces on my "Overview" pressure chart? There is data for those dates (Aug. 25 & Aug. 26) but SleepyHead started displaying blanks a couple of days ago.

Thank you!, Tubaman
   
(This post was last modified: 08-29-2016 02:34 PM by Tubaman.)
08-29-2016 02:29 PM
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surferdude2 Offline

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #69
RE: May be Too Late for Me Too
Is there a pressure graph for those dates also? Might be a software bug or aliens!! Wink
08-29-2016 03:03 PM
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Sleeprider Online
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Posts: 3,400
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: #70
RE: May be Too Late for Me Too
Sometimes rebuilding the data works to fix this.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
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08-29-2016 03:48 PM
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