(09-29-2016, 07:17 AM)getmylifeback Wrote: Dear sleeprider, PaulaO2 and 49er. Thanks a ton for your responses.
From June to August, the situation was not that bad. Starting Sep it seems to be deteriorating fast.
Avg 95% pressure : 8.8
Leaks data - 95% : 1.2 | Max : 45.6 | Median 0.0
AHI : Maximum apneas occur towards the start. After using the machine for arnd 45 minutes to an hour, AI is > 7. This avergaes out over the night
Average AHI data for last 14 days is AI : 3.3 | Obstructive : 1.0 | Central : 0.5 | Unknown : 1.7
Avg daily use : 3:56 Hrs
EPR setting is at 3
Thanks for the suggesting site by doctor Steven Park. This seems to be an amazing source for apena related info.
And you are right about the medications not having the required effect.
I am seeing my doctor again tomorrow.
I have enjoyed some of the articles by Dr. Park, but he is primarily an advocate of surgical options, so keep that in mind when you read.
You are averaging less than 4-hours per night of therapy, and our goal is to get you to 7 to 8 hours so you can feel rested. It would be helpful to see Sleepyhead data, but what I'm seeing is an acceptable overall AHI, but lots of room for improvement. With your 95% pressure at 8.8, and presumably your average much lower, combined with an EPR setting of 3, you have very low EPAP pressure. I would guess your EPAP pressure is mostly at 4.0 cm during use, and rarely gets as high as 5.5 cm. With your machine, the pressure does not transition to IPAP until you spontaneously initiate that breath.
I just think you need to either back off on EPR or raise your pressure. Given the low therapy pressures, you have, I think the best option may be to turn off EPR or set it at 1. I think you will find the therapy more comfortable and less claustrophobic, and I also think your sense of nasal congestion will be reduced. You may also want to experiment with the next size larger nasal pillow.
Good luck with your doctor's appointment. I think you are closer to making this work than you think. You are going to have to work through the comfort issues, and get on track with more hours of use, or you won't start feeling better. On a positive note, I think your therapy prescription is essentially right-on except for using EPR.