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What setting adjustments do I need?
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taly Offline

Members

Posts: 9
Joined: Jun 2014

Machine: Auto DreamStation
Mask Type: Oral
Mask Make & Model: Fisher Paykel Oracle
Humidifier: DreamStation
CPAP Pressure: 4 - 20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA

Post: #1
What setting adjustments do I need?
Still new to Medicare and new Doctor. I don't know how familiar she is with CPAP adjustments. Thought I could bring in suggestions from this board, to my second appointment which is next month.

I have SleepyHead data charts placed in order as suggested -- though I can't seem to find Flow Limit.

Looks like my AHI is still a little high. I've had some seal issues with my Oracle mouth mask, but I think I may have that solved. On the days when AHI is around 5 or lower, I feel better rested.

I think I know how to obtain a screenshot but not yet how to post them here, if requested.
09-29-2016 03:54 PM
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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: #2
RE: What setting adjustments do I need?
Here are a couple links to help.

https://sleep.tnet.com/resources/sleepyhead/shscreenshot
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

Post you screenshots when you get a chance. We would be happy to help you in giving your doctor some suggestions. Smile

OpalRose
09-29-2016 04:22 PM
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taly Offline

Members

Posts: 9
Joined: Jun 2014

Machine: Auto DreamStation
Mask Type: Oral
Mask Make & Model: Fisher Paykel Oracle
Humidifier: DreamStation
CPAP Pressure: 4 - 20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA

Post: #3
RE: What setting adjustments do I need?
The imgur was very confusing; I will try again tomorrow.

How many days of data should I post?
09-29-2016 05:18 PM
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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: #4
RE: What setting adjustments do I need?
Only need to post a couple days.

OpalRose
09-29-2016 05:25 PM
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taly Offline

Members

Posts: 9
Joined: Jun 2014

Machine: Auto DreamStation
Mask Type: Oral
Mask Make & Model: Fisher Paykel Oracle
Humidifier: DreamStation
CPAP Pressure: 4 - 20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA

Post: #5
RE: What setting adjustments do I need?
I can't figure how to remove the image from the Imgur page.


http://imgur.com/a/ZAB4w
09-30-2016 11:29 AM
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rkl122 Offline

Preferred Members

Posts: 74
Joined: Apr 2016

Machine: Philips Respironics System One 560P (Auto, Aflex, 60 Series)
Mask Type: Nasal pillows
Mask Make & Model: PR Dreamware Frame Med, Pillow MW
Humidifier: Remstar System One - Hose Unheated
CPAP Pressure: low 8.5, high 12.5, expting
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: NJ

Post: #6
RE: What setting adjustments do I need?
(09-30-2016 11:29 AM)taly Wrote:  I can't figure how to remove the image from the Imgur page.


http://imgur.com/a/ZAB4w
If you posted it from within an IMGUR account, you can remove it by floating your cursor over your id, choosing images from the popup menu, float over the image you want to remove, and use the trash can icon. If you posted without opening an account, I'm not sure you can remove it. In future, you probably should be careful not to leave your name on the image. The windows snipping tool allows you to frame the image as desired. Be sure to read the third link posted by OpalRose. Follow the instructions there to post inline images here.

At any rate, your pressure window is set wide open. Not good. You should get the IP up (see next paragraph). However, you shouldn't do that all at once. You'll need to acclimate to the pressure by increments, and ensure that you don't have leak issues. Start around 7, gather a few days' data, then increment by 1 and repeat the cycle until you reach the target or get substantial reduction in AHI, whichever comes first.

What should be the target IP? Rule of thumb is to set it a couple percent points below the 95% figure. But for the two days you posted, there's a substantial difference for that figure. I would average that figure over several nights, and shoot for a couple points below that average.

For future SH images, consider losing the pie chart so the left pane shows more of the meaningful data. (Preferences=>Appearance=>uncheck the piechart option.)

Good luck, -Ron

We are such stuff
As dreams are made on, and our little life
Is rounded with a sleep.
10-01-2016 01:56 PM
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taly Offline

Members

Posts: 9
Joined: Jun 2014

Machine: Auto DreamStation
Mask Type: Oral
Mask Make & Model: Fisher Paykel Oracle
Humidifier: DreamStation
CPAP Pressure: 4 - 20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA

Post: #7
RE: What setting adjustments do I need?
I was having trouble signing up with Imgur but that is now solved.

I'm still having problems with the Oracle mask slipping off one of its lugs, resulting in a small leak. Until I get that straightened out, I assume my Sleepyhead data won't be of much help.

I am also budgeting for an oximeter which can be downloaded on Sleepyhead to sync with the Dreamstation data.
10-01-2016 03:24 PM
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