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Yet another new user needing advice!
#21
RE: Yet another new user needing advice!
Have appt with sleep doc next week.
Wanted to check in and see if there is anything else to be done, and/or any issues anyone thinks I should bring up… 

It's been about 4 weeks.  I have tweaked pressures and have settled on 13-20, PS 4.2.  I have been using these settings for over 2 weeks now.

Overall I see a lot of  improvement!!

AHI was never a huge issue (usually 2-5), but the last 2 weeks has been consistently < 1, and I've had a couple of "perfect" nights (0.0 AHI).

Flow limits are virtually gone.

The pressure fluctuations are for the most part, gone too.  IPAP starts at 17.2, usually stays between 17.2-17.5.  It sometimes peaks a little higher, but I haven't been above 18 on these settings.

SpO2 drops continue, but the range is much tighter.
- Used to have Up-down ranging from 80-95%.  30-60 minutes < 90%

- Now rarely go below 87-88.  5-10 minutes or less < 90%.  No more headaches.

Biggest change is sleep time.  Before sleep was erratic(!!), and rarely for more than 90-120 minutes at a time.  Often getting up 3+ times a night to go to the bathroom or just walk around.  

Now I'm sleeping 3-4 hours at a time, usually only getting up once.  I even had one night where I slept 7 hours straight!

Fatigue continues, but it is better!  I've never had that great night of CPAP sleep where I woke up feeling like my life was "transformed".  Changes are more subtle -- I actually watched a movie with my wife without falling asleep.  Hoping for more improvement, but realize it takes time.

Here is an Oscar screen shot from last night. 


.pdf   10-21aa.pdf (Size: 307.05 KB / Downloads: 9)

I was wondering about the unusual curve at roughly 22:30-23:11, and again at 1:40-2:00.  I've seen it before in 20-40 minutes stretches.  A "tight" section of flow rate.   The other graphs -- tidal volumes, minute vent., respiratory rate, and even pulse and SpO2 are virtually flat.  Then at some point it returns to a more "normal" fluctuating curve/graph.  I zoomed in on the section @23:11 where the tight section ends.  The change in wave amplitude is pretty clear, but it may just be part of my sleep patterns.


.pdf   10-21b.pdf (Size: 961.7 KB / Downloads: 6)

Does it signify anything?  REM sleep maybe?
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#22
RE: Yet another new user needing advice!
It signifies an arousal. The flat sections are solid sleep, a good thing. Don't obsess over it.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

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#23
RE: Yet another new user needing advice!
Not obsessing.  Learning!

Says something that a representation of "solid sleep" was a new thing… 

Thanks for the info!!

Thanks
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