I have issues with dry eyes started shortly after using my cpap with Resmed N20 mask . It appears the exhailation port blows upward in the direction of my eyes worsening my dry eye syndrome.
Is this  going to be the same issue with the F&P SOLO?

Since Watch OS 9, the Apple Watch has been one of the best sleep tracking and heart rate monitors commercially available.

Here's a scientific review of it's capabilities as compared to an EEG:

https://youtu.be/ogJ8uEUjW_8?t=664

For a long time, I was able to sleep w/ my CPAP in APAP mode (no EPR) with great results. For reference, I was diagnosed in 2014 w/ an AHI of 85 (severe) and my AHI on CPAP was around 3 or less most days. Gradually over many years I started to develop some memory issues and brain fog so I started my journey of optimizing my sleep via OSCAR and "working" (read: fighting) my local sleep doctor to give me access to more advanced therapies like bilevel & asv. After many terrible titrations and eventually failing CPAP due to aerophagia at high pressure levels, I was approved to start using bilevel. I tried for the better part of the last year to improve my sleep but could never get consistent results on bilevel, bought an ASV from craigslist to give it a go and was similarly disappointed.

Next, I started experiencing secondary insomnia and would wake up 2-4 times per night even though my Oscar data, sp02 etc. all looked good. As I continued to research, all roads lead me to wanting my own EEG to get as close to a sleep study as possible so I could tweak settings and get overnight feedback. While I searched I even tried a couple different sleep drugs like gabapentin & doxepin to try to get me to continuous sleep but knew that I didn't want to rely on drugs if I didn't have to.

That's when I went back to basics, bought a used Resmed Airsense 10 Autoset and started my own personal titration using the Apple Watch as my guide.

The first couple of nights I set the CPAP to APAP mode and used my old range of 9cmH20 - 16cmH20, EPR off, to see where my pressure averages were night over night. Then I took the 95% value (14cmH20), switched to CPAP mode and increased it by 1cmH20 every couple of nights until I saw less and less arousals on the watch the next morning. Finally, I started to introduce EPR slowly at the end and I'm currently sitting at 17cmH20 w/ EPR 3 and I only had one non-REM arousal over the past 3 nights, feel fantastic waking up and my symptoms are getting better!

It took a lot of bad nights of sleep to get here but it's been well worth it. If you'd like to try to duplicate my results, I'm also following good sleep hygiene protocols like:

1. Going to bed around the same time every night
2. Sleep in complete darkness w/ black out shades from Ikea
3. Sleep with my upper body elevated on a 7" foam wedge
4. Turn down the A/C to 67*, have the room fan running on the lowest setting and sleep under only a bedsheet
5. No eating or drinking within 3hrs of bedtime

Other things I learned:

1. Even 0.5mg of melatonin would give me arousals in REM
2. It took 500mg of Gabapentin to sedate me enough to sleep through the night
3. My humidity is set to Auto and tube temperature 70*F
4. 95% flow limit is 0.01 and 99.5% is 0.14

Here's what a pretty bad night looked like before:




This is while taking 600mg of Gabapentin right before getting into bed:


This is from last night w/ no drugs, CPAP mode, 17cmH20 + EPR 3


Oscar for last night:



So if you've been on cpap / bilevel / asv etc and are still feeling groggy / tired, following this protocol may help you like it did me. Good luck

For reference I'm using the Apple Watch SE from 2022 and I bought it from Best Buy in Open Box "Excellent Condition" for $185

Hi guys 

I recently saw an ENT for a badly deviated septum, he requested that I do a home sleep study and follow up with the respiratory consultant. See attached. 

I'm honestly confused what the next steps should be. The ENT has advised a septorhinoplasty and removal of my left tonsil (it's pretty big to be fair!)

The respiratory consultant mentioned MAD and possibly CPAP as well as the usual lifestyle changes. I could do with losing 20lbs. 

I do also have a mild class III skeletal malocclusion as well as bite issues, but after seeing a couple of OMFS consultants neither advised anything like a MMA - I don't think it's commonly done in the UK. 

Thanks!

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So 2am going to bed and machine won’t turn on. Green light on Start/Stop at top. Power supply fine as checked with another machine. Could find anything on a search and will have a better diagnostic look teardown after some sleep, thought I’d post to see if anyone has had this prob.

Please see attached chart for last night's OSCAR data. Trying to understand what this means now that I have my flow limits down.  Thanks

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I have been using commercially available wipes to clean my mask cushion  (purchased on a large E commerce site.)   There a a whole slew of ingredients in the wipe and never thought that this could be why my mask cushion  itches so much.  Is anyone opposed to using wipes because of the same reason?   Are there better ways for cleaning silicon mask cushions that won't cause irritation ?     I appreciate the suggestions.

My AHI went up to 3.18 for the second half of the night but was only .6 for the first half of the night. Flow limits were .09 for both and leak rate was zero for both.  Does this indicate to you that it was positional?  I think I slept on my back more the second half of the night.  Also, I have enjoyed a soft response but I wonder if standard would work better when I am sleeping on my back (if that is indeed my issue).  One other question, how can I have a zero leak rate but have all of those short spikes?  I wear a chin strap with a nasal mask FYI.  Thanks in advance!

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Hello lovely folks! I hope this message finds you all in good spirits.  I'm reaching out for some assistance regarding my CPAP data graphs.  Please forgive me if I have used the wrong thread subject prefix (I'll change it if there is something more appropriate).  

Approximately 6 months ago, I developed symptoms of very strong and crushing fatigue that so far have remained unresolved.  It's worth noting that I was diagnosed with severe obstructive sleep apnoea (OSA) when I was 25.  I've also been prescribed pregabalin for ongoing chronic pain.  I'm finding it increasingly difficult to perform daily tasks and take care of myself, feeling very unproductive.  At this point, I have a high suspicion that my issue is related to worsened breathing while trying to sleep.  Despite being under the care of my doctor for diagnosed (probable) iron deficiency with borderline anaemia, taking pregabalin 75mg morning and night, and being 41 years old and in the middle of the healthy range for BMI, I still seem to be experiencing issues during my sleep.  I've noticed that there doesn't appear to be any change in my CPAP data when I'm not taking pregabalin.  I've recently noticed an interesting anomaly in my CPAP data: although I consistently use mouth tape and a chin strap, my I:E ratio tends to be inverse, except for my last few nights where my I:E was 1:1.  Usually it is usually between 1:0.5 and 1:0.7 ratio.  Once I turned on EPR, it seems to have brought my I:E ratio closer to or at 1:1 (TMK this is still not quite ideal).  I use a Resmed AirFit P10 nasal pillow mask and F&P SleepStyle Auto CPAP machine.  I annually have my machine checked to see if it's holding a given range of pressures, and so far it seems to pass these tests, but I understand anything is possible and perhaps my machine could even be faulty (It's 2 years old).  I tend to have a 95% percentile pressure around 6.5

I'm hoping that by sharing my CPAP data, some of you might be able to help me identify any potential issues or patterns that could shed light on what's happening while I'm asleep.  Your expertise and insights would be immensely valuable to me in navigating this situation.  Thank you all so much for your kindness and support!  

 

   
   
   

Hi,

Is it possible to  differentiate CA and OA events in OSCAR just by looking at Airflow. Can I assume that the Snore graph in a way confirms effort  and thus confirms OA ? 

I understand that no Airflow with no effort confirms CA, My question is, does  ResMed Airsense 10 recognize snore by sound (microphone)  or by pressure differences  ? Would it be right to correlate snore with effort ?

Stell

Hello Dear One(s) and All


Used AirSense 11 for the very first time last night with no heated tube and AirFit F20 full face mask.

Grateful for everyone who has joined here and provides very useful information and support to first time ever users.

Apology if there is another way I need look for this information and I welcome any guidelines for new Threads or how to search.


My question is:   I put the mask on and turned machine on at about 4am "last night" and was down for sleep time until 330pm today.

I have some DSWPD  (symptom of disability), so often cannot fall asleep until similar time and sleep 12 to 14 hours (also disability symptom)


When I turned off the machine, it said I had used it for 3:35 only though my "night of sleep" was actually 11.5 hours.

Is there a setting of some kind on the machine or on myAir (I do not have any apps, I just made an online account and could not find answer there)

that anyone who sleeps this kind of schedule is aware of that will record my "full night of sleep" vs dividing it w/ their noon to noon clock?


I don't know if me visually looking and just adding the 3:35 to what it shows as the previous day statistics is okay or if the algorithms

the machine uses to determine effectiveness will not work properly with the actual full night of sleep divided. (When I clicked the previous

day, I was able to see that it had a separate logging of the other 8 hours of sleep.)


Thank you again very much all who share here. It is very helpful and appreciated.


Peace