2farfromshore Therapy Thread

[2farfromshore]

I made a concerted effort to sleep on my sides. I was on my back very little last night. I slept better and awoke to better results knowing it's probably a one-off. I do have a slight headache focused in the sinus dead between the eyes.

I don't think the cervical collar I bought is going to do much for me. I think this comes down to my sleep position (supine) and my physical airway issues. The CAs could very well be from therapy.

   

[2farfromshore]

I thought I'd start a new thread for a new development.  My recent thread with general info is here:

https://www.apneaboard.com/forums/Thread...ar-screens

The short of it is I have a positional issue in that I've been sleeping supine for some time. In an effort to correct that, I've been forcing myself to sleep on my sides. The results were good for two nights. Slept better, felt better. 

This AM I open the graph from the night's sleep and there are two incidents of cheynes stokes breathing. I don't have heart failure. I had a normal echo 6 months ago and there are zero symptoms of heart failure now. I do have bradycardia. Should I freak out?   I don't feel any worse than the previous two nights. All in all I don't feel bad. No headache or grogginess after breakfast and my morning cup.

   

   

[2farfromshore]

Respiration rate bouncing around 40-50 before settling down to 17 +/-

   

[Sleeprider]

2far, you need to increase EPR to 3 and resolve the positional apnea. Everything is obstructive, and is being interpreted as central, including periodic breathing, when your air way is partially occluded and you breathe at a volume that is interpreted as apnea or hypopnea. https://www.apneaboard.com/wiki/index.ph...onal_Apnea

The CSR is actually fluctuating levels of relatively high flow limitation and positional apnea. Since this is a continuation of your previous therapy thread, I have merged the previous thread and will title it to show this is your therapy thread.

[2farfromshore]

Thank you, Sleeprider. I appreciate it and I will try the setting.

[2farfromshore]

Sleeprider - boosted min and max a little bit and bumped EPR to 2. Also slept most of the night on my sides.

First night below 5 AHI since starting CPAP in March

   

[jdougc]

Sleeprider suggested you to set EPR to 3, since your flow limitations are very high.

Please try that for a few nights.

Flow Limitation Is Associated with Excessive Daytime Sleepiness in Individuals without Moderate or Severe Obstructive Sleep Apnea

https://pubmed.ncbi.nlm.nih.gov/38530665/

[2farfromshore]

Thank you for the link. Will bump to 3 tonight.

[Sleeprider]

Same comment as jdougc. I think you will do better at EPR setting 3. This was certainly an improvement.

[2farfromshore]

EPR 3 didn't go as well as expected.