Lavender dream - first time OSCAR output

[Lavenderdream]

Hello Apnea Board. By way of introduction, I am Lavender dream.

This is my first day on the board and first time using OSCAR. 

Although last night was reasonably uneventful, I am hoping to look at the data over time to learn more, and take a closer look at troublesome nights and nights where I have sleep paralysis (this has been mostly resolved through use of APAP).

I have been treating now for just over a year. I would say my main issue right now is sleep avoidance and staying up too late, even though treatment is helping me. My second issue right now is that I enjoy side sleeping, but do not side sleep well on my N30I cushion because it feels harder to breathe on my side. I am considering attempting to resolve that with a new bed pillow but I have not researched enough yet to make a move. I have also purchased a full face mask to try out on my side sometime, but also have not opened that up yet since I sleep well with the cushions for the most part. My sleep study showed 36 apneas on my back before treatment and most nights now it is under 1 with some nights between 1-2.

Does anything stand out to you from this OSCAR chart? I appreciate any insight. My main goals are to understand the data, to get more sleep, to sleep better on my side, and also to record any sleep paralysis overlap if it ever comes back. See you about!

[SarcasticDave94]

I would edit min pressure to 7 as this allows EPR 3 to work immediately. With min at 6, the EPR can't begin until events push pressure to 7 or above.

The reason for this is EPR 3 reduces minimum pressure, so EPR 3 is trying to reduce pressure 6 to 3, which is below the mechanical threshold of 4 being the absolute minimum available.

I would also consider trying standard response instead of soft.

[Nightynite]

Your chart and therapy looks great. I think you know what your doing, or is it the lavender?

[Lavenderdream]

I would edit min pressure to 7 as this allows EPR 3 to work immediately. With min at 6, the EPR can't begin until events push pressure to 7 or above.

The reason for this is EPR 3 reduces minimum pressure, so EPR 3 is trying to reduce pressure 6 to 3, which is below the mechanical threshold of 4 being the absolute minimum available.

I would also consider trying standard response instead of soft.

Thank you very much! I'll give that a try.

---

Your chart and therapy looks great. I think you know what your doing, or is it the lavender?

I appreciate the time you took to take a glance and the positive feedback as well

[jdougc]

Consider a tight APAP range of 7-8 for a few nights. Your 99.5% was not even 8cm of pressure.
Minimum pressure swings may help to stay asleep .
Good luck .

[ejbpesca]

Great OSCAR report!  I've been at PAP therapy for many years and rarely get such good results.

[Lavenderdream]

Thank you ejbpesca. It has been a journey for me but I am committed to keep going and your post made me feel like it has been worth it.

Jdougc: I'm going to try that tonight and narrow the window to see how that feels.

[Lavenderdream]

Changes made: 

1. Changed minimum and maximum pressure from 6-10 to 7-8.

2. Changed response mode from soft to standard

My chart from last night shows more apnea activity overall, but I feel like I slept better and I am more rested. Most of the clear airway events happened when I was rolling a bit and waking up in the morning.

One other difference is that most nights I have to get up to use the restroom, and last night I did not.

With these changes it does look like I went to my max pressure of 8, so I may consider bumping that up a little more. 


Here is the chart!

[SarcasticDave94]

Yep not bad. Maybe do that edit of Max to 9, see how it goes.

[jdougc]

Glad you had a restful night.
Almost all of the pressure increases were from the very small number of flow limits.
Only 1 OA event.
Try these settings for another night and see if the CAs go down, might take a few nights.