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Hi! I'm about 5 weeks into my journey with my machine now. I have an APAP, setting range 9-18, with humidity tubing, ramp up turned on, and also the EPR on auto. Down from 87.3/hr and SpO2 down as low as 63 to events no higher than 1.5/hr and SpO2 back within normal ranges minus a handful of quick dips down to 87-88. The difference has been SUBSTANTIAL. I feel SO much better in many areas. I have an Airsense 11 and wear an AirFitF40 mask, which I like. I have a hose holder that fits under my mattress that keeps my hose above my face regardless of my positioning, as I tend to move from back to either side here and there (though that movement has diminished in frequency since I started treatment). My leak rates have been low and I'm keeping the mask on all night, either disconnecting the tube or stopping the machine 1 or 2x to get up and use the bathroom.
All things considered, my transition has been really smooth and I'm so grateful for that. However, I do have a couple of relatively minor nuisances/concerns that I'm hoping I might be able to get some advice on or help with here:
1. Dry eyes - I already struggle with dry eyes to some extent, both due to heredity and also working at a computer all day. I feel like the APAP is increasing the dryness of my eyes, and I'm concerned therefore about their health long term. It seems like it's the air escaping the mask from my exhalations as opposed to leaks (if that makes any sense). I have tried a satin eye mask and it does help to some degree, but feel like the air still gets up underneath the bottom edge. I've added Systane nighttime eye gel to the mix the last week and it also helps. But just wondering if there are any other ideas out there that might help me care for and protect my eyes for their long term health moving forward.
2. I feel like I'm holding my mouth weird during the night, either trying to mouth breathe or trying NOT to mouth breathe. I think the machine has definitely decreased my mouth breathing to a great extent because I can actually breathe out of my nose again, but hasn't stopped it entirely. I've gotten the Xylitol (sp?) tabs and also dry mouth mouthwash, and use those regularly - I'm mainly using those to keep my mouth moist and protect it from the bacteria. As I've become aware of it, I feel like I'm subconsciously trying to control it in my sleep and might be making it worse. I feel like I wake up to use the bathroom and my mouth is inside the mouth in this weird almost pucker-like position with lips out and teeth exposed. I bought some mouth tape and have tried it the last two nights, and still end up waking up to use the bathroom feeling like the edges of my mouth are still trying to pucker. Not just that, though - with the mouth tape, I have woken up with more soreness in my jaws and feeling like I held my mouth totally different all night long. I definitely don't want to do that and end up with a misalignment of my teeth/jaws/etc. I'm not sure the mouth tape is for me. Should I try getting a chin strap? Any other advice?
It kind of feels like I'm essentially mummifying my head every night between the mask and eye mask, silk cap for my hair, and now possibly a chin strap. Which I suppose I don't fully mind if it is what I need to do for my best sleep and health. Just wanting to put it out there to those with way more experience than I have to see if there are things I'm not thinking of that might be beneficial.
They have a mask liner for your mask, and it might help. You could also try a more fitted sleep mask.
I'm not sure what to suggest about the mouth questions, but you might see whether a soft cervical collar would support your jaw and allow your mouth and jaw to relax. More here:
with CPAP pressure you can have air flowing backward into your eye. It is the nature of the beast. I have not found a easy fix.
The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity.[1][2] The duct begins in the eye socket between the maxillary and lacrimal bones, from where it passes downwards and backwards. The opening of the nasolacrimal duct into the inferior nasal meatus of the nasal cavity is partially covered by a mucosal fold
It would be great if you will download the free OSCAR program and post a chart. Dry eyes can be a problem is the mask exhaust is hitting your face near your eyes or leaking along the bridge of your nose. There are mask styles that can help with that like the Resmed Airfit F40 which does not fit over the nose, but under it. The "conscious breathing" will pass. Avoid any chin strap that pulls back. The knightsbridge dual chin strap (Supplier #34) may be a solution.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
06-08-2025, 02:47 PM (This post was last modified: 06-08-2025, 02:49 PM by SAS1973.)
RE: Newbie needing a bit of help, please!
(06-08-2025, 12:48 PM)Sleeprider Wrote: It would be great if you will download the free OSCAR program and post a chart. Dry eyes can be a problem is the mask exhaust is hitting your face near your eyes or leaking along the bridge of your nose. There are mask styles that can help with that like the Resmed Airfit F40 which does not fit over the nose, but under it. The "conscious breathing" will pass. Avoid any chin strap that pulls back. The knightsbridge dual chin strap (Supplier #34) may be a solution.
Thank you for all the great advice. I have resisted downloading OSCAR due to the security warnings I get from my Mac when I try to download it. But I'm willing to give it a go, I suppose. Is there a certain chart that I would look for to post? Timeframe? (One night? Trend, etc.?)
(06-08-2025, 12:44 PM)Dormeo Wrote: It's great to hear you're doing so well!
For the eye problem, you might try Supplier #31 here
They have a mask liner for your mask, and it might help. You could also try a more fitted sleep mask.
I'm not sure what to suggest about the mouth questions, but you might see whether a soft cervical collar would support your jaw and allow your mouth and jaw to relax. More here:
This will add to the mummification, but after finding that I have to mummify in order to sleep well, I'm actually all for it!
Thank you for the links and good advice ... I'm headed to research those more now!
06-08-2025, 03:30 PM (This post was last modified: 06-08-2025, 03:33 PM by SAS1973. Edited 1 time in total.)
RE: Newbie needing a bit of help, please!
(06-08-2025, 12:48 PM)Sleeprider Wrote: It would be great if you will download the free program and post a chart. Dry eyes can be a problem is the mask exhaust is hitting your face near your eyes or leaking along the bridge of your nose. There are mask styles that can help with that like the Resmed Airfit F40 which does not fit over the nose, but under it. The "conscious breathing" will pass. Avoid any chin strap that pulls back. The knightsbridge dual chin strap may be a solution.
OK I think I figured it out! This is my statistics chart - I added as attachment (not sure where it'll show up!). If there's something else that I needed to post, please let me know and I'll root around and figure it out. I don't know what most of these graphs mean yet. It's so much more information than in MyAir. A bit overwhelming but also kinda cool.
The statistics are lovely, but the Daily Details is where the action is at. As you found, the security warnings amount to nothing more than we can't afford to pay off Google and Microsoft for a "trusted" endorsement. It's brilliant software that is created by a development team we keep well-hidden in a back room here. Your AHI is very low and you're getting plenty of time in therapy. The Daily Details will give us any further information, and the organization of charts is discussed here. http://www.apneaboard.com/wiki/index.php...ganization
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(06-08-2025, 07:35 PM)Sleeprider Wrote: The statistics are lovely, but the Daily Details is where the action is at. As you found, the security warnings amount to nothing more than we can't afford to pay off Google and Microsoft for a "trusted" endorsement. It's brilliant software that is created by a development team we keep well-hidden in a back room here. Your AHI is very low and you're getting plenty of time in therapy. The Daily Details will give us any further information, and the organization of charts is discussed here.
Thank you!!! I'm attaching my daily charts from Friday night! Most of my nights seem to look fairly similar in the last week or so.
(06-08-2025, 12:48 PM)Sleeprider Wrote: The knightsbridge dual chin strap (Supplier #34) may be a solution.
Thank you, Sleeprider. But the correct link for the Knightsbridge is Supplier #37. (And folks, please use that link rather than a keyword search or you will likely end up with a counterfeit!)