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RE: Oscar data (Is my nasal mask destroying my sleep?)
Yes, you definitely need an ASV. Ask for a Titration Study including the use of an ASV. That should make your doctor realize that you need the ASV. The prescription can be written by any kind of doctor, NP or LPN. You don't need a sleep specialist. Lobby for yourself to get what you need.
In the meantime, to try to get a little more comfortable, drop your ramp time to 10 minutes, raise the ramp pressure to 10, and try a narrow pressure range. I suggest 13 to 17, as you are using 13 now, and you need a little headroom. Try it, see how you feel, and report back. We'll help you get as comfortable as we can until you get the right machine.
Best wishes for great therapy and comfort!
Machine: ResMed AirCurve 10 Vauto
Mask: Bleep DreamPort Sleep Solution and F&P Nova Micro
RE: Oscar data (Is my nasal mask destroying my sleep?)
Thank you so much I really appreciate it! I dropped my ramp to 10 and set my pressure to 10-14 and turned off EPR, still feel like I got really poor sleep unfortunately. here is my data; it does look like CA went down but unidentified apnea went up
RE: Oscar data (Is my nasal mask destroying my sleep?)
You left your machine in cpap mode, set at 14. It would be better to put it in autoset mode and set the pressure range at 10 to 14.
You had a lot of leaks last night, unlike the other nights. That might have contributed to you not feeling any better.
It may seem counterintuitive, but since your machine cannot fight the CAs anyway, I think you should turn your EPR on full-time, set at 3. Your AHI will likely rise, but at this point who cares? The EPR 3 will make your breathing more comfortable, which I think is more important.
I'm praying that you will soon be able to acquire the ASV you need.
Machine: ResMed AirCurve 10 Vauto
Mask: Bleep DreamPort Sleep Solution and F&P Nova Micro
RE: Oscar data (Is my nasal mask destroying my sleep?)
Yes, leaks are an issue. Ramp also is going to hinder still, and it likely will add variability that may increase CA. I would consider taking Ramp off.
Certainly try EPR and an AutoSet pressure range. Get the most comfort available until you convince the doctor to order ASV.
As much as possible, keep bugging the doctor you need ASV. Don't let them forget you. Complain till their ears bleed, being serious.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
RE: Oscar data (Is my nasal mask destroying my sleep?)
Last night was a lot better! another major change I made was filling my humidifier tank to the max level; typically I fill it to halfway and it always drains all the water and this morning it looked like it drained almost all of it with some still left over. Could humidity be a cause of any clear airway events?
RE: Oscar data (Is my nasal mask destroying my sleep?)
I would be inclined to say humidity isn't a factor with CA. With high levels of predominant Central Apnea (also is CA and flagged as Clear Airway, all pointing to same thing), this is probably idiopathic medically, meaning unknown cause.
It's not that humidity won't affect therapy feel, I'm not sure it'll affect CA directly.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Machine: Lowenstein Luisa Mask Type: Full face mask Mask Make & Model: Resmed Quattro FX Humidifier: separate F&P humidifier CPAP Pressure: Epap 4-20 PS 4-20; "auto" rate CPAP Software: Not using software
Other Comments: Using 45 degree angle upper body wedge (36"x36") and 4.5"soft cervical collar; 500 assured tidal vol
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.
