[Treatment] slatejetpack - Therapy Thread

[slatejetpack]

New member, first post.

I recently restarted my therapy in July following a mental breakdown in December.

I have been able to find a comfortable pressure and mask fit (for the most part), but I am noticing a lot of events like the one in the screenshot from OSCAR that I have included below. I have yet to ever see a sleep doc in my ~2.5 years on treatment and I just got a referral to one this morning.

I have an AirSense 11 that hardly flags anything so I need some help understanding what may be happening. Along with the events, I'm noticing that my breathing pattern has the sharp tops pattern that is less than ideal. 

Any advice that anyone may have to share would be appreciated.

[Narcil]

events only get flagged by the machine if they last 10s, it's not classified as an apnea otherwise. the one you flagged with UF2 lasts less than 5s.

can you please post the entire night and the correct graphs following this. do you actually record movement or?

[slatejetpack]

FWIW, I am not explicitly recording movement.

The data from my most recent night without a lot of leaks is below.

[attachment=69280]

[staceyburke]

You have a constant pressure set. No problem with that but many find it more comfortable using EPR.  EPR can be set 1, 2 or 3. 

I would set EPR to full time and try all 3 setting and see which allows better sleep.

[slatejetpack]

I keep forgetting to mention I have a V-Com in my setup. It’s been a big help in helping me re-acclimate myself to treatment. I’ll see if I can find a pressure I can tolerate without it and try EPR.

[slatejetpack]

Ok, lots of leaks here I know, but I've finally gotten a few nights of data showing these flat-topped/pointed waveforms of my flow rate.

If I'm understanding this correctly, it means my airway isn't as open as it needs to be when I'm inhaling?

I do have a V-Com in use as it has helped me to re-acclimate to therapy since restarting in July.

I'm kicking around a few ideas in my head of what to try but I figured I would try to get some suggestions here first.

[attachment=69391][attachment=69392]

[G. Szabo]

Your flow limit is in the ok range, so the algorithm does not consider the flattening serious.
If you want to improve it, set EPR=3 full-time. Unfortunately, I cannot see your current setting because of your calendar, which you should turn off.

[slatejetpack]

Yeah, I realized the calendar thing right after I posted (oops). Here's (hopefully) a better look.

[attachment=69407]

[Jay51]

Here are some tips to help with the leaks:  

Mask Primer              

• Mask leak solutions
  

[SarcasticDave94]

Yep, leaks are too high. See if you can control them better, it will affect therapy.