VS vs VS2 Snore flagging

First off I rarely snore, only when I am super sick, or have a seizure related event has anyone even remotely notice I snore. I even set up a recorder on a pillow next to me the other night and all I had was 8+ hours of thrashing in bed, and the air released from the mask. I spent the evening digging thru the archives and still not satisfied with any answers. My machine is constantly flagging VS2 events as well as VS Events, and I have learned the number next to it is a formula of length vs time. I wouldn't be as concerned but I get flagged when I am awake as well as asleep and Pressure increase seems to further compound the issue. I was originally set at a fixed 6cm and with the help of a few on here I switched against my sleep doctors wishes to Auto and played around with seeing if the machine would take care of the snores. I started with Auto Mode 6 LO 8 Hi, then 10, and then 12, all further compounded the snore flagging. I have hopefully ruled out any form of machine issue, equipment, filters, mask ect. it just was odd that at the time I went to a Medium Pillow from a Large it jumped in numbers considerably. My Doctor is even stumped, and I finally had to shut off the modem, to prevent the DME from resetting my machine because I sufficiently completed my compliance for Medicare. I wear the mask 8-10+ hours a night. On the night I set the max at 12cm it ramped up to 12 within 10 minutes of me being awake, till my mask was leaking so badly, I had to shut down and reduce pressure. looking at the graph even after setting it back to 10 shows a direct relationship to VS2 flags to pressure, and some nights are worse. The Flow Chart is red all the way across, 100s of VS2 events.. And I understand that in the event of a snore even the machine will try and raise its pressure to the point the snores stop, or till it hits its max pressure.

Last night I experimented a bit with a strong Halls Lozenge and it did alleviate some of the flagging as my sinuses were a bit clearer. So here is my last and only thought on this because it seems I have offended people on my other posts, as I haven't got a reply lately, but are these machines so darn sensitive it could be picking up the restriction in my nostril due to a deviated septum? and I know when I inhale I do get a bit of noise. I can zoom in all the way to all my flag points on SleepyHead and each time it flags a VS or VS2 event it is different, but no sign of a jagged respiration event that would signify a snore.

Id love to get to the bottom of this, as for some reason I don't think the ASV test is going to show much of anything we haven't already seen. I never even made it to rem sleep in either of my split night studies. and how lousy I feel lately I just want some sleep. and the ASV test isn't till March 22nd so I figure it will be May till I will even remotely have an ASV machine if I even need it. I had numerous centrals on my Split Night, I've had a number of PBs but I have yet to see a Central Flag on SH. I just want to solve this Snore Flagging on VS2 so possibly I can find whats causing it, solve it and start playing with pressures again.

I shut the humidifier off last night as a attempt to keep my nose from dripping as well, going to try again tonight as i'm getting blasted with cold air, even with the humidifier on 5, and the fleece wrap on the hose.

Any other ideas other then i'm snoring and need higher pressures to help clear these VS2 events up? or someone explain the difference between a VS snore and a VS2 Snore???

RestlessinWoolley wrote:it seems I have offended people on my other posts, as I haven't got a reply lately, but are these machines so darn sensitive it could be picking up the restriction in my nostril due to a deviated septum?

The reason I didn't answer was because I simply don't know. I doubt it though. There would have to be an awful lot of raspy noises or vibrations in your nose and I would think you would be aware of it.
And why did you not have the snores in those numbers initially?? It's not like you never had nights without the snores.

RestlessinWoolley wrote:Any other ideas other then i'm snoring and need higher pressures to help clear these VS2 events up? or someone explain the difference between a VS snore and a VS2 Snore???

I know nothing about the difference.
Did you read RobySue's thoughts?
viewtopic.php?f=1&t=75927&p=694174&hili ... re#p694174

Awake breathing shouldn't trigger pressure increases especially of the magnitude that you are having.
Snores while awake...they can happen but if you are awake you should be able to hear them and know what they are.
When you lay awake for 2 hours and there's a solid bar of snores...something somewhere isn't right and doesn't follow normal logic.

I am stumped. Unless your normal awake breathing sounds like a buzz saw I am doubting at least the awake breathing snores.

When I first started on the machine with the wisp mask, I had very little snore flagging, even early on with the simplus, in my last post on the other thread, I posted a chart from Jan 30, with the large and Jan 31 with the medium KABOOM the flagging went nuts leading me to believe it was equipment and everynight since then its just getting worse and worse and worse, last night 114 VS events and 241 VS2 events. I know I was awake from a period of time in even in that event I had 15 flags of events. if it was all asleep i would think maybe i snore lightly, but even my graph shows very little deviation in my breathing and its flagging. Im stumped as well, and apologize I am beyond frustrated at this point. My original appt was In May of last year, sleep test 1 in October, 2 in November, machine end of December, and im just tired of not sleeping well, read so many miracles that ass soon as people got the machine they started feeling better, me im far worse than I was 2 months ago.

I have even went as far as taping the little rubber flapper in the mask to the open position, to see if its vibrating enough to cause a flag, because like I said alot of this happened when i changed mask sized and thoroughly cleaned the mask frame. and changed filters, maybe i screwed something up in the frame.

This is a good example of one of the many flags up close I dont see any real deviation or change to the pattern to make me think i am snoring like in the pics Pale Showed me..

RestlessinWoolley wrote:maybe i screwed something up in the frame.

Wouldn't be the first time it was user malfunction.

I have never used the Simplus. I might have one in the donations box. Tomorrow I will see if I do have one and maybe play with it a bit to see if a loose or ill fitting something or other will cause "snores".
I did have one but I may have sent it out already to its new home.

I would like to see you get a brand new everything mask package and in the correct size.

At this point I don't know what is causing those snores but I don't think they are coming from your airway despite what your machine might think. That much "snore noise/vibration" would/should be noticed while awake. If you were asleep the whole time then I might think differently.

You don't happen to have a pet that snores and sleeps with you do you? I had snores similar to yours when my little Pug dog (snores something awful) would sleep with his little chin on my shoulder next to my neck. The machine definitely picked up his snores.

I wish I could give you a for sure definite answer but I can't. The fact that the problem started after a dismantling for cleaning and reconstruction does make one wonder about something in the mask being out of whack.

That flow rate...doesn't look like a snore to me either.

I wish you had
1...totally new mask
2...different machine (just in case it's a sensor issue or something like that)

I appreciate it. nope i have this huge sleep number queen bed to myself. I lost my dog back in November but he usually slept under my bed snoring away...LOL my allergies forbade him from sleeping on top as he has a serious skin condition that would make him stink even days after a full bath. But all this was after him. I do notice one thing playing tonight when i first start the machine the little flapper in the pivot takes forever to seal right in the up position making the mask loud as heck even at my pressure. I have to plug the sides a bit and blow hard to slam the flap shut and pop it open a few times to get it to seal and quiet down. my tape idea failed in minutes. im thinking of just sealing the side holes on the pivot from the outside as the mask has the relief holes anyway, see if it helps. I never did get my medium replacement mask from either the DME or from F&P as well but I do have a warranty open, and my new medium on replen will be here next week. Stupid medicare. But ill have the F20 in the coming weeks as well for a month, if that cures it totally ill have a new frame anyway by the end of the trial, and by then a new DME and a new machine hopefully. its just been my luck these last few years, never get ahead and anything new causes me more grief than what its worth. I have a goal and a road trip I want to do in August and if I am unable to its going to be a long winter. No one said disability was a walk in the park, but wow its been a ride.

What size Simplus works best for you?

Replied to PM, I believe the Medium did, but was only able to wear it a few nights before it tore in the chin. the large leaks like crazy around the nose, the cloth liner helped but the way I drool, or my nose runs it soaks them in a hurry. The professional fitter at the clinic said the Simplus was not the right mask at all for me. He was going to set me up with the F20 he tried me on, but he didn't have a spare one to give me, if the F20 after the trial works for me, ill just take what they pay me and buy one out of pocket, but he also said they will note in my file to have one available for my ASV test and maybe I get to go home with it as well. we will see as the ASV test lands right in the middle of my test with it.

I often wondered what the difference between a VS and a VS2 event was. I also wonder if they're "real" snores that would disturb somebody else.

We believe they are totally fake caused by either the mask or the sensor having an issue. As an increase of pressure nets far more VS events.



Zoomed orbits obvious I am not snoring so with the help of my DME and Pugsy we will find out as I have a few new things on their way. I have reset the machine back to prescribed and just have to live with it till I have the new ASV TEST again a full night on the ASV. The big issue is I had 47 Centrals the night of my test and I hardly slept and on the DreamStation not one central so many of these flagged as CA and Hyp and others are most likely Centrals. She was not happy when she found out I had the dreamstation as she wanted a Resmed machine as they are better at recording Centrals and have far fewer issues as well.

But agreed what and how it decides what a Vs and what is a VS2 would be interesting to solve.

I found a long dead thread on the archives with a Simplus mask being really noisy, no the usual whistle from condensation, mines been horrid and read thru it. For tonight i reset back to manual CPAP Mode 6cm, and stuffed cotton balls into the anti asphyxia slots on the side. after a bunch of testing, I found the little flapper in the pivot was vibrating, a hunk of tape didit stay put so i basically made a muffler on the outlet it the flapper isn't sealing in the open position. I did mess with it a wile before and found it wasnt sealing very well and found when i cleaned it i must of dislodged the flapper base a bit somehow. SO will see in the morning. Doc said to turn off flex, and go back to normal cpap as flex can actually cause more centrals to happen, but still agreed the ASV Machine is going to be best regardless of how my test comes out, as it can pretty much do any mode and adapt as i need change. SO hopefully the mods I made work. its plugged into my computer UPS tonight in case of a power failure but even with the cotton I can still breathe fine when the flapper closes, to prevent breathing back into the machine.

I may have an answer for you.. fingers crossed.. I have a lung problem, and at the moment I have a horrendous cold to boot. I just took a look at my sd card and saw a whole line of vs2's and vs's for the last two nights, my thought is... my lungs are really tight right now and I have a "rattle" when I breathe.
Now, I usually have a few vs2s and really don't pay much attention to them, but today and yesterday there was a whole line of them on sleepyhead. I'm positive that my increased "rattle" when I breathe is the answer to my vs2s, perhaps you may have the same problem, sleepyhead is picking up my lung congestion problem with this rotten cold and flagging it as snores. Hope the answer to my vs2s has helped you in some way..... good luck.
Cheers
Nan

nanwilson wrote:sleepyhead is picking up my lung congestion problem with this rotten cold and flagging it as snores.

just a clarification for other readers, sleepyhead doesn't flag anything, the machine does the flagging and SH just reports them.

If the new mask that I am being sent doesn't clear it up its gotta be my breathing.. its just odd that one night I had 2 flags and changing the filters and pillow size all chaos broke out. Ive done a few things that seemed to help and did some 10 minute testing intervals wiggling the mask, twisting the pivot knocking on the mask with various objects nothing came up or was flagged. the cotton balled quieted the mask down substantially, and I still think it has something to do with the little rubber flapper in the valve as occasionally when I breathe it slams shut and will hang about half way and vibrate some times.. I have my F20 Trial mask on the way, I believe Pugsy is sending me something as well, and after my ASV test I will have my own personal F20 sitting there for after the test. SO when its all figured out, whatever I dont use, and if I need a different machine, as the Doc isnt happy that i got a DreamStation when her instructions was for a ResMed Machine, I will be happy to pass on whatever i am not using to the next person. I slept like crud last night AHI of 22.. 15 PBs, 7 RERAs and a ton of Hypopneas, my quality of sleep has gotten worse since starting. So hopefully the longer ASV test will show more as they are letting me sleep in till 8 am as noted on my graphs my best sleep is 4-6 am. but I even asked her the difference between VS and VS2 and shes clueless as only Respironics machines have this apparently.. She also said its reporting is nowhere as clear or as accurate as a ResMed Machine.. so we will see..just gotta wait a month. Started the new routien as well today of going to the gym to hopefully slow my health issue out, but im so wiped out tonight from an hour workout i hope i can sleep without wakng up a dozen times.