Still Snoring...

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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hbkslick1016
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Still Snoring...

Post by hbkslick1016 » Wed Jan 31, 2018 8:34 am

So for a good portion of last night I was snoring with the mask on... here is my chart. Thoughts?
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Pugsy
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Re: Still Snoring...

Post by Pugsy » Wed Jan 31, 2018 8:50 am

Mostly VS2 snores and it's up for debate how critical that is or even if they are real snores.
Respironics machines don't seem to respond (increase the pressure to VS2 snores).
See this thread
viewtopic.php?f=1&t=155478&p=1182872#p1182872

I would be more concerned about the RERAs and FLs IF I wasn't feeling good and sleeping good.
If you are feeling good and sleeping good then I don't know that I would be worrying about anything. Certainly not VS2 snores.

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D.H.
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Re: Still Snoring...

Post by D.H. » Wed Jan 31, 2018 10:04 am

Is this "snoring" bothering anybody?

If not, I don't think it's an issue. You can discuss this with your sleep doc on the next regular visit.

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Goofproof
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Re: Still Snoring...

Post by Goofproof » Wed Jan 31, 2018 1:37 pm

D.H. wrote:Is this "snoring" bothering anybody?

If not, I don't think it's an issue. You can discuss this with your sleep doc on the next regular visit.


Snoring is just one symptom of Sleep Apnea, A marker of problems breathing, air flow. Proper treatment of Sleep Apnea stops or reduces snoring. It matters little if it's bothering anyone, get your treatment the best that it can be, period! In some cases a problem may exist in the airway that makes snoring possibly even with your treatment correct, but it's not the norm. Jim
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hbkslick1016
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Re: Still Snoring...

Post by hbkslick1016 » Wed Jan 31, 2018 2:13 pm

I would be more concerned about the RERAs and FLs IF I wasn't feeling good and sleeping good.
If you are feeling good and sleeping good then I don't know that I would be worrying about anything. Certainly not VS2 snores.

What are your thoughts on my AHI being low but RERAs and FLs occurring often? Possible causes? I do feel "better" than I used to for sure.

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Goofproof
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Re: Still Snoring...

Post by Goofproof » Wed Jan 31, 2018 2:36 pm

hbkslick1016 wrote:
I would be more concerned about the RERAs and FLs IF I wasn't feeling good and sleeping good.
If you are feeling good and sleeping good then I don't know that I would be worrying about anything. Certainly not VS2 snores.

What are your thoughts on my AHI being low but RERAs and FLs occurring often? Possible causes? I do feel "better" than I used to for sure.
Leak rate also enters into the soup, if it is too high, the data can be incorrect. Jim
Use data to optimize your xPAP treatment!

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D.H.
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Re: Still Snoring...

Post by D.H. » Wed Jan 31, 2018 4:29 pm

Goofproof wrote:
D.H. wrote:Is this "snoring" bothering anybody?

If not, I don't think it's an issue. You can discuss this with your sleep doc on the next regular visit.


Snoring is just one symptom of Sleep Apnea, A marker of problems breathing, air flow. Proper treatment of Sleep Apnea stops or reduces snoring. It matters little if it's bothering anyone, get your treatment the best that it can be, period! In some cases a problem may exist in the airway that makes snoring possibly even with your treatment correct, but it's not the norm. Jim
To Jim,

Yes, if it's really snoring, that usually indicates that treatment is sub-optimal. However, these machines can be overly sensitive to "snores" that are inconsequential.

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Last edited by D.H. on Wed Jan 31, 2018 5:32 pm, edited 1 time in total.

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Pugsy
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Re: Still Snoring...

Post by Pugsy » Wed Jan 31, 2018 5:07 pm

Your leak rates are well within acceptable numbers...so your data is accurate. Leaks not an issue unless they are waking you up and disturbing your sleep.

Not sure why the Fls and RERAs increase a bit after the obvious increase in pressure where I suspect you were likely on your back.
The FLs and RERAs aren't horrible..might be REM Stage sleep related. For whatever reason the minimum you are using isn't quite getting the job done but I don't that the job needs to be done any better if you are sleeping and feeling good.
FLs are flow reductions that don't meet the criteria for a hyponea or OA. They aren't growing up into full grown hyponeas or OAs.
RERAs..that's a breathing pattern flag where the machine thinks you are breathing like you would be breathing if there was some sort of respiratory flow reduction causing an arousal (that you may or may not remember).
FLs and RERAs aren't part of the AHI. They can be an indicator of not quite optimal sleep/therapy.

If this report is a rare/random "bad" night in terms of the Fls and RERAs and you are sleeping good and feeling good then I probably wouldn't do anything about them if it were me.
Now if this is a random "good" night for those FLs and RERAs and you usually see a lot more of them then if it were me I would likely try to reduce them a bit and that is usually fairly easily accomplished with just a little more minimum pressure. They are showing up when your pressure drops back down...so higher seems to work but I don't think you would need that much higher pressure all night. Maybe 1 cm more..maybe 2 at the most.

So is this report a typical night or unusally good or bad? And factor in sleep quality...if you are waking often and don't know why...increase the minimum just a little. I wouldn't do big changes though. Sometimes as little as 0.5 cm will do a much better job than we think it might.
It's not an urgent thing though...these FL and RERA numbers are far from horrible.

Oh..don't worry about the fluctuation in that top line on the leak graph. The bulk of it is from the increased vent rate because of the increased pressure. More pressure means more vent rate and your machine includes the vent rate in that top leak line. It's doing what I would expect it to do and doesn't mean bad leak is happening.
Don't put a lot of worry into the bottom leak line...it's not necessarily particularly accurate because of the difficulty the SH author had in calculation of the excess leak when pressures (and that vent rate) vary much.
As long as you aren't seeing large leak flags very much over on the Events graph....that's the LL thing...leaks aren't impacting therapy.
Now if even tiny leaks are disturbiing your sleep then you want to reduce them but only because they are disturbing your sleep. Anything that disturbs our sleep is unwanted.

I don't worry about VS2 snores...Respironics software doesn't even report them and the machine won't respond to them.
More pressure won't necessarily reduce them either but if you decide to try to reduce the FLs and RERAs...you can keep one eye on the VS2 snores at the same time. See if they respond or not.

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ajack
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Re: Still Snoring...

Post by ajack » Thu Feb 01, 2018 6:58 am

Try min 11 or 12, it should clear some stuff up.

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