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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
desiderata
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Post by desiderata » Mon Mar 20, 2017 9:40 pm

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Last edited by desiderata on Sun May 07, 2017 5:50 pm, edited 3 times in total.

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Wulfman...
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Re: Vote on the starting settings

Post by Wulfman... » Mon Mar 20, 2017 9:45 pm

desiderata wrote:Well, not 'vote' exactly, since I really do need to retain responsibility for my own treatment, but if you have advices you'd like to share, the welcome mat is out.

Settings I've been able to decide already:
Mode: Autoset For Her
Min: 8
Max: 12
[last time I used a machine, 10 CPAP was best; but that was some years ago]
Ramp: none

Settings I'm not sure what to put:
EPR: on or off? if on, 1 or 2 or 3? (Can't remember what I used to have... maybe off...?)
Climate Ctrl: manual or auto? (I'm not really sure what this even does)
Tube temp: off or some temp. between 60 and 86? (I live in Minnesota. My thermostat lets the house get as cold as 64-5 degrees at night. This is fine when I'm on my own--on the machine -- ??)
Humidity: off or between 1-8? (Am thinking of starting it at 3 or 4)
If you haven't been using "data" recently, I'd set it for straight 10 cm. with no EPR. Try that for about a week and monitor the data.
Can't answer your humidity questions. I've been using cool "passover" since I started (didn't like the heated humidity).
My bedroom is in the 60s and I route the hose right into/under the covers to add a little warmth with body heat. Works OK.


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
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palerider
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Re: Vote on the starting settings

Post by palerider » Tue Mar 21, 2017 12:40 am

desiderata wrote:Well, not 'vote' exactly, since I really do need to retain responsibility for my own treatment, but if you have advices you'd like to share, the welcome mat is out.

Settings I've been able to decide already:
Mode: Autoset For Her
Min: 8
Max: 12
[last time I used a machine, 10 CPAP was best; but that was some years ago]
Ramp: none

Settings I'm not sure what to put:
EPR: on or off? if on, 1 or 2 or 3? (Can't remember what I used to have... maybe off...?)
Climate Ctrl: manual or auto? (I'm not really sure what this even does)
Tube temp: off or some temp. between 60 and 86? (I live in Minnesota. My thermostat lets the house get as cold as 64-5 degrees at night. This is fine when I'm on my own--on the machine -- ??)
Humidity: off or between 1-8? (Am thinking of starting it at 3 or 4)
ignore the guy that hates auto machines.

if you used to use 10, then I'd start with:
min 9
max 20
play with EPR.
climate auto

adjust as needed.

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

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Wulfman...
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Re: Vote on the starting settings

Post by Wulfman... » Tue Mar 21, 2017 1:50 pm

Ignore the sarcastic jerk who thinks Autos and ranges of pressures solve all problems.

My point was to use your previous setting which you said was "the best" for a period of time and see how that setting works.
Then, after a week or so, if some adjustments are warranted, make them then.......including trying a range of pressures.
But, you need a reference point from your previous setting to evaluate it with your (new?) machine.


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

Cardsfan
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Re: Vote on the starting settings

Post by Cardsfan » Tue Mar 21, 2017 2:02 pm

To set the ERP, if you are using a setting of auto 8-12. I'd put the machine on cpap 12 and test out the different ERP settings. If you use apap 8-12 and it goes up to 12 in the middle of the night
and stays there a while, you want to know what you will be comfortable with for exhale at 12.

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desiderata
Posts: 113
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Post by desiderata » Tue Mar 21, 2017 2:34 pm

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Last edited by desiderata on Sun May 07, 2017 5:50 pm, edited 2 times in total.

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Wulfman...
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Re: Vote on the starting settings

Post by Wulfman... » Tue Mar 21, 2017 2:42 pm

desiderata wrote:I posted the 1st night's report here: viewtopic/t116057/Sleepyhead-best-display.html#p1126958
That looks pretty good. At least you now know that your previous setting was about "spot on". Give it awhile and see if things improve. One night does not make a trend or prove things conclusively.


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

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palerider
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Re: Vote on the starting settings

Post by palerider » Tue Mar 21, 2017 6:03 pm

Wulfman... wrote:
desiderata wrote:I posted the 1st night's report here: viewtopic/t116057/Sleepyhead-best-display.html#p1126958
That looks pretty good. At least you now know that your previous setting was about "spot on". Give it awhile and see if things improve. One night does not make a trend or prove things conclusively.
"spot on" you're a big help.
desiderata wrote:"There are many patients that are 100% compliant with CPAP, using their machines 100% of the time they are sleeping, with no leaks and a low AHI, and still feel no better. Sometimes they can even feel worse than when they don’t use CPAP."
http://doctorstevenpark.com/sleep-apnea ... -craziness

That last sentence is me (or was, a couple years ago). I'm considering taking another run at it, after hearing my partner express willingness to treat their OSA.
yeah, her previous settings were doing her a world of good, "doctor den".

why don't you leave that one to Pugsy.

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

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Pugsy
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Re: Vote on the starting settings

Post by Pugsy » Tue Mar 21, 2017 6:15 pm

Given last night's report I am not so sure that the previous trial with cpap was all that "spot on" at 10 cm.
It most likely was good enough for bringing the AHI down to well within acceptable limits but from what we see with last nights Flow Limitations that fixed pressure of 10 probably didn't do much to help the FLs.
Now do the FLs need reducing??? Dunno that answer yet but there's a definite maybe there and then the other question of were/are the FLs responsible for feeling crappy and not feeling the good numbers she had with the first cpap? Dunno that answer yet either. It's another maybe.

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Wulfman...
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Re: Vote on the starting settings

Post by Wulfman... » Tue Mar 21, 2017 7:01 pm

For the record, the updated reports with the flow limitations were posted about two hours after I posted my other response.
However, thanks for taking me out of context yet again.
But, that's why I suggest to monitor the results for a period of time. Maybe a few nights or longer.

To the OP "desiderata", I would suggest trying doing some nasal cleansing before bedtime......if you're not already or are experiencing some nasal congestion. Lots of things can affect "flow limitations"......sleeping position, heated humidity, etc.


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

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palerider
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Location: Dallas(ish).

Re: Vote on the starting settings

Post by palerider » Tue Mar 21, 2017 9:00 pm

Wulfman... wrote:For the record, the updated reports with the flow limitations were posted about two hours after I posted my other response.
However, thanks for taking me out of context yet again.
But, that's why I suggest to monitor the results for a period of time. Maybe a few nights or longer.

To the OP "desiderata", I would suggest trying doing some nasal cleansing before bedtime......if you're not already or are experiencing some nasal congestion. Lots of things can affect "flow limitations"......sleeping position, heated humidity, etc.
for the record, the information about desiderata's success with the so called "spot on" setting (as you put it), was posted long before your declaration. (and you're usually so good with old stuff).

and anybody that knows anything at all about reading the charts would spot that there was a problem, just as Pugsy did, recognizing that they were clearly not "spot on".

hey, if someone wants some links parroted, or some information on some ancient piece of kit dragged out of the archives, there's no doubt whatsoever that you're the person to manage that. btw, pointing out that you're full of shit isn't taking you "out of context", (how is it "out of context" if I quoted you in entirety?)

figuring out complex issues with people's sleep? meh... not so much.

isn't it about fishin season?

now, go ahead and get in the last word with whatever bullshit you're going to spew, trying desperately to avoid any responsibility for your errors.

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

desiderata
Posts: 113
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Post by desiderata » Tue Mar 21, 2017 9:16 pm

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Last edited by desiderata on Sun May 07, 2017 5:50 pm, edited 2 times in total.

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palerider
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Re: Vote on the starting settings

Post by palerider » Tue Mar 21, 2017 9:34 pm

desiderata wrote:Thank you, all; I appreciate every one who has taken the time to post and share their perspective. This is how we learn and improve best, pooling our resources. This is complex stuff we're dealing with and trying to sort out. Getting a hand on which variables are influencing what is a science and an art it seems to me.
...we see with last nights Flow Limitations that fixed pressure of 10 probably didn't do much to help the FLs.
I'm not sure I'm understanding this... a range was used, not fixed pressure.
what she's saying is in response to wulfman's "spot on" comment about your previous settings of 10.

simply put, if last nights pressure maxing at 11 didn't control things, then there's no possible way that your previous fixed pressure of 10 would have.

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Mask: Bleep DreamPort CPAP Mask Solution
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Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

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Pugsy
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Re: Vote on the starting settings

Post by Pugsy » Tue Mar 21, 2017 9:42 pm

desiderata wrote:I'm not sure I'm understanding this... a range was used, not fixed pressure.
I was referring to the 10 cm cpap pressure that you reportedly used in the past. If you used a range in the past you didn't mention a range that I ever saw. All I ever saw was a comment about 10 cm CPAP which is of course a fixed pressure.

Doesn't really matter. For all practical purposes your machine pegged out at 11 cm last night...so it made itself a fixed pressure despite the auto settings.
PR is right...if 11 cm last night didn't do a good job there's not much chance of the prior 10 cpap doing anything with those FLs assuming you had them back with the first cpap trial.

If you had enough nasal congestion to cause all those FLs I am betting you would know it right away and probably not be able to use nasal pillows without having to do a lot of mouth breathing.

At some point in your experiments I would like to see you try the regular apap mode to see if it does a better job fighting the FLs. No rush though. Just something to keep in mind for a later date. I don't anticipate it making any difference though.
It's not like your pressure last night fluctuated much once it got up to 11.

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Wulfman...
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Re: Vote on the starting settings

Post by Wulfman... » Tue Mar 21, 2017 9:42 pm

palerider wrote:
Wulfman... wrote:For the record, the updated reports with the flow limitations were posted about two hours after I posted my other response.
However, thanks for taking me out of context yet again.
But, that's why I suggest to monitor the results for a period of time. Maybe a few nights or longer.

To the OP "desiderata", I would suggest trying doing some nasal cleansing before bedtime......if you're not already or are experiencing some nasal congestion. Lots of things can affect "flow limitations"......sleeping position, heated humidity, etc.
for the record, the information about desiderata's success with the so called "spot on" setting (as you put it), was posted long before your declaration. (and you're usually so good with old stuff).

and anybody that knows anything at all about reading the charts would spot that there was a problem, just as Pugsy did, recognizing that they were clearly not "spot on".

hey, if someone wants some links parroted, or some information on some ancient piece of kit dragged out of the archives, there's no doubt whatsoever that you're the person to manage that. btw, pointing out that you're full of shit isn't taking you "out of context", (how is it "out of context" if I quoted you in entirety?)

figuring out complex issues with people's sleep? meh... not so much.

isn't it about fishin season?

now, go ahead and get in the last word with whatever bullshit you're going to spew, trying desperately to avoid any responsibility for your errors.
Uuuuuuuh........NO!
You're wrong as usual.

by Wulfman... on Tue Mar 21, 2017 2:42 pm

by desiderata on Tue Mar 21, 2017 4:19 pm (updated report with Flow Limitations)

And, you focused on only a couple of words from my post.
That looks pretty good. At least you now know that your previous setting was about "spot on". Give it awhile and see if things improve. One night does not make a trend or prove things conclusively.
Still quite a bit of ice on the lakes.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05