Please analyze my screenshot

[Dzyan]

Good afternoon, I purchased the ResMed AirSense 11 AutoSet device. I am studying the Oscar program. I still have no idea what the data Oscar is showing me means. Please take a look at my first screenshot and please give me your advice. Please correct me if I have not correctly designed the theme or my screenshot.

[Pugsy]

Need to also know how you are sleeping and feeling.

It's really hard to offer advice or input without more history or specific questions about what you do or do not understand.

On paper though....the above detailed report is unremarkable.

[Dzyan]

Need to also know how you are sleeping and feeling.

It's really hard to offer advice or input without more history or specific questions about what you do or do not understand.

On paper though....the above detailed report is unremarkable.

Thank you for watching. I've had better nights with SPAP. That night, I often woke up to air leaks from the mask. There is no clarity in my head. But overall, my general condition seems to be better. The device settings are correct, I realized that I don't need to change them.

[Pugsy]

I often woke up to air leaks from the mask. There is no clarity in my head.

FWIW the wake ups themselves can mess with sleep quality and the normal stages of sleep that we need to go through for the restorative powers of sleep to work their magic. We can't see those wake ups on the detailed reports unless someone has the presence of mind to reach over and turn the machine off and right back on again so we can have a better idea as to the actual number of wake ups.

Your actual leak line isn't all that horrible in terms of leaks maybe affecting therapy itself. You had only one very brief leak above 24 L/min which is ResMed's line in the sand for large leak territory. It wasn't big enough or prolonged enough to really impact therapy itself.

BUT any leak, no matter how big or how little, that causes us to wake up and messes with our sleep needs to be improved upon or reduced simply because it is disturbing our sleep. Anything that messes with our sleep is unwanted.

There's a good explanation as to why all the sleep stages are important here at this link.
While it is talking about alcohol and its effect on sleep quality if you substitute the word "anything" where you see alcohol you will understand the basics about sleep quality needs. Lots of stuff can and will cause us to wake up and thus mess with sleep quality and in turn mess with how we feel the next day.
https://www.sleepfoundation.org/nutriti ... -and-sleep

Gotta get the sleep first and foremost for any of the rest of the stuff you see on the reports to matter.

When I wake up a gazillion times due to back pain I am going to feel like total crap the next day....doesn't matter if the AHI is 0.0 and leaks are minimal and don't wake me up or if I get 8 hours of sleep or less.

Work on your leak management to reduce those leak associated wake ups and then you can evaluate how you feel during the day more accurately.

[Dzyan]

FWIW the wake ups themselves can mess with sleep quality and the normal stages of sleep that we need to go through for the restorative powers of sleep to work their magic. We can't see those wake ups on the detailed reports unless someone has the presence of mind to reach over and turn the machine off and right back on again so we can have a better idea as to the actual number of wake ups.

I am afraid that it will be impossible for me to turn the device off and on again in the middle of the night. I had an idea. Can you tell me if I should buy a camera with an infrared light that will help me record the number of times I wake up in my sleep?

[Pugsy]

Can you tell me if I should buy a camera with an infrared light that will help me record the number of times I wake up in my sleep?

And how would the camera know if you were awake or asleep?....and even if it would what would that change other than give you a set number to worry about?
You already know that there were lots of wake ups....and you already know that there were more wake ups than you want.

Though you need to also remember that it's normal to wake up a handful of times during the night....like after REM stage is completed. Most of the time those wake ups are so brief we don't remember them but sometimes we are awake long enough to form a memory of the awakening.

But a camera might show other stuff that might shine some light on what goes on during the night so it might be useful.
Just remember what the camera can actually do or more importantly what it can't do.
example....I wake up often due to pain issues. Sometimes I change position but most of the time I don't. If I don't move or do anything while awake (however brief) the camera isn't going to be much help. It can't see inside my head.

[robysue1]

FWIW the wake ups themselves can mess with sleep quality and the normal stages of sleep that we need to go through for the restorative powers of sleep to work their magic. We can't see those wake ups on the detailed reports unless someone has the presence of mind to reach over and turn the machine off and right back on again so we can have a better idea as to the actual number of wake ups.

I am afraid that it will be impossible for me to turn the device off and on again in the middle of the night. I had an idea. Can you tell me if I should buy a camera with an infrared light that will help me record the number of times I wake up in my sleep?

If it's impossible to reach over and turn the machine off and back on in the middle of the night, then you might want to invest in a FitBit type device that plausibly claims to measure sleep stages. While these devices' sleep staging has to be taken with a (monstrously large) grain of salt, they actually are pretty decent at detecting restlessness that indicates wakes, particularly when set to a "sensitive" mode.

[palerider]

Good afternoon, I purchased the ResMed AirSense 11 AutoSet device. I am studying the Oscar program. I still have no idea what the data Oscar is showing me means. Please take a look at my first screenshot and please give me your advice. Please correct me if I have not correctly designed the theme or my screenshot.

What I see is a need for a higher minimum pressure, you see on the pressure line where it jumps up and trails back down then jumps again? that means that the minimum pressure setting is too low.

[Dzyan]

What I see is a need for a higher minimum pressure, you see on the pressure line where it jumps up and trails back down then jumps again? that means that the minimum pressure setting is too low.

Thanks for the advice. I will try to set the minimum pressure today to 8. At a higher pressure, my ears clog and it does not feel very comfortable, like deep under water. Tomorrow I will post a screenshot with a minimum pressure of 8.

[Dzyan]

There's a good explanation as to why all the sleep stages are important here at this link.
While it is talking about alcohol and its effect on sleep quality if you substitute the word "anything" where you see alcohol you will understand the basics about sleep quality needs. Lots of stuff can and will cause us to wake up and thus mess with sleep quality and in turn mess with how we feel the next day.
https://www.sleepfoundation.org/nutriti ... -and-sleep

I drink alcohol very rarely, once every few months. Giving up alcohol altogether is not a problem for me. In general, my condition has improved significantly after SPAP. My depression, apathy, chronic fatigue disappeared, and my anxiety decreased. I became more energetic, the feeling of hunger decreased, and the craving for food rich in sugar. My blood pressure and pulse rate have decreased, extrasystoles are disappearing. I don't go to the toilet at all at night or wake up only once a night. Before SPAP therapy, I went to the toilet three times. The dryness in the mouth disappeared, and the swelling of the tongue disappeared. The excess weight of my body began to decrease.
But I feel that the quality of my sleep is still far from 100%. I remember waking up often at night, woken up by air leaking from under my mask. It has to do with my sensitive sleep. My father, for example, does not wake up the air leaking from under the mask.
Therefore, the task before me is how to improve the quality of my sleep.

If it's impossible to reach over and turn the machine off and back on in the middle of the night, then you might want to invest in a FitBit type device that plausibly claims to measure sleep stages. While these devices' sleep staging has to be taken with a (monstrously large) grain of salt, they actually are pretty decent at detecting restlessness that indicates wakes, particularly when set to a "sensitive" mode.

Thanks for the advice, but I'm not quite sure how I can use the FitBit readings to improve my sleep quality?

[Dog Slobber]

What I see is a need for a higher minimum pressure, you see on the pressure line where it jumps up and trails back down then jumps again? that means that the minimum pressure setting is too low.

Thanks for the advice. I will try to set the minimum pressure today to 8. At a higher pressure, my ears clog and it does not feel very comfortable, like deep under water. Tomorrow I will post a screenshot with a minimum pressure of 8.

By increasing your minimum pressure, you are not (necessarily) creating a higher pressure.

Your device is spending more time at 8 or more anyway. By setting it to 8, you're giving it a head start to where it needs to get to and may not have to go as high when responding.

When I was optimizing, as I started increasing my minimum to where it was close, my trace really flattened, including lower high spots.

[Dzyan]

If it's impossible to reach over and turn the machine off and back on in the middle of the night, then you might want to invest in a FitBit type device that plausibly claims to measure sleep stages. While these devices' sleep staging has to be taken with a (monstrously large) grain of salt, they actually are pretty decent at detecting restlessness that indicates wakes, particularly when set to a "sensitive" mode.

Thanks, I found your post where you explain why you need a FitBit.

viewtopic.php?f=1&t=185935&p=1434393&hi ... t#p1434393

[Miss Emerita]

I see from your chart that you are using a full-face mask. You might look on line to see whether mask liners are made for your particular mask. That might help reduce the wake-ups from minor leaks. A lot of people have good luck over on Pad-a-Cheek.

(If you could put your machine and mask information in your profile, it would be there whenever other people might want to see it.)

[Dzyan]

(If you could put your machine and mask information in your profile, it would be there whenever other people might want to see it.)

Sorry, but I don't know how to add the name of the machine and the mask I use to my profile, if you don't mind, drop a link to the instructions on how to do it. And I will definitely fill out my profile.

[robysue1]

Sorry, but I don't know how to add the name of the machine and the mask I use to my profile, if you don't mind, drop a link to the instructions on how to do it. And I will definitely fill out my profile.

Here are step by step instructions.

Find your username in the upper right hand corner of the cpaptalk.com window and click on it to bring up a pull down menu:



Slide down and click on Profile to get to your profile information. The profile page will look similar to this:



Click on the link that says "Edit profile" that is right after your username. This will bring up a profile editing tool. There will be sidebar on the left side with several options. Click on the one that says "Edit Equipment". This will bring up a window that looks like this:



There are pull down menus to select your machine and your mask. If you can't find your machine or mask, just type the information in the "Additional Comments" field. Make sure that "Yes" is selected for "Allow others to see your equipment" and it helps us if you select "Text" for "How would you like your equipment displayed"---there are many machines that look very similar because they're in the same family and it's hard to figure out what your equipment is by just looking at the icon.