Hannibal 2 wrote:try and adjust
Did you use that colloquially? Or, did you really mean to express it that way?
Not criticizing, just curious.
Hannibal 2 wrote:try and adjust
Here's my opinion on any form of exhale relief....do whatever it takes to make you feel comfortable breathing so that you have the best chance of getting good sleep. We have to be comfortable number one to have the best chance of falling asleep and staying asleep and we gotta get the sleep first...then worry about optimizing therapy.Hannibal 2 wrote:I don't have doubts, I know it's good for some people, just wondering if it's better to try and adjust to not using it.
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That there is excellent advice from Pugsy...Pugsy wrote:Here's my opinion on any form of exhale relief....do whatever it takes to make you feel comfortable breathing so that you have the best chance of getting good sleep. We have to be comfortable number one to have the best chance of falling asleep and staying asleep and we gotta get the sleep first...then worry about optimizing therapy.Hannibal 2 wrote:I don't have doubts, I know it's good for some people, just wondering if it's better to try and adjust to not using it.
Best numbers in the world are totally worthless if your sleep is like crap.
I actually prefer 4 cm difference between inhale and exhale...it just feels more "perfect" to me in terms of matching my own respiration. I can do without 4 cm difference but I don't sleep as good or as long and my sleep is already fragile enough from stuff unrelated to sleep apnea so I take every advantage I can to ensure the best sleep possible.
That's why I use a bilevel machine...I found I slept almost an hour longer on average with 4 cm difference...and that extra hour translates into feeling hugely better during the day.
EPR or Flex or Pressure Support (bilevel)....are not crutches or training wheels just because they are considered "comfort" settings. I think that "comfort" is a huge factor in sleep quality and everything is fair game in the sleep quality improvement category.
What are your goals? Is it good math scores or good quality sleep?
Try the various EPR settings including off...use the one that feels more comfortable to you regardless of the setting.
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As alwaysAttila wrote:
That there is excellent advice from Pugsy...
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I've always been far better at sleep than maths!Pugsy wrote:
What are your goals? Is it good math scores or good quality sleep?
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And I am better at math than sleep but my sleep issues are unrelated to sleep apnea. Getting good numbers is the easy part...feeling them is a whole other thing.Hannibal 2 wrote:I've always been far better at sleep than maths!
It's a no-brainer really!
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That's pretty much what I'm doing right now, even though you've advised so many times not to. It's become a little tongue in cheek now, I know that there are so many variables that can effect how well we sleep. Yesterday my partner and I both felt tired all day for reasons we couldn't really explain. I just blame it all on my machine jokingly now, but of course I'm still learning about all of this stuff and want to optimize my therapy to the point where I KNOW that the machine cannot be blamedPugsy wrote: I used to chase numbers thinking that if I could just better the numbers that I would feel like a whole new woman. It doesn't work that way...the good numbers help but there is so much more to getting good quality restorative sleep than an AHI number or a perfectly flat leak line.
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you'd do better by looking at the time at pressure graph.Hannibal 2 wrote:Thanks for clarifying, and apologies to Rick for misquoting him - he said average pressure, not average 95 per cent pressure.Pugsy wrote:
If you want to set a target for the minimum...look at the median average..it's a better target for a minimum.
So I'll look at my median over the past week and take the average of that.
Makes sense I guess, thank youpalerider wrote:you'd do better by looking at the time at pressure graph.Hannibal 2 wrote:Thanks for clarifying, and apologies to Rick for misquoting him - he said average pressure, not average 95 per cent pressure.Pugsy wrote:
If you want to set a target for the minimum...look at the median average..it's a better target for a minimum.
So I'll look at my median over the past week and take the average of that.
trying to do anything by min/max/median/average/95% is ... shortsighted.
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Just saying/thinking that if EPR is lowering pressure, the machine may be slightly less effective in hitting the required pressure in time to deal with events, but clearly if EPR helps someone to sleep better, then even with a slightly raised but 'treated' AHI you're going to feel better. As Pugsy says, sleep quality is far more important than the Math, it's just getting the balance right.LoBattery wrote:Last time I saw the doc, he said I could try changing the EPR to see if I got improved results. He sets his own to off and says that helps prevent his airway from collapsing during exhales. Aside from comfort issues are you saying there could be a downside to no or reduced EPR in the form of increased Central or Complex Apneas?
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