Newly Diagnosed - Questions About Self Titration et al.

[Pugsy]

When you see half the night with good results at one pressure (lower) and the other half of the night the pressure wants to go higher and there are more events so obviously more pressure is needed during that part of the night there are usually 2 culprits for times like this.
Either supine sleeping or REM stage sleep or maybe a combination of both.
REM doesn't normally last as long as that first half of the night which is why I thought supine sleeping.
REM comes in cycles starting about 90 minutes after sleep onset and as the night goes on it comes on more frequently and lasts longer with each stage. The greatest amount of REM being in those wee hours of the morning and on the one report with the AHI less than 4.0...it's the second half of the night that doesn't need much pressure and that's when we have the most REM.

If it had been the other way around with the higher event count and pressure needs the second half of the night I would be more likely to be thinking REM related.

Either way I always suggest just finding a pressure that takes care of the situation no matter what the cause and sleep in any position you wish. If it was REM related we can't do anything about preventing REM anyway. Might as well just use an optimal minimum and let the machine sort it out. Exception might be if going higher created a problem.
Up to you if you want to experiment with doing something special to see if you can for sure stay off your back to see if it makes any difference or not.

Something is causing the change though...either supine sleeping or REM. Not much else we can blame it on.

Sounds like you have a good handle on how to proceed and know what to look for.
You have a good solid plan and there's no urgent need to rush.

[Reznik]

Hi guys,

I'm a relative newcomer and just wanted to make a quick comment about civility.

It is obvious from the brevity and lack of factual backup on xxyzx' comments that they are less informed than Pugsy's.

If you think that his analysis is wrong, I believe that it is better just to write a reply message **directed to the OP** explaining the correct facts and the reasons why your facts are correct and why xxyzx's are not.

It really isn't necessary for you to direct your response to him, insult him, or tell him why he's wrong. Doing so makes you guys look bad, and makes him look like a victim.

[Okie bipap]

Hi guys,

I'm a relative newcomer and just wanted to make a quick comment about civility.

It is obvious from the brevity and lack of factual backup on xxyzx' comments that they are less informed than Pugsy's.

If you think that his analysis is wrong, I believe that it is better just to write a reply message **directed to the OP** explaining the correct facts and the reasons why your facts are correct and why xxyzx's are not.

It really isn't necessary for you to direct your response to him, insult him, or tell him why he's wrong. Doing so makes you guys look bad, and makes him look like a victim.

People have done that in the past, and he still reacts the same way. Any comment that counters anything he has posted he considers to be a direct attack on him, and he lashes out. It is impossible for him to accept the idea that he may be wrong or mistaken about something. He thinks he is the smartest person on the forum and no one has the right to disagree with anything he posts.

[chunkyfrog]

Amen.
He is an incorrigible gibberer.

[Reznik]

Hi guys,

I'm a relative newcomer and just wanted to make a quick comment about civility.

It is obvious from the brevity and lack of factual backup on xxyzx' comments that they are less informed than Pugsy's.

If you think that his analysis is wrong, I believe that it is better just to write a reply message **directed to the OP** explaining the correct facts and the reasons why your facts are correct and why xxyzx's are not.

It really isn't necessary for you to direct your response to him, insult him, or tell him why he's wrong. Doing so makes you guys look bad, and makes him look like a victim.

People have done that in the past, and he still reacts the same way. Any comment that counters anything he has posted he considers to be a direct attack on him, and he lashes out. It is impossible for him to accept the idea that he may be wrong or mistaken about something. He thinks he is the smartest person on the forum and no one has the right to disagree with anything he posts.

And that is obvious from what he wrote. It isn't necessary for you to tell me what is already obvious. And when you guys respond the way you do, you look worse than him..

[zoocrewphoto]

i went by what he said

it is set at 13
whatever it is set at is keeping his ahi at 5-10

No...that's not what was said. You might want to reread what was said. Obviously you are having a bit of a problem comprehending what has been said.
All that was said about 13 was that it was the 90% pressure statistic. The settings were 10 minimum and 20 max and clearly stated in the first post.
You might also take the time to actually look at the reports posted and try to understand them before spouting off about stuff you don't understand.
There is actually one night where the AHI was less than 4.0.

Why not just keep your mouth shut when it comes to stuff you don't understand instead of spouting off junk?
I have years of experience with this very type of machine so I am very familiar with the reports and how it works.

i can read

i know what it said

i said that what it said is what it said

I've done some reading on here about self-adjusting the pressures and changed the min pressure to 10 about a week ago. My AHI has stayed in the 5-10 range

Also of note, my 90% pressure data is right around 13.

Those two statements were in the first post. His machine was NOT set to 13. Clearly it was set to a minimum and 10, and stayed UNDER 13 for 90% of the night.

[Hang Fire]

It isn't necessary for you to tell me what is already obvious. And when you guys respond the way you do, you look worse than him..

You look cruddy yourself, coming in here as a newcomer criticizing helpful members.

[Madalot]

It isn't necessary for you to tell me what is already obvious. And when you guys respond the way you do, you look worse than him..

You look cruddy yourself, coming in here as a newcomer criticizing helpful members.

======

the libturds are not helpful

they are disruptive and make many totally wrong statements which are dangerous

I find it fascinating how alphabet boy gripes and complains about long-standing members of this forum making wrong statements when, in fact, it's HIM making wrong statements.

He's either very, very, very, very manipulative (trying to destroy this forum) or he's very, very, very, very stupid. I haven't figured out which one yet.

Either way - he's VERY dangerous.

[lIBTARDSuNITE!]

It isn't necessary for you to tell me what is already obvious. And when you guys respond the way you do, you look worse than him..

You look cruddy yourself, coming in here as a newcomer criticizing helpful members.

======

the libturds are not helpful

they are disruptive and make many totally wrong statements which are dangerous

I find it fascinating how alphabet boy gripes and complains about long-standing members of this forum making wrong statements when, in fact, it's HIM making wrong statements.

He's either very, very, very, very manipulative (trying to destroy this forum) or he's very, very, very, very stupid. I haven't figured out which one yet.

Either way - he's VERY dangerous.

I vote for very, very, very, very stupid. When I picture xxyzx, it's a 400 pound slob who hasn't bathed in months, eating potato chips in front of an old computer, in his mother's basement.