Need help with OSA

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Need help with OSA

Post by DmxDex » Sat Mar 13, 2021 3:57 am

OSCAR Reports

I was diagnosed as having severe OSA. a Ahi of 34

My prescribed pressure is 4-20 I have tried alot of different pressures though

Waking up alot with CPAP. First time of waking mask is often off my face. I dont have a issue with going to sleep, its just waking multiple times in the night. CPAP has worsened that. Before cpap it wasnt as bad

I find when i wake up the mask iches my face and nose alot

Mask is fisher and Pykal simplus full facemask. Have also tried the Resmed Airfit 30i. Gives me a very dry throat and alot of nasal congestion though. the Resmed airfit 30i isnt off my face when i wake multiple times, maybe i wake up with the airfit 30i due to a very dry throat

I bought a humidifer a few day ago, however im not sure what to set the humidity levels to, i got a resmed heated climate line today, so not sure if to just set both to Auto?

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Last edited by DmxDex on Sun Mar 14, 2021 2:09 am, edited 5 times in total.

rick blaine
Posts: 616
Joined: Tue Dec 15, 2015 7:30 am

Re: Need help with OSA

Post by rick blaine » Sat Mar 13, 2021 7:15 am

Hi DmxDex,

You'll get a better response if you don't start a new thread for every aspect of your case. I know you say you've had a problem with taking your mask off while asleep because you posted about it yesterday, Friday, March 12, and I replied to that thread. But other people might not know what's been said before.

So, for now, and while you are a 'beginner', stay with the one thread, and if you need to, add further questions about various aspects of your treatment to that one thread.

Also, you say you bought a humidifier – that used to be what sleep-apnea patients in my part of the UK had to do if they were being treated by the NHS – because the budget didn't run to issuing a humidifier. Back then – seven years ago now – if you wanted that comfort feature, you had to buy your own humidifier (the machine itself was issued 'free at the point of need').

So the question is: are you under the care of some sleep-medicine department at a foundation trust hospital? Or are you a patient in the UK 'private' medicine sector, and paying for things yourself, or through BUPA or similar?

The reason I ask is – it makes a difference to the best advice to give you.

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Pugsy
Posts: 65040
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Need help with OSA

Post by Pugsy » Sat Mar 13, 2021 8:57 am

Past threads list.

http://cpaptalk.com/search.php?author_id=96446&sr=posts

I don't know what you did to your screen shots but I can't read them....blurry

Please read this thread for which graphs to include....don't want all of them because they aren't needed and makes the needed ones too small.

viewtopic/t158560/How-to-post-images-for-review.html

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Re: Need help with OSA

Post by DmxDex » Sat Mar 13, 2021 9:40 am

Pugsy wrote:
Sat Mar 13, 2021 8:57 am
Past threads list.

http://cpaptalk.com/search.php?author_id=96446&sr=posts

I don't know what you did to your screen shots but I can't read them....blurry

Please read this thread for which graphs to include....don't want all of them because they aren't needed and makes the needed ones too small.

viewtopic/t158560/How-to-post-images-for-review.html
Ok I will try to amend them later

DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Re: Need help with OSA

Post by DmxDex » Sat Mar 13, 2021 9:47 am

rick blaine wrote:
Sat Mar 13, 2021 7:15 am
Hi DmxDex,

You'll get a better response if you don't start a new thread for every aspect of your case. I know you say you've had a problem with taking your mask off while asleep because you posted about it yesterday, Friday, March 12, and I replied to that thread. But other people might not know what's been said before.

So, for now, and while you are a 'beginner', stay with the one thread, and if you need to, add further questions about various aspects of your treatment to that one thread.

Also, you say you bought a humidifier – that used to be what sleep-apnea patients in my part of the UK had to do if they were being treated by the NHS – because the budget didn't run to issuing a humidifier. Back then – seven years ago now – if you wanted that comfort feature, you had to buy your own humidifier (the machine itself was issued 'free at the point of need').

So the question is: are you under the care of some sleep-medicine department at a foundation trust hospital? Or are you a patient in the UK 'private' medicine sector, and paying for things yourself, or through BUPA or similar?

The reason I ask is – it makes a difference to the best advice to give you.
I am with a NHS consultant at coventry. The NHS tend to be slow when it comes to the process. Buying a humidifier and heated tube wasn't all that much and I'm sure the NHS won't mind as that means someone else who isn't in a finacial position can have it instead

DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Re: Need help with OSA

Post by DmxDex » Sun Mar 14, 2021 2:08 am

Pugsy wrote:
Sat Mar 13, 2021 8:57 am
Past threads list.

http://cpaptalk.com/search.php?author_id=96446&sr=posts

I don't know what you did to your screen shots but I can't read them....blurry

Please read this thread for which graphs to include....don't want all of them because they aren't needed and makes the needed ones too small.

viewtopic/t158560/How-to-post-images-for-review.html
I have amended them.

Using the heated tubing and humifier last night, i woke up to a wet mask. Last night was very unsettled

rick blaine
Posts: 616
Joined: Tue Dec 15, 2015 7:30 am

Re: Need help with OSA

Post by rick blaine » Sun Mar 14, 2021 7:43 am

Hi DmxDex,

Your charts are now readable – at least, they are on my screen.

As to your progress – you may or may not know what is the target figure the staff at the NHS work to. It's an apnea-hypopnea index (AHI) of 5 or under. So on these charts, you've reached that level.

But that's only when the mask is on you, and the machine is on.

Short of having you do an in-hospital sleep study, there's no way of knowing what's going on in the gaps in these charts. So the first and most important thing is – to get you to the point where you are not taking the mask off.

Have you watched the videos I gave you the links to? And have you been doing the process?

Getting adjusted to CPAP rarely happens as Tommy Cooper used to say, 'just like that'. :) It's a gradual process – for all of us. Psychologists and medics call it 'habituation'. And that's what it is – making something a habit.

So, please, start doing the havening.

If that doesn't work (altho' it should), then we can suggest something else.

As to the 'it's either too dry or too wet' – that also benefits from a gradual approach. Humidity in most of the UK is pretty high – between 70 and 90 per cent – but it may be drier in your home if you have central hearing, and if all the windows are shut.

The machine allows you to set the amount of humidity, and also the temperature of the heated hose. Start with both low, and then increase them. Say, one number every second night. Find out the optimum settings for you by doing.

One other thing: as far the sleep-medicine department is concerned, you are a new patient, and your previous conditions are the responsibility of other departments. So, as a new patient, what have they given you by way of a 'follow-up' date?

Also, are they monitoring you via the cellular-phone system? Both ResMed and Philips Respironics machines can have a chip in them which 'phones home' to the sleep-medicine department and tells them how you're doing. But not every clinic in the NHS does this.

You can tell you have the chip in, and broadcasting, by looking at the front of the machine. The word 'Air' is lit up.

DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Re: Need help with OSA

Post by DmxDex » Sun Mar 14, 2021 8:03 am

I have a phone appointment on the 25th of this month. My first phone appointment.

I have tried sleepers in the past which do a good job of keeping me asleep. I'm thinking of getting a appointment for a shrink to look into my insomnia. I haven't tried the heavening yet. I will look into it more.

I don't know if they are monitoring my data

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Pugsy
Posts: 65040
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Need help with OSA

Post by Pugsy » Sun Mar 14, 2021 8:07 am

For future report sharing...use the regular pressure graph instead of the masked pressure please.
Also make all graph boxes equal in size. The events box is very small and difficult to see.

Are you waking often during the night? Is that what you mean by "unsettled". If so, any idea why?

The bulk of your events are CAs/central apneas and that means the airway is open...not obstructed with saggy airway tissues.
Awake breathing will often cause these false positives and all they really mean is you didn't sleep so great.
Watch the videos here especially the last one.
http://freecpapadvice.com/sleepyhead-free-software

Moisture in mask or hose...condensation/rain out ....see this thread posts number 2 and 3 for various options on how to deal with it.
viewtopic/t94035/Pugsys-Pointers-3Deali ... e-road.htm.
Easiest fix....increase the hose air temp since you have a heated hose. I know Resmed touts their "auto" hose temp as the greatest thing since sliced bread but I know it doesn't always work so great depending on how cool the bed room is.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Re: Need help with OSA

Post by DmxDex » Sun Mar 14, 2021 8:42 am

I'm not sure why I wake so much. I had this issue for years. Maybe since a child. Got worse when I turned 16. Around the time I experienced my first choking fit. And it's also when my anxiety really got worse.

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Pugsy
Posts: 65040
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Need help with OSA

Post by Pugsy » Sun Mar 14, 2021 9:00 am

Not all insomnia issues are related to airway issues. Wish it were because that's relatively easy to fix.

I suspect the bulk of your central apneas are more of a symptom of poor sleep quality than the cause of poor sleep....false positives.
You can take a crash course in figuring out real vs asleep flagged events at the above link and watch the videos.
Also...false positives aren't limited to central apneas (CAs on this software reporting)....we can have false positive OAs and hyponeas as well. The machine only measures air flow...it has no idea if you are asleep or not. Awake/semi awake breathing irregularities very easily end up earning flags and they don't really count.
We much be asleep for anything flagged to matter.

I think in one of your other threads I gave you a link to a blog written by one of our forum members who has battled insomnia most of her life.
Adding cpap sure didn't help but wasn't the original cause of her insomnia. She has some links to good reading in her blog.
Here it is again if you haven't read it.
http://adventures-in-hosehead-land.blog ... er_19.html

Using cpap isn't going to help your insomnia if your insomnia isn't totally caused by OSA or airway issues....and to be honest...I doubt that OSA is the primary cause of your insomnia. I really wish it were because fixing OSA is relatively easy.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

DmxDex
Posts: 18
Joined: Fri Oct 02, 2020 1:54 am

Re: Need help with OSA

Post by DmxDex » Sun Mar 14, 2021 9:11 am

Pugsy wrote:
Sun Mar 14, 2021 9:00 am
Not all insomnia issues are related to airway issues. Wish it were because that's relatively easy to fix.

I suspect the bulk of your central apneas are more of a symptom of poor sleep quality than the cause of poor sleep....false positives.
You can take a crash course in figuring out real vs asleep flagged events at the above link and watch the videos.
Also...false positives aren't limited to central apneas (CAs on this software reporting)....we can have false positive OAs and hyponeas as well. The machine only measures air flow...it has no idea if you are asleep or not. Awake/semi awake breathing irregularities very easily end up earning flags and they don't really count.
We much be asleep for anything flagged to matter.

I think in one of your other threads I gave you a link to a blog written by one of our forum members who has battled insomnia most of her life.
Adding cpap sure didn't help but wasn't the original cause of her insomnia. She has some links to good reading in her blog.
Here it is again if you haven't read it.
http://adventures-in-hosehead-land.blog ... er_19.html

Using cpap isn't going to help your insomnia if your insomnia isn't totally caused by OSA or airway issues....and to be honest...I doubt that OSA is the primary cause of your insomnia. I really wish it were because fixing OSA is relatively easy.
I can look into help with sleeping with combo of therapies and meds.