Would you keep tinkering if this were you?

Billmanweh · Post by **Billmanweh** » Sun Sep 21, 2008 10:37 pm

I've kind of hit a wall lately with my numbers and I'm trying to decide whether to just chill and stop messing with it for awhile, or try some different things. I'm 100% compliant, wearing the mask and sleeping with it isn't an issue any more. I've kind of settled on the Headrest mask, it's comfortable to me and I don't have any leak issues that I notice when I'm going to sleep or that wake me up.

My AHI+FI has consistently been around 1.5. My pressure range is 12.5-20 and my mean pressure is always around 13.2. I don't use the ramp feature. I'm using the humidifier with the heated hose, A-Flex and my pursleep sample. No real "issues", but I've just kind of hit the wall with my AHI. Nothing I try seems to bump it below 1.5.

Here are reports from the last couple of nights;

Any thoughts?

Goofproof · Post by **Goofproof** » Sun Sep 21, 2008 11:09 pm

I'd say you are doing well, I would change the pressure to 12CM to 15CM if it were me, keep watch out for the leaks, but looks like it's almost dialed in. Jim

mymontreal · Post by **mymontreal** » Mon Sep 22, 2008 12:16 am

Looks great - I would be really happy if I could reach a consistent AHI of less than 1.5 - I've finally been able to get mine down to about 3.0 most nights, so I still have a way to go.

I think you're pretty close to Nirvana, as long as you are also feeling much more rested & have lot's of energy...

Mike

rested gal · Post by **rested gal** » Mon Sep 22, 2008 12:19 am

You're getting an extremely low AHI. There's no reason I can see to change anything. Looks fine.

billbolton · Post by **billbolton** » Mon Sep 22, 2008 1:20 am

Billmanweh wrote:Re: Would you keep tinkering if this were you?

Definitely not!

Cheers,

Bill

tangents · Post by **tangents** » Mon Sep 22, 2008 6:30 am

Greetings, Billmanweh!

Looks great, I agree that you shouldn't change anything. More pressure may make your leak rate to up, which I find less restful. Good for you - you really stuck with it, and I hope you're now getting the rest you deserve.

Take Care,
Cathy

Tinkeraway · Post by **Tinkeraway** » Mon Sep 22, 2008 6:36 am

If if you have the time and tinkering is what makes you happy then tinker away.

TerryB · Post by **TerryB** » Mon Sep 22, 2008 9:12 am

Tinkering NO, monitoring YES.
My avg. AHI is in about the same place. I can see it go as low as 1.0 sometimes and as high as 2.0 when I've had a bad night.
I've had some nasty nights last week sleeping without CPAP because of power outage from Ike.

Friday night I decided I had to run the gen set all night to be able to run the CPAP.
MUCH BETTER Night.
The timing couldn't have been better cause they caught a thief making off with cold gen sets that night.
He suffered gunshot wounds to his knee and Johnson. He will probably refrain from the practice in future.

TerryB

Wulfman · Post by **Wulfman** » Mon Sep 22, 2008 9:22 am

Have you tried straight pressure (CPAP mode)?

Den

Billmanweh · Post by **Billmanweh** » Mon Sep 22, 2008 2:46 pm

Well, I was considering lowering my pressure a little. It seems like I spend most of the night right at my current minimum. Would that make sense?

Thanks for all the comments!

Wulfman · Post by **Wulfman** » Mon Sep 22, 2008 2:55 pm

Billmanweh wrote:Well, I was considering lowering my pressure a little. It seems like I spend most of the night right at my current minimum. Would that make sense?

Thanks for all the comments!

I would be tempted to start at 12 cm. See how that goes for a few nights and then go from there.

Den

Billmanweh · Post by **Billmanweh** » Mon Sep 22, 2008 3:18 pm

Wulfman wrote:
Billmanweh wrote:Well, I was considering lowering my pressure a little. It seems like I spend most of the night right at my current minimum. Would that make sense?

Thanks for all the comments!
I would be tempted to start at 12 cm. See how that goes for a few nights and then go from there.

Den

I think I'll try that. Set the lower limit to 12.0 for a few nights and see if I see any difference.

Guest · Post by **Guest** » Mon Sep 22, 2008 3:28 pm

I would take a break and enjoy the results of all the work you've done so far. You can always do some more tinkering later. After a year my AHI is finally under 2 (anywhere from 0.9 - 2.0) and I'm feeling good. My energy levels have improved very noticeably.

Mindy

Wulfman · Post by **Wulfman** » Mon Sep 22, 2008 3:52 pm

Billmanweh wrote:
Wulfman wrote:
Billmanweh wrote:Well, I was considering lowering my pressure a little. It seems like I spend most of the night right at my current minimum. Would that make sense?

Thanks for all the comments!
I would be tempted to start at 12 cm. See how that goes for a few nights and then go from there.

Den
I think I'll try that. Set the lower limit to 12.0 for a few nights and see if I see any difference.

Actually, I was talking about using straight pressure (CPAP) mode at a pressure of 12.

Den

Billmanweh · Post by **Billmanweh** » Mon Sep 22, 2008 4:07 pm

Wulfman wrote: Actually, I was talking about using straight pressure (CPAP) mode at a pressure of 12.

Den

Oh, ok. Well, I'm not against trying it, but I also don't understand the point of switching from auto to straight CPAP.

Machine	Mask

Additional Comments: Airmini, Medistrom Pilot 24, CMS 60C Pulse Oximeter, ResScan 6