Now I know....

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Quilter2
Posts: 26
Joined: Thu Sep 23, 2010 4:02 am

Now I know....

Post by Quilter2 » Sat Oct 02, 2010 1:30 pm

My MANY FFM poor fit is due to top of head - a pinhead -ballooning out at mid ear. Flat head on back w/ smooth hair. Parallel or nearly parallel headgears slide down my head . Retruded mandible-this is why the 7 chinstraps(those w/ diagonal support and those w/ a more vertical approach )are so crappy and then as a bonus, interfere w/ fit of FFM chin area. Neck ache is due to all the mal-alignment of headgear. When I pull straps to stop chin leaks (remember RETRUDED mandible) it's over. Use the nice denier socks too and more..

After getting my reports (Nov 2009)on last split sleep study. It gets even more crazy. RX is ASV machine at 5/3/15. During diagnostic portion of night showed moderate severity obstructive and CSA associated w/ mild to moderate oxyhemoglobin desaturations.. During second half of night w/ ASV respiration normalized but sleep quality actually deteriorated. Follow up home oximetry recommended. I was not exposed to any of my reports or the O2 . Stopped w/new machine nearly right away,but now I hit the wall and can't ignore.(9-09---10-2-09)Faithfully ,15 nites in a row, followed by all day trying to fit a mask and read this forum + post

Did I give up on my initial CPAP trial at home too soon? ( 2008 first study). Too much of a wimp w/ masks,leaks and etc as described .Looking back w/ the problems I am trying to solve now,it looks like that was just a walk in the park.
My HUGE need for air + mouth opening.
On cpap wiki I learned about settings and discovered I was having the exact symptoms described w/ a minimum pressure that was too low. Feeling starved for air on my minimum pressure. I believe the migraine + headaches are borne by part of this issue. Also , such a huge range from 5- 12 caused a delayed response by machine,which in turn causes all the extreme mask bellowing and pulling on face and etc. + neck pull.
Has anyone had something similar? I can provide more details if needed. appt. w/ sleep dr is 1 month away. I keep records of each night+time usage.

_________________
Mask
Additional Comments: ResMed VPAP Adapt SV, Fit Life Total Face w/ F+P Forma headgear adaption

User avatar
OutaSync
Posts: 2048
Joined: Sun Sep 23, 2007 8:49 am
Location: Virginia

Re: Now I know....

Post by OutaSync » Sat Oct 02, 2010 5:14 pm

Have you tried the PapCap? It doesn't pull your chin back, but rather keeps it up and since it doesn't stretch, you don't have to tighten it to keep the pressure up.

Are you saying that your current prescription is for 5/3/15? I didn't even know our machines would go that low. Do you know why your sleep deteriorated while on ASV during your study? Do you have a copy of that study?
Diagnosed 9/4/07
Sleep Study Titrated to 19 cm H2O
Rotating between Activa and Softgel
11/2/07 RemStar M Series Auto with AFlex 14-17
10/17/08 BiPAP Auto SV 13/13-23, BPM Auto, AHI avg <1

Quilter2
Posts: 26
Joined: Thu Sep 23, 2010 4:02 am

Re: Now I know....

Post by Quilter2 » Sun Oct 03, 2010 10:46 am

OutaSync wrote:Have you tried the PapCap? It doesn't pull your chin back, but rather keeps it up and since it doesn't stretch, you don't have to tighten it to keep the pressure up.

Yes, have tried pap cap, I liked its ability to provide a more vertcal and/or slightly diagonal chin control choice. It was not enough to keep my trap shut. quote="OutaSync"]Have you tried the PapCap? It doesn't pull your chin back, but rather keeps it up and since it doesn't stretch, you don't have to tighten it to keep the pressure up.

Are you saying that your current prescription is for 5/3/15? I didn't even know our machines would go that low. Do you know why your sleep deteriorated while on ASV during your study? Do you have a copy of that study?
[/quote]

From Dr. dictated notes "prescription for the ASV machine at 5/3/15". The EEP factory default can never be less than 4. Why wouldn't my Dr. know that and write RX w/ a correct range?
I have a copy of my polysomnography report( 1 page is lots of numbers and %'s and other page is interpretive).Have titration study and her dictated notes for my GP.
Respiration titration says...."There were periods of unexplained decrease in her oxygen saturation during both wakefulness and sleep in this part of the night and overall the oxygen saturation was below 90% for 2.1% of the time." On my personal questionnaire at end of night,and to my sleep technologist during the ASV portion ,I complained that humidity was not working. Evidence was such a dry nose it was clicking w/ every in breath and out breath. Offered to place hose on mirror,she was not interested and nothing changed. My Dr. happened to be there in the morning, inquiring as to how I did. I complained to her again about nose and no humidity.In Dr. followup appt after study I complained again, when asked about no humidity.Maybe ..this is reason for desaturation.?

_________________
Mask
Additional Comments: ResMed VPAP Adapt SV, Fit Life Total Face w/ F+P Forma headgear adaption

Guest

Re: Now I know....

Post by Guest » Sun Oct 03, 2010 7:46 pm

Now you should learn.....


To actually put the subject of your post in the subject. Lots of people are here to help, but it's a tad rude when each of them have to go into your post to learn what you're talking about.

Quilter2
Posts: 26
Joined: Thu Sep 23, 2010 4:02 am

Re: Now I know....

Post by Quilter2 » Mon Oct 04, 2010 10:25 am

Guest wrote:Now you should learn.....


To actually put the subject of your post in the subject. Lots of people are here to help, but it's a tad rude when each of them have to go into your post to learn what you're talking about.
Yes, I will learn. I thank everyone who read any or a part of my post.Sorry, never crossed my mind about being a tad rude. I will call my daughter or talk to husband about the ettiqutte computer rules. As you can tell, I am ignorant.

_________________
Mask
Additional Comments: ResMed VPAP Adapt SV, Fit Life Total Face w/ F+P Forma headgear adaption

User avatar
BlackSpinner
Posts: 9742
Joined: Sat Apr 25, 2009 5:44 pm
Location: Edmonton Alberta
Contact:

Re: Now I know....

Post by BlackSpinner » Mon Oct 04, 2010 10:39 am

Quilter2 wrote:
Guest wrote:Now you should learn.....


To actually put the subject of your post in the subject. Lots of people are here to help, but it's a tad rude when each of them have to go into your post to learn what you're talking about.
Yes, I will learn. I thank everyone who read any or a part of my post.Sorry, never crossed my mind about being a tad rude. I will call my daughter or talk to husband about the ettiqutte computer rules. As you can tell, I am ignorant.
Not rude at all. Ignore guests who can't be bothered to sign up - they are the ones who are rude. Don't take critique from them - it is called learning to ignore trolls. You are doing fine.

_________________
Machine: PR System One REMStar 60 Series Auto CPAP Machine
Additional Comments: Quatro mask for colds & flus S8 elite for back up
71. The lame can ride on horseback, the one-handed drive cattle. The deaf, fight and be useful. To be blind is better than to be burnt on the pyre. No one gets good from a corpse. The Havamal

Quilter2
Posts: 26
Joined: Thu Sep 23, 2010 4:02 am

Re: Now I know....

Post by Quilter2 » Mon Oct 04, 2010 10:49 am

BlackSpinner wrote:
Quilter2 wrote:
Guest wrote:

Not rude at all. Ignore guests who can't be bothered to sign up - they are the ones who are rude. Don't take critique from them - it is called learning to ignore trolls. You are doing fine.
Trolls-what a funny concept. Thanks for your note.

_________________
Mask
Additional Comments: ResMed VPAP Adapt SV, Fit Life Total Face w/ F+P Forma headgear adaption