First 30 days on APAP. How am I doing?

[czechm8]

First 30 day compliance report.
I'm new to understanding what all this means. Can I get some experienced opinions?

Thanks.

[Pugsy]

Looks great to me. All values are well within acceptable limits (and actually very low which is good).
In this thread I talk about the data that these machine's gather. It's mainly written from SleepyHead point of view but data is data no matter what software is reporting it.
viewtopic/t88983/Pugsys-PointersSleepyH ... nding.html
I think it will help you understand the basics of what you are seeing.
Your leak number to avoid is 24 L/min...you have that well covered.
We like to see AHI less than 5.0...you have that well covered.
Your machine is pretty much set wide open (6 minimum and 20 maximum) but it works well for you because it really pretty much stays around 8 to 9 and the highest it ever went to was 10.8. So that 20 cm maximum is a moot point anyway since the machine never goes anywhere near that point.

I wouldn't be changing a thing if it was me....assuming you are sleeping well and feeling decent.
Now if you aren't sleeping well and feeling decent...then maybe we look at what factors might be needed to let you sleep better.
But on paper...can't get much better than what your report shows.

[czechm8]

Thanks for the link and comments Pugsy!
From what i have gathered on the board thus far, I thought my numbers looked pretty good.
I have a follow-up meeting this afternoon with my Dr., so I wanted to get some better info going in to that.

I will read through your link to continue my education!

I have been sleeping fairly well. My wife says i don't snore anymore, which is paramount to her!
I have noticed that I don't get as tired like I used to during those long afternoon hours at work!

So far, so good!

[czechm8]

An interesting observation I've made with regard to my AHI and AI data for the 30 days.

There were three days that my AHI and AI spiked on the detailed graph. The first two were the very first two days I began treatment, which is understandable as I settled into the routine. The third day was Oct. 12th. This happened to be a night I was with my youngest son on a Cub Scout camp out. I took my machine (without the H5i) and a battery thinking I'd give it a try. It was very cold that night, and the combination of sleeping on a cot, in a tent, with ice-cold air coming from my S9 was not fun! I didn't sleep well at all, and in fact, turned off my machine about 5 AM because I just couldn't take it anymore.

Just thought it was interesting to see that night of camping show up in the detail of my report.

[icipher]

What was your ahi on the night of your study?

You're numbers look fantastic. Keep it up.

[Sheriff Buford]

Czech: please place your equipment on your profile so we know what stuff you are using. I'm gonna start whispering.... real low.... so Pugsy won't hear...... if she comes in... lets talk about football... Get your leak rate down to zero. Your leaks are considered acceptable, but try for a zero. Resmed can compensate a leak rate less that 24 l/m... but strive for zero....

Sheriff

[Pugsy]

It was very cold that night, and the combination of sleeping on a cot, in a tent, with ice-cold air coming from my S9 was not fun! I didn't sleep well at all, and in fact, turned off my machine about 5 AM because I just couldn't take it anymore.

When we don't sleep well often the machine flags awake/semi awake breathing irregularities as flagged events. Not much we can do about them except shrug our shoulders and move on. It's common though. We all will have some of these from time to time for any number of reasons. This is why one of the first questions we ask someone who says that they have a "high" AHI and want to know if they need to change the pressures. First thing to do is determine if there was good quality sleep...if there wasn't then we have to assume that there's a good chance that some awake/semi awake events got flagged. The machine can't determine sleep status. It just monitors breathing and it can and will flag awake/semi awake breathing irregularities as some sort of apnea event. It's just a limitation of the machine that we live with. Sometimes we can spot those awake/semi awake times by looking at the flow rate but I don't often do much of that. It doesn't change anything and sometimes hard to spot even for experienced flow rate viewers.
Not something I suggest that newbies start looking at .

If I don't sleep well for whatever reason...I usually expect to see some reflection of it on my reports. Often in a higher CA (central) count and I know that the likelihood of them being "real" is very minimal because I often have nights with no CAs at all.
Hold your breath for 15 seconds...that's a clear (open) airway cessation of breathing and the machine would likely flag it but it wouldn't be the type of "central" that would be worrisome because we did it on purpose. Awake/semi awake breathing is much more irregular and likely to contain pauses in respiration just like when you hold your breath.
Also with lots of wake ups there comes the greater chance of having lots of sleep onsets when you fall back asleep and sleep onset "real" centrals are fairly common and not normally considered a problem unless they are creating a problem with oxygen levels or repeatedly bouncing a person out of sleep so that they never really get into good sleep.

Sheriff.....I am going to come visit you..I have good hearing.
OP's median leak is 0.0....that means for the majority of the time his leaks were minimal to none...the worst it ever got to was less than 10.0 anyway....that 95% leak number...easily skewed by a brief reseating of the mask or other brief leak. Too easily skewed to get upset over.

Little leaks wake YOU up..I know that and for that reason I will give you a pass on pushing that 0.0 leak number you want to see but little leaks aren't a big deal unless they wake a person up. I think it puts undue stress on a newbie to tell them that the "ideal" is 0.0 leak across the board. They might start worrying about something and fiddling with the mask and stuff...all creating more of a problem than 10 minutes at 10 L/min leak would cause....just saying......