CPAP NEWBIE

[Pugsy]

How about an image of a detailed nightly report instead of the overview graphs?
Last night and the night before would be good to see.
Is all that you got from them this one page of overview graphs?

If you want ResScan just send me a private message.....or you can use SleepyHead.

[OkyDoky]

Frogfatt,
It's difficult to tell specifics from your summary. A nightly detail pic from Rescan is needed.
When you have time, Sleepyhead is a great program with detail. Here is a link that will help you understand how to download and use Sleepyhead. https://sleep.tnet.com/resources/sleepyhead If you have any questions please post here.

[robysue]

http://imgur.com/v9ShcNm Sorry for the slow reply but I had had a shocking sleep 2 weeks and my PC DIED grrrr so had to go to the sleep centre to get a down load and she couldn't help she is a bit shocked at my readings and recommended I go back to the doctor again

As Pugsy and OkyDoky say, one night of the detailed graphs would be useful to look at.

But there are two (and a half) things that are screaming for attention in the summary data you post:

1) Your summary AHI data is still way too high on many of the nights. Your nightly AHI tops out at close to 10 on several nights and is often above 5.0. So something's not working. (A good question that can't be answered by the data you present is: Are there a lot of CAs in those events?)

2) You are maxing out the pressure at 20.0 cm night after night after night. Your 95% pressure level is consistently at 20.0 and your median pressure is consistently above 15cm. The 95% pressure level is usually considered the more important statistic here since it's what would be used if you were to set the machine in straight CPAP mode. Your machine only goes up to 20cm, and the fact that your 95% is almost always at 20.0 cm is a concern. You may need even more pressure to control your apnea---if those events that are continuing to happen are obstructive in nature rather than central.

2.5) Your max and 95% leaks are often above the 24 L/min red line. That means you've got some large leaks going on. But we can't tell from the summary data if those leaks are lasting long enough to adversely affect your therapy. In other words, the summary data indicate that leaks might be an issue that needs to be further investigated. But they might not actually be a problem at all.

Given that your 95% pressure is at the max of 20 cm every night AND the AHIs are not consistently below 5.0, I think the recommendation that you need to see the doc again is a very good one. My guess is that the doc will recommend another titration study: It's important to determine if you need 20cm or more of pressure to properly control the OAs. It's also important to see if the current pressure settings are triggering clinically significant numbers of central apneas. If either is the case, then the doc may very well want to switch you to a different kind of PAP machine.

Best of luck

[FROGFATT]

thanks guys i have just emailed my the company that did my download to provide me the more detailed report. today i am feeling a little bit better , the last 2 weeks have been bad getting bad body aches , bad morning head aches , its like having the worlds worst hangover from drinking except i don't drink , and extreme daytime sleepiness got sent home from work yesterday because i just could not stay awake and snoring so loud the whole floor of my office can hear me its just lucky i work in a government job because if i was working in private sector i would have been fired long ago

[robysue]

thanks guys i have just emailed my the company that did my download to provide me the more detailed report.

If you would download SleepyHead or ResScan you could look at the data yourself anytime you wanted to instead of wating for some company to provide you with the reports.

[FROGFATT]

thanks guys i have just emailed my the company that did my download to provide me the more detailed report.

If you would download SleepyHead or ResScan you could look at the data yourself anytime you wanted to instead of wating for some company to provide you with the reports.

i would if i could but my PC has shit itself computer wont be fixed till the new Mother board comes back from warranty

[FROGFATT]

http://imgur.com/ylj6k37
http://imgur.com/MApCSlW
http://imgur.com/hfnYl5j
Ok here is some data I have ten days worth of it so let me no if u require more thanks guys apreciate the help

[FROGFATT]

i really need to start learning how to read all this data and what it means if anyone cant read my data properly i am happy to email the ten dys of reports

[palerider]

i really need to start learning how to read all this data and what it means if anyone cant read my data properly i am happy to email the ten dys of reports

here ya go: http://www.apneaboard.com/ResScan_Inter ... -Guide.pdf

[Pugsy]

Your OAs and Flow limitations are ugly and this points to less than optimal therapy.
I actually second the "go see a doctor" suggestion if at all possible. Your machine may not be able to go high enough to get the job done and you may need a different machine that offers the ability to go higher than 20 cm.

Otherwise you need to increase the minimum pressure to maybe 18 cm and see if it helps but from the looks of your pressure graph and you are pretty much pegging out the max of 20 for the bulk of the night...I don't know if it will help but might be worth a shot.

Do you sleep on your back or on your side? If you sleep primarily on your back you might try sleeping on your side if you can and that might bring the pressure needs down a little.

[FROGFATT]

Your OAs and Flow limitations are ugly and this points to less than optimal therapy.
I actually second the "go see a doctor" suggestion if at all possible. Your machine may not be able to go high enough to get the job done and you may need a different machine that offers the ability to go higher than 20 cm.

Otherwise you need to increase the minimum pressure to maybe 18 cm and see if it helps but from the looks of your pressure graph and you are pretty much pegging out the max of 20 for the bulk of the night...I don't know if it will help but might be worth a shot.

Do you sleep on your back or on your side? If you sleep primarily on your back you might try sleeping on your side if you can and that might bring the pressure needs down a little.

i will be pissed if i have to buy a new machine as i was told this is what i need , i will rip heads off if thats the case

[Pugsy]

I know they do things differently in terms of how they handle purchase of cpap machines where you live.
Did you have a sleep study where they attempted to figure out the pressure to use or were you just given the APAP machine and told the machine would find the right pressure for you?
Most people can get by with less than 20 cm so if they were playing the odds...in most situations it would have worked but you may be the exception.

You do have a couple of options though....
You could try more pressure and see what happens. That would be the first thing I would try if it were me....increase that minimum to at least 17 cm and/or maybe even 18 cm.
If you sleep at all on your back you can try sleeping only on your side.
If you bought your machine locally...you might see if they could swap it out for a bilevel machine (the bilevel machines go to 25 cm).

[FROGFATT]

I know they do things differently in terms of how they handle purchase of cpap machines where you live.
Did you have a sleep study where they attempted to figure out the pressure to use or were you just given the APAP machine and told the machine would find the right pressure for you?
Most people can get by with less than 20 cm so if they were playing the odds...in most situations it would have worked but you may be the exception.

You do have a couple of options though....
You could try more pressure and see what happens. That would be the first thing I would try if it were me....increase that minimum to at least 17 cm and/or maybe even 18 cm.
If you sleep at all on your back you can try sleeping only on your side.
If you bought your machine locally...you might see if they could swap it out for a bilevel machine (the bilevel machines go to 25 cm).

i sleep mainly on my back sometimes on my side and sometimes a combo of both through out the night , and yes i was just given a machine and told it would workout what i need cost $2500 for it so if i find out if its the wrong machine they better replace it with something that will work as the whole time they basicly bully me into purchasing a machine straight away , after reading these forums i will be buying supplies/machines from the USA so much cheaper than what my home country wants to charge me they are all money suckers all they want is money money money , happy to pay if the treatments work but $6000 later still no joy

[Pugsy]

If you can change your primary sleeping position to your side you might be able to get by with lower pressure needs.
I can't promise that you will but there's a chance. I have known some people who can cut their pressure needs almost in half just by staying off their back.
It's common for our OSA to be worse when we sleep on our back and it's also common to have different pressure requirements when supine sleeping vs side sleeping.
Staying off our backs though....sometimes that's easier said than done but if you find that your pressure needs are significantly lower when you are on your side then it might be worth the extra work it may take to get you to stay off your back.

[mgaggie]

I know they do things differently in terms of how they handle purchase of cpap machines where you live.
Did you have a sleep study where they attempted to figure out the pressure to use or were you just given the APAP machine and told the machine would find the right pressure for you?
Most people can get by with less than 20 cm so if they were playing the odds...in most situations it would have worked but you may be the exception.

You do have a couple of options though....
You could try more pressure and see what happens. That would be the first thing I would try if it were me....increase that minimum to at least 17 cm and/or maybe even 18 cm.
If you sleep at all on your back you can try sleeping only on your side.
If you bought your machine locally...you might see if they could swap it out for a bilevel machine (the bilevel machines go to 25 cm).

i sleep mainly on my back sometimes on my side and sometimes a combo of both through out the night , and yes i was just given a machine and told it would workout what i need cost $2500 for it so if i find out if its the wrong machine they better replace it with something that will work as the whole time they basicly bully me into purchasing a machine straight away , after reading these forums i will be buying supplies/machines from the USA so much cheaper than what my home country wants to charge me they are all money suckers all they want is money money money , happy to pay if the treatments work but $6000 later still no joy

Let me guess what happened here. I bet you've never seen a respiratory specialist. You went to one of those places that give you a home study for some nutty amount of money. They say "you have apena, use this machine" and sell you an expensive machine?