great forum to join. also new patiant

[simarik]

hi pugsy.

last post you asked me if i diviade from the suggested settings. what wold you recomend according to my results on apap on the first page?

[Pugsy]

Can you please post a recent report with the change back to apap mode at whatever settings are now being used?

Off hand based on the first report...I think a minimum of 6 and max of 10 probably would do a great job.

[tedburnsIII]

The OP may have a low Sa02- I don't know if that is tested with a home study. Also, I don't know if person is titrated with home study, either, to show Sa02 at different levels.

The SOB might be due to adjustment getting used to the machine, or low Sa02/Sp02 at the lower pressures, or things of which I, as a newbie, would not be aware.

My understanding is that apneas may clear but the oxygen content in blood in certain individuals may be below 90% at lower pressures.

In my case, apneas/hypnopnea's were clearing at pressure averages as low as 7 using auto-CPAP but according to my split-night laboratory titration table I did not have adequate Sa02 until 12cm pressure setting achieved:



There was a noteworthy difference in the way I felt by going from auto at 6-15, then 9-15 to fixed pressure of 12cm- from good/very good to great (as in 'slaying dragons'!).

[simarik]

[simarik]

hi pugsy

above the first day back to apap. slep short but clear mind not like when i woke up with cpap. the pain between my sholderblades was still there. i asume the muscles are getting a wake up call?

[Pugsy]

I think if it were me I would try minimum of 6 cm and see how things went.
Your AHI is actually within acceptable range but the snores and FLs shown point to maybe a little more than I would like to see if it were me and this reaffirms my initial thoughts when I went back and looked at your earlier reports.

I don't know what to make of the pain between the shoulder blades. If it is chest wall muscles complaining about having to work so hard to exhale against the fixed 9 cm pressure....it may take a few days for that muscle pain to subside. Normally I would think that chest wall muscle discomfort would be more likely to be felt in the front of the chest and not the back but anything is possible.
Just like any strained muscle...takes time to heal.

There is of course the possibility that the whatever it is pain is not related to cpap use but just something you did without knowing you did something.

At any rate if it is just a strained muscle it's going to take a few days to heal.

[astrodeb]

Back pain between the shoulder blades can be the beginning of aortic dissection. Unless your cardiac check specifically ruled that out, call your doctor to report this symptom. Hopefully, it is just a strained muscle which will heal in a few days, but best to be sure.