Next time you post an imgur link...click on "large thumbnail" first before coping the bbc link.
You have to be logged in to get the screen of addresses with thumbnail choices below the links.
With the large thumbnail choice your right side won't be cut off and often the large thumbnail is big enough that we can see what we need.
No need to redo these though.
For the calendar click on View and you will see the toggle for "show calendar". Not critical as I can see all of the statistics that I need to see.
The close ups are fine...they don't look like Cheyne Stokes Respiration to me which was my main concern.
Instead they look like maybe some awake/semi awake breathing getting flagged by mistake. At least these shown.
This is what CSR looks like.
Your pressures aren't going anywhere near the max on this report. Looks like max was 10.3.
I think your minimum needs to be up around 7 or 8...that way it can get to where it needs to be faster and hopefully better hold the airway open and do a better job preventing the obstructive stuff (hyponeas, OAs, Flow limitations, snores).
The Clear Airway/Central stuff we can't fix with this machine UNLESS (and it's a big if/unless) the CAs are from arousals caused by the OA stuff.
If these centrals are instead caused by the cpap pressure itself then we get to have a whole different discussion but there's a reasonable chance that they could be related to arousal irregular breathing.
I suggest you call your doctor and alert him to your symptoms and these results and not wait until the June 14 appointment.
Things are bad enough that you are having symptoms and your sleep is worse and while we don't expect cpap to work a miracle overnight we sure don't expect it to make things worse and in your situation it looks like things are a lot worse and the headaches could be from all the apneas.
So the minimum needs to be changed...and you may or may not be comfortable doing that yourself....it's easy. Starting point of 7 or 8 would be likely better.
Here's the short version on how to get to the clinical menu setup area where pressures can be changed if you want to try it. But I fully understand if you aren't comfortable doing that.
http://www.apneaboard.com/dreamstation- ... structions
Also go here and request the provider/clinical manual for your machine...there's some good information in it that isn't in the regular user manual.
http://www.apneaboard.com/adjust-cpap-p ... tup-manual
Now there is one thing that you can do that might make a difference and it's a comfort feature that is perfectly acceptable for patients to change their comfort features themselves.
Looks like you are using Flex exhale relief....can't tell what the setting might be as it is below the statistics...try turning it off and see what happens.
In a small number of people exhale relief (like the Flex..either C Flex or A Flex) can cause centrals.
It's worth trying and since you are starting out at 4 cm anyway...and Flex doesn't even kick in until you reach 6 cm...you shouldn't feel any real difference while awake anyway.
So...change the minimum if you are comfortable changing it. I can't see the doctor being upset about it because you didn't have a formal titration study and they are essentially just letting the machine sort it out right now...but the machine needs a better starting point.
If you make a change...only make one change at a time...like if you turn Flex off don't change the minimum pressure at the same time.
That way you can better gauge the results if there are any differences.
I doubt that Flex is the trigger for the centrals...if it were me I would do the minimum pressure change first and see what happens and then maybe consider altering Flex setting based on what is showing on the reports.
My thoughts are this...fix what obviously needs fixing or at least try to fix and then see what else ends up needing to be fixed.
It's obvious the obstructive stuff needs work...so fix that stuff and see what happens with the centrals once the obstructive stuff is better prevented.
You might get lucky and the bulk of those CAs are just related to the obstructive stuff causing arousals and if you reduce the arousals the CAs will reduce also.
A random CA/central...no big deal but as it stands right now yours is way more than random.
I may have to RISE but I refuse to SHINE.
