Tyrone747's therapy

[Jay Aitchsee]

The problem is I know turning it [EPR] off is going to lead to higher flow limitations and required pressure and with that comes the aerophagia. What do you think?

EPR lowers the overall effective or average pressure. I see how turning it off will increase the average pressure which will tend to increase aerophagia, but I don't see how turning it off and increasing the average pressure will increase Flow Limitations. Unless you mean that turning EPR off will also require lowering the pressure to prevent aerophagia.

I do think EPR causes increased CA in some people, but I don't have a reference handy. Pale Rider can probably provide a link to a Lanky Left discussion of this phenomenon.

?

[Pugsy]

Can you please show me a report where turning off EPR causes higher flow limitations?
That's not normally what happens...normally when EPR is turned off since that effectively increases the overall average pressure then the FLs reduce a bit.

[ChicagoGranny]

What do you think?

Is it possible you have become obsessed with CPAP and the daily reports and are overlooking the other things needed for healthy living and healthy sleep?

[Jay Aitchsee]

What do you think?

Is it possible you have become obsessed with CPAP and the daily reports and are overlooking the other things needed for healthy living and healthy sleep?

viewtopic/t175263/How-is-possible-to-ha ... l#p1297052
viewtopic/t175263/How-is-possible-to-ha ... 5#p1297242

[tyrone747]

Can you please show me a report where turning off EPR causes higher flow limitations?
That's not normally what happens...normally when EPR is turned off since that effectively increases the overall average pressure then the FLs reduce a bit.

[tyrone747]

Is it possible you have become obsessed with CPAP and the daily reports and are overlooking the other things needed for healthy living and healthy sleep?

I wouldn't consider myself obsessed with reports just curious about the data and how various settings effect my sleep. My sleep hygiene is definitely as good or better than it's always been.

[Pugsy]

Not a fair or accurate comparison...pressures totally different.

For accurate experiment and verification you need to turn off EPR at the current settings and see what happens.
Give it a try...you have nothing to lose except maybe the centrals that seem to bug you.

When doing experiments and comparisons....one change only so you can best evaluate the results.
For all we know that pressure of 11 cm caused some nasal congestion which got interpreted as FLs.

[Pugsy]

Oh...another thing...are those centrals real meaning were you really asleep when they got flagged or are they related to arousals?
Important to know the difference.

[tyrone747]

Here is the same settings with EPR off as requested. CA's decreased by 80% but flow limitations increased significantly and the required pressure was much higher. Since I can't increase pressure without getting aerophagia I'm not sure how to proceed. I'm thinking I might try EPR 1 and see if that helps keep the limitations down without spiking the CA's too high. What do you guys think?

[Jay Aitchsee]

I've added your Chart with EPR on for comparison:

Here is the same settings with EPR off as requested. CA's decreased by 80% but flow limitations increased significantly and the required pressure was much higher. Since I can't increase pressure without getting aerophagia I'm not sure how to proceed. I'm thinking I might try EPR 1 and see if that helps keep the limitations down without spiking the CA's too high. What do you guys think?

[Pugsy]

Probably too soon to tell but any chance you feel like you slept any differently?
Feel any different today?

If you weren't looking at the software reports to judge things but instead only going on subjective feelings....any change?
I know it is a bit soon but had to ask.

Did you ever take the time to look at those centrals up close to see if you were really asleep or not?

[Jay Aitchsee]

Interesting result. I would not have expected Flow Limitations to increase when turning EPR off. Same mask, right?

[Pugsy]

Interesting result. I would not have expected Flow Limitations to increase when turning EPR off. Same mask, right?

Jay....I have now seen 2 people who show increased FLs when using EPR. The other one was someone over on Jason's forum.
Apparently while not common and certainly goes against all logic...it is not impossible to see it. I am still scratching my head of that one.
Logic tells me it shouldn't happen but.....

[Jay Aitchsee]

Interesting result. I would not have expected Flow Limitations to increase when turning EPR off. Same mask, right?

Jay....I have now seen 2 people who show increased FLs when using EPR. The other one was someone over on Jason's forum.
Apparently while not common and certainly goes against all logic...it is not impossible to see it. I am still scratching my head of that one.
Logic tells me it shouldn't happen but.....

Hmm...Honestly, I haven't done any comparisons, not even with my own results. I've just assumed higher average pressure would result in fewer Flow Limitations. Of course we all know about assumptions...

I suppose exhaling against higher pressure could elicit a physical response which promotes Flow Limitations. Possible, maybe.

I think I'll have a look at my own data.

[Pugsy]

I think I'll have a look at my own data.

Let me know if you learn anything. I won't be doing it because I never really have enough FLs to worry about even with EPR of 3.
FLs have never been much of an issue for me. I don't have anything to work with....and I am kinda glad I don't.