Sleepyhead results

[Pugsy]

I also vote for SWJ for those flagged events you wondered about. The obvious arousal breathing before the OA flag is my main indicator.
It's just ragged looking and asleep breathing doesn't look like that.

[Huskers123]

Do you think its odd that such low pressures seem to clear up my OSA? I have taken it down to as low as 6 and seem to eliminate obstructive events.

[Pugsy]

No...I don't think it is odd at all.
Pressure needed to hold the airway open isn't tied to severity of OSA at all despite what some people might think.

You are lucky...a relatively low pressure simply holds your airway open and prevents a truckload of closures.
I know people with "mild" OSA of maybe 10 AHI on their sleep study and they ended up needing pressures over 20 cm to hold the airway open.

Severity of OSA has zero bearing on whatever pressure a person ends up needing to hold the airway open.

[Huskers123]

Interesting update. I am being told by my doctor and the company that handles compliance that I need to raise my pressure back up in the 5-20 range. I am not sure what to do. According to Sleepy head I do better with the lower pressure. The centrals that occur get worse as the pressure increases. They are telling me that their data says that I am having obstructive events when SH says they are very minimal. Let me know what you think. I feel like I will lose my job if I continue with higher pressures.

[Pugsy]

Ask them to prove it with a copy of the software report that they are seeing.

[djams]

Interesting update. I am being told by my doctor and the company that handles compliance that I need to raise my pressure back up in the 5-20 range. I am not sure what to do. According to Sleepy head I do better with the lower pressure. The centrals that occur get worse as the pressure increases. They are telling me that their data says that I am having obstructive events when SH says they are very minimal. Let me know what you think. I feel like I will lose my job if I continue with higher pressures.

Did your sleep study include a titration - where you slept with a machine and mask in the sleep lab? I'm wondering if your doctor is wanting to use the first couple of weeks to dial in your APAP settings.

Trouble adjusting to the pressure is very normal in the beginning. Did you try all 3 levels of EPR when you were using APAP mode? When I started, I used EPR/3(the highest level of exhale relief) - don't know if I'd been successful without EPR. Try all 3 levels out before you go to bed tonight. Whichever one feels the best - use that.

Seems to me that the most important thing right now is to get you as comfortable as possible so you can get through the entire night using the machine.

[Huskers123]

I did an at home sleep study. No mask involved. Alice night one I believe it was called. This is just so frustrating to me because my AHI seems to be better with low pressure. I can’t imagine that raising pressure back up will do any good. Do you know what kind of data the doctor looks at from my Resmed results? I’m assuming it is something that can differentiate between OSA and centrals.i just feel weird trying to tell my doctor that he’s wrong considering he clearly knows more about sleep apnea than I do. But according to SH I am having issues with centrals and not obstructive.

[Pugsy]

You can get ResScan and see what the doctor sees.
ResScan is the official software from ResMed....but it's going to show the same thing as SleepyHead and OSCAR.

Old tutorial but the basics never changed and the reports still look like this.
http://montfordhouse.com/cpap/resscan_tutorial/
except now they separate central apneas from obstructive apneas.

I don't know what your doctor is talking about....again I would ask for proof of what he is talking about and why he wants to make that change.

[Miss Emerita]

Yes, ask them to show you their data, and you show them yours. You might want to take your laptop with you. The Overview charts might be especially persuasive. Check the order; I think you want the top two charts to show AHI (which includes the color-coded breakdown of event-types) and pressures.

This must be maddening. Do you have to keep working with this outfit?

[Huskers123]

Very frustrating. And it looks like Rescan will not work on a mac so I am out of luck there.

[Pugsy]

ResScan is Windows only. It will work on a Mac but you have to install some sort of virtual Windows on the Mac to do it.

If you can get me a carbon copy of your SD card so that I can make a clone of your SD card I will plug it in to my ResScan and get you a copy. It has to be a carbon copy though. I can't piece things together and make it work and ResScan only knows to look for a SD card so I can't point it to anything else.

Send me a PM if you want to do that and we will work it out some way.

[Huskers123]

You are so much help. I will PM you

[Huskers123]

UPDATE:

My doctor got back to me and he wants me to stick with the fixed pressure I have been using. He said based on my sleep study he is not too concerned with the centrals this early. He is going to take a look at my data here in a couple weeks after some more consistent use at this pressure level. I had decent numbers last night but I still do not feel rested. It looks like I am still having a mix of CSA and OSA but it is getting better. Hoping to see these numbers continue to lower with consistent use of my machine. Thank you to everyone once again for all of the help.

[Miss Emerita]

So a little backtracking by the doctor! “I am being told by my doctor and the company that handles compliance that I need to raise my pressure back up in the 5-20 range. I am not sure what to do. According to Sleepy head I do better with the lower pressure. The centrals that occur get worse as the pressure increases. They are telling me that their data says that I am having obstructive events when SH says they are very minimal. Let me know what you think. I feel like I will lose my job if I continue with higher pressures.”

I’m curious whether he showed you his data and/or you showed him yours.

Good luck as you forge ahead!

[zonker]

So a little backtracking by the doctor! “I am being told by my doctor and the company that handles compliance that I need to raise my pressure back up in the 5-20 range. I am not sure what to do. According to Sleepy head I do better with the lower pressure. The centrals that occur get worse as the pressure increases. They are telling me that their data says that I am having obstructive events when SH says they are very minimal. Let me know what you think. I feel like I will lose my job if I continue with higher pressures.”

I’m curious whether he showed you his data and/or you showed him yours.

Good luck as you forge ahead!

i'll show you mine, if you show me yours.