Need Some Sugestions

[jimbud]

Well, I'm ignorant and hate reigns supreme.

JPB

[almostadoctor]

Seriously? What's your problem?

[Pugsy]

Get back on topic or shut up.
I won't allow this helping thread to be derailed by personal comments that I can plainly see aren't compliments.
Quit with the name calling or I will remove the offenders comments.

It's a helping thread from a newbie....If you want to spar and fight and have a pissing contest...start your own thread.

Fair warning...you all got your little digs in but no more will be allowed.

[Okie bipap]

As stated previously, some doctors get it right, and others not so much. Yes, an auto CPAP will make adjustments based on events that happen. These events can be snoring, flow limits, apneas, or hypopneas. Right now, the machine is reacting several times a night to events which causes the pressure to be raised. After the events pass, the pressure drops back down, then the cycle is repeated. Most of us feel it is better to set the lower pressure high enough to prevent these events from happening in the first place. Obviously, this person is unhappy with how the machine is currently treating them and is unhappy with the support they got from their doctor and/or DME. If they were happy with their current treatment, they would not be here in the first place. In fact, if all of us had been happy with the doctors reccomendations for pressure settings, masks, etc., there wouldn't be much need for this forum.

[palerider]

Well, I'm glad ignorance and hate reigns supreme on this board.

We're doing our best to stamp out ignorance, we hate it. which is why you see all those large shoes coming down on you.

[palerider]

Seriously? What's your problem?

you, and your galloping ignorance.

[palerider]

Sorry, I responded before I saw your warning... feel free to delete...
You know how stupidity riles me up.

[Stephaniedp3]

Some people do great with auto and ramp like starting at 4/5 (I’ve done great with it). But I know people on this forum have a lot of experience and help a lot of the people here when doctors fail. I wouldn’t be so quick to discount the help here.

[palerider]

Some people do great with auto and ramp like starting at 4/5 (I’ve done great with it). But I know people on this forum have a lot of experience and help a lot of the people here when doctors fail. I wouldn’t be so quick to discount the help here.

A few can, (that's why the machines will go down to 4) but most don't. Saying that everybody should leave the machines set to factory defaults is just blatantly ignorant.

[droo_d]

As stated previously, some doctors get it right, and others not so much. Yes, an auto CPAP will make adjustments based on events that happen. These events can be snoring, flow limits, apneas, or hypopneas. Right now, the machine is reacting several times a night to events which causes the pressure to be raised. After the events pass, the pressure drops back down, then the cycle is repeated. Most of us feel it is better to set the lower pressure high enough to prevent these events from happening in the first place. Obviously, this person is unhappy with how the machine is currently treating them and is unhappy with the support they got from their doctor and/or DME. If they were happy with their current treatment, they would not be here in the first place. In fact, if all of us had been happy with the doctors reccomendations for pressure settings, masks, etc., there wouldn't be much need for this forum.

This makes way more sense now! So that’s why you raise the minimum pressure. To avoid events happening in the first place.

100% with what you said! I’m here because I know there can be improvements made and I’m unhappy with the current treatment. I know there’s an awesome community here and I hope to give back some day just as others have given such great advice

[droo_d]

The doctor recommended that I stay on the default settings with min: 4 and max: 20 but I’m curious to hear some feedback based on data from Oscars.

Your doctor is completely ignorant of how auto cpaps work, whether or not the doc is a certified idiot remains to be seen.
The default settings are right for probably 1% of the population. (that's why the machine will go down to 4) but very very few.

Based on the posted pressure chart, I recommend setting your min pressure to 9. (possibly higher, but let's see what it looks like after a few days at 9.

Thank you! I’ve been quiet the last few days while importing data on the daily. I’ll make sure to report back soon!

I experienced my first signs of aerophogia when I started burping roughly 30x throughout today and I’ve read on another recent thread where Pugsy mentioned there are certain compromises when experiencing something like this.

Will be posting updated screenshots soon!

Thank you everyone for the amazing advice!

[babydinosnoreless]

Please work with your doctor for the settings.

You people are completely misunderstanding the settings and you're completely ignoring how the Autoset algorithms work. The range 4-20 is for an intelligent startup process. Sure, you get very little therapy between 4-7. But it's much easier to fall asleep at 4 and the Autoset ramps up to 7 very quickly after recognizing regular breathing patterns of sleep.

And furthermore, it's not stopping there. It's monitoring your flow looking for signatures of apneic events in order to automatically titrate the pressure during the night.

Static settings are a thing of the past, at least with the ResMed Autoset technology.

Please don't go badmouthing your doctor and passing around superstition. Learn what your equipment is doing and what the settings are for. Or work with your doctor.

If I had listened to my doctor my expensive machine would be in pieces on the ground from flying out the window. Tossed out by me in aggravation. We are here because DOCTORS FAILED US!

OP good job on taking control of your therapy and learning. hang in there it gets easier and it is so much better for you than letting yourself go untreated because it isn't working properly.

[droo_d]

Thank you everyone for the great suggestions! Did a little happy dance this morning. No more aerophagia and got a lower AHI

After taking a nap during the daytime on 1/13, I found that my night time data wasn't recorded into Oscars but it showed a 7h 20m duration with a 3.3 AHI on the ResMed screen.

Last night on 1/14, I don't know why it stopped recording data in between the night as I don't recall stopping it. I did take off the mask at 6am due to a leak disturbance and I wanted to go back to sleep as soon as possible. I also lowered the maximum pressure to alleviate aerophagia. Not sure if this was a good move!

I'm currently using a Size M F30 but a Size S is being shipped to me this week along with the Padacheek F30 Mask Liner since I found silicone to be uncomfortable after a long duration. I've also ordered the AirTouch F20 Size M from my DME which will come next week. I have a smaller nose in both length and width and the respiratory therapist said there's a high chance I'd prefer the F20 due to less leak disturbances. I am still however dealing with a super dry mouth upon waking up but I haven't woken up due to air leaking out of my mouth so that's maybe a good thing!

Please delete if not allowed: I've attached a pic of the number of times I woke up due to some kind of disturbance, mostly leaks I assume. I may setup a tripod and film myself but don't think it's necessary?

Would love some more suggestions! I've also turned Ramp to Auto but don't know why it shows 45 mins

OSCAR 1-14.PNG (112.55 KiB) Viewed 1228 times

IMG_1123.jpg (114.97 KiB) Viewed 1228 times

OSCAR 1-13.PNG (125.61 KiB) Viewed 1228 times

[Pugsy]

OSCAR won't show 2 different downloads in one day....little bug in the software.
You can fix the date that you are missing a sleep session....Just purge the date in question and then upload again.

I have no idea what might have happened with the missing block of data during the middle of the night except from the big leak right before the data ends....I am thinking the mask was removed and sometime later on during the night you put it back on. We can do all that and not remember doing it....been there and done that myself.
I wouldn't worry much about it unless you start seeing a lot of this kind of stuff then you might dig deeper.

It really doesn't matter what the maximum pressure setting is if you never come close to it but if you feel better with it limited that is okay.
The machine will only go where it thinks it needs to go...if going there presented a problem...like the aerophagia then we would limit the maximum more severely so it really couldn't go up as much.
Limiting it to 18 from 20...and it never makes it to 15...didn't really do much in terms of helping reduce the aerophagia.
Now if it went to 18 and stayed there for a while and the aerophagia didn't pop up...then limiting the max helped reduce the belly issues.
Make sense?

What app or device did you use for your sleep stages hypnogram?

[droo_d]

OSCAR won't show 2 different downloads in one day....little bug in the software.
You can fix the date that you are missing a sleep session....Just purge the date in question and then upload again.

I have no idea what might have happened with the missing block of data during the middle of the night except from the big leak right before the data ends....I am thinking the mask was removed and sometime later on during the night you put it back on. We can do all that and not remember doing it....been there and done that myself.
I wouldn't worry much about it unless you start seeing a lot of this kind of stuff then you might dig deeper.

It really doesn't matter what the maximum pressure setting is if you never come close to it but if you feel better with it limited that is okay.
The machine will only go where it thinks it needs to go...if going there presented a problem...like the aerophagia then we would limit the maximum more severely so it really couldn't go up as much.
Limiting it to 18 from 20...and it never makes it to 15...didn't really do much in terms of helping reduce the aerophagia.
Now if it went to 18 and stayed there for a while and the aerophagia didn't pop up...then limiting the max helped reduce the belly issues.
Make sense?

What app or device did you use for your sleep stages hypnogram?

The app + device I used for the sleep stages is called the Oura Ring along with the Oura app. Nowadays, a lot of people are using Fitbits to track sleep stages but I hate wearing anything on my wrist at night although it's a much cheaper option. There has been a discount going around for the ring if you're interested! Google "Oura Ring $50 Discount" and it'll bring the price down to $264 with shipping. I just got a cheapest heartbeat tracking Fitbit (Inspire HR) for my GF last night for $60 so that's another option.

Ah ok, thank you for clarifying Pugsy! In my situation, would you recommend increasing the min even higher than it's currently at? I will also try to grab the data from 1/14 by doing what you've said. Thank you