Newish User / Questions / Problems / Thoughts

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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palerider
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Re: New User / Questions / Titration Results

Post by palerider » Sun Jan 12, 2020 1:43 pm

ChicagoGranny wrote:
Sat Jan 11, 2020 5:19 pm
EK3377 wrote:
Sat Jan 11, 2020 1:13 pm
2) Two sprays in each nostril of Nasacort or Rhinocort before bed (specifically advised against Flonase because contains alcohol, so added to airflow of therapy, has a drying effect)
Use what you want, but Flonase contains 0.0000025 grams of phenylethyl alcohol per spray - not enough to irritate a pissant.

Nasacort and Rhinocort each contain hydrochloric acid.
.
hydrochloric acid.JPG
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UglyBob
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Re: New User / Questions / Titration Results

Post by UglyBob » Mon Jan 13, 2020 8:54 am

OK. I think I have Oscar organized how it's supposed to be, and I finally got it. Last night felt better than the others, probably at least partially because of changing the level of EPR, thanks @Pugsy. The headgear seems like it's maybe stretched out some already, but maybe I'm just noticing the fit on that more since other things are starting to feel a little more normal. Here is a screenshot from Oscar. If anyone has any thoughts about things they see here let me know. I'm trying to learn more about these readings and see what I should be looking out for. Thanks!

Edited my screenshot several times. I think I finally got it right.

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Okie bipap
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Re: New User / Questions / Titration Results

Post by Okie bipap » Mon Jan 13, 2020 11:55 am

I recommend you raise your minimum pressure to 10 and maximum to 20. Right now, your pressure is staying around 10 most of the night and you machine will only go as high as it needs to. You got up close to 13 a few times during the night, so I doubt if it will go over 13, but it will be able to do so if the machine thinks it needs to do so.

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Pugsy
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Re: New User / Questions / Titration Results

Post by Pugsy » Mon Jan 13, 2020 11:59 am

Here's a little hint for future viewing of the main sleep session..
Look over on the left and scroll down below the statistics to where you see sleep sessions noted.
Click on the really short sleep session with your mouse to turn off the viewing of it...changes the green color to red color.
Then just the main sleep session will show up on the graphs and making it more easily seen and evaluated.
The short sessions aren't deleted from the overall data file but they are hidden which makes it a cleaner report to review.
You can always turn it back on again if you want to by just clicking on it again

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UglyBob
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Re: New User / Questions / Titration Results

Post by UglyBob » Mon Jan 13, 2020 12:01 pm

In addition to the questions about my Oscar I have another question. I'm going in to have a tooth removed today, possibly cut out. Also, possibly/probably bone graft. I thought I saw something somewhere saying you shouldn't use a CPAP during recovery, but I can't find it. Obviously I'll ask the surgeon but I've never seen this surgeon, so I don't know how much they know about CPAP treatment so figured I should mention something here too.

Also, turned off short sleep sessions on Oscar, it really does make it easier to read. Thanks.

And Okie, I was wondering about whether or not I should raise the minimum. It sounds like I should. I'll probably start lower than 10 just to see how it goes. Thanks.

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ChicagoGranny
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Re: New User / Questions / Titration Results

Post by ChicagoGranny » Mon Jan 13, 2020 1:01 pm

EK3377 wrote:
Sat Jan 11, 2020 1:13 pm
... to airflow of therapy, has a drying effect ...

The airflow in the airway passages during usage of a properly operating CPAP circuit is no greater than during normal breathing.

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Pugsy
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Re: New User / Questions / Titration Results

Post by Pugsy » Mon Jan 13, 2020 1:08 pm

ChicagoGranny wrote:
Mon Jan 13, 2020 1:01 pm
EK3377 wrote:
Sat Jan 11, 2020 1:13 pm
... to airflow of therapy, has a drying effect ...

The airflow in the airway passages during usage of a properly operating CPAP circuit is no greater than during normal breathing.
Then how come so many people need added moisture and how come heated humidity is routinely prescribed and how come there is information about cpap rhinitis where it talks about cpap causing the rhinitis?

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ChicagoGranny
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Re: New User / Questions / Titration Results

Post by ChicagoGranny » Mon Jan 13, 2020 1:19 pm

Pugsy wrote:
Mon Jan 13, 2020 1:08 pm
Then how come so many people need added moisture and how come heated humidity is routinely prescribed and how come there is information about cpap rhinitis where it talks about cpap causing the rhinitis?
Do they state additional airflow is causing rhinitis? How does a properly operating CPAP circuit create an airflow that is greater than normal breathing? CPAP increases the pressure, not the flow, in the airway.

If someone is using a nasal mask, and air is leaking out their mouth, the airflow through the nasal passages is greater than during normal breathing. But, that CPAP circuit is not properly operating.

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Pugsy
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Re: New User / Questions / Titration Results

Post by Pugsy » Mon Jan 13, 2020 1:22 pm

ChicagoGranny wrote:
Mon Jan 13, 2020 1:19 pm
Pugsy wrote:
Mon Jan 13, 2020 1:08 pm
Then how come so many people need added moisture and how come heated humidity is routinely prescribed and how come there is information about cpap rhinitis where it talks about cpap causing the rhinitis?
Do they state additional airflow is causing rhinitis? How does a properly operating CPAP circuit create an airflow that is greater than normal breathing? CPAP increases the pressure, not the flow, in the airway.

If someone is using a nasal mask, and air is leaking out their mouth, the airflow through the nasal passages is greater than during normal breathing. But, that CPAP circuit is not properly operating.
Yes...they state that cpap causes the rhinitis in a large number of people.....read up on it sometime.
There's a medical reason for it or it wouldn't be so common.
Be it more air flow or different air flow over the nasal mucosa...it does happen and has nothing to do with the mouth at all one way or the other.

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ChicagoGranny
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Re: New User / Questions / Titration Results

Post by ChicagoGranny » Mon Jan 13, 2020 1:34 pm

Pugsy wrote:
Mon Jan 13, 2020 1:22 pm
Yes...they state that cpap causes the rhinitis in a large number of people.....read up on it sometime.
There's a medical reason for it or it wouldn't be so common.
If "they" know the CPAP process, then they would not state that the rhinitis is due to increased airflow.

I have not claimed that CPAP does not cause rhinitis in some people. The claim is that a properly operating CPAP circuit does not cause increased airflow as compared to normal breathing.

It's Continuous Positive Airway Pressure.

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Pugsy
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Re: New User / Questions / Titration Results

Post by Pugsy » Mon Jan 13, 2020 1:59 pm

ChicagoGranny wrote:
Mon Jan 13, 2020 1:34 pm
Pugsy wrote:
Mon Jan 13, 2020 1:22 pm
Yes...they state that cpap causes the rhinitis in a large number of people.....read up on it sometime.
There's a medical reason for it or it wouldn't be so common.
If "they" know the CPAP process, then they would not state that the rhinitis is due to increased airflow.

I have not claimed that CPAP does not cause rhinitis in some people. The claim is that a properly operating CPAP circuit does not cause increased airflow as compared to normal breathing.

It's Continuous Positive Airway Pressure.
CPAP use can and will cause allergic rhinitis in a lot of people. The majority of people in fact...that's why "heated humidity" is so very common in most prescriptions by anyone who is fairly current with their homework.

Here's a start. If you want to really learn about it do your own homework. If you don't...keep telling people that using cpap is no different than breathing normal air and shouldn't cause you to have nasal issues unless you aren't using your cpap properly and someone will come along behind you and debate it. I am done...no time for this sort of discussion. Been there done that and have the headache to prove it and the only person who learned anything was me...that I got a headache from such pointless debates.

http://www.sleepreviewmag.com/2017/10/5 ... -rhinitis/

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ChicagoGranny
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Re: New User / Questions / Titration Results

Post by ChicagoGranny » Mon Jan 13, 2020 2:35 pm

Pugsy wrote:
Mon Jan 13, 2020 1:59 pm
If you don't...keep telling people that using cpap is no different than breathing normal air and shouldn't cause you to have nasal issues
I've been posting here for eight years, and I have never once posted "cpap is no different than breathing normal air and shouldn't cause you to have nasal issues." Here is what I posted in this thread that started this part of the discussion:
ChicagoGranny wrote:
Mon Jan 13, 2020 1:01 pm
The airflow in the airway passages during usage of a properly operating CPAP circuit is no greater than during normal breathing.

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UglyBob
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Re: New User / Questions / Titration Results

Post by UglyBob » Mon Jan 13, 2020 5:30 pm

UglyBob wrote:
Mon Jan 13, 2020 12:01 pm
In addition to the questions about my Oscar I have another question. I'm going in to have a tooth removed today, possibly cut out. Also, possibly/probably bone graft. I thought I saw something somewhere saying you shouldn't use a CPAP during recovery, but I can't find it. Obviously I'll ask the surgeon but I've never seen this surgeon, so I don't know how much they know about CPAP treatment so figured I should mention something here too.

Also, turned off short sleep sessions on Oscar, it really does make it easier to read. Thanks.

And Okie, I was wondering about whether or not I should raise the minimum. It sounds like I should. I'll probably start lower than 10 just to see how it goes. Thanks.
Quoting myself here, which I know I shouldn't do, but it's relevant. The oral surgeon told me that using the machine shouldn't be any problem. And since they did a bone graft it's even less of a problem, since they stitched it up well.

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UglyBob
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Re: New User / Questions / Titration Results

Post by UglyBob » Sat Jan 18, 2020 6:10 pm

Okie bipap wrote:
Mon Jan 13, 2020 11:55 am
I recommend you raise your minimum pressure to 10 and maximum to 20. Right now, your pressure is staying around 10 most of the night and you machine will only go as high as it needs to. You got up close to 13 a few times during the night, so I doubt if it will go over 13, but it will be able to do so if the machine thinks it needs to do so.
I'm still pretty new to this. I didn't want to make many changes until I was more comfortable with everything. I changed the minimum to 9 several days ago. Here's my Oscar from last night. Do you still think I should go to 10 minimum? Also, I just realized I never raised the max, i'm going to do that right after I click submit.

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Additional Comments: I switch between P30i, AirFit N20, and Swift FX masks.
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zonker
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Re: New User / Questions / Titration Results

Post by zonker » Sat Jan 18, 2020 6:33 pm

UglyBob wrote:
Sat Jan 18, 2020 6:10 pm
Okie bipap wrote:
Mon Jan 13, 2020 11:55 am
I recommend you raise your minimum pressure to 10 and maximum to 20. Right now, your pressure is staying around 10 most of the night and you machine will only go as high as it needs to. You got up close to 13 a few times during the night, so I doubt if it will go over 13, but it will be able to do so if the machine thinks it needs to do so.
I'm still pretty new to this. I didn't want to make many changes until I was more comfortable with everything. I changed the minimum to 9 several days ago. Here's my Oscar from last night. Do you still think I should go to 10 minimum? Also, I just realized I never raised the max, i'm going to do that right after I click submit.

i do, thought you weren't asking me. :lol:

see how your pressure raises up to 10 pretty quickly? that's where it wants to go anyway, so you may as well let it go there more quickly.
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