I'm a dentist treating myself! CPAP Results... Advice please?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
nee
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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by nee » Fri Jan 31, 2020 3:33 pm

Dreaming1 wrote:
Fri Jan 31, 2020 3:08 pm
Get a tube maintenance system to keep the tube out of the covers and bed. You’re probably getting tangled up and yanking it lose.

Any you'd recommend or a DIY way to do it?

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by Dreaming1 » Fri Jan 31, 2020 4:01 pm

Stuart sent out a link at Christmas to YouTube subscribers and the ones he recommended are on there. I bought the blue stand and it’s been great: https://m.harrietcarter.com/715213.html ... lsrc=aw.ds

He uses another one too called the “hose buddy” but I didn’t get that one and just used some Velcro ties from Walmart to hold the hose tight. Worked for me.

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by squid13 » Fri Jan 31, 2020 5:42 pm

This is the hose buddy that I've been using since I started Cpap. https://www.cpap.com/productpage/HoseBu ... ion-System

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by Audio_mc » Sun Feb 02, 2020 9:44 am

palerider wrote:
Mon Jan 13, 2020 4:10 pm
ragtopcircus wrote:
Mon Jan 13, 2020 10:35 am
- Pressure must be maintained while exhaling to continue stenting the airway open.
Technically, pressure must be maintained at the end of expiration, since the airway won't close during exhalation, that's why the professionals refer to it as "PEEP' Positive End Expiration Pressure. ;)
ragtopcircus wrote:
Mon Jan 13, 2020 10:35 am
. It's a balancing act, and everyone is different. I'm most comfortable with a pressure difference of 4.4 and can tolerate a lot more than that, but my wife can't go over 2 without getting centrals.
I'm running at a PS of 6, have been up to 8 at one point without any sign of centrals, like you said, different people, different settings.
Hey PR or really anyone with knowledge on this,

When your setting PS, what exactly are you looking for on the charts that makes you feel like your reached the best PS setting? Is it tidal volume, FL chart, comfortability, a combination of all, etc? Thanks!

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by Pugsy » Sun Feb 02, 2020 9:58 am

Audio_mc wrote:
Sun Feb 02, 2020 9:44 am
Hey PR or really anyone with knowledge on this,

When your setting PS, what exactly are you looking for on the charts that makes you feel like your reached the best PS setting? Is it tidal volume, FL chart, comfortability, a combination of all, etc? Thanks!
I don't look for anything....I go by how I feel because then the other stuff looks good. :lol: :lol:
If it don't feel good why would I want to use something that doesn't feel good?

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by Audio_mc » Sun Feb 02, 2020 10:16 am

Pugsy wrote:
Sun Feb 02, 2020 9:58 am
Audio_mc wrote:
Sun Feb 02, 2020 9:44 am
Hey PR or really anyone with knowledge on this,

When your setting PS, what exactly are you looking for on the charts that makes you feel like your reached the best PS setting? Is it tidal volume, FL chart, comfortability, a combination of all, etc? Thanks!
I don't look for anything....I go by how I feel because then the other stuff looks good. :lol: :lol:
If it don't feel good why would I want to use something that doesn't feel good?

That makes sense too hahah

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by chunkyfrog » Sun Feb 02, 2020 11:46 am

Hose management: At home I have the end section of a casting rod,
duck-taped to a swivel plant hanger. (Rube Goldberg style)
I attach elastic bands to the ferrules, and hang the hose from that.
When traveling, I have clothespins, safety pins, and elastic head bands,
to apply as needed to curtains or headboards.

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by slowriter » Sun Feb 02, 2020 12:10 pm

Dreaming1 wrote:
Fri Jan 31, 2020 4:01 pm
Stuart sent out a link at Christmas to YouTube subscribers and the ones he recommended are on there. I bought the blue stand and it’s been great: https://m.harrietcarter.com/715213.html ... lsrc=aw.ds

He uses another one too called the “hose buddy” but I didn’t get that one and just used some Velcro ties from Walmart to hold the hose tight. Worked for me.
Here's the youtube segment where he demonstrates the solution.

https://youtu.be/L-pRVlAo6Ic?t=380

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by palerider » Sun Feb 02, 2020 1:16 pm

Audio_mc wrote:
Sun Feb 02, 2020 9:44 am
When your setting PS, what exactly are you looking for on the charts that makes you feel like your reached the best PS setting? Is it tidal volume, FL chart, comfortability, a combination of all, etc? Thanks!
I almost never look at the tidal volume, because... what would I be looking for? There's no 'goal' because different people breathe differently. Your individual TV is pretty much set by your body's need to get rid of CO2, unless you've got OHV.

Like pugsy, it just 'felt' good.

Nice rounded inhalations are nice to see on the flow rate chart, which of course means nothing on the FL chart.

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by Audio_mc » Sun Feb 02, 2020 3:22 pm

palerider wrote:
Sun Feb 02, 2020 1:16 pm
Audio_mc wrote:
Sun Feb 02, 2020 9:44 am
When your setting PS, what exactly are you looking for on the charts that makes you feel like your reached the best PS setting? Is it tidal volume, FL chart, comfortability, a combination of all, etc? Thanks!
I almost never look at the tidal volume, because... what would I be looking for? There's no 'goal' because different people breathe differently. Your individual TV is pretty much set by your body's need to get rid of CO2, unless you've got OHV.

Like pugsy, it just 'felt' good.

Nice rounded inhalations are nice to see on the flow rate chart, which of course means nothing on the FL chart.
Thanks as always PR.

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by nee » Sun Feb 02, 2020 7:03 pm

Good news from last night: I slept through the whole night! I got the Bleep figured out pretty well.

I didn't feel very refreshed upon waking up, and these are my results:

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The fact that the obstructions are happening halfway through sleep, a couple of hours apart, makes me suspect that they are REM related. But I could be wrong.

I got these results with the works... Mandibular advancement device, mouth tape, headband to keep mouth tape in place, cervical collar.

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by nee » Sun Feb 02, 2020 7:08 pm

Zoomin' in on the two separate clusters...

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Screen Shot 2020-02-02 at 5.07.38 PM.png
Screen Shot 2020-02-02 at 5.07.38 PM.png (38.33 KiB) Viewed 1292 times

nee
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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by nee » Mon Feb 03, 2020 2:14 pm

I slept with my back against my wall last night to try forcing myself not to get on my back, and got no obstructive apneas.

I realize I've been posting my results a lot, so from now on I'm just going to be posting once every 3-4 days if anything new happens or needs to change.

For now, here are some instructions I got from Dr. Zaghi for my myofunctional therapy. According to him, EVERYBODY should have their whole tongue pressed up against the roof of their mouths, breathing through their nose, except when talking and eating. If you're wondering how that should feel, go ahead and swallow, and note where your tongue ends up on the roof of your mouth while swallowing. That is the correct position. Hope this helps someone out there!

Screen Shot 2020-02-03 at 11.38.28 AM.png
Screen Shot 2020-02-03 at 11.38.28 AM.png (77.62 KiB) Viewed 1271 times

And some more info/exercises: https://www.zaghimd.com/myofunctional-therapy

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by palerider » Mon Feb 03, 2020 2:30 pm

nee wrote:
Mon Feb 03, 2020 2:14 pm
For now, here are some instructions I got from Dr. Zaghi for my myofunctional therapy. According to him, EVERYBODY should have their whole tongue pressed up against the roof of their mouths, breathing through their nose, except when talking and eating.
I think that's BS. my tongue isn't "pressed against the roof of my mouth" it's relaxed. Trying to press it against the roof of your mouth will just result in muscle strain and over exertion.

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Re: I'm a dentist treating myself! CPAP Results... Advice please?

Post by nee » Mon Feb 03, 2020 2:48 pm

palerider wrote:
Mon Feb 03, 2020 2:30 pm
nee wrote:
Mon Feb 03, 2020 2:14 pm
For now, here are some instructions I got from Dr. Zaghi for my myofunctional therapy. According to him, EVERYBODY should have their whole tongue pressed up against the roof of their mouths, breathing through their nose, except when talking and eating.
I think that's BS. my tongue isn't "pressed against the roof of my mouth" it's relaxed. Trying to press it against the roof of your mouth will just result in muscle strain and over exertion.
Hmm, this may be just a matter of semantics. I meant to say that it should rest against the roof of the mouth. I may have said "pressed against" because I've been consciously trying to keep it up there. Dr. Zaghi told me that after a while it feels less like an exertion and more natural.