Need Help understanding results

[tan]

Hey, So do yo mean i have quite bad UARS? is there a paper or post you can link me to that can explain that? I have oftened wondered if i've had UARS since my nose was broken in 2001- as it would explain years of insomnia and difficulty sleeping, however if that's the case then why did it suddenly manifest into chronic fatigue? At the time i was under a lot of pressure with some media work i was doing, and was under the spotlight nationally... also had a lot going on in my personal life.. so potentially my body just threw in the towel.. So i guess what you're saying is that the only way to judge if the CPAP is working is by how i feel rather than by the numbers?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608900/
The most frequent symptoms (of UARS) are excessive daytime sleepiness, fatigue and sleep fragmentation and RDI > 5

On top of your mild OSA (12 AHI), you have a total of 28.5 for RDI, which makes it quite bad UARS (moderate, borderline severe). While it doesn't bring your Sp02 down below 90%, it disrupts your sleep a great deal and may cause a number of other health issues. You should be treated with xPAP anyway. The tricky part would be finding the right settings that would work permanently, not just for initial few months, because your OSA will be treated.

In theory, the best way to determine UARS treatment is in the sleep lab, but you must be VERY lucky to find a doctor and a tech, who would titrate you well, and from what I gather you didn't have much luck with doctors, did you?

[ebuck11]

n

[tan]

Looking ahead, I think many people on this site would recommend that you state you want a ResMed Airsense 10 Autoset For Her machine. Given the number of hypopneas you are showing, I suspect that is especially important for you, because this machine has algorithms that are said to do an especially good job with hypopneas (and flow limitations, which are kind of like baby hypopneas).

All s9 and 10 autoset machines show hypopneas and FLs. The For Her model supposedly detects RERAs

[tan]

Hey, So do yo mean i have quite bad UARS? is there a paper or post you can link me to that can explain that? I have oftened wondered if i've had UARS since my nose was broken in 2001- as it would explain years of insomnia and difficulty sleeping, however if that's the case then why did it suddenly manifest into chronic fatigue? At the time i was under a lot of pressure with some media work i was doing, and was under the spotlight nationally... also had a lot going on in my personal life.. so potentially my body just threw in the towel.. So i guess what you're saying is that the only way to judge if the CPAP is working is by how i feel rather than by the numbers?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608900/
The most frequent symptoms (of UARS) are excessive daytime sleepiness, fatigue and sleep fragmentation and RDI > 5

On top of your mild OSA (12 AHI), you have a total of 28.5 for RDI, which makes it quite bad UARS (moderate, borderline severe). While it doesn't bring your Sp02 down below 90%, it disrupts your sleep a great deal and may cause a number of other health issues. You should be treated with xPAP anyway. The tricky part would be finding the right settings that would work permanently, not just for initial few months, because your OSA will be treated.

In theory, the best way to determine UARS treatment is in the sleep lab, but you must be VERY lucky to find a doctor and a tech, who would titrate you well, and from what I gather you didn't have much luck with doctors, did you?

No, not much luck with doctors. I will readily admit if i have mental health stuff going on, however this does not feel mental it feels physiological. So tired, and it's worse after exercise not better. So i guess this forum is the place for figuring out the right settings for the UARS once the OSA is treated. I will research sleep labs and might call some places. Thanks again Tan.

I have come to a conclusion that it's easier, faster and cheaper to buy a used or new vpap and fiddle with settings with the help of this community.

[Miss Emerita]

Looking ahead, I think many people on this site would recommend that you state you want a ResMed Airsense 10 Autoset For Her machine. Given the number of hypopneas you are showing, I suspect that is especially important for you, because this machine has algorithms that are said to do an especially good job with hypopneas (and flow limitations, which are kind of like baby hypopneas).

All s9 and 10 autoset machines show hypopneas and FLs. The For Her model supposedly detects RERAs

I was not clear. What I meant was that the ResMed algorithms do an especially good job of responding to FL and H. I see you are now considering a Vauto. I have one, and I'm pretty sure it doesn't allow RERAs to be flagged, or at least I haven't figured out how to get mine to do that.

[Pugsy]

I see you are now considering a Vauto. I have one, and I'm pretty sure it doesn't allow RERAs to be flagged, or at least I haven't figured out how to get mine to do that.

AirCurve 10 machines don't seem to flag RERAs at all.

Early models of the AirSense 10 AutoSet didn't either but I think that all AutoSet models released now flag RERAs....both for Her models and regular models.

[jimbud]

Early models of the AirSense 10 AutoSet didn't either but I think that all AutoSet models released now flag RERAs....both for Her models and regular models.

Yes. I have one of each.
They both flag RERAs.

JPB

[tan]

Looking ahead, I think many people on this site would recommend that you state you want a ResMed Airsense 10 Autoset For Her machine. Given the number of hypopneas you are showing, I suspect that is especially important for you, because this machine has algorithms that are said to do an especially good job with hypopneas (and flow limitations, which are kind of like baby hypopneas).

All s9 and 10 autoset machines show hypopneas and FLs. The For Her model supposedly detects RERAs

I was not clear. What I meant was that the ResMed algorithms do an especially good job of responding to FL and H. I see you are now considering a Vauto. I have one, and I'm pretty sure it doesn't allow RERAs to be flagged, or at least I haven't figured out how to get mine to do that.

"supposedly" was the key word. Judging by what people report here and in other forum, it now depends on firmware. I will check whether the Big Bro (ResMed) has updated mine remotely when I get back home. The other option is see whether DME can upgrade just the same.

[ebuck11]

n

[Dog Slobber]

I am fairly pleased with how well i handled the actual mask and breathing etc... PHEW... my AHI this morning was 1.4 an hour and a central of 0.7

You did great!

Keep it up.

[palerider]

I see you are now considering a Vauto. I have one, and I'm pretty sure it doesn't allow RERAs to be flagged, or at least I haven't figured out how to get mine to do that.

It's not that it doesn't "allow" them to be flagged, it simply doesn't even *try* to flag them, it's a fairly new 'feature'.

[tan]

I am fairly pleased with how well i handled the actual mask and breathing etc... PHEW... my AHI this morning was 1.4 an hour and a central of 0.7

You did great!

Keep it up.

No, something has got to be adjusted because this cannot be of "you did great" category:
- I got up to wee about 100 times;
- I slept a bit and at about 1am i took half a valium
- i don't think i stayed asleep very long;
- it was annoying waking up
- i swallowed some air and my tummy
- then the mouth breathing started.
- a chin strap and taping my mouth closed..
- my nostrils got quite sore

On the bright side, AHI from 12 to 1, it's a partial win, given your UARS, which status is unknown at this point.

It's hard to tell from one night, of course. From personal experience, I had to settle with a full face mask because I could never conrol mouth leaks during sleep, although I have no issues with breathing through the nose with open mouth while conscious. I tried to get to sleeping with a nasal mask multiple times but couldn't adapt.

ebuck11, try a few more nights with variations: with a chinstrap, with a taping. If still difficult, don't torture yourself, try with a full face mask (for example, F30 or Mirage Quattro). Compare your comfort. You may even have to rotate interfaces.

One more important thing, you have to post your OSCAR charts here, so the folks here can review and possibly check for UARS suspect.

[Miss Emerita]

Wait, you’re both right! It was a great first night, with actual sleep, good mask comfort, and a dandy AHI. It’s also true that with further experience and problem-solving, things will get better.

A few little aids to consider: a fleecy hose cover to make the hose more comfortable, or a hose lift (stand) to get the whole thing up out of your way. I use a Hose Buddy stand at home, and an Arden collapsible stand when I travel. Somnifix tape, while pricey, provides a firm hold but is gentle on the skin. (Sounds like a romance novel in the making here.)

Aerophagia often goes away on its own in not too long. I hope that will be your experience.

Just think: you’ll never have to do this for the first time again!

[ebuck11]

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[ebuck11]

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