Self Diagnosing need help reading and using machine

[Dog Slobber]

There is no need to limit the max pressure to 14 and it could even be counterproductive as might an EPR of 3, which I'd only use at 1 when starting out as you may not need it at all. Please just try things as I suggested and you can always change things along the way.

I am going to go up to five tonight because I don't think 4 was doing anything. I downloaded oscar. I put sd card in, anything I need to do or does it just read the data then when I put it in my computer everything should be there?

Put the SD Card in your ResMed. The AirSense will look at the card, format it if required and then lay down the required data structures. Then just leave the card in overnight while you use the machine. It will write all the data to the SD card as it goes.

Install OSCAR. Create a profile, you will have the opportunity to enter information about you diagnosis, but that's not really important.

In the morning, run OSCAR, insert the SD card into your computer and choose CPAP Importer. Your nights detail data will then be imported, as well as any previous summary data.

You can then take a screen shot of the night's graph. In the pinned topic, there's descriptions of how the graphs should be formatted.

Post your graph in this topic. Put the SD card back into your CPAP so you don't forget.

[DDWills95]

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[DDWills95]

There is no need to limit the max pressure to 14 and it could even be counterproductive as might an EPR of 3, which I'd only use at 1 when starting out as you may not need it at all. Please just try things as I suggested and you can always change things along the way.

This is a screenshot of last night.

[Dog Slobber]

You did great last night!

How do you feel?

The combination of Flow Limitations, AHI of 1.67, Obstructive events and pressure responses suggests you do have Obstructive Apnea. Be aware that when using an Auto APAP it is also treating your Apnea, and this isn't a replacement for a sleep study where your events are properly measured.

Having said that:

• Your events are virtually all obstructive, so events can be treated with pressure and you can likely get away with taking advantage of EPR if you prefer.
• Your leaks don't look too bad, but because of that one blast at 23:30 the scale is pretty compressed. But, that it appears your mask isn't a bad fit.
• Your flow limitations isn't to active, increasing your minimum pressure should reduce some of the activity and flatten your pressure a bit.

Typically, I don't like to adjust more than one thing at a time, and I like to observe changes for a while. But given, it was your first night we don't have much of a baseline anyway.

This is what I would do:

• Increase your minimum pressure to 6, then we'll watch it for a bit.
• *If* you found breathing against the pressure uncomfortable, consider increasing EPR to 2 or 3. This will give you less pressure on expiration, and make increasing your pressure less noticeable.

Not sure what time zone you're in, but your clock might be off. Consider checking it.

Anyway, you did great and you formatted your graphs great. My only suggest is increase size so machine settings can be seen.

Great job.

[DDWills95]

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[Dog Slobber]

I actually don't feel as tired as I have been. I noticed me taking my mask off again and put it right back on. Not sure really why I'm doing that. I will bump it up to 6 and update tomorrow. Are you talking about the clock on here or where?

I'm talking about the clock on your ResMed.

I noticed the usage time was from ~10:00 PM until ~4:00AM. Thought that was unusual, but possible.

If those times are accurate, the clocks fine. If not it could use setting. You can set your clock time and date in the Clinical Settings area.

[DDWills95]

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[DDWills95]

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[DDWills95]

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[Julie]

Raise your min. pressure to 8 for a couple of nights and see how that goes.

[DDWills95]

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[DDWills95]

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[Julie]

6 is a very low pressure, just above the default of 4 (or 5) at which many people cannot breathe well, and we usually suggest moving up, but very many people need to move from 6 to a higher number... not at all unusual and very many are at 10 or higher as well. It won't hurt to try 8 (or 9) for a night or two, so it's up to you.

[DDWills95]

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[zonker]

6 is a very low pressure, just above the default of 4 (or 5) at which many people cannot breathe well, and we usually suggest moving up, but very many people need to move from 6 to a higher number... not at all unusual and very many are at 10 or higher as well. It won't hurt to try 8 (or 9) for a night or two, so it's up to you.

Will increasing it lower the events? I will try it for a couple nights and see what happens. I really appreciate the help. Thank you

yes. see the graph you posted? your pressure there went well past 6 and went up. it's the pressure itself that will help kill those events and bring down your ahi. so if you start higher, your machine will have a better chance at getting to those events much more quickly.

good luck!