Pressure Of 12 - Is Ramping Advised?

[khauser]

Looking again i see i misread it a little and you're at about 12 at the top. The CAs come in later when the pressure has dropped a little but I doubt the reason for the CAs is the lower pressure. It'll be interesting to see what happens.

The epr going to 2 or 3 might be a better try...

[Snooks]

Hi Khauser.

I didn't like the feel of the EPR and when it was used it did make results worse.

I think i will remain the starting at 9.2 tonight and still limit it to 12 and see how things go for a couple of days. I guess i should not go making changes on impulse and i should leave a few days to see what occurs. I need to think calm, logical and consistent, not jumping here to there etc.

So i will calm myself down, start at 9.2, make a max of 12 and will report tomorrow and monitor it from there. At least now i feel confident i'm thinking better and not panicking like i was. Appreciate your help and will post an update tomorrow. Cheers.

[zonker]

Hi Khauser.

I didn't like the feel of the EPR and when it was used it did make results worse.

I think i will remain the starting at 9.2 tonight and still limit it to 12 and see how things go for a couple of days. I guess i should not go making changes on impulse and i should leave a few days to see what occurs. I need to think calm, logical and consistent, not jumping here to there etc.

So i will calm myself down, start at 9.2, make a max of 12 and will report tomorrow and monitor it from there. At least now i feel confident i'm thinking better and not panicking like i was. Appreciate your help and will post an update tomorrow. Cheers.

what you are saying makes good sense. otherwise, it's what we call "dial winging".

it's always best(though not always easy) to make one change at a time, then let it "set" for a few nights. this is exactly what i'm going through currently. i'm raising my minimum pressure and waiting a few more nights to see how things settle in.

good luck!

[Snooks]

Good Luck to you also Zonker.

Cheers

[Snooks]

I have posted last nights Oscar Reports and they are much better. I am now actually quite confident that most of the "Centrals" are either positional or just "junk" readings.

I can see that the pressure was always up towards the max (12), I can clearly remember in my mind being very uncomfy and unable to get comfy, on or about the time the first group of CA's happened. I also remember waking up, quite probably around the time of the second CAs and this was due to a sore back and neck muscles (sore all day) and also because for some reason i found it very hard to get my head gear comfy all nigh. In fact, for the first 10 minutes i did nothing but move and fiddle and after I woke up at the end, my head was physically sore and uncomfy and the main reason that I took the mask off for the evening.This is confirmed by the Leak Rates being considerably higher than normal.

I am starting to feel confident that we are moving in the right direction and I will leave the settings as they were last night to just confirm that we can get similar results tonight.

[Snooks]

This was last nights Oscar Report and as usual, it appears 90% of CA's are when I am still awake and trying to get to sleep. Again I tossed and turned and at one stage had a large leak, but no OA's were apparent.

I think the next thing to do is increase the starting pressure pressure by .4 more and then in a few days just switch it to a fixed pressure of 12, which is what the Specialist wants me to do. He wants me on 12, he does not want me on auto and he states that this should then allow us to confirm that the CA's are SWJ / Treatment Induced. I did think about doing a fixed pressure of 11 for a few days and see how that goes because the OS's appear under control. Any comments on that??

I'm still struggling getting into a comfy sleeping position due to back issues, but gradually getting to sleep a bit longer each day. I still need more hours on Therapy but hopefully we are getting there

[Snooks]

I seem to be going backwards and unable to spend as much time on the machine as i should. Last night I struggled again with getting comfy and with air leaks. It seems to have become harder once the pressure increased.

CA's appear more often now but again, some are obviously when I am awake and are probably sleep junk. At least I hope so. I am however very concerned that many are true CA's. I tried so hard to go back to sleep at the end, but again i was very annoyed, uncomfy and I just got up for a while and although intending to go back to sleep, I woke up on the lounge 4 hrs later. A total of 3hrs on therapy is not good enough.

Last night I started at 9.8 with a max of 12, as the Dr wants me on a fixed pressure of 12. Given I have no OSA's, does anyone have an opinion regarding my trying a fixed 11 and seeing how that goes??? I just am finding the pressure a bit harder and going straight to 12 would probably be too much for me.I do realise my pressure is normally almost at the max of 12 and this would in effect mean a reduction, at the risk of having some OSA Events. I do not wish to use EPR as this may invoke more CA events.

I would greatly appreciate any comments or advice as I am now getting very frustrated. Thanks guys.