What should I change first?

Sleepingbaby · Post by **Sleepingbaby** » Tue Mar 16, 2021 7:28 am

Yes I was awake trying to figure out how to stop the leaking feeling. Air up into my eyes.
After I took the mask off at 5.45 my husband said I was doing a lot of yawning that I was not aware of -or normally do.

I watched the videos and a quick look at my Oscar :

: screenshot-CA-20210316-092341.png (72.34 KiB) Viewed 770 times

I plan on staying at this setting for the week to see what occurs over several days unless I should go back to 6 minimum?

Pugsy · Post by **Pugsy** » Tue Mar 16, 2021 7:38 am

No, don't go back to 6 minimum. It's kinda a moot setting anyway. Once you fall asleep the machine is creating a new minimum and you don't ever really go near it again unless you turn off the machine. Your body needs much more than the 6 cm minimum to hold the airway open. It's setting its own minimum if you look at the pressure graph.

Anything flagged while awake doesn't count and since you have considerable known awake time then your real asleep AHI is likely much lower than what you are seeing right now.

I suggest continue with this setting for a week and work on managing the leaks better since we know the leaks are a factor in the wake ups.

Are you experiencing much nasal congestion? Your FL graph is very active and part of the reason the machine wants to increase the pressure so much. More pressure won't fixed increased FL activity from nasal congestion though.....so if you are having much nasal congestion we have to try to fix it by more traditional measures.
Also the for Her mode is extremely aggressive when it comes to FLs....so that's another reason for changing to regular mode at some point.
If the machine wanting to kill FLs causes more of a problem than the FLs are causing we might want to limit the max a bit.

Sleepingbaby · Post by **Sleepingbaby** » Tue Mar 16, 2021 7:51 am

I have allergies one of which is house dust and I am normally stuffed up a bit in the mornings. I blow my nose well prior to putting on the mask.
Started my spring cleaning yesterday and stirred up quite a bit of dust. I have heard good things about Flonase, will look in store next trip.

zonker · Post by **zonker** » Tue Mar 16, 2021 10:44 am

Sleepingbaby wrote: ↑
Tue Mar 16, 2021 7:51 am
I have allergies one of which is house dust and I am normally stuffed up a bit in the mornings. I blow my nose well prior to putting on the mask.
Started my spring cleaning yesterday and stirred up quite a bit of dust. I have heard good things about Flonase, will look in store next trip.

i can heartily recommend flonase.

Sleepingbaby · Post by **Sleepingbaby** » Mon Mar 22, 2021 6:52 am

So an update over this past week.
the current mask cushion is just over a month old. I use the f30 to deal with mouth breathing -Chin strap did not stop snoring.
Since I started in July the Flow limit has always been active but has gradually increased to what it is now.
I am using antihistime that works with my blood pressure drugs. No more stuffed up mornings yay!
EPR is 0 and minimum raised to 8.
The night of 18th I used a brand new cushion. side leaks like crazy
The night of 19th I had cleaned old cushion, and head straps and run a mask fit

: screenshot-20210319-clean-fit-081449.png (79.5 KiB) Viewed 727 times

the night of 20th first time ran out of water in tank -was missing top 1/8"

: screenshot-20210320-dry-081735.png (85.14 KiB) Viewed 727 times

the night of 21 another mask fit and tighter side straps. Massive leaks took off way too early.

: screenshot-20210321-leaks-081756.png (83.38 KiB) Viewed 727 times

Pugsy · Post by **Pugsy** » Mon Mar 22, 2021 7:35 am

If the leaks didn't disturb your sleep I would say let them slide for now and maybe longer.

Your sleep quality (staying asleep) is the most important thing IMHO.

Your machine is essentially setting a new minimum for you once you go to sleep and I don't think increasing the minimum more is the answer. Figuring out how to keep you asleep now...that's a big question and problem.

How about we take it out of the for Her mode and use the same settings you are using now and whatever mask is the most comfortable that you like the most. So change it to the regular auto mode.
I am not worried about the higher AHI nights....I will bet my last dollar they are related to awake breathing false positives.

Sleepingbaby · Post by **Sleepingbaby** » Mon Mar 22, 2021 8:14 am

Staying asleep is a goal I would like.
Thank you.
I will change the setting and see how things go for the week.

Sleepingbaby · Post by **Sleepingbaby** » Tue Mar 23, 2021 7:21 am

The quickest of updates which I hope will continue.
Last two nights I have only worn the mask for 4ish hours due to a hum. I THINK it is how my earplugs are placed in my ears. (So the noise is all in my head LOL)
The change between the two nights is that I turned off the Autoset for her and let it run on Autoset only.
The flow limit is the lowest I have on record since I started in July.
I will update in a few days on progress.
thank you

Pugsy · Post by **Pugsy** » Tue Mar 23, 2021 8:03 am

I expected some decrease in activity on the FL graph with the change to regular mode.
To be honest I don't know how much is related to how regular mode works vs the fact that the for Her mode seems to make the FLs look worse in general just because that mode is extra sensitive to FLs anyway.

At this point I will just put the FLs on the back burner and work on improving your sleep quality.

Wearing ear plugs can and will cause an increase in conducted noise which can be hugely annoying. You will just have to play around with their use and figure it out. Conducted noise...it really is in your head and it's hard to get rid of for sure. Conducted noise gets magnified.
http://adventures-in-hosehead-land.blog ... rough.html
The hum might be motor noise conducted through the hose. I don't know for sure but it might.

Sleepingbaby · Post by **Sleepingbaby** » Mon Mar 29, 2021 6:39 am

Another week update.
On the normal Autoset my flow numbers are lower and I am sleeping through the high pressures.
Last night DH was annoyed with noise and woke me enough to do a reset. So I am going to try new cushion for less leaks.

: screenshot-20210329-083621.png (80.35 KiB) Viewed 656 times

Pugsy · Post by **Pugsy** » Mon Mar 29, 2021 6:41 am

How long did it take you to go back to sleep after the reset at around 3:30? Any chance you were still awake at 4:00 when all that ugly happened?

Sleepingbaby · Post by **Sleepingbaby** » Mon Mar 29, 2021 6:57 am

After reset-nothing I remember. The second round I remember fussing and tweaking so more awake then.

Sleepingbaby · Post by **Sleepingbaby** » Thu Apr 01, 2021 7:18 am

For those interested.
I have stayed with the same cushion that I have used for a month now.
I have do a mask fit test a couple of times and now have my leaks below 5 with my event numbers low as well
and the flow limit is staying low too.
I chat with my Sleep docotor at the end of the month re my sleep test so I will stay with what I am doing at the moment.
No EPR or ramp.
I am sleeping through the higher pressures with only a random wakes to look at the time and not doing any resets.
This is a massive improvement since starting CPAP last July.

thank you all.

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