Therapy Consistency
Therapy Consistency
Consistency, I have none in my therapy.
I have finally found a mask that I can live with and feel works the best of any I have tried. I was using the Bleep Sleep system for a year or better but I could never come up with a means of dealing with the mouth breathing as I am a terrible mouth breather. I have settled on the ResMed AirFit F30i with the ResMed Air Curve 10 Auto and settings of 13/9.
In my mind, I am not achieving any consistency in therapy. I have been told that I have both central and obstructive events. When I look at the reported events some nights the number is high so perhaps some of those are central. I have read that the only acceptable AHI rate is 5 or less.
I have to admit that I really don’t have a good working knowledge of the whole therapy process.
I don’t understand if there is a relationship between leaks and a higher number of events. It seems that some nights when there is a higher leak rate the AHI rate is higher and vice-versa.
I have created a file that reports both the leaks and events from both Oscar and the MyAir App. I can see that both seem to be reporting the number of events rather closely but that is not true of the leaks.
I am attaching that file, along with a screenshot of where I have gotten the Oscar numbers, perhaps I am using the wrong leak number in Oscar. I have included the statistics report from Oscar.
Is there a panel in Oscar that shows the central events?
I am unable to attach the Oscar Stat report, is there a limit to the file size to upload.
I have finally found a mask that I can live with and feel works the best of any I have tried. I was using the Bleep Sleep system for a year or better but I could never come up with a means of dealing with the mouth breathing as I am a terrible mouth breather. I have settled on the ResMed AirFit F30i with the ResMed Air Curve 10 Auto and settings of 13/9.
In my mind, I am not achieving any consistency in therapy. I have been told that I have both central and obstructive events. When I look at the reported events some nights the number is high so perhaps some of those are central. I have read that the only acceptable AHI rate is 5 or less.
I have to admit that I really don’t have a good working knowledge of the whole therapy process.
I don’t understand if there is a relationship between leaks and a higher number of events. It seems that some nights when there is a higher leak rate the AHI rate is higher and vice-versa.
I have created a file that reports both the leaks and events from both Oscar and the MyAir App. I can see that both seem to be reporting the number of events rather closely but that is not true of the leaks.
I am attaching that file, along with a screenshot of where I have gotten the Oscar numbers, perhaps I am using the wrong leak number in Oscar. I have included the statistics report from Oscar.
Is there a panel in Oscar that shows the central events?
I am unable to attach the Oscar Stat report, is there a limit to the file size to upload.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
- Attachments
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- Oscar Data Source.png (312.43 KiB) Viewed 1373 times
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- My Comparison File.png (921.9 KiB) Viewed 1373 times
Re: Therapy Consistency
The number of centrals is right there on what you posted, it's just that Oscar still (sadly) calls them "clear airway".
2 or less is more realistic for actually feeling better.
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
- Miss Emerita
- Posts: 3457
- Joined: Sun Nov 04, 2018 8:07 pm
Re: Therapy Consistency
It would be useful to see a screen shot of your Overview page, with maybe a 3-month lookback. The main parts to include would be:
Events
Pressure
Leaks
Usage.
In the one piece of Oscar information you provided, you are maxing out on pressure within the pressure range of your settings. Before thinking about whether you should raise your min and max, it'd be good to see what the larger picture looks like.
Events
Pressure
Leaks
Usage.
In the one piece of Oscar information you provided, you are maxing out on pressure within the pressure range of your settings. Before thinking about whether you should raise your min and max, it'd be good to see what the larger picture looks like.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/
Re: Therapy Consistency
Is this what you referenced?
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
Re: Therapy Consistency
Look at the links in the stickies (top of the pg), and see how Oscar should be layed out, what's included and what shouldn't be, and then post results here for experts to help you interpret.
_________________
Mask: Ultra Mirage™ Full Face CPAP Mask with Headgear |
Humidifier: IntelliPAP Integrated Heated Humidifier |
Re: Therapy Consistency
Miss E asked for the Overview page....not the statistics page.
Click on "Overview" tab in OSCAR...then go down to the lower left corner and set the date parameters she suggested.
Click on "Overview" tab in OSCAR...then go down to the lower left corner and set the date parameters she suggested.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
Re: Therapy Consistency
Yes...1 MB file size limit to use attachment feature of the forum software.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
Re: Therapy Consistency
What items and their arrangement would be desired? The same as your sticky?
Event Flags
Flow Rate
Pressure
Leak Rate
Flow Limit
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
- Miss Emerita
- Posts: 3457
- Joined: Sun Nov 04, 2018 8:07 pm
Re: Therapy Consistency
Per post above,
Events
Pressure
Leaks
Usage.
On the Overview page, there's nothing for Flow Rate. Fine to include flow limitations. Please also include Usage.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/
Re: Therapy Consistency
Keep in mind that I have only found the right mask and eliminated the mouth breathing in the last 30 days, so the older data must not be of value.Miss Emerita wrote: ↑Fri Oct 22, 2021 11:32 am
Per post above,
Events
Pressure
Leaks
Usage.
On the Overview page, there's nothing for Flow Rate. Fine to include flow limitations. Please also include Usage.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
- Miss Emerita
- Posts: 3457
- Joined: Sun Nov 04, 2018 8:07 pm
Re: Therapy Consistency
You note: "Keep in mind that I have only found the right mask and eliminated the mouth breathing in the last 30 days, so the older data must not be of value."
Could you include the Overview data for those last 30 days? The data you posted go through Sept 19 only.
In general, I'd ignore days on which you used the machine for fewer than 4 hours; the data can get very skewed from just a little cluster of events that wouldn't have meant much in the middle of a full night.
CAs on restless nights may not mean much either, since they may just be pauses in your breathing after you wake up fully or partially.
Take a close look at your settings for the remaining nights. When were you doing better? When were you doing worse?
Could you include the Overview data for those last 30 days? The data you posted go through Sept 19 only.
In general, I'd ignore days on which you used the machine for fewer than 4 hours; the data can get very skewed from just a little cluster of events that wouldn't have meant much in the middle of a full night.
CAs on restless nights may not mean much either, since they may just be pauses in your breathing after you wake up fully or partially.
Take a close look at your settings for the remaining nights. When were you doing better? When were you doing worse?
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/
Re: Therapy Consistency
Miss Emerita wrote: ↑Sat Oct 23, 2021 5:46 pmYou note: "Keep in mind that I have only found the right mask and eliminated the mouth breathing in the last 30 days, so the older data must not be of value."
Could you include the Overview data for those last 30 days? The data you posted go through Sept 19 only.
In general, I'd ignore days on which you used the machine for fewer than 4 hours; the data can get very skewed from just a little cluster of events that wouldn't have meant much in the middle of a full night.
CAs on restless nights may not mean much either, since they may just be pauses in your breathing after you wake up fully or partially.
Take a close look at your settings for the remaining nights. When were you doing better? When were you doing worse?
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
- Miss Emerita
- Posts: 3457
- Joined: Sun Nov 04, 2018 8:07 pm
Re: Therapy Consistency
Thanks. Even if we throw out the CAs and the low-usage nights, you are still seeing a lot of variation, especially in obstructive apneas. I was expecting the variation to be mainly with CAs, which can be very inconsistent night to night, but that's not really what's going on with you.
Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:
Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.
Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.
Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:
Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.
Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/
Re: Therapy Consistency
Miss Emerita wrote: ↑Tue Oct 26, 2021 12:13 pmThanks. Even if we throw out the CAs and the low-usage nights, you are still seeing a lot of variation, especially in obstructive apneas. I was expecting the variation to be mainly with CAs, which can be very inconsistent night to night, but that's not really what's going on with you.
Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:
Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.
Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.
Miss Emerita wrote: ↑Tue Oct 26, 2021 12:13 pmThanks. Even if we throw out the CAs and the low-usage nights, you are still seeing a lot of variation, especially in obstructive apneas. I was expecting the variation to be mainly with CAs, which can be very inconsistent night to night, but that's not really what's going on with you.
Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:
Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.
Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit F30i Full Face CPAP Mask with Headgear |
- Miss Emerita
- Posts: 3457
- Joined: Sun Nov 04, 2018 8:07 pm
Re: Therapy Consistency
Aha! You are having clusters of obstructive apneas. They are probably occurring due to your sleep position. There are several possibilities.
You might be rolling onto your back. Do you think that might be it? If so, you can train yourself to do that a lot less. We can help with suggestions.
You might be tucking your chin down toward your chest, which constrains your windpipe and makes it easier for obstructions to occur. If you use several pillows, or a high pillow, the solution might be as simple as using a single, fairly firm, fairly flat pillow. If that's not it, you might benefit from using a soft cervical collar to keep your chin up.
You might be rolling onto your back. Do you think that might be it? If so, you can train yourself to do that a lot less. We can help with suggestions.
You might be tucking your chin down toward your chest, which constrains your windpipe and makes it easier for obstructions to occur. If you use several pillows, or a high pillow, the solution might be as simple as using a single, fairly firm, fairly flat pillow. If that's not it, you might benefit from using a soft cervical collar to keep your chin up.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/