EPR 2 vs 3, Can you see my charts?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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jlsmithseven
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EPR 2 vs 3, Can you see my charts?

Post by jlsmithseven » Wed Dec 14, 2022 4:26 am

Can someone Check out these charts to see if EPR 2 would be better than 3 for me? I've always had it on 3, but for some reason I think I wake up better with 2. I still have a very dry mouth in the morning every morning I wish I could find out why. Even wearing the Knightsbridge Cap I still have dry mouth.

https://sleephq.com/public/917d362a-b92 ... 97fa072477
EPR 2

https://sleephq.com/public/a8430d7e-106 ... a417c250cf
https://sleephq.com/public/01b7e854-b72 ... 674eaf78e6
EPR 3
(2 nights data)

Usually keep my climate settings On Auto because when I change to manual I always get rainout.

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ozij
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Re: EPR 2 vs 3, Can you see my charts?

Post by ozij » Wed Dec 14, 2022 6:24 am

jlsmithseven wrote:
Wed Dec 14, 2022 4:26 am
Can someone Check out these charts to see if EPR 2 would be better than 3 for me? I've always had it on 3, but for some reason I think I wake up better with 2.
If you wake up better with 2, go for it. The charts don't matter as much as what you feel.
I still have a very dry mouth in the morning every morning I wish I could find out why.

Air is coming out of your opening lips - and abruptly stops leaking when you close them.
Even wearing the Knightsbridge Cap I still have dry mouth.
Since it does nothing to keep air from rushing out of your lips, it's not surprising.

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jlsmithseven
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Re: EPR 2 vs 3, Can you see my charts?

Post by jlsmithseven » Wed Dec 14, 2022 6:42 am

So I have tried taping to keep my mouth closed and it does do a good job, but I get terrible aerophagia doing that. I noticed with the Knightsbridge cap the leaks are a little better but still dry mouth. I’ve noticed with nothing on, my leaks stay under 24 so I thought it’s ok.

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ozij
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Re: EPR 2 vs 3, Can you see my charts?

Post by ozij » Wed Dec 14, 2022 6:56 am

jlsmithseven wrote:
Wed Dec 14, 2022 6:42 am
I noticed with the Knightsbridge cap the leaks are a little better but still dry mouth. I’ve noticed with nothing on, my leaks stay under 24 so I thought it’s ok.
Mouth leaks don't have to be large to dry out your mouth.
jlsmithseven wrote:
Wed Dec 14, 2022 6:42 am
So I have tried taping to keep my mouth closed and it does do a good job, but I get terrible aerophagia doing that.
So you decided to stop taping.

Please check your temperature and humidity setting again. sleepHQ shows your humidifier sat a 1, and your temp. at 27 - a sure way of getting yourself some very dry air.
Try to move the humidifying up gradually.

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ozij
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Re: EPR 2 vs 3, Can you see my charts?

Post by ozij » Wed Dec 14, 2022 6:59 am

ozij wrote:
Wed Dec 14, 2022 6:56 am
jlsmithseven wrote:
Wed Dec 14, 2022 6:42 am
I noticed with the Knightsbridge cap the leaks are a little better but still dry mouth. I’ve noticed with nothing on, my leaks stay under 24 so I thought it’s ok.
Mouth leaks don't have to be large to dry out your mouth.
jlsmithseven wrote:
Wed Dec 14, 2022 6:42 am
So I have tried taping to keep my mouth closed and it does do a good job, but I get terrible aerophagia doing that.
So you decided to stop taping.

Please check your temperature and humidity setting again. sleepHQ shows your humidifier sat a 1, and your temp. at 27 - a sure way of getting yourself some very dry air.
Try to move the humidifying up gradually.
Re-read the following from Dog Slobber, and try it, with a taped mouth:
Dog Slobber wrote:
Sun Dec 04, 2022 1:40 pm
A click on the arrow will take you DS's detailed plan for you for handling aerophagia.

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Re: EPR 2 vs 3, Can you see my charts?

Post by Pugsy » Wed Dec 14, 2022 7:17 am

I read an article a while back that discussed dry mouth problems that were still occurring despite someone taping their mouths shut and the tape didn't come loose yet people would be complaining of dry mouth so it was impossible for the mouth to be open and leaking air or any mouth breathing.
Unfortunately I thought I saved that article but I can't find it now but the doctor was talking about some people just get a dry mouth more so than others (meds, age, general hydration) and just the air entering the mouth via the airway can sometimes dry the mouth out even if it never actually is mouth breathing or leaking out the mouth.
Perhaps that is what is happening with you.

As far as which EPR setting to use.....use the one that is simply more comfortable to you and you feel the best using and you feel you sleep the best with. Unless using 3 EPR lets you have a lot more apnea events materialize....changing EPR isn't a miracle tweak to go from 3 to 2.

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jlsmithseven
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Re: EPR 2 vs 3, Can you see my charts?

Post by jlsmithseven » Wed Dec 14, 2022 7:20 am

I have noticed switching to 2 does create much less events during the night. Much less obstructive apnea from what I’ve seen…

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Re: EPR 2 vs 3, Can you see my charts?

Post by Pugsy » Wed Dec 14, 2022 7:22 am

jlsmithseven wrote:
Wed Dec 14, 2022 4:26 am
usually keep my climate settings On Auto because when I change to manual I always get rainout.
Then your manual settings need to be adjusted....most likely need to warm the air up more in the mask or hose.
Maybe need to add a hose cozy or barrel cozy to keep the air warmer or use a higher hose air temp.

Last night I used my setting of 8 for humidity...hose air temp was about 83 I think...used the Eclipse....I did have the short hose cozy on the mask's short hose.
Zero rain out anywhere...not even at the mask level.
Remember ambient room temp is also a big factor...my bedroom was around 62 degrees last night.

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ozij
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Re: EPR 2 vs 3, Can you see my charts?

Post by ozij » Wed Dec 14, 2022 7:27 am

According to sleepHQ, hose temp almost 81F, humidifier 1. That's dry!

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And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
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Re: EPR 2 vs 3, Can you see my charts?

Post by Pugsy » Wed Dec 14, 2022 7:39 am

ozij wrote:
Wed Dec 14, 2022 7:27 am
According to sleepHQ, hose temp almost 81F, humidifier 1. That's dry!
Extremely dry and sure not auto settings.
Sounds like he is dealing with condensation at some level and trying to prevent the condensation by reducing humidity setting more than maybe some measures to warm up the air in the mask/hose.
Not the best way to go when also complaining of dryness anywhere.

Not to mention....it's cooler now in the northern hemisphere and furnaces are kicking on and drying out the air even more.
I recently had to go from a setting of 6 on my humidifier to a setting of 8 because of the furnace drying the air out more and I was getting my usual response to dry nasal mucosa which is unpleasant for sure. Sneezing like crazy until I upped the humidity level.

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jlsmithseven
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Re: EPR 2 vs 3, Can you see my charts?

Post by jlsmithseven » Wed Dec 14, 2022 9:54 am

So yes I have tried manual settings before but always woke up to being waterboarded. I was told higher temp lower humidity so I tried that, didn’t work either. Whenever I raise humidity over 3 it gets so much rainout.

My room constantly stays at 69-70 degrees because of the baseboard heater keeping it at that temp.

Quick question:
What I set the climate to Auto, doesn’t that use default hose temp and humidity settings to keep the air warmer than the ambient air and humidity at 85%?

Or, when I change manual settings like I had, the auto uses those settings and automatically adjusts to them all night?

I’m thinking the latter based on what was said here because those were the last manual settings I had used…

My room holds near 40-50% humidity based on the gadget I use and the temp stays around 69-70 all night.

Can someone suggest some good settings that won’t cause rainout? I think I will place my unit on the floor as well, I have a hose hanger that i know doesn’t help it.

I have felt the air was a bit cold most nights so it might be very nice to get some warmer air. And I know warm air carries more moisture, that’s why I have humidity at 1 to avoid that extra moisture leading to rainout.

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Re: EPR 2 vs 3, Can you see my charts?

Post by Pugsy » Wed Dec 14, 2022 10:02 am

Exactly where is your rain out happening...in the mask alone or hose alone or both?
Do you use a hose cozy on the mask's short hose?
Barrel cozy???

Remember our own exhaled breaths contain moisture (that we really can't measure or control) and sometimes that added moisture tips the scales at the mask level.

Impossible to tell you settings that are guaranteed to fix condensation problems because there are too many minor variables at play.

Last night my bedroom humidity was 60% per my little gadget....bed room temp around 64 ish...(I didn't look) and I used a setting of 8 on humidity and the hose air temp is about 83 degrees...Eclipse used....short hose cozy on the Eclipse....no barrel cozy.
No condensation anywhere last night.

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jlsmithseven
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Re: EPR 2 vs 3, Can you see my charts?

Post by jlsmithseven » Wed Dec 14, 2022 10:26 am

Well the rainout was in my mask when I had the dreamwear, experienced same dryness so messed with settings and woke up with the mask with tons of rainout and the hose as well. I did try the hose cozy cover but found it way too heavy and no benefits.

I just use the bleep Dreamports now that is suspended above my pillow with the retractable attachment that Stuart shows in one of his videos. I like the setup but it’s much easier to use with the dreamwear. I love the dreamwear above head setup and tried the F30i but that mask was terrible. Tons of leaks and I think I’m spoiled by no headgear now I can’t go back.

Edit: wait, they make a short hose cozy for the Bleep system? I have noticed condensation at the end of the night pooling below the dreamports, would that cover help?

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Re: EPR 2 vs 3, Can you see my charts?

Post by Pugsy » Wed Dec 14, 2022 11:01 am

jlsmithseven wrote:
Wed Dec 14, 2022 10:26 am
Edit: wait, they make a short hose cozy for the Bleep system? I have noticed condensation at the end of the night pooling below the dreamports, would that cover help?
Padacheek makes a short hose cozy that will almost cover the entire short hose. The Bleep short hose is around 20 inches long and the longest short hose Karen makes is the 15 inch...
this is what I use. I have a little hose not covered but it isn't much. I keep that short hose cozy right up against where the barrel of the mask is more apt to have warmer air enter the barrel.

https://www.padacheek.com/product-page/ ... hose-cover

You might also want to consider a barrel cozy. While Karen doesn't have an official barrel cozy for the Bleep barrel I was able to modify a P10 barrel cozy and make it work.

Rain out seems to always be worse in the winter time. Houses are just kept cooler in general. I know I set my house thermostat to 65 degrees and leave it there. Bedroom is always a little colder though. The house is old and not insulated well and the bedroom is always colder than the rest of the house. I have seen 50 degrees in the bedroom when it is really, really cold outside.

The whole idea with using hose cozies is to keep the air coming from the heated hose warm enough to retain the moisture and not condense. Otherwise it starts cooling off as soon as it leaves the heated hose and with longer short hoses...it's cooled off a lot by the time the air reaches the mask itself.
You may just have to learn to accept the weight of a short hose cozy...like figure out which is more annoying...the added weight or the rain out. I don't like the warm air myself that I have to use but I like the rain out even less so I learned to be happy with the warmer air.
I would much prefer to use 70 degree air going up my nose but that's a recipe for disaster with my high humidity and cold bedroom preference.

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lynninnj
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Re: EPR 2 vs 3, Can you see my charts?

Post by lynninnj » Wed Dec 14, 2022 1:32 pm

Athletic tape that is self adhering comes on a roll that allows you to cut to size. Ive used it for my bleep.

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