5 nights of daily data - for Barbe

[Snoredog]

thanks for photobucketing for me Hawthorne.
Today B wasn't as tired. He did have a big afternoon sleep yesterday and then last night seemed to have a much better sleep.
He had a 1 hour lay down this afternoon but we had spent the day running around in town.
I've just check his report for last night and to me it seems much better. What's going on ?
Is he just trying to confuse us? must say it's working....well me anyway.
He had no beers last night , the pressure was min 12- max 20 and everything else was the same.
Bev


ps tried to photobucket last nights report but couldn't get a picture. Will try again.

At the 12cm to 20cm range it shows his 90% pressure at 17 cm. Beer can sometimes make for more OSA, you relax more. Based upon the numbers, he really needs the Minimum pressure raised higher than 12 cm. 14 cm to 20 would be better. He is not maxing out on the pressure and 12 cm is a bit low.

As for Auto: Ramp? He only needs that if he has difficulty falling asleep with the higher Minimum pressure. You could set up a Ramp at 10 cm for 30 minutes then if he has difficulty he could drink a beer or hit the Ramp button.

[BarBe]

Snoredog, is it too early to raise his pressure again? it's only been 3 nights. Or am I supposed to wait a couple more days?
Throughout his 94 days on CPAP just when I think his report is bad because of the beers he's had the night before he then throws a spanner in the works and has a good night on many beers!!!!
Also when I first increase his pressure the 90% pressure increases a lot but settles down to a normal level a few days later.
Is there a connection to something that I'm missing?
Bev

[Hawthorne]

here is last night's report for BarBe.

It is the 3rd night at setting 12cm-20cm and appears that he is settling into this pressure range and getting better numbers. I'm wondering if he shoud stay at this setting for a while yet.

Bev will be on later to see what comments are made. She is working at posting herself (with my email instructions - which may be the problem since she had some trouble posting).[/im
g]

[BarBe]

last nights data for setting 12-20.
[/img
]
I did it
Finally got the data on the forum. Wahooooooooooooooooooooooooooooooooooooooooo.

B had no beers again but he has had nights before with no beer and 'bad' report.
He had a good sleep, more rested today but has just spent 2 hours on the mower and worn himself out so is resting.

Advice welcome.
Bev

[Hawthorne]

It's so great that you can now post the data! I changed one thing in my email directions ( that I had not explained well the first time) and you did it!!! Quick learner, I'd say!

I think the data is looking good and Barry is settling in with the new settings --so far. How is he feeling? If he was out mowing the lawn for 2 hours pretty good, I'd say!

What do you mean by "hose straight line" in your notes?

[echo]

That's looking much better Barbe! And congrats on posting the images yourself
It looks like he's settling into the pressure, and/or into the therapy, and that's a good sign.

You mentioned that he's resting during the day - is he using the CPAP while napping as well? Make sure he does!!

[BarBe]

well after my great accomplishment of yesterday just had to try again to see if it works a second time
[/img]

hey, it worked again.
okay this time B's sleep was okay but he's been a bit tired all day. we have been doing a bit of running around in town and now he's gone for a nap.
He didn't have any beers again last night but his OA 's and H's are increasing - also his 90% CPAP. He did say at the begining of the night there seemed to be a lot of air coming out of the front of his mask but then it settled down.
Does this mean that he should have used the ramp for a little while?
Is it time to increase his pressure yet or should he used the ramp?

Echo, hi.
No, he isn't using his machine for naps. I've told him that he should because the good people here have spoken but he keeps insisting "that it's bad enough having to wear it all night " without in the day too.
I don't know how many times I've told him that he may choose not wear the mask but he doesn't get to choose which type of 'vegetable' he could become.
I'm working on him to wear his mask for any nap time and also to wear the piece of tape on his mouth.

Hawthorne , by hose in straight line I mean that from where it connects into the machine to where it's secured on the bed head it's in a straight line. At the beginning it had a loop at the end and we had a big rainout issue. Once we made sure it was positioned tight enough so there was no loop or sag , we didn't get issues with rainout anymore.
As to the mowing for 2 hours , even though it's on a ride on mower 2 hours just seems to be too long and wears him out.
Typical male though won't listen
Bev

[Snoredog]

His reports are looking fine, his residual AHI is well under 5, his 90% pressure ranges from 13 to 15 or so, the machine is responding to that while some may be from beer it can also be from allergies too.

I don't think there is anything to gain by making another change, sure increasing the Minimum "might" reduce a few events greater discomfort comes with that increase in the form of higher pressure, greater leak and higher noise. Machine is responding very well so I'd leave it alone. Keep your leak under control and he will be fine.

If you want to experiment and you suspect he has allergies, you might have him try a Claritin (without the D) a few hours before bed for a couple nights and see if the number of events seen on the report changes. If they drop you know he has some allergy issues contributing to the events seen, if no change then well allergies are not the problem and you have ruled that out.

Have a glass of wine with dinner or a beer I'd expect to see quite a few more events on the report. He's down to 1.1 AHI that is pretty good very hard to maintain but good.

[BarBe]

hey Snoredog, thanks for your help.
B doesn't have any allergies, that I know of but to doubly make sure will try your suggestion of Claritin ( if I can buy it in Australia).
We've never known him to have allergies but then again unless your looking for something in particular you never can tell.
(hope that makes sense.)
So, on his changes in reports do you still think a BiPap would be a better go?
Will leave the pressure at 12 and see how he goes tonight.
Bev

[ozij]

[img][img][/img][/img][img]http://i414.photobucket.com/albums/pp22 ... 2am3-1.jpg[/img]

BarBe and Hawthorne, here's how to get rid of all those additional "[img] codes:

Paste the address:
http://i414.photobucket.com/albums/pp22 ... 2am3-1.jpg

Block the address text (i.e. paint it with the mouse)
Click, just once, on the Img button, and the result will be

[img]http://i414.photobucket.com/albums/pp22 ... 2am3-1.jpg[/img]

If you start out using the Img button, you'll get this:

[img][/img]

And theb you paste the image between those two img codes
[img]<insert image here>[/img]

(those code are showing and not working because I clicked the Disable BBCode for this post).

O.

[Hawthorne]

Thanks O.

I'm not sure I understand what you said but I'll do it step by step and I MIGHT get it!

I saw those showing up the last several times I've posted and didn't know why.

[Hawthorne]

Ozij- Is this just for "neatness" sake?

The images have been coming up on the forum.

That bit has been bugging me and I was just practising, using the preview in posting and I THINK I have figured out how to get rid of the extras as per your post here!

I'm just not that computer literate and was glad to get the images here! Barbe doing it the same way is my fault since I put the steps, as I THOUGHT they were, in an email to her.

I'll see if I got it when I post again.

[ozij]

Ozij- Is this just for "neatness" sake?

I guess you could say so - I'm very sensitive to words and images, and those extra codes were distracting me from the images.... and since they happened again and again, and then appeared on BarBe's posts as well - I figured someone was doing some clicks too many - consistently

The images have been coming up on the forum.

Yes, they've been coming up fine, no problem with that.

That bit has been bugging me and I was just practising, using the preview in posting and I THINK I have figured out how to get rid of the extras as per your post here!

No need to worry about your lack of computer literacy.
O.

[BarBe]

Ozij sorry about too many imgs.

Is that better?

B's report has OA's increasing more as is FL's and VS's.
Average 90%CPAP down as was Average CPAP pressure. Average Leak down too.
He used the ramp a couple of times but I had that set at 7/5mins , because from the different reports I read on the forum every minute of ramp you were not getting the best out of your therapy and as B said the higher pressure wasn't worrying him put it at 5mins, in case he decided to use it.
Seems now that's changed and I have increased his ramp 7/15mins, for tonight.He drank no beers again but had a very stressful day yesterday. Could this be making a difference? - stress levels I mean.
I have increased his pressure .5 for tonight. If he gets a worse report I will drop it back down tomorrow.

On his report nothing was happening between hours 3 - 4. Does this mean all was well for that short time?
If he wasn't getting therapy the leak line would be broken wouldn't it?

Bev

[ozij]

It came out perfect, Bev.

If it were me, I'd raise the min. pressure by 0.5 - too. An alternative would be to make C-Flex weaker, by putting it on 1, or even disabling it entirely. Whichever path you choose, try to stick to it for a week (don't, of course, if the results are disastrous - but I don't think they will be). There' a natural variability to our nights, which is a reason not base change on one nights data.
Ask B. to keep a log of how he's feeling during the days.
O.