Resmed S9 Daily Data Incorrect

[Buster52]

Pugsy, sorry I took the record from you on leakage. LOL I use a over the nose mask and I am definetly a mouth breather. I just purchased a chin strap and will try that tonite along with tightening up the mask and report back tomorrow. I was leaving the machine on and just removing the hose to use the restroom in the nite but will shut it off from now on if that effects the data. Thanks, I appreciate the help. I really haven't felt much better since using this and maybe that is why. Ray

[Pugsy]

Your therapy is ineffective right now and while I can't guarantee that you will feel the miracle once it is effective...I am not the least bit surprised that you don't feel any better at all with these numbers.. and there's a good chance that with a nice lower AHI and minimal leaking that you will feel somewhat better. The AHI alone is enough to guarantee feeling like crap right now.
I don't know if you will need more pressure or not and won't know until you get the leaks better managed. I suspect that you will though...so don't be surprised if that comes to be.

I gladly give you the record for big leak though... Mine was a freak occurrence due to mask headgear issues...I don't normally have leaks that bad. Chin strap may help...may not...some people it's enough but some people it isn't enough.
If your large leak time % was single digits I wouldn't worry so much but yours is big for big prolonged blocks. It is big enough and prolonged enough to seriously impact therapy effectiveness.
We just keep trying things till we get it figured out.

[Buster52]

A huge improvement last night. I tightened everything up (a little less comfortable), wore the chin strap and mask fit reading was good. AHI was at 13.9 with 5.7 hrs of sleep. Acually I never woke up during the night like I normally do. This is a start in the right direction I guess. Thanks for your help, I will post chart again in a week or so to compare.

[palerider]

A huge improvement last night. I tightened everything up (a little less comfortable), wore the chin strap and mask fit reading was good. AHI was at 13.9 with 5.7 hrs of sleep. Acually I never woke up during the night like I normally do. This is a start in the right direction I guess. Thanks for your help, I will post chart again in a week or so to compare.

if your leaks were good last night, post that chart.

[Pugsy]

If leaks weren't an issue last night...and that AHI was 13.9...you also need a pressure adjustment and don't wait a week on it.
Please post last night's detailed report so we can get an idea what pressures you are going to need.

[Buster52]

I will post latest data tonite when I get home. Thanks for all the help. I was diagnosed with Central sleep apnea if that helps.

[squid13]

If you were diagnosed with central sleep apnea then to begin with your using the wrong type of machine, you should be on an ASV.

[Buster52]

This is the log info from last night.

[Pugsy]

Were you asleep last night around the 00:00 to 00:30 where all those ugly centrals occurred?
Can you please confirm the original diagnosis? Central or Obstructive apnea?
Can you give me the AHI and event category break down for last night?

Your leak line is MUCH improved. I wouldn't worry about that one not so pretty blip of a big leak.

[Buster52]

Were you asleep last night around the 00:00 to 00:30 where all those ugly centrals occurred?
Can you please confirm the original diagnosis? Central or Obstructive apnea?
Can you give me the AHI and event category break down for last night?

Your leak line is MUCH improved. I wouldn't worry about that one not so pretty blip of a big leak.

I believe I feel asleep shortly after I went to bed so I would have to say yes. I was diagnosed with both Obstructive and server Central but more Central than the other. No heart conditions other than a little irratic because of the sleep after which apparently I have had for a loooong time. This is new to me so I really don't understand everything on the charts I am posting. Here is the AHI log where is the event break down located to post?

[Buster52]

If you were diagnosed with central sleep apnea then to begin with your using the wrong type of machine, you should be on an ASV.

Sorry to sound ignorant but what is an ASV? This is new to me, but have already learned a bunch from this forum. I believe what I have is considered a VPAP machine.

[Pugsy]

AHI bar graph on the left side where it shows each event category as well as total. The AHI graph itself is next to useless...all it shows is the AHI went sky high during that ugly cluster and I could tell that just by looking at the event graph and all those purple lines.

So...confirm...during the diagnostic sleep study without a cpap machine you had more centrals than obstructives? Do you happen to have the numbers for each?

Did you have a sleep study in sleep lab where they hooked you up to a cpap machine?
Do you have the results of it by any chance if you had one?

If your primary diagnosis was central apnea (that's without a cpap machine) then I am also wondering why you got this VPAP instead of the ASV type of VPAP. This VPAP won't do a damn thing for centrals that were present before the addition of cpap therapy.
Now if the centrals came about after cpap therapy was started because of the cpap pressure itself...then we might be able to get the job done with some fine tuning of the pressures.

If you were for sure asleep during that ugly cluster and your diagnosis was central apnea...I am wondering why you have this machine.

ASV machine...special machine designed to treat centrals in a specific manner with rapid big bursts of pressure to kick start your breathing. ASV Adapto Servo Ventilation...the S9 Adapt I am now using is an ASV machine. The S9 VPAP Auto can't do the rapid big bursts that is needed to treat centrals. High dollar machine.

[Buster52]

Is this the info you are looking for? I did the sleep study at a local hospital in their sleep center. The test was done with some type of a CPAP machine connected. I know they had a hard time adjusting pressures at the time of the study. The tech actually said I would probably have to do another with the doctor adjusted pressures as she could not adjust to my needs. The next thing I know they call and say they have this machine for me per the Doctors prescription. My wife believes we were told I had 67 instances per hour but I am not 100% sure that was the amount but it sounds right. They did say I had extreme Central Sleep Apnea. I will have to dig through my files and see if I have a copy of the study.

[Pugsy]

No, that's not quite what I wanted to see but it tells me enough.
When is your follow up scheduled? If you don't have one...get one.
You are most likely going to need a different machine.

This is the AHI and event category breakdown I was talking about. It's from the Details tab.
When you do your screen shots...just do one big screen shot like mine here.
AHI colored bare graphs on the left and 4 main graphs on the right (Events, Flow rate, Pressure and Leak). Anything else we might wonder about we just ask.
If it is too big like this one likely is don't worry as we can use the "view image" trick to change it.

[Buster52]