Why does the effectiveness of bipap fade

[Clinte89]

Hello all I recently was switched to a bipap. I was recommended to push for an asv titration but they wouldnt do it for some reason. So either way I figure since my insurance is renting this machine and from what they told me if it didnt work then we would go on to the next step. Well I have been on bipap for about 3 months and it has been a big improvement over cpap however it seems as though that it is fading. I talked to the doctor about this recently and he is setting up for me a loan a auto titrating bipap to see over a month what pressure works best and then if it cant be nailed down I suppose they will go the asv route. not sure though. I am just wondering why initially it didnt seem to help at all even though my ahi numbers and events where down significantly over cpap but after a while I felt a good bit better and now i seem to be tired more and in a fog like before and my ahi numbers and recorded events have started to increase again. The ahi that my machine has recorded is still within acceptable range but im sure there is more to it than I understand. Thanks

[Krelvin]

If all you are looking at are your AHI numbers it would be hard to tell what is going on.

To see what is actually happening you need to look at more data than that. Leak rates, flow rates, pressures, what is happening when you have an event...

Moving machine type to machine type without actually seeing what and how it is working doesn't make a lot of sense.

[Clinte89]

Yeah I agree. I just hope they know what they are doing. It seems this doctor knows more than the other did.

[Clinte89]

I can't see much data because I can only use encore and I'm not sure how to read it really

[BlackSpinner]

I can't see much data because I can only use encore and I'm not sure how to read it really

Sleepyhead is available for free or for what you want to donate.

[Clinte89]

I've tried sleepy head recently and the version doesn't support my machine

[Clinte89]

I use a respironics 1060

[Sleeprider]

I know Grayghost4 has some knowledge of the 1060. I'll send him a PM and see if he can check in here with some ideas.

[Clinte89]

Ok thanks

[grayghost4]

you are correct the ds1060 is not supported by Sleepyhead software .... Mark is going to work on it but has not been doing much codeing lately .

[Clinte89]

Well then is there a way I can decipher through encore? It doesn't seem to give very detailed data

[palerider]

Well then is there a way I can decipher through encore? It doesn't seem to give very detailed data

part of the reason that the 1060 isn't support in sleepyhead is that it doesn't appear to record any flow data.

[robysue]

Well then is there a way I can decipher through encore? It doesn't seem to give very detailed data

The easiest way to learn how to decipher the data that is available in Encore is to post some relevant data. If you create a Detailed Data report instead of a Summary or Overview Data report, the Encore report will include several parts:

• The first page is usually a graphical summary of usage data and pressure settings. This page is usually of no interest when you're asking for help in understanding the data recorded by the machine.
• The second section is called Patterns of Use. This is a graphical list of when you turned the machine on and off each night during the report period. Unless you're dealing with severe sleep maintainance issues and you're turning the machine off and on all the time, there's nothing of interest in the Patterns of Use page(s)
• The third section of the report is the Sleep Therapy Long Term Trend page. This has daily summary data of the various types of data being recorded by your machine. This page gives a quick overview of what's gone on for each night in the date range you use for the Detailed Data Report. Sometimes this data can be useful---particularly if you are noticing a potentially disturbing trend---such as increase in AHI over several weeks or months.
• The fourth section of the report are the Daily Details pages. There will be one page for each of last seven days of the report period. When people ask you to post your detailed data, this is the data you can most easily provide. While it's true that the Encore Daily Details are not as detailed as those shown in SleepyHead, there's still a whole lot of very useful data presented on the Daily Details pages. Posting one or two of your Daily Details pages will allow us to teach you how to interpret your own data.
• After the Daily Details pages, the Encore Report usually contains two more pages of summary data. These pages are usually not very useful for pinpointing problems, and you can ignore them for now.

So I would recommend that you try to create a Detailed Data Encore report and post one or two of your Daily Data days.

[Clinte89]

Here is the link to the file.

https://www.dropbox.com/s/oagwusfz9rmi8 ... d.pdf?dl=0

I have uploaded here before but didnt learn much other than my therapy is effective. The change in pressure was recomended by my doctor however it seemed to make me feel worse. Anywho if you guys can help me understand this data that would be great. Thanks Im always looking to learn

[Clinte89]

Bump