Newbie.

got the info downloaded but can't seem to get the screenshot on here

naomi402 wrote:got the info downloaded but can't seem to get the screenshot on here

read this: https://sleep.tnet.com/resources/sleepyhead/shorganize links at the bottom of the page, read all three pages.

I got it all posted above...I just have NO idea what I am looking at. I will have to start dissecting it. Any help will be appreciated. Thanks again for all the helpful information and support.

Can you try to post again only this time ditch the calendar but allow the stats below the pie chart to show up - that's where the meaningful results are listed.

BELOW ARE THE STATS BELOW THE PIE CHART
Statistics
Channel Min Med 95% Max
PressureTherapy Pressure (cmH2O)
W-Avg: 7.90 5.00 7.50 12.20 13.80
EPAPExpiratory Pressure (cmH2O)
W-Avg: 6.26 3.80 5.80 10.50 11.70
Minute Vent.Amount of air displaced per minute (L/min)
W-Avg: 6.33 0.12 5.62 11.25 93.75
Resp. RateRate of breaths per minute (Breaths/min)
W-Avg: 14.28 0.47 14.40 18.40 25.00
Leak RateRate of detected mask leakage (L/min)
W-Avg: 8.08 0.00 2.00 35.00 90.00
Total LeaksDetected mask leakage including natural Mask leakages (L/min)
W-Avg: 35.48 23.00 30.00 70.00 119.00
SnoreGraph displaying snore volume (?)
W-Avg: 0.08 0.00 0.00 0.00 15.00
Insp. TimeTime taken to breathe in (Seconds)
W-Avg: 2.68 0.20 2.40 4.84 68.20
Exp. TimeTime taken to breathe out (Seconds)
W-Avg: 1.67 0.20 1.64 2.60 3.90
Tidal VolumeAmount of air displaced per breath (ml)
W-Avg: 453.72 13.33 380.00 860.00 6796.67

Time over leak redline 12.357%
Machine Settings

PAP ModePAP Device Mode APAP (Variable)
Pressure MinMinimum Therapy Pressure 5.00 cmH2O
Pressure MaxMaximum Therapy Pressure 20.00 cmH2O
Session Information



CPAP Sessions
On Date Start End Duration
PRS1 Session #00000011
Click to disable this session. 7/28/16 22:51:05 23:56:17 01h 05m 12s
PRS1 Session #00000012
Click to disable this session. 7/28/16 23:59:04 05:59:13 06h 00m 09s
PRS1 Session #00000013
Click to disable this session. 7/29/16 06:13:04 06:39:34 00h 26m 30s

SORRY THAT DIDNT COPY RIGHT....ILL TRY AGAIN

How many breaks in therapy last night?
I think I see 3
the 2 around 1:00 to 1:15 and the obvious last one at around 6 AM which I assume was near wake up time.

Did you ever go back to sleep after that last wake up around 6 AM?

Were you awake for very long before that break in therapy where you turned the machine off and back on again around 6 AM? Or did you wake up and immediately turn the machine off?
This question is real important in evaluating if you are awake or not when a good bit of those ugly clusters are happening.

naomi402 wrote:Time over leak redline 12.357%

I think this statistic is a product of the default settings and not reflected in the real LargeLeak flag on the Events graph.

The default setting for % of time over the red line threshold is for a ResMed machine and you are using a Respironics machine so what is correct for ResMed isn't correct for you.

Go to Preferences/CPAP tab and on the right side change the 24 L/min threshold to something that is more in line with Respironics (we are never given an exact number because it varies with mask and pressure) but something around 70 to 80 L/min would be more in line and still give you some cushion.
Or turn this statistic off by removing the check mark for "show red line threshold".

Large leak flags will show up on the Events graph if you have any....see the LL near the top of the Event graph legend on the left...that's Large Leak.
You didn't have any large leaks last night despite that SH statistic which is based on the wrong calculation.

I tossed and turned for the first 2 hours....Last time I looked at the time is was after 12:30 or so. Probably didn't fall asleep until almost 1 am and I did get up around 6 and turned the machine off

I am having strange adrenaline surges and rapid heart rate at night so I know that I was stirring before 6 am. I tossed and turned several times before getting up at 6am because of another big surge of adrenaline and rapid heart rate. Hence the hope this device helps get rid of those

When you woke up around 6 AM and turned the machine off...did you ever turn it back on briefly?
Look on the flow rate graph...see the blank spot right before the very short flow rate at the end of the night...that means the machine was off for a few minutes and then it turned back on.

I don't know what to make of the Clear Airway/Central events...they could be awake/semi awake breathing irregularities getting flagged by mistake...they could be post arousal centrals relating to the Obstructive Apneas seen at around the same time meaning the OA causes an arousal and the central is the result of the arousal and not necessarily a "real" central of the type we worry about.

All I know to offer is to try to fix what is obviously needing fixing and then see what's left over.
It doesn't help evaluation that you are having problems falling asleep...but if this were easy we wouldn't need this forum would we?

What needs fixing that we can fix with pressure are the OAs and hyponeas...those along with the snores, FLs and RERAs all point to sub optimal therapy...the minimum pressure isn't enough to give the machine a good enough head start on dealing with the airway collapses.
I am thinking around 7.5 to 8.0 minimum pressure is going to be needed but I don't suggest making one huge jump from 5 to 8 minimum. It will likely make the insomnia worse but I suppose you could try it if you had a mind to. I wouldn't do it if it were me especially with the centrals....while I doubt those are pressure related centrals I don't know for sure so I prefer to be extra cautious when centrals are hanging around muddying up things.
I would try maybe 6.0 or 6.5 minimum...see how it felt ...less if it is horribly uncomfortable...nothing says you can't work up slowly if you need to.

At least that's what I would do if it were my report...increase the minimum in stages to better deal with the obstructive stuff (those OAs, hyponeas, snores, FLs, etc) and keep one eye on the CAs/Centrals while doing the increases. If at any point the CAs skyrocket and you know you were asleep when they happened...back off immediately.

Remember anything flagged during known awake times has to be mentally tossed out the window...it simply doesn't count. We can't include it in the evaluation process or the real AHI count.
That's why it is so important to have a decent idea if you were asleep or not...makes for evaluating things a lot easier.
Awake/semi awake breathing (also called SWJ for Sleep/Wake/Junk) can sometimes be spotted on the flow rate graph but it takes time and experience to be able to do that and I don't want to put that on your plate of stuff to learn yet...it's hard..even for me unless it's blatant.

Excuse the questions but where it says CA or clear airway...can you define that for me. What is occurring during that?...I think that was when I was awake or stirring because of adrenaline surge/increased heart rate

Clear Airway....Central apnea....the airway is open/clear but no air is moving.
As opposed to the airway being obstructed with sagging airway tissue and the air flow is reduced or not flowing at all.

Hold your breath for 10 seconds...that's a 10 second Clear Airway/Central event. No air is moving but your airway is open. It's quite common for us to pause our breathing while awake for 10 seconds or more and we don't even notice it. The machine doesn't know if we are awake or not...all it knows to measure is air flow so if you are awake and hold your breath it will flag the pause in breathing.
So those centrals/CAs we have to ignore.

Now there are some centrals that come from the brain forgetting to send the signal to breathe...these are while we are asleep and are potentially troubling when there are a large number of them happening.
It's normal to have a few centrals here and there that are real so a few isn't alarming but when someone has as many as you are having it causes us to worry until we know if we can explain them away (or at least most of them) with awake breathing pauses.

There's a small percentage of people who have centrals develop because of unstable breathing because of the cpap pressure...and those are troubling. At this point with you...and your trouble sleeping...I am leaning towards the awake breathing being the culprit for those centrals. It's highly probable that if we can get you to sleeping better the centrals will reduce. I can't promise for sure but it is very probable and that's why I suggested what I did above.
Fix what we can fix that we know needs fixing with this machine and see what's leftover.

We can't fix centrals with your machine...if those are real centrals brought on by cpap pressure itself.
If that's the case we have a different discussion but for right now I would suggest proceeding with the "fix what we can fix" and see what's leftover plan. There's a real good chance it will be successful and it's fairly easy to do.

Couple of other questions...
Do you take any medications of any kind? If so what?
The trouble falling asleep....is this new to cpap therapy or you had it before getting the machine?
Any history of head injury?

Oh...if I ask something or explain something and the reason isn't clear...just ask for more information.
I don't mind. I tend to think and type fast and I forget people can't read my mind...and since I tend to type novels I try to be as brief as possible but I may inadvertently omit something that would clarify things to you....I want you to understand all this stuff...the why and the what...and you can't do that if you don't fully understand what I am saying.
So if you need more information...just ask...I don't mind at all.

My goal is to get you comfortable will all this stuff so that look at your reports and immediately know what to do and are comfortable doing it.
It won't come over night...it's a pretty big curve but I have found that when people really understand all this stuff they have a much greater chance of success.
And while I don't mind helping....I really get more pleasure when someone grows up and flies away and doesn't need me to hold their hand anymore. I might not always me here...I want people to get educated so they can handle things themselves. Until that point in time comes...I am here for right now anyway.