Newbie Greetings, findings and sadly, questions

Pugsy · Post by **Pugsy** » Sun Nov 05, 2017 10:21 am

xxyzx wrote:you do need to fix the leaks

What leaks?

SolisQuaesitor71 · Post by **SolisQuaesitor71** » Sun Nov 05, 2017 11:42 am

xxyzx wrote:
SolisQuaesitor71 wrote: ======

but is your spo2 still a problem or has that been fixed

Interestingly I'm not sure. I have my first monthly appointment with the sleep clinic. They said when they gave me the machine that they'd give me an sp02 monitor to see how it is

Pugsy · Post by **Pugsy** » Sun Nov 05, 2017 12:19 pm

xxyzx wrote: any leaks that are excessive

Excessive by whose standards? There are no large leak flags showing up on the report that was shared.
Now of course even small leaks that wake a person up need to be worked on from a sleep quality standpoint.

Bertha deBlues · Post by **Bertha deBlues** » Sun Nov 05, 2017 12:33 pm

SolisQuaesitor71 wrote: I had a bad night last night... air leaks everywhere after i'd fallen asleep and moved in the slightest (with the pressure ramping up)...

palerider · Post by **palerider** » Sun Nov 05, 2017 1:41 pm

SolisQuaesitor71 wrote:I had a bad night last night.. typical really. Mainly due to me adopting the 'hovercraft' seating of the Quattro mask.. air leaks everywhere after i'd fallen asleep and moved in the slightest (with the pressure ramping up). So not much sleep last night and feeling rather groggy. Still i took out the sd card, installed sleepyhead and here's the result.. doesn't mean much to me tbh..

Your leaks aren't bad, however, if they're bothering you, get a mask liner (padacheek.com makes the best) to tame them, and make the mask more comfortable.

SolisQuaesitor71 · Post by **SolisQuaesitor71** » Sun Nov 05, 2017 2:00 pm

Err I don't know what's going on here but I really don't want to cause a squabbling match.
I had a really bad night last night. Under 4 hours sleep isn't the norm for most people including me.

I was hoping for some informative assessment of the pages that I uploaded from sleepy head to be able to better understand what's going on.

I agree that the leaks need sorting and although they may be considered minor based upon the posted stats they kept me waking through the night.

Um rather confused that coincidentally since the nurse raised the pressure my apnea has gone up

Bertha deBlues · Post by **Bertha deBlues** » Sun Nov 05, 2017 2:36 pm

SolisQuaesitor71 wrote:Err I don't know what's going on here but I really don't want to cause a squabbling match.
I had a really bad night last night. Under 4 hours sleep isn't the norm for most people including me.

I was hoping for some informative assessment of the pages that I uploaded from sleepy head to be able to better understand what's going on.

I agree that the leaks need sorting and although they may be considered minor based upon the posted stats they kept me waking through the night.

Um rather confused that coincidentally since the nurse raised the pressure my apnea has gone up

Hang in there and try to ignore the unending squabbling. There are many knowledgeable and helpful users here.

Pugsy · Post by **Pugsy** » Sun Nov 05, 2017 2:37 pm

xxyzx wrote:excessive by the xpap
bad to have a frownie face

and if pressure increases cause them then they need to be fixed

OP is using a Respironics machine and they don't give Mr Smiley or Mr Frowny faces for leak management.

There were no large leak flags so the machine didn't sense any leaks making it into large leak territory....so leaks weren't excessive in the machine's eyes.

Now the OP does report leaks causing sleep disturbances so for that reason better leak management would be a goal.

TASmart · Post by **TASmart** » Sun Nov 05, 2017 2:43 pm

SolisQuaesitor71 wrote:Err I don't know what's going on here but I really don't want to cause a squabbling match.
I had a really bad night last night. Under 4 hours sleep isn't the norm for most people including me.

I was hoping for some informative assessment of the pages that I uploaded from sleepy head to be able to better understand what's going on.

I agree that the leaks need sorting and although they may be considered minor based upon the posted stats they kept me waking through the night.

Um rather confused that coincidentally since the nurse raised the pressure my apnea has gone up

You are not causing any kind of squabble. xxyzx has a very long history of posting wrong and incomplete information, then denying that he was wrong, and becoming profane towards those who dare to suggest be was wrong, and is responses were abusive, bullying and vulgar. It really does not matter who starts the thread, xxyzx answers all if he knows anything about the subject or not, and I for one have had my fill of the profanity and disrespect. So I point out the errors that prove he does indeed make mistakes and this irritates him. So he goes into full attack mode and claims I do whatever it is that he is doing at the time. Sad but true story. Check out the threads to see the facts of the matter.

zonker · Post by **zonker** » Sun Nov 05, 2017 2:46 pm

SolisQuaesitor71 wrote:Err I don't know what's going on here but I really don't want to cause a squabbling match.

rest assured, gentle sir, you have not caused a squabbling match. it's a pre-existing condition here on the forum. what happened was xxyyzz gave you some questionable advice, which is par for the course. pugsy, on the other hand gave excellent advice, which is also par for the course.

you'll get used to it in time.....

Pugsy · Post by **Pugsy** » Sun Nov 05, 2017 2:53 pm

It's hard to come up with good ideas when the night is short on hours asleep and you admit to sleeping poorly. We don't know how much of what we are seeing on the software report is real or not.

The bulk of your AHI seems to be obstructive and the pressure graph is responding like it was obstructive.
Your tech just increased the minimum pressure from 4 to 6 cm. Left the max at 20. The minimum is the most critical setting.
At the beginning and ending of the night when the pressure was down near that minimum you had a cluster of events....and in the middle of the night around 2:20 but the pressure wasn't lowered at that time.
Pretty much once your pressure goes up it stays up and you have some periods of time where not much is happening.

When you fit your mask you need to fit it at the higher pressures that you are seeing once you go to sleep.
The fitting for seal at 6 cm isn't going to work so great at 14 and you spend a lot of time up around 14.

I was afraid that with the pressure increase you might have had an increase in ClearAirway apnea events but your summary report and this report doesn't point to a predominance of centrals/CAs.

I think you are going to need even more minimum pressure...probably up around at least 10 maybe a little more.
Sometimes when people use a more optimal minimum they find that the pressure doesn't increase as high as they had been seeing it.
I don't know that will happen to you or not but it's possible. Meaning if you were using a more optimal minimum maybe you wouldn't see it want to kiss 15 or higher so much.

Were you awake during the first cluster of events right before 1:00?

TedVPAP · Post by **TedVPAP** » Sun Nov 05, 2017 10:01 pm

I agree with Pugsy - your min pressure is too low.
The auto algorithms are not perfect so you want the minimum pressure set closer to where the action is. Work you way up to 10 and try it for a week. You will likely need closer to 12.

SolisQuaesitor71 · Post by **SolisQuaesitor71** » Mon Nov 06, 2017 2:23 am

TedVPAP wrote:I agree with Pugsy - your min pressure is too low.
The auto algorithms are not perfect so you want the minimum pressure set closer to where the action is. Work you way up to 10 and try it for a week. You will likely need closer to 12.

Hi TedVPAP, thanks for your reply. With Min Pressure do you mean the one that the machine starts on when i go to bed? If so, there's no way that i'd be able to go to sleep with it that high. The Doc raised the initial pressure from 4 to 6 and straight away the apneas went up.. that can't be right can it?

SolisQuaesitor71 · Post by **SolisQuaesitor71** » Mon Nov 06, 2017 2:49 am

Hi, thanks for all of the advice so far, as i had very little sleep the other night i thought i'd post last nights result before i venture to the hospital in 10 mins. I had more sleep, only waking briefly at 3am before going back to sleep to awake properly at about 6am. I'd value your opinions.

SolisQuaesitor71 · Post by **SolisQuaesitor71** » Mon Nov 06, 2017 3:10 pm

Well the hospital have raised my ramp pressure to 10. Don't know what effect that will have but will see tonight. She also insisted that we 'exhaust every option' by giving me a continuous Sp02 monitor for the night which i have to return tomorrow morning for assessment. We'll see

Newbie Greetings, findings and sadly, questions

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