Clueless on my values but I think they're good?

CPAPSteve · Post by **CPAPSteve** » Thu Jul 26, 2018 6:05 pm

My sleep clinician tells me my values are good but last night had a had a pretty decent sleep.

Any thing in my data that would suggest there is anything wrong? I'm new to all of this and trying to understand what all these values and charts mean from sleepyhead.

If I'm posting my reports wrong please let me know what I should be doing to make viewing easier.

I was using the Airsense 10 Autoset for the past 2.5 weeks but since my wife isn't using her CPAP machine that I asked the sleep clinician if I could use hers to try the "for her" mode.

Thanks,

Pugsy · Post by **Pugsy** » Thu Jul 26, 2018 6:12 pm

See this thread for which graphs and format.
viewtopic/t158560/How-to-post-images-for-review.html

There is no need to redo last night's report though. I mention it for future reference.

I would agree with your clinician...pretty darn good looking reports.
AHI is very minimal.
Leaks well controlled.
A pretty boring report.

How are you sleeping and feeling?
I see nothing on the report that warrants needing to change anything.

CPAPSteve · Post by **CPAPSteve** » Thu Jul 26, 2018 10:34 pm

Thanks Pugsy,

I will read the how-to link you sent for future reference.
My AHI's were never high to start with. I tested out at around 7 AHIs and the worst I've seen on my reports is 11 AHIs so I was considered a mild borderline apnea case.

Since the start of CPAP treatment I have varied between 0.3 - 5.x AHIs. The higher AHIs being the nights of less than ideal sleep.

My pressure averages according to my sleep clinic suggest that my upper pressures need to be higher since I often want to hover at around 12-15 CWP. In past reports the machine was pinned at 16 CWP thus she believes that a slight bump in upper pressures would be helpful.

I made a complaint recently regarding the sudden jump in pressures that often wake me at around 2-3AM and I can only think of it as the pressures being reasonable (10-13 and then suddenly I wake up at it is at 15.8-16. I asked her about the "for her machine" and coincidentally my wife has a machine that she can't currently use due to other health conditions. So clinician programmed her machine for my settings and put it for APAP for her mode and so far I've slept with it for 2 nights and I SWEAR I have slept better and I don't get the rude awakenings like my non-her cpap machine does (both of us BTW use an air sense 10 autoset - mine being the him version and she has the "her" version).

That being said, CPAP therapy wasn't the most fun experience for the first week. I'm super self conscious of the gigantic mask on my face but like all CPAP awareness videos suggest - think positively! Been 100% compliant so far and my energy levels and mood are noticeably better. If you told me to go to bed with no CPAP machine I don't think I could do it.

Pugsy · Post by **Pugsy** » Fri Jul 27, 2018 4:02 am

In all those graphs above I don't see a pressure graph.

When you have time get me a screen shot of last night (so a different night) but in the format that I like.
You can omit the snore graph...it's not got much going on with it anyway.

So the usual stuff on the left minus the calendar and pie chart and just these graphs on the right.
Events
Flow rate

One pressure graph...don't need both of masked pressure and regular pressure

Leak
Flow Limitations

Then get me a detailed report with your using your machine in the regular auto mode. Same format.

These machines don't really change the pressures quickly even in the regular auto mode. The changes take place over several minutes but for some reason some people are simply more sensitive to changes and for that reason they don't sleep as well. The apap machines...any of them can't/don't go from 8 to 12 in the blink of an eye. Takes several minutes. It might seem fast when looking at the reports in normal viewing due to scale involved but if we zoom in....several minutes.

I can go from 8 cm to 20 cm on ASV in about 20 seconds and sleep right through it (and that machine can and will respond quickly in seconds and not minutes). Never know it happened until I look at the report.
But someone else might be disturbed by even going from 8 cm to 12 cm over a period of 5 or 10 minutes. Some people are just more sensitive to things than others to the least little thing...changes, leaks, whatever.

You are the first guy to actually report sleeping and feeling better with the for Her mode that I know of. Limited pool of users I know but does back up what I have always said....this machine isn't necessarily only going to help women.

palerider · Post by **palerider** » Fri Jul 27, 2018 5:41 am

Pugsy wrote: ↑
Fri Jul 27, 2018 4:02 am
In all those graphs above I don't see a pressure graph.

Mostly 9 with brief excursions up to 12... (based on the time at pressure)

Pugsy · Post by **Pugsy** » Fri Jul 27, 2018 5:47 am

palerider wrote: ↑
Fri Jul 27, 2018 5:41 am
Mostly 9 with brief excursions up to 12... (based on the time at pressure)

Yeah...I saw the time at pressure thing but I want to see the actual pressure graph with my own two beady little eyes.

Helps me wrap my head around things better and lord knows that these days I need all the help I can get.
Besides...wouldn't hurt to look at another report anyway and in a format that makes sense.

palerider · Post by **palerider** » Fri Jul 27, 2018 5:56 am

Pugsy wrote: ↑
Fri Jul 27, 2018 5:47 am

palerider wrote: ↑
Fri Jul 27, 2018 5:41 am
Mostly 9 with brief excursions up to 12... (based on the time at pressure)
Yeah...I saw the time at pressure thing but I want to see the actual pressure graph with my own two beady little eyes.
Helps me wrap my head around things better and lord knows that these days I need all the help I can get.
Besides...wouldn't hurt to look at another report anyway and in a format that makes sense.

Of course, there's no way to tell without the graph if it was one jump to 12, or several quick ones...

PS: I'm sure your eyes aren't really beady

CPAPSteve · Post by **CPAPSteve** » Fri Jul 27, 2018 7:24 am

I will have to post my data when I get back on Sunday. Going out of town for the weekend and bringing “Ariel” with me. I know tacky but I told my wife I gave her machine a name and she though it was funny

Pugsy · Post by **Pugsy** » Fri Jul 27, 2018 7:54 am

That's fine. It's not critical that I see those pressure graphs anyway.

Have fun with "Ariel"....and your wife of course.

CPAPSteve · Post by **CPAPSteve** » Fri Jul 27, 2018 11:08 am

Thanks Pugsy, I don’t think I could manage without my wife or “Ariel”. My wife says Ariel is needed to blow me while I sleep! LOL

Pugsy · Post by **Pugsy** » Fri Jul 27, 2018 11:25 am

Good wife. Sense of humor..Priceless.
Have fun.

I have never really named my machine. It's always just been "the machine" but back when Alberto Pujols was with the Cardinals and referred to as "La Machine"...I would sometimes refer to my machine as "La Machine". Not sure why but it just seemed to fit. Maybe because I always thought Albert was one sexy hunk and the only way I would ever get to sleep with him.

When he left the Cardinals I had my feelings hurt (though I thoroughly understand why) and I no longer had him on my "I would like to sleep with" list. So La Machine reverted back to "the machine".

djams · Post by **djams** » Fri Jul 27, 2018 1:05 pm

Pugsy wrote: ↑
Fri Jul 27, 2018 4:02 am
The changes take place over several minutes but for some reason some people are simply more sensitive to changes and for that reason they don't sleep as well. The apap machines...any of them can't/don't go from 8 to 12 in the blink of an eye. Takes several minutes. It might seem fast when looking at the reports in normal viewing due to scale involved but if we zoom in....several minutes.

I saw palerider make basically this very same statement recently. And I know you two don't make these statements "off the cuff".

But I'm seeing information to the contrary in my SH charts. I'm actually wondering if something has changed recently in the newer Resmed Airsense AutoSet machines. In another thread palerider posted information from Resmed about the "Response" setting in the newer machines (here). I can find numerous examples in my sleepyhead charts of what I show below from Sunday night. In the screenshot below, the machine raised the pressure from 11 to 18(my max setting) in 50 seconds. So I'm speculating that perhaps "Standard" setting for "Response" is actually a goosed-up response time from what has previously been the norm, and "Soft" may be the old norm. As I said, this is speculation on my part. But if there's a chance that something has changed in the resmed firmware, I should give a heads-up about it.

This increase (which happened immediately after I returned to sleep post-potty break) didn't wake me up. But when this happens while i'm in the early stages of sleep, it wakes me up every time.

Anyways, I submit this speculation for you to chew on.

Pugsy · Post by **Pugsy** » Fri Jul 27, 2018 1:15 pm

Yours is the fastest change I think I have ever seen.
That fast is a bit unusual IMHO
It very well might have something to do with the new Response setting that they have come out with. This is something rather new...past machines didn't have it and some of the AirSense 10 machines don't have it either.

It still takes about 60 seconds to make the journey to where it ends up. Still not the blink of an eye and still slower than ASV 15 seconds from 8 cm to 22 cm.

I haven't seen any documentation as to what this new "Response" thing does nor have I played with it to compare the 2 choices. It's something that PR and myself need to maybe play with and his S9 doesn't even have it at all.

For now...consider yourself an outlier and not the norm when it comes to ResMed response time. What you see isn't what most people will see or at least what we have seen in the past with the ResMed algorithm.
Did ResMed change it? Maybe...they keep stuff like that under close wraps.

djams · Post by **djams** » Fri Jul 27, 2018 1:46 pm

Pugsy wrote: ↑
Fri Jul 27, 2018 1:15 pm
Yours is the fastest change I think I have ever seen.
That fast is a bit unusual IMHO
For now...consider yourself an outlier and not the norm...

I'm going to take that as a compliment. "Fastest response time in the west!"

Pugsy wrote: ↑
Fri Jul 27, 2018 1:15 pm
Did ResMed change it? Maybe...they keep stuff like that under close wraps.

Maybe for sure. Last thing I want to do is come in here and sow seeds of uncertainty - just not good. It's worth noting that I had snoring, flow limitations and a RERA all bundled up there. I probably deserved what I got.

Pugsy · Post by **Pugsy** » Fri Jul 27, 2018 1:56 pm

djams wrote: ↑
Fri Jul 27, 2018 1:46 pm
It's worth noting that I had snoring, flow limitations and a RERA all bundled up there. I probably deserved what I got.

It's noteworthy that all those things are actually more likely to drive the pressure up than a random OA with nothing else going along with it.
A lot of time people think that when they get an OA that the machine will rapidly increase the pressure in response and try to blow the airway open. The machine can't do that fast of a response and it wouldn't anyway. By design and specific when there is an OA going on the machine sits back and waits until the airway is back open and then it tries to decide if it needs to increase the pressure more.

Snores or FLs are most often why you see the pressures go up and down without any apparent OA or hyponea flags.
Stuff is going on behind the scenes that isn't so apparent and not enough to earn a flag.

Were you by chance on your back when that happened at 00:48ish?

Clueless on my values but I think they're good?

Clueless on my values but I think they're good?

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Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

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Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

Re: Clueless on my values but I think they're good?

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Re: Clueless on my values but I think they're good?

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