Newby, Review please

palerider · Post by **palerider** » Sat Sep 22, 2018 2:08 pm

STRONGSLTN wrote: ↑
Sat Sep 22, 2018 8:49 am
I first had two full face masks the comfort gel and then the Amara. I am now on the Amara view, That large leak was caused be having the chin portion slip into my mouth while asleep.
Maybe this graph of last night is better.

Drag these charts into place:
Flags
Flow Rate
Pressure
Leaks
Snore
Flow Limitations.

None other, resize them till those six fill the screen.

Don't cover part of the charts with your 'on screen keyboard'

STRONGSLTN · Post by **STRONGSLTN** » Sun Sep 23, 2018 8:55 am

Well, I was just told to pull snore, but I put it back in for you. I am hitting machine set pressure rates. I get a great seal, but lose it when chin cover starts slipping up to mouth. I don't yet know about the different apnea types. Sleep is much better with this mask.

: Graphic_9_23_2018 10_44_41 AM.jpg (426.99 KiB) Viewed 5290 times

I wou;d like to thank everyone for their concern and help. I'm trying.

palerider · Post by **palerider** » Sun Sep 23, 2018 1:46 pm

STRONGSLTN wrote: ↑
Sun Sep 23, 2018 8:55 am
Well, I was just told to pull snore, but I put it back in for you.

Check my message again. raise your minimum to 12, max to 20.

STRONGSLTN · Post by **STRONGSLTN** » Tue Sep 25, 2018 9:05 am

Only 5 on machine, but resmed gave me 20/20 for mask seal

palerider · Post by **palerider** » Tue Sep 25, 2018 11:26 am

STRONGSLTN wrote: ↑
Tue Sep 25, 2018 9:05 am
Only 5 on machine, but resmed gave me 20/20 for mask seal

Who knows, you don't have the leaks strip, as requested, multiple times.

Flags
Flow
Pressure
Leaks
flow limitations
snore.

That's six.

STRONGSLTN · Post by **STRONGSLTN** » Tue Sep 25, 2018 11:43 am

It switched back, I missed it. Sorry

STRONGSLTN · Post by **STRONGSLTN** » Wed Sep 26, 2018 6:47 am

Next day

Pugsy · Post by **Pugsy** » Wed Sep 26, 2018 7:05 am

Leaks are much better managed. I could live with that small segment of large leak.

Your pressure settings are sub optimal. The minimum is too low and the maximum is too low. The machine wants to go higher but it can't and that is allowing the airway to collapse and you get those OAs and a higher AHI than we would like to see.
Probably going to need at least 12 or 13 minimum because once you go to sleep the machine seems to go up to around 12 ish and stay there anyway. For sure the maximum needs to be probably 20. Are you comfortable with changing your own pressure settings?
What position are you usually sleeping in?
You may need pressures in the upper teens and if that is the case you may want to consider adding in some EPR if there is a problem exhaling with the higher pressures.

How come the fragmented sleep? I see at least 3 times where you turned the machine off and back on again. Any idea why the wake ups?
Were there more than the 3 but you just didn't turn the machine off.

STRONGSLTN · Post by **STRONGSLTN** » Thu Sep 27, 2018 8:40 am

I have adjusted machine before and will follow up. After review method. The breaks are bathroom most likely., length w/o need has improved.I mostly like to sleep on my side, but have found on bcak to help with easy breathing. I was told not to sleep on back. Reason? Wakeups may well be dry mouth as well, don't know how to solve this.Higher humidity did not seem to work,and I like cooler air.

: Graphic_9_27_2018 10_35_26 AM.jpg (443.74 KiB) Viewed 5215 times

That was last night. Ill adjust pressures today.

PaulKTF · Post by **PaulKTF** » Thu Sep 27, 2018 12:41 pm

Try a F&P Simplus FFM- I find it's easy to make a good seal and it's lightweight and comfortable.

palerider · Post by **palerider** » Thu Sep 27, 2018 1:36 pm

I'd suggest trying min 14 max 20 for your pressures... that'll help.

STRONGSLTN · Post by **STRONGSLTN** » Fri Sep 28, 2018 6:27 am

Went to the 12/20 for last night.

: Graphic_9_28_2018 8_22_22 AM.jpg (429.99 KiB) Viewed 5188 times

STRONGSLTN · Post by **STRONGSLTN** » Fri Sep 28, 2018 6:29 am

I was told not to sleep on back. Reason? Wakeups may well be dry mouth as well, don't know how to solve this.

Julie · Post by **Julie** » Fri Sep 28, 2018 6:42 am

Back sleeping provokes more apneas... but if all other parts of the process work well and leaks are down, etc. it may be possible to do it if your AHI stays low and you feel ok.

STRONGSLTN · Post by **STRONGSLTN** » Fri Sep 28, 2018 6:55 am

Yup, three LL's last night but my resmed score was best ever.

: Graphic_9_28_2018 8_46_40 AM.jpg (86.87 KiB) Viewed 5185 times

Any suggestions on dry mouth problem. I think this is what wakes me up. Bathroom down to minimum now. I can consciously relube my mouth without demasking, but I would hope to prevent it from occuring.

Newby, Review please

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