baby dino's casa de los suenos, increasing ahi

Monday night:

Not very even....

Tuesday night:

Nope still not very even Also Tuesday night...

not sure but looks iffy could be SWJ?
So I think increasing my pressure won't help with this stuff if its not a true events.... I wanted nice low AHI numbers but I guess that is just not likely.

It sucks getting old!

Numbers don't guarantee much except you get to pat yourself on the back more.
The OA at 3:18...post arousal SWJ
The OA at 4:45....you have zoomed in closer (a little too close) and it's kinda hard to tell but "iffy"
The hyponea...again zoomed in a little too close and can't see enough of the breathing pattern prior to the flag to get a good feel for what it is.
Ideally when you do these zooming in the event in question needs to be more at the end of the graph so you can see the breathing preceding the flag better. Having it in the middle and zoomed in a little too closely makes it even harder to figure out.

I had a 0.0 AHI a while back....big whoopie...Bad insomnia night from worrying about my mom and also from having back pain.
I felt like crap all day...but I had nice low numbers.

The whole swj is usually more related to *central* apneas, specifically 'transition apneas'.

I see nothing to indicate that those weren't 'true' events.

Also, when you zoom in on an event, looking at the breathing, move the event over to the right, don't really care much about the breathing *after* it's flagged... I can't see more than a couple breaths before the hypo in the first pic, maybe briefly awake? but what happened before that?

maybe a little restricted breathing in the second, then some recovery breaths.

I'm not sure about the third.

I don't see any reason not to try bumping the pressure, that's how you tinker with it, and fine tune things.

I am going to disagree PR....I also used to think the SWJ stuff for mainly central stuff but I have seen too many of my own that are obvious SWJ with an OA or hyponea flag....so obvious that a blind man could see it.
I have had AHI of 3 something and the centrals were less than 1 per hour of it and every single flagged event was SWJ and not even remotely iffy....that's when I realized that SWJ isn't limited to centrals.

Same three events more zoomed out and over. Is this what you need? This looks to me like events that the machine is not catching before the ones it does catch?

When in doubt though....hurts nothing to treat them as real (at least the obstructive stuff) and try more pressure just to see if it helps or not.

A long time ago I did just that with my apap minimum....had settled on the 10 cm minimum with the Respironics apap...over 6 weeks I worked up to 13 cm minimum. Did a 0.5 cm increase a week.
The overall AHI never really changed beyond the normal nightly variations....I didn't sleep any longer and I didn't feel any better.
So I went back to the 10 cm minimum.

Pugsy wrote: ↑

Wed Jan 16, 2019 9:25 pm

I am going to disagree PR....I also used to think the SWJ stuff for mainly central stuff but I have seen too many of my own that are obvious SWJ with an OA or hyponea flag....so obvious that a blind man could see it.
I have had AHI of 3 something and the centrals were less than 1 per hour of it and every single flagged event was SWJ and not even remotely iffy....that's when I realized that SWJ isn't limited to centrals.

Well, here's my theory, when your airway starts to close, sometimes it'll be a sudden thing, like, fine one breath, gone the next, and sometimes, it'll be more gradual, and during those times you'll may be struggling to breathe, you'll still get the air, but your breath shapes will go to shit first.

But, according to the machine, there's an obstructive happening. Of course, we can consciously close our throat while not trying to breathe, and that would show up as an obstructive, if it lasted long enough.

But, I figure a little more pressure, if it *is* an impending obstructive event that caused the breathing disturbance... wouldn't hurt, worth a try.

I bumped it just a tiny bit. From 9 to 9.2 this is the data from the last two nights. More leaks less AHI. The leaks don't seem to wake me up.

Looks good to me.
I see more number of leaks but less time leaking. You are resting better & AHI is lower.

Will keep it set here then for the time being.

Thanks all!

While there is some large leak...you slept through it and it's not so deep into large leak territory that the machine throws up it's little arms and cries "uncle"...the machine is still going to be accurate in terms of reported events.
I would ignore it as long as I slept through it and I did not go way deep (over 45) for very long.
ResMed will give you a happy face up to 30% of the time over 24....while I wouldn't be happy with that much long term, every night...I wouldn't worry about it on a random rare basis.

You know 1 or 2 nights doesn't make a trend...gotta give it more nights to see if it holds true or not and makes a trend.

Well my air is happy. It gave me a great big 100 this morning.

Wow....it's says you should feel totally awesome. Totally a new woman...superwoman.

How do you actually feel? Aren't you like me...got some other stuff going on that makes us not always feel so great?

Pugsy wrote: ↑

Sat Jan 19, 2019 12:03 pm

Wow....it's says you should feel totally awesome. Totally a new woman...superwoman.

How do you actually feel? Aren't you like me...got some other stuff going on that makes us not always feel so great?

Yeah. I don't feel all that great but I do feel rested. I am more worried about my husband at this point. He has been in a bad way since a couple of days after his procedure, got sent for an MRI on Thursday and then the doc didn't call us Friday with results so we are facing a long weekend of absolute misery. Very frustrated. Am trying to get him to go to emergency but he is stubborn.

Ok I've been fine tuning. I've got my epap pressure to 9.6. When I go to 9.8 on three different occasions I have awakened with my mouth open leaking air which makes no sense because I know the machine goes much higher.

At 9.6 I have an ahi between 1 and 2 which isn't that bad I guess. Any hints or tricks besides taping my mouth or doing zonkers scrunchi thing. I am clausterphobic and the thought of doing that (shudder). Would changing ps or any of the other settings help ?