Newish User / Questions / Problems / Thoughts

ChicagoGranny · Post by **ChicagoGranny** » Mon Jan 27, 2020 1:14 pm

UglyBob wrote: ↑
Sun Jan 26, 2020 12:31 pm
It sounds awful!

... and it looks worse. But, despite being a small person, I've been wearing a firm foam 4-inch cervical collar for years. Adapting to it was immediate. YMMV.

UglyBob · Post by **UglyBob** » Fri Jan 31, 2020 5:49 pm

Okie bipap wrote: ↑
Mon Jan 20, 2020 6:09 pm
Large changes are not dangerous. However, they may lead to aerophagia for some people. I started my treatment with a pressure setting of 20 to 25 cm. I wasn't sure if this much pressure was really necessary, so I set my lower pressure to 8 cm and left the upper limit set to 25 just to see where the machine really needed to go. My current pressure is 19 to 25 cm, so they weren't too far off with their initial guess.

palerider wrote: ↑
Mon Jan 20, 2020 10:48 pm

Sure, take your time, I'll look again when you've gotten to where I suggested.
ta!

zonker wrote: ↑
Sun Jan 26, 2020 12:12 pm

oh! meant to add that i think you are doing great.

now let's hear what others have to say!

Sorry to quote everyone but I want to get some opinions on raising the minimum pressure. Here are the last three nights. What do you think? Thanks!

Also, I will say that I feel like I'm sleeping better, once I fall asleep, but I still don't really feel any more "well rested" the next day. I never had any problems with trouble staying awake or anything like that, so maybe it's just harder to notice.

zonker · Post by **zonker** » Fri Jan 31, 2020 6:38 pm

UglyBob wrote: ↑
Fri Jan 31, 2020 5:49 pm

Sorry to quote everyone but I want to get some opinions on raising the minimum pressure. Here are the last three nights. What do you think? Thanks!

Also, I will say that I feel like I'm sleeping better, once I fall asleep, but I still don't really feel any more "well rested" the next day. I never had any problems with trouble staying awake or anything like that, so maybe it's just harder to notice.

well, you've only been a "hosehead" since jan 9. i just want to say you are doing much better than ME after 22 days!

so we aren't really expecting to feel fabulous in that space of time. it may well take another month or so. and it will prolly be a gradual feeling and not an AH-HA moment.

on the other hand, you don't seem to be having much in the way of problems getting used to things. so that definitely goes in the plus column.

if you feel up to it, go ahead and raise your pressure. fortune favors the bold and so forth. my eyes seem to not be focusing so good. (i know it's friday, but i haven't started drinking yet!) but it seems you may want to go up to at least 14 for your minimum.

Okie bipap · Post by **Okie bipap** » Fri Jan 31, 2020 9:17 pm

I would say a minimum of 13. Looking at the charts, your pressure immediately goes up to around 13 or 14 and stays there the rest of the night.

UglyBob · Post by **UglyBob** » Fri Jan 31, 2020 9:29 pm

Okie bipap wrote: ↑
Fri Jan 31, 2020 9:17 pm
I would say a minimum of 13. Looking at the charts, your pressure immediately goes up to around 13 or 14 and stays there the rest of the night.

For the last two nights I had the minimum at 13.2, it was 13.0 in the first picture. You think I should keep it where it is, or are you saying that I should raise the minimum? I have the pressure at 8.0 during ramp, then it's going to 13.2 when I fall asleep.

UglyBob · Post by **UglyBob** » Fri Jan 31, 2020 9:31 pm

zonker wrote: ↑
Fri Jan 31, 2020 6:38 pm

UglyBob wrote: ↑
Fri Jan 31, 2020 5:49 pm

Sorry to quote everyone but I want to get some opinions on raising the minimum pressure. Here are the last three nights. What do you think? Thanks!

Also, I will say that I feel like I'm sleeping better, once I fall asleep, but I still don't really feel any more "well rested" the next day. I never had any problems with trouble staying awake or anything like that, so maybe it's just harder to notice.
well, you've only been a "hosehead" since jan 9. i just want to say you are doing much better than ME after 22 days! so we aren't really expecting to feel fabulous in that space of time. it may well take another month or so. and it will prolly be a gradual feeling and not an AH-HA moment.

on the other hand, you don't seem to be having much in the way of problems getting used to things. so that definitely goes in the plus column.

if you feel up to it, go ahead and raise your pressure. fortune favors the bold and so forth. my eyes seem to not be focusing so good. (i know it's friday, but i haven't started drinking yet!) but it seems you may want to go up to at least 14 for your minimum.

The first few nights it was really weird getting used to things, then there was almost an AH-HA moment when it came to that. I think the first couple of days I had it start at 3 to ramp, now less than 8 just feels like it's not enough.

Okie bipap · Post by **Okie bipap** » Fri Jan 31, 2020 10:18 pm

I understand about the ramp. Mine starts at 14 and ramps up to 19. My wife's starts at 8 and ramps up to 16.

Pugsy · Post by **Pugsy** » Fri Jan 31, 2020 11:37 pm

We don't need the respiration graph....but we do need the events graph a bit larger.
Maybe resize the pressure graph a little smaller also so that the other graphs are more equal in size.

UglyBob · Post by **UglyBob** » Sat Feb 01, 2020 3:13 am

Pugsy wrote: ↑
Fri Jan 31, 2020 11:37 pm
We don't need the respiration graph....but we do need the events graph a bit larger.
Maybe resize the pressure graph a little smaller also so that the other graphs are more equal in size.

I'm not sure how that even got in there. It seems like sometimes the graphs just decide to move around on their own. I'm having another one of those nights where I can't fall asleep so I decided to try to adjust the graphs. Are these better? Thanks.

Pugsy · Post by **Pugsy** » Sat Feb 01, 2020 8:07 am

A little bit of cluster of some event occasionally. Doesn't appear to be within a probable REM time frame every time so either supine sleeping or maybe a combination of supine and REM related.

If you see the clusters consistently each night....little bit more minimum pressure should break them up.
But might not be an urgent need if you are feeling good and sleeping good.
You can safely give it some time to see if a more developed pattern appears.

Other parts of the night look really good. In fact the majority of your report looks really good.
Some leaks occasionally which isn't a big deal unless they wake you up.

UglyBob · Post by **UglyBob** » Sat Feb 01, 2020 9:18 am

Pugsy wrote: ↑
Sat Feb 01, 2020 8:07 am
A little bit of cluster of some event occasionally. Doesn't appear to be within a probable REM time frame every time so either supine sleeping or maybe a combination of supine and REM related.

If you see the clusters consistently each night....little bit more minimum pressure should break them up.
But might not be an urgent need if you are feeling good and sleeping good.
You can safely give it some time to see if a more developed pattern appears.

Other parts of the night look really good. In fact the majority of your report looks really good.
Some leaks occasionally which isn't a big deal unless they wake you up.

Thanks for the feedback! The clustering definitely seems to be a thing. It is never or at least VERY rarely due to supine sleeping. I can't fall asleep on my back, I've never been able to. I'll give it some more time, or maybe bump the minimum up slightly, but I'm going to try a full face mask next week, if it ever gets here. The pillows have been bothering my nose a little, especially since I've had a cold the last few days. Now the outside of one of my nostrils is raw and hurts like hell. Any advice for that? Hahaha.

Pugsy · Post by **Pugsy** » Sat Feb 01, 2020 9:26 am

Just because we can't fall asleep on our backs doesn't mean we don't go there during the night.
I can't fall asleep on my back either...hurts too much but guess what position I woke up in this morning and hurting like hell...yep...on my back.

You can google "sleep stages" and look at the hypnograms to get an idea when REM normally happens and then compare that cycling to when you see your clusters of events. It's very possible that in REM your OSA is worse and you just need a little more pressure during REM.
I have lots of experience with that myself. My OSA is 5 times worse in REM than in non REM and I might need 6 to 8 cm more pressure during REM than I would need the other parts of the night.

It's quite common for OSA to worsen and need more pressure in REM sleep and when supine sleeping.

UglyBob · Post by **UglyBob** » Sat Feb 01, 2020 9:38 am

Pugsy wrote: ↑
Sat Feb 01, 2020 9:26 am
Just because we can't fall asleep on our backs doesn't mean we don't go there during the night.
I can't fall asleep on my back either...hurts too much but guess what position I woke up in this morning and hurting like hell...yep...on my back.

You can google "sleep stages" and look at the hypnograms to get an idea when REM normally happens and then compare that cycling to when you see your clusters of events. It's very possible that in REM your OSA is worse and you just need a little more pressure during REM.
I have lots of experience with that myself. My OSA is 5 times worse in REM than in non REM and I might need 6 to 8 cm more pressure during REM than I would need the other parts of the night.

It's quite common for OSA to worsen and need more pressure in REM sleep and when supine sleeping.

I'm one of those people that moves very little while sleeping, so I don't think I'm moving to my back. I have to lay in a weird position to fall asleep, and that's the same position I wake up in. REM making it worse is a possibility, I'll have to see if I can figure that out.

Pugsy · Post by **Pugsy** » Sat Feb 01, 2020 9:48 am

Well.....something is changing to cause a need for more pressure because the OSA is worse and needs more pressure.

The only 2 real potential culprits for the changes...REM or supine sleeping.
We can't really do much about REM and it's iffy if people can do anything about it anyway....easier said than done sometimes.

My personal opinion....sleep in whatever position you want and don't worry about it...and let the machine sort it out with optimal baseline minimum pressures. We have to do that anyway because of potential REM stuff since we have zero control over REM..

UglyBob · Post by **UglyBob** » Sun Feb 02, 2020 12:07 pm

Pugsy wrote: ↑
Sat Feb 01, 2020 9:48 am
Well.....something is changing to cause a need for more pressure because the OSA is worse and needs more pressure.

The only 2 real potential culprits for the changes...REM or supine sleeping.
We can't really do much about REM and it's iffy if people can do anything about it anyway....easier said than done sometimes.

My personal opinion....sleep in whatever position you want and don't worry about it...and let the machine sort it out with optimal baseline minimum pressures. We have to do that anyway because of potential REM stuff since we have zero control over REM..

I know it's not all that accurate, and it doesn't have all data, but I wore a Fitbit to sleep last night. It shows a lot of waking up during REM.

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