CPAPtalk.com

Consistency, I have none in my therapy.

I have finally found a mask that I can live with and feel works the best of any I have tried. I was using the Bleep Sleep system for a year or better but I could never come up with a means of dealing with the mouth breathing as I am a terrible mouth breather. I have settled on the ResMed AirFit F30i with the ResMed Air Curve 10 Auto and settings of 13/9.

In my mind, I am not achieving any consistency in therapy. I have been told that I have both central and obstructive events. When I look at the reported events some nights the number is high so perhaps some of those are central. I have read that the only acceptable AHI rate is 5 or less.

I have to admit that I really don’t have a good working knowledge of the whole therapy process.

I don’t understand if there is a relationship between leaks and a higher number of events. It seems that some nights when there is a higher leak rate the AHI rate is higher and vice-versa.

I have created a file that reports both the leaks and events from both Oscar and the MyAir App. I can see that both seem to be reporting the number of events rather closely but that is not true of the leaks.

I am attaching that file, along with a screenshot of where I have gotten the Oscar numbers, perhaps I am using the wrong leak number in Oscar. I have included the statistics report from Oscar.

Is there a panel in Oscar that shows the central events?

I am unable to attach the Oscar Stat report, is there a limit to the file size to upload.

golfgame wrote: ↑

Tue Oct 19, 2021 12:41 pm

When I look at the reported events some nights the number is high so perhaps some of those are central.

The number of centrals is right there on what you posted, it's just that Oscar still (sadly) calls them "clear airway".

golfgame wrote: ↑

Tue Oct 19, 2021 12:41 pm

I have read that the only acceptable AHI rate is 5 or less.

2 or less is more realistic for actually feeling better.

golfgame wrote: ↑

Tue Oct 19, 2021 12:41 pm

I don’t understand if there is a relationship between leaks and a higher number of events. [/qupte]
There is no relationship between leaks and AHI.

It would be useful to see a screen shot of your Overview page, with maybe a 3-month lookback. The main parts to include would be:

Events
Pressure
Leaks
Usage.

In the one piece of Oscar information you provided, you are maxing out on pressure within the pressure range of your settings. Before thinking about whether you should raise your min and max, it'd be good to see what the larger picture looks like.

Is this what you referenced?

Look at the links in the stickies (top of the pg), and see how Oscar should be layed out, what's included and what shouldn't be, and then post results here for experts to help you interpret.

Miss E asked for the Overview page....not the statistics page.
Click on "Overview" tab in OSCAR...then go down to the lower left corner and set the date parameters she suggested.

golfgame wrote: ↑

Tue Oct 19, 2021 12:41 pm

I am unable to attach the Oscar Stat report, is there a limit to the file size to upload.

Yes...1 MB file size limit to use attachment feature of the forum software.

Pugsy wrote: ↑

Wed Oct 20, 2021 6:59 am

Miss E asked for the Overview page....not the statistics page.
Click on "Overview" tab in OSCAR...then go down to the lower left corner and set the date parameters she suggested.

What items and their arrangement would be desired? The same as your sticky?
Event Flags
Flow Rate
Pressure
Leak Rate
Flow Limit

golfgame wrote: ↑

Fri Oct 22, 2021 5:39 am

Pugsy wrote: ↑

Wed Oct 20, 2021 6:59 am

Miss E asked for the Overview page....not the statistics page.
Click on "Overview" tab in OSCAR...then go down to the lower left corner and set the date parameters she suggested.

What items and their arrangement would be desired? The same as your sticky?
Event Flags
Flow Rate
Pressure
Leak Rate
Flow Limit

Per post above,
Events
Pressure
Leaks
Usage.

On the Overview page, there's nothing for Flow Rate. Fine to include flow limitations. Please also include Usage.

Miss Emerita wrote: ↑

Fri Oct 22, 2021 11:32 am

golfgame wrote: ↑

Fri Oct 22, 2021 5:39 am

Pugsy wrote: ↑

Wed Oct 20, 2021 6:59 am

Miss E asked for the Overview page....not the statistics page.
Click on "Overview" tab in OSCAR...then go down to the lower left corner and set the date parameters she suggested.

What items and their arrangement would be desired? The same as your sticky?
Event Flags
Flow Rate
Pressure
Leak Rate
Flow Limit

Per post above,
Events
Pressure
Leaks
Usage.

On the Overview page, there's nothing for Flow Rate. Fine to include flow limitations. Please also include Usage.

Keep in mind that I have only found the right mask and eliminated the mouth breathing in the last 30 days, so the older data must not be of value.

You note: "Keep in mind that I have only found the right mask and eliminated the mouth breathing in the last 30 days, so the older data must not be of value."

Could you include the Overview data for those last 30 days? The data you posted go through Sept 19 only.

In general, I'd ignore days on which you used the machine for fewer than 4 hours; the data can get very skewed from just a little cluster of events that wouldn't have meant much in the middle of a full night.

CAs on restless nights may not mean much either, since they may just be pauses in your breathing after you wake up fully or partially.

Take a close look at your settings for the remaining nights. When were you doing better? When were you doing worse?

Miss Emerita wrote: ↑

Sat Oct 23, 2021 5:46 pm

You note: "Keep in mind that I have only found the right mask and eliminated the mouth breathing in the last 30 days, so the older data must not be of value."

Could you include the Overview data for those last 30 days? The data you posted go through Sept 19 only.

In general, I'd ignore days on which you used the machine for fewer than 4 hours; the data can get very skewed from just a little cluster of events that wouldn't have meant much in the middle of a full night.

CAs on restless nights may not mean much either, since they may just be pauses in your breathing after you wake up fully or partially.

Take a close look at your settings for the remaining nights. When were you doing better? When were you doing worse?

Thanks. Even if we throw out the CAs and the low-usage nights, you are still seeing a lot of variation, especially in obstructive apneas. I was expecting the variation to be mainly with CAs, which can be very inconsistent night to night, but that's not really what's going on with you.

Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:

Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.

Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.

Miss Emerita wrote: ↑

Tue Oct 26, 2021 12:13 pm

Thanks. Even if we throw out the CAs and the low-usage nights, you are still seeing a lot of variation, especially in obstructive apneas. I was expecting the variation to be mainly with CAs, which can be very inconsistent night to night, but that's not really what's going on with you.

Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:

Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.

Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.

Miss Emerita wrote: ↑

Tue Oct 26, 2021 12:13 pm

Thanks. Even if we throw out the CAs and the low-usage nights, you are still seeing a lot of variation, especially in obstructive apneas. I was expecting the variation to be mainly with CAs, which can be very inconsistent night to night, but that's not really what's going on with you.

Bear with me here! Could you now post a Daily chart for October 18th? Stack your graphs like this:

Events
Flow rate
Pressure
Leaks
Snores
Flow limitations.

Don't include additional graphs. You can squeeze these six in by grabbing the horizontal gray bars that separate the graphs and pushing them up.

Aha! You are having clusters of obstructive apneas. They are probably occurring due to your sleep position. There are several possibilities.

You might be rolling onto your back. Do you think that might be it? If so, you can train yourself to do that a lot less. We can help with suggestions.

You might be tucking your chin down toward your chest, which constrains your windpipe and makes it easier for obstructions to occur. If you use several pillows, or a high pillow, the solution might be as simple as using a single, fairly firm, fairly flat pillow. If that's not it, you might benefit from using a soft cervical collar to keep your chin up.