Re: Aerophagia
Posted: Thu Oct 06, 2022 10:46 am
I do not understand SWM. Weekends are no different for me than any other days. I am here trying to get advice to improve the pressure settings of my machine and get tips on gear.
Page 10 of 17
Re: Aerophagia
Posted: Thu Oct 06, 2022 11:10 am
Re: Aerophagia
Posted: Thu Oct 06, 2022 11:49 am
Oh, Oh..I get it..okay..heheh. I am SWM full time. I am very lacking in social media initials. I prefer hehehe or heh heh to lol.
That statement correlates with initials for sleep conditions from another poster. It is a typo I guess. SWJ or SWF is correct and has nothing to do with being single, white, nor male. It is a condition that was described and given those initials in a post.
Re: Aerophagia
Posted: Thu Oct 06, 2022 2:05 pm
Rubicon wrote: ↑Thu Oct 06, 2022 9:38 amRight to all the above!
I also had to add a hurried "NOT" to an earlier post. That one really made no sense.
47 Leak rate. Isn't that way over the line and evidence I should take the causation away? The Snugggzzz mask liner. Thoughts? I can't tell if the leaks are serious or not. Snuggzz people say they are just fine, go ahead and use our product. They are nice, but how such a tiny stip of cotton should cost so much is beyond me.
Oh well, first the hearing. Then the eyesight. Then the memory...
"leak to obstruction"? : 
: "lead to obstruction"Re: Aerophagia
Posted: Thu Oct 06, 2022 5:31 pm
Re: Aerophagia
Posted: Thu Oct 06, 2022 9:54 pm
Well, that figures! Because when I saw the edit I was thinking
Well, actually I was thinking: Oh well, first my eyesight. Then the hearing. Then the memory...
You got a birthday coming up, or is it just another one those accumulating un-birthday days?
Re: Aerophagia
Posted: Thu Oct 06, 2022 10:26 pm
Yes
Your leaks are not that terrible recently, that is, before you added the mask liner. OSA makes you struggle to breath, and restless, physical struggle could be causing some of the leaks.
And don't feel bad about not identifying the acronyms. I can't understand most of them without resorting to googling them with the word "meaning".
That said: Sleep Wake Junk (SWJ) is a local one... but AAMOF - (had to google that one....)
many of them are not....Re: Aerophagia
Posted: Fri Oct 07, 2022 2:57 am
You're absolutely right! You're amazing!ozij wrote: ↑Thu Oct 06, 2022 9:54 pm
You got a birthday coming up, or is it just another one those accumulating un-birthday days?
Re: Aerophagia
Posted: Fri Oct 07, 2022 3:42 am
Re: Aerophagia
Posted: Sat Oct 08, 2022 8:09 am
https://sleephq.com/public/8d57c22e-898 ... bba49d22b3
This report shows leaks back down after removing the Snugzz liner. I was hoping someone may have an opinion on the leaks caused by the liner. I understand there are different grades of leaks. The liner maker claims the leaks it causes on reports are not significant. All I know is the report score should be <25. The mask is much more comfortable with the liner, but I think I am correct that the >40 Leak rate it produces is unacceptable; therefore I should not use the liner.
AHI is still above 5 so I will raise the Min. pressure again.
I cannot tell if the maximum pressure is treating the OAHs or not. I see the machine rises to the max level setting, but is that treating the around midnight cluster of OAHs?
Just got in an adapter for this 2022 MacBook Air so it will read the SD card via its USB C port. I am surprised at how warm that Uni SD card reader gets. The USB drive reader gets really warm too.
This report shows leaks back down after removing the Snugzz liner. I was hoping someone may have an opinion on the leaks caused by the liner. I understand there are different grades of leaks. The liner maker claims the leaks it causes on reports are not significant. All I know is the report score should be <25. The mask is much more comfortable with the liner, but I think I am correct that the >40 Leak rate it produces is unacceptable; therefore I should not use the liner.
AHI is still above 5 so I will raise the Min. pressure again.
I cannot tell if the maximum pressure is treating the OAHs or not. I see the machine rises to the max level setting, but is that treating the around midnight cluster of OAHs?
Just got in an adapter for this 2022 MacBook Air so it will read the SD card via its USB C port. I am surprised at how warm that Uni SD card reader gets. The USB drive reader gets really warm too.
Re: Aerophagia
Posted: Sat Oct 08, 2022 8:21 am
I can't help with your questions, sorry. But I look at this and go.....whaaaaa?ejbpesca wrote: ↑Sat Oct 08, 2022 8:09 amhttps://sleephq.com/public/8d57c22e-898 ... bba49d22b3
This report shows leaks back down after removing the Snugzz liner. I was hoping someone may have an opinion on the leaks caused by the liner. I understand there are different grades of leaks. The liner maker claims the leaks it causes on reports are not significant. All I know is the report score should be <25. The mask is much more comfortable with the liner, but I think I am correct that the >40 Leak rate it produces is unacceptable; therefore I should not use the liner.
AHI is still above 5 so I will raise the Min. pressure again.
I cannot tell if the maximum pressure is treating the OAHs or not. I see the machine rises to the max level setting, but is that treating the around midnight cluster of OAHs?
Just got in an adapter for this 2022 MacBook Air so it will read the SD card via its USB C port. I am surprised at how warm that Uni SD card reader gets. The USB drive reader gets really warm too.
Its like you have clusters from hell once or twice a night and no clue what causes it nor what causes all those flow limits etc.
Do you sleep on your back all the time or some of the time? Is that what you are doing when it is going haywire?
Re: Aerophagia
Posted: Sat Oct 08, 2022 9:16 am
Not sure what you mean by "treating the OAH's". CPAP never tries (cannot) force your airway to open once it collapses. Properly treated, your breathing should be smooth, without clusters of obstructions.
When you look at your flow, you can see all the indications of a collapsing and then collapsed airway: snores and flow limitations, driving your pressure up to 9, and then since that pressure is not enough, a dense cluster of obstructive apneas, with some hypopneas in between
As Rubicon said, 9 is NOT cutting it.
If you look at the information for percentage of time spent at or below a specific pressure you can see that you were at or below 9 for at least half the night (that's the Med. = median). And looking at the pressure graph, we can say that you clearly spent most of your night at 9.
A pulse oximeter would let you know how badly the partial collapses (snore, flow limitations) are affecting your oxygenation - which could indicate how aggressively they should be treated (i.e. chased away...). Also, we have no idea what part your spinal injuries may have in this compromised breathing - do you know if your chest musculature is impacted? What did your results look like back before you lost all that weight and started suffering from aerophagia and reflux?
You didn't say how you're feeling after this night, nor how your aerophagia is -- both are important.
Assuming your aerophagia has not returned, and based on the time you spent at 9, I would even set the minimum at 9 - you were there anyway most of last night. And the max at 10. The max at 10 because - and please correct me if I'm wrong - you were having no aerophagia when the max was 10.
Our aim is to move carefully to where CPAP helps you breathe and sleep smoothly through most of the night. I doubt snoring can part of that (let alone apnea cluster...). It's different for flow limitations, but let's see if we can prevent the snoring... and the clusters.
Do you know if you slept on your back?
Re: Aerophagia
Posted: Sat Oct 08, 2022 9:33 am
Waking 10/6: No aerophagia. Acid is rising after a day with zero acid.ozij wrote: ↑Sat Oct 08, 2022 9:16 amNot sure what you mean by "treating the OAH's". CPAP never tries (cannot) force your airway to open once it collapses. Properly treated, your breathing should be smooth, without clusters of obstructions.
When you look at your flow, you can see all the indications of a collapsing and then collapsed airway: snores and flow limitations, driving your pressure up to 9, and then since that pressure is not enough, a dense cluster of obstructive apneas, with some hypopneas in between
As Rubicon said, 9 is NOT cutting it.
If you look at the information for percentage of time spent at or below a specific pressure you can see that you were at or below 9 for at least half the night (that's the Med. = median). And looking at the pressure graph, we can say that you clearly spent most of your night at 9.
A pulse oximeter would let you know how badly the partial collapses (snore, flow limitations) are affecting your oxygenation - which could indicate how aggressively they should be treated (i.e. chased away...). Also, we have no idea what part your spinal injuries may have in this compromised breathing - do you know if your chest musculature is impacted? What did your results look like back before you lost all that weight and started suffering from aerophagia and reflux?
You didn't say how you're feeling after this night, nor how your aerophagia is -- both are important.
Assuming your aerophagia has not returned, and based on the time you spent at 9, I would even set the minimum at 9 - you were there anyway most of last night. And the max at 10. The max at 10 because - and please correct me if I'm wrong - you were having no aerophagia when the max was 10.
Our aim is to move carefully to where CPAP helps you breathe and sleep smoothly through most of the night. I doubt snoring can part of that (let alone apnea cluster...). It's different for flow limitations, but let's see if we can prevent the snoring... and the clusters.
Do you know if you slept on your back?
I took a break from the CPAP the night before. Had the first acid free day in a very long time. I was extremely tired all day with no CPAP. Today I do not feel well rested and here comes the acid, but no aerophagia.
I do not know to what degree my injuries nor my medications affect breathing.
Settings of min 10 max 20 was producing aerophagia.
I think I've got the concept right? Once an OA is happening, the CPAP will not blow airways open to relieve it. The CPAP gives continuous air pressure to prevent apneas, not stop one in progress?
CPAP has been set to min 9 max 10
I do not think I rolled to my back last night.
Thank you
Re: Aerophagia
Posted: Sat Oct 08, 2022 9:37 am
Last night I think was all side sleep. I made a wall of pillows behind me to prevent to the back roll. I see the clusters. I have no idea except that I may be in some deep sleep stage or REM sleep. It may be an unanswerable phenomenon.lynninnj wrote: ↑Sat Oct 08, 2022 8:21 amI can't help with your questions, sorry. But I look at this and go.....whaaaaa?ejbpesca wrote: ↑Sat Oct 08, 2022 8:09 amhttps://sleephq.com/public/8d57c22e-898 ... bba49d22b3
This report shows leaks back down after removing the Snugzz liner. I was hoping someone may have an opinion on the leaks caused by the liner. I understand there are different grades of leaks. The liner maker claims the leaks it causes on reports are not significant. All I know is the report score should be <25. The mask is much more comfortable with the liner, but I think I am correct that the >40 Leak rate it produces is unacceptable; therefore I should not use the liner.
AHI is still above 5 so I will raise the Min. pressure again.
I cannot tell if the maximum pressure is treating the OAHs or not. I see the machine rises to the max level setting, but is that treating the around midnight cluster of OAHs?
Just got in an adapter for this 2022 MacBook Air so it will read the SD card via its USB C port. I am surprised at how warm that Uni SD card reader gets. The USB drive reader gets really warm too.
Its like you have clusters from hell once or twice a night and no clue what causes it nor what causes all those flow limits etc.
Do you sleep on your back all the time or some of the time? Is that what you are doing when it is going haywire?
Re: Aerophagia
Posted: Sat Oct 08, 2022 10:33 am