HELP needed for 13-yr CPAP user!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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JoyD.
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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Wed Dec 07, 2022 2:19 pm

Ozij,

Definitely better than when I was crazy-obsessed with staying off my back & dealing with pain!

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ozij
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Re: HELP needed for 13-yr CPAP user!

Post by ozij » Wed Dec 07, 2022 8:32 pm

JoyD. wrote:
Wed Dec 07, 2022 2:19 pm
Ozij,

Definitely better than when I was crazy-obsessed with staying off my back & dealing with pain!
That's important.

Now let's hope you can do something to temper down make those apnea clusters.
Am I right in thinking that when you're on your back you also snore? That pressure rise, just before the cluster right after 02:30, didn't come in response to a minor flow limitation.
I totally agree with robysue's suggestions.

You don't need a higher minimum if you're sleeping on your side, but you do need good, painless sleep, and you do need a higher minimal pressure, more specifically, higher exhale pressure, to prevent snores and some of those apneas if you're planning to sleep longer on your back. Also, if I had those clusters, yet wanted to sleep on my back, I'd want to track their effect on my oxygenation with an oximeter. Your average AHI is just about "OK" formally, and the way you feel is a good indicator of the therapy. But that cluster looks too ugly to let it be. If you have an oximeter, use it while this suggested experiment goes on, and make very sure to track how you feel after each night.
I've read the term "permissive" in the context of decisions about pressure - but I'd fell much better about being permissive about those clusters if I knew what happened to my oxygenation and pulse.
JoyD. wrote:
Wed Dec 07, 2022 9:39 am
When I returned to bed at 5:05am & 7:24 am for Sessions 3 & 4, I was on my LEFT SIDE, and woke up that way each time. There were no obstructions noted, and only a few Centrals. The side-sleeping at the end of the night brought my AHI down to 4.43.
Was that sleep on your side voluntary? Did you sleep well during that period? With or without struggling to stay on your side?

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JoyD.
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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Wed Dec 07, 2022 10:09 pm

ozij wrote:
Wed Dec 07, 2022 8:32 pm
Now let's hope you can do something to temper down make those apnea clusters.
Am I right in thinking that when you're on your back you also snore? That pressure rise, just before the cluster right after 02:30, didn't come in response to a minor flow limitation.
I totally agree with robysue's suggestions.
My snore graph is characteristically empty . . . you can see all the zeros on the left panel on OSCAR Daily View I posted for 12/5 & 12/6.
ozij wrote:
Wed Dec 07, 2022 8:32 pm
Was that sleep on your side voluntary? Did you sleep well during that period? With or without struggling to stay on your side?
ozij wrote:
Wed Dec 07, 2022 8:32 pm
you do need a higher minimal pressure, more specifically, higher exhale pressure, to prevent snores and some of those apneas if you're planning to sleep longer on your back. Also, if I had those clusters, yet wanted to sleep on my back, I'd want to track their effect on my oxygenation with an oximeter.

Earlier tonight (in spite of my plan not to change settings during this week's experiment . . . I bumped my MinP up from 11>11.2 for tonight, (and I moved my Max P down from 16>15 since the runaway pressure doesn't seem to be accomplishing much). Re. O2& HR monitoring, I just got my Wellue O2 Ring replacement today (I think the other one was faulty). I found that Imgur won't accept my SpO2 report - so I will try to figure out how to download my files to Oscar.
ozij wrote:
Wed Dec 07, 2022 8:32 pm
Was that sleep on your side voluntary? Did you sleep well during that period? With or without struggling to stay on your side?
Yes, voluntary -- after using the bathroom I found that I could lay on my left side w/o pain or struggling, and slept well.

I'm about to go to bed now. Just took my joint supplements, and soaked in a hot bath. Will probably need to start out supine again tonight.

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Last edited by JoyD. on Fri Dec 09, 2022 12:42 pm, edited 1 time in total.
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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Fri Dec 09, 2022 11:03 am

Unlike the previous nights when I was Supine more of the night, last night my hips were tolerating side sleeping better than usual. Consequently, less of the night was spent on my back . . . and the AHI was lower. I feel like I had a good night's sleep (and know that I was in REM for some of the night because I remember dreams).

Here is my OSCAR report for the night of 12/8/2022:
https://imgur.com/a/lG3IQEz

Went to bed about 12:30am on my SIDE. Still awake at 1:30 even though hip pain wasn't an issue. When I woke up at 3:32am, I was SUPINE . . . which can be seen on OSCAR from the characteristic sawtooth pressure surges up to my 16 Max pressure!

I returned to bed at 3:37 on my SIDE. When I woke up at about 5:51am . . . I had been dreaming & remembered the dreams. (Glad to know that I get to REM some of the night!) At 5:51am my Autoset reported: AHI 2.6, AI 2.4, CAI 0.2 and 95% pressure at 14.3.

Down at 6:05am on my SIDE (hips not bothering me much) but still restless for about an hour moving from side to side. From the looks of the pressure graph I might have returned to the Supine position around 9:30?? (Don't remember my position when I woke up). The 1.90 Large Leaks occurred just before I got up in the morning. (Could that have been from SWJ arousal activity w/ falsely labeled OAs?? Zooming in, it looks like a lot of SWJ to me, and not normal-looking OAs.)

95% Flow Limitations were only 0.07. I notice that FLs were worse between 3:30-5:45am, when the pressure stayed close to my Minimum Pressure. And it was low when the pressure was highest. (The FL was, of course, very low between 12:30-1:30, when I was awake.)

It continues to look like I will need to raise the MIN P above its current 11.2 (9.2 EPAP with the EPR at 2) if I am to have lower AHIs when I am Supine. But just how high will that MIN P need to be & how would I tolerate those pressures??

One thing is for sure, my joint and hips aren't going to get better as I continue to age! So I will probably need to sleep on my Back even more from year to year. Might I fare better with BPAP to tolerate higher Min pressures & get the EPAP I may need?

My "experiment" continues.

JoyD.

PS - Still haven't learned how to import my O2 Ring binary data to OSCAR. Last night my O2 didn't drop below 92% O2 saturation.

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Additional Comments: CPAP Pr 13.8; EPR:3 Full; Heated Hose; Nexcare blue mouth-tape; PurSleep Buckwheat Hull Pillow; Caldera Releaf Collar.
Last edited by JoyD. on Fri Dec 09, 2022 12:44 pm, edited 1 time in total.
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Re: HELP needed for 13-yr CPAP user!

Post by lynninnj » Fri Dec 09, 2022 11:19 am

JoyD. wrote:
Fri Dec 09, 2022 11:03 am
Unlike the previous nights when I was Supine more of the night, last night my hips were tolerating side sleeping better than usual. Consequently, less of the night was spent on my back . . . and the AHI was lower. I feel like I had a good night's sleep (and know that I was in REM for some of the night because I remember dreams).

Here is my OSCAR report for the night of 12/8/2022:
https://imgur.com/a/lG3IQEz

Went to bed about 12:30am on my SIDE. Still awake at 1:30 even though hip pain wasn't an issue. When I woke up at 3:32am, I was SUPINE . . . which can be seen on OSCAR from the characteristic sawtooth pressure surges up to my 16 Max pressure!

I returned to bed at 3:37 on my SIDE. When I woke up at about 5:51am . . . I had been dreaming & remembered the dreams. (Glad to know that I get to REM some of the night!) At 5:51am my Autoset reported: AHI 2.6, AI 2.4, CAI 0.2 and 95% pressure at 14.3.

Down at 6:05am on my SIDE (hips not bothering me much) but still restless for about an hour moving from side to side. From the looks of the pressure graph I might have returned to the Supine position around 9:30?? (Don't remember my position when I woke up). The 1.90 Large Leaks occurred just before I got up in the morning. (Could that have been from SWJ arousal activity w/ falsely labeled OAs?? Zooming in, it looks like a lot of SWJ to me, and not normal-looking OAs.)

95% Flow Limitations were only 0.07. I notice that FLs were worse between 3:30-5:45am, when the pressure stayed close to my Minimum Pressure. And it was low when the pressure was highest. (The FL was, of course, very low between 12:30-1:30, when I was awake.)

It continues to look like I will need to raise the MIN P above its current 11.2 (9.2 EPAP with the EPR at 2) if I am to have lower AHIs when I am Supine. But just how high will that MIN P need to be & how would I tolerate those pressures??

One thing is for sure, my joint and hips aren't going to get better as I continue to age! So I will probably need to sleep on my Back even more from year to year. Might I fare better with BPAP to tolerate higher Min pressures & get the EPAP I may need?

My "experiment" continues.

JoyD.
What a difference side vs back sleeping can make!

It is possible I am a bit younger than you but I notice pain at my hip sockets from time to time. Some days it is worse than others. One observation I have made is that if I have a high gluten day my hips hurt much more. Other foods also trigger a much greater inflammatory process. Activity levels during the day can make a difference too.

This is of course one of those ask your doctor about xyz but one thing i take on a highly glutenous day is turmeric which is anti-inflammatory in nature but can effect blood thinning. That is my night time go to. In the morning I take a single Sunsoil CBD gelcap (20mg cbd). There is much discussion over whether it does much or whether the tiny bit of thc in it is bringing down inflammation but I smoked enough weed back in the day to know I do not get high from it at all. I take the CBD daily no matter what and the turmeric on days when I know I have had too much bread/pizza/pasta. there are two local bagel places. One I suspect uses regular all purpose flour and one uses bread flour. (I know a gal that worked there and confirmed this.) After eating bagels from gluten place I found I could not tie my shoes by the end of the night without discomfort. I don't get bagels there anymore.

My point is mainly that at least for me, anything I can do dietwise to keep the inflammation in check, I do. I also have a condition that increases the inflammatory response, but find it really can make a difference to have turmeric on hand when I think I will need it. Of course it is important to be sure that you check with the pharmacist or care provider to be sure there is no contraindication.

I hope this helps.

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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Mon Dec 12, 2022 6:58 pm

.
My week-long experiment (that was suggested by RobySue1 on 12/5/22) is now finished.
robysue1 wrote:
Mon Dec 05, 2022 10:47 am
The thing that most catches my attention from the data you posted is this: Your flow limitations disappear almost completely once your pressure is 12cm. In other words, you may need to bump the min pressure up a bit.

As for whether the CAs are something to be genuinely worried about:

1) While I know that you didn't have any CAs on your sleep tests, the number of CAs on this night is not particularly alarming---particularly since you say there might be some SWJ mixed in.

2) In an ideal world, your xPAP ought to be able to use enough pressure to prevent obstructive events even when you are sleeping supine. But since your OSA is positional, the question is how much additional pressure might be needed and can you tolerate it in terms of aerophagia and the number of pressure induced CAs.

I'll also add this: Sound sleep on your back at a higher pressure beats sleep interrupted by attempts to keep yourself from sleeping on your back, particularly if pain issues are a problem when you are trying to sleep on your sides.

My suggestions, such as they are, are these:

1) Try bumping min pressure up to 11 and see if there's no aerophagia. Leave your max pressure where it currently is set and leave EPR = 2.

2) For the next several nights, don't worry about trying to keep yourself off your back. Let yourself sleep in whatever position seems most comfortable. Make a note of whether you wake up or fall asleep while on your back. Don't worry about a temporary increase in AHI. The point of the experiment is to see where the machine wants to go if you are on your back and just how much the AHI increases when you are on your back.

After you have several days of data, then reevaluate what to do based on the answers to these questions:

A) How bad did the AHI get during the experiment? And what was the distribution of events?

B) Subjectively is sleeping on your back easier, more satisfying, and in any sense more "restful" than trying to focus your attention on keeping yourself off your back?

C) What problems with aerophagia and/or mask leaks happened because the machine was running at a higher pressure for longer periods of time because you were on your back for longer periods of time?
Here are my OSCAR Daily Views for each night (with stat summaries):
12/5/22 https://imgur.com/JP8F4CN
- AHI 4.4 [Supine @half night]: "Reported" OA 3.07, CA 1.16, H 0.21 . . . 95% FL 0.06, 95% P 15.32 // 99.5% P 15.98, % LL 5.06

12/6/22 https://imgur.com/KeoFMF9
- AHI 4.43 [Supine @half night]: "Reported" OA 3.05, CA 0.98, H 0.39 . . . 95% FL 0.08, 95% P 15.78 // 99.5% P 16 (set at 16), %LL 4.16

12/7/22 https://imgur.com/dq4toLI
- AHI 9.25 [Supine 3 hrs]: "Reported" OA 5.27, CA 3.23, H 0.75 [CSR 2.83] . . . 95% FL 0.08, 95% P 14.94 // 99.5% P 15 (set at 15), %LL 0.02

12/8/22 https://imgur.com/0FyPdUl
- AHI 3.35 [Supine 1-1/2 hr]: "Reported" OA 1.95, CA 0.65, H 0.54 . . . 95% FL 0.07, 95% Pressure 14.06 // 99.5% P 15.70, %LL 1.90

12/9/22 https://imgur.com/Dg3TKFn
- AHI 3.98 [Supine 1 hr]: "Reported" OA 1.16, CA 2.83, H 0.00 [CSR 2.46] . . . 95% FL 0.07, 95% P 13.76 // 99.5% P 15.90, %LL 0.01

12/10/22 https://imgur.com/OoHKFAc
- AHI 5.84 [Supine 2-1/2 hrs]: "Reported" OA 0.80, CA 4.24, H 0.80 . . . 95% FL 0.08, 95% P 13.64 //99.5% P 14.54, %LL 0.01

12/11/22 https://imgur.com/NlDDlQY
- AHI 1.75 [NON-Supine night]: "Reported" OA 0.22, CA0.66, H 0.87 . . . 95% FL 0.10, 95% P 12.46 // 99.5% P 13.36, %LL 0.04

To Zoom in (Z) on any graphs in SleepHQ, see MY NEXT POST (I was limited to 10 URLs per post).


I did make some adjustments during the week:
1. On 12/7, I decreased the MAX P from 16 to 15 in the middle of the night (poor move), so first half was 16, last half was 15. I thought this "might" stop the "runaway pressure" when I was supine . . . but all it did was INCREASE THE EVENTS (whether real or false) while supine. The next morning I returned it back to 16 as before.

2. Since RobySue1 mentioned that she thought I should increase the MIN Pressure even more . . .I did after 2 nights go from 11>11.2 MIN P . . . and the last 2 nights from 11.2>11.4. At no time did the increase in Min pressure make me uncomfortable. I believe I can still increase the MIN P even more, as long as I do it gradually.

I'm eager to hear any observations or conclusions that RobySue1 and the Forum experts have to say.

Here is what I noticed, concluded, or wonder about:
1. My Supine sleeping is here to stay, no doubt about that! I need to figure how to deal with it re EPR, Pressure, a different machine that may serve me better . . . in order to reduce the time I spend all during the night with arousals and poor sleep. I AM functioning quite well during the day w/o needing naps most days. But at my age & CV issues (high PVCs & moderate TriCuspid valve leakage) I need as much refreshing sleep as I can manage!

2. When I look at ZOOMED views of my Flow Rate & "reported" events . . . what "I" see is an awfully lot of arousals all through the night . . . and a significant amount of SWJ around ugly clusters of events when Supine (see 12/7 and 12/9) that appear to me as "unreal" events since I was either awake or in a S/W period. -- I added a link to my SleepHQ charts hoping someone would either confirm this, or see something else going on.

3. At no time was I bothered by aerophagia or pressure that was uncomfortable (at least while I was at some point of wakefulness to notice.). Nor were Large Leaks much of a problem (even though there was a fairly large one on 12/5, probably just a mask leak from tossing & turning.)

4. With regard to whether "subjectively" it seems easier or more restful when I am Supine, it's hard to say. When my hips hurt, I don't hesitate to give in to rolling over to my back. But I enjoy sleeping on my side, otherwise. I've also discovered this week that I can be very comfortable on my stomach (or nearly so, with one leg pulled up). However, I don't always get to make the decision, and my body goes Supine for a period of time during what seems "most" nights.

5. Using my O2 Ring, at no time did my O2 drop below once at 88. The low was usually 92-93.

6. One question I have (since increasing EPR beyond 2 causes increased CAs for me, assuming they are "real"): Other than increasing EPR, what will reduce things that may be causing so many arousals like Flow Limitations . . . will increasing my MINIMUM pressure (and to what amount) be enough to take care of OAs, Hs, & FL when I am SUPINE? It seems like, with EPR at 2, I'd have to increase my MIN P to at least 13 to accomplish this? Am I right?

7. And should I increase my MAX pressure in order to cover nights when I may be Supine most of the night, ie, 18, 19, 0r 20 cmHOH?

8. Am I a possible candidate for ResMed AirCurve 10 VAuto Bipap machine, with regard to my high pressure needs when Supine, and need to more effectively reduce frequent arousals? Or would the ability to use even greater PS do the same thing as EPR in increasing Centrals??

Looking forward to some feedback. Thanks!

Joy

_________________
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Additional Comments: CPAP Pr 13.8; EPR:3 Full; Heated Hose; Nexcare blue mouth-tape; PurSleep Buckwheat Hull Pillow; Caldera Releaf Collar.
Last edited by JoyD. on Tue Dec 13, 2022 12:32 pm, edited 1 time in total.
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Re: HELP needed for 13-yr CPAP user!

Post by Pugsy » Mon Dec 12, 2022 8:01 pm

JoyD. wrote:
Mon Dec 12, 2022 6:58 pm
8. Am I a possible candidate for ResMed AirCurve 10 VAuto Bipap machine, with regard to my high pressure needs when Supine, and need to more effectively reduce frequent arousals? Or would the ability to use even greater PS do the same thing as EPR in increasing Centrals??
IF (big IF) EPR is indeed a trigger for central apneas for you then going to a bilevel for comfort by adding more PS is going to also cause centrals. EPR at 3 is pretty much going to equal PS of 3 on a bilevel...so if PS of 4 is needed because of the higher pressure needs in terms of comfort...and if EPR is a trigger for centrals...PS of 3 or 4 will also trigger centrals.

At this point though I am not so sure that your centrals are related to EPR use. They could also simply be arousal related because you don't sleep so great sometimes due to pain or whatever.
JoyD. wrote:
Mon Dec 12, 2022 6:58 pm
7. And should I increase my MAX pressure in order to cover nights when I may be Supine most of the night, ie, 18, 19, 0r 20 cmHOH?
If you find you are pegging out a lot of the night at the max of 16...then yes an increase in the max setting would be in order as long as any aerophagia stays away.

This is all I have time to respond to right now. Later I will try to review those reports and maybe answer other questions.

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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Tue Dec 13, 2022 12:48 pm

.
FROM MY PREVIOUS POST . . . Here are the SLEEP HQ Links that can be Zoomed and viewed:

12/5 https://sleephq.com/public/76fd8e65-af0 ... 52391edf52
- AHI 4.4 [Supine @half night]: "Reported" OA 3.07, CA 1.16, H 0.21 . . . 95% FL 0.06, 95% P 15.32 // 99.5% P 15.98, %LL 5.06

12/6 https://sleephq.com/public/eab0b09a-423 ... 5e1e050d6b
- AHI 4.43 [Supine @half night]: "Reported" OA 3.05, CA 0.98, H 0.39 . . . 95% FL 0.08, 95% P 15.78 // 99.5% P 16 (set at 16), %LL 4.16

12/7 https://sleephq.com/public/bcd687d0-dfa ... 516390b5ce
- AHI 9.25 [Supine 3 hrs]: "Reported" OA 5.27, CA 3.23, H 0.75 [CSR 2.83] . . . 95% FL 0.08, 95% P 14.94 // 99.5% P 15 (set at 15), %LL 0.02

12/8 https://sleephq.com/public/b956f89b-0ed ... c723591ccb
- AHI 3.35 [Supine 1-1/2 hr]: "Reported" OA 1.95, CA 0.65, H 0.54 . . . 95% FL 0.07, 95% Pressure 14.06 // 99.5% P 15.70, %LL 1.90

12/9 https://sleephq.com/public/877b7274-842 ... 7eca67514f
- AHI 3.98 [Supine 1 hr]: "Reported" OA 1.16, CA 2.83, H 0.00 [CSR 2.46] . . . 95% FL 0.07, 95% P 13.76 // 99.5% P 15.90, %LL 0.01

12/10 https://sleephq.com/public/b09b7267-df3 ... ecff116193
- AHI 5.84 [Supine 2-1/2 hrs]: "Reported" OA 0.80, CA 4.24, H 0.80 . . . 95% FL 0.08, 95% P 13.64 //99.5% P 14.54, %LL 0.01

12/11 https://sleephq.com/public/9598da93-04e ... 1111a1f44f
- AHI 1.75 [NON-Supine night]: "Reported" OA 0.22, CA0.66, H 0.87 . . . 95% FL 0.10, 95% P 12.46 // 99.5% P 13.36, %LL 0.04


And --for easier reference -- below are the comments & questions I posed in my last post:

I did make some adjustments during the week:
1. On 12/7, I decreased the MAX P from 16 to 15 in the middle of the night (poor move), so first half was 16, last half was 15. I thought this "might" stop the "runaway pressure" when I was supine . . . but all it did was INCREASE THE EVENTS (whether real or false) while supine. The next morning I returned it back to 16 as before.

2. Since RobySue1 mentioned that she thought I should increase the MIN Pressure even more . . .I did after 2 nights go from 11>11.2 MIN P . . . and the last 2 nights from 11.2>11.4. At no time did the increase in Min pressure make me uncomfortable. I believe I can still increase the MIN P even more, as long as I do it gradually.

Here is what I noticed, concluded, or wonder about:
1. My Supine sleeping is here to stay, no doubt about that! I need to figure how to deal with it re EPR, Pressure, a different machine that may serve me better . . . in order to reduce the time I spend all during the night with arousals and poor sleep. I AM functioning quite well during the day w/o needing naps most days. But at my age & CV issues (high PVCs & moderate TriCuspid valve leakage) I need as much refreshing sleep as I can manage!

2. When I look at ZOOMED views of my Flow Rate & "reported" events . . . what "I" see is an awfully lot of arousals all through the night . . . and a significant amount of SWJ around ugly clusters of events when Supine (see 12/7 and 12/9) that appear to me as "unreal" events since I was either awake or in a S/W period. -- I added a link to my SleepHQ charts hoping someone would either confirm this, or see something else going on.

3. At no time was I bothered by aerophagia or pressure that was uncomfortable (at least while I was at some point of wakefulness to notice.). Nor were Large Leaks much of a problem (even though there was a fairly large one on 12/5, probably just a mask leak from tossing & turning.)

4. With regard to whether "subjectively" it seems easier or more restful when I am Supine, it's hard to say. When my hips hurt, I don't hesitate to give in to rolling over to my back. But I enjoy sleeping on my side, otherwise. I've also discovered this week that I can be very comfortable on my stomach (or nearly so, with one leg pulled up). However, I don't always get to make the decision, and my body goes Supine for a period of time during what seems "most" nights.

5. Using my O2 Ring, at no time did my O2 drop below once at 88. The low was usually 92-93.

6. One question I have (since increasing EPR beyond 2 causes increased CAs for me, assuming they are "real"): Other than increasing EPR, what will reduce things that may be causing so many arousals like Flow Limitations . . . will increasing my MINIMUM pressure (and to what amount) be enough to take care of OAs, Hs, & FL when I am SUPINE? It seems like, with EPR at 2, I'd have to increase my MIN P to at least 13 to accomplish this? Am I right?

7. And should I increase my MAX pressure in order to cover nights when I may be Supine most of the night, ie, 18, 19, 0r 20 cmHOH?

8. Am I a possible candidate for ResMed AirCurve 10 VAuto Bipap machine, with regard to my high pressure needs when Supine, and need to more effectively reduce frequent arousals? Or would the ability to use even greater PS do the same thing as EPR in increasing Centrals??

I'll be interested to hear what insights the experts have to offer! Thanks for your help!

JoyD.

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Re: HELP needed for 13-yr CPAP user!

Post by Pugsy » Tue Dec 13, 2022 12:59 pm

Took a quick look at the 12/7 report.....first impressions...a lot of SWJ flagged stuff...arousal/awake breathing false positives.
Even some of those OAs in clusters.
Now it wouldn't be impossible for a real asleep flagged OA to end up causing an arousal and subsequent flagged events be more SWJish.

I still think...more maximum for sure (probably 20) and maybe more minimum.

And whatever it takes to improve sleep quality which I know is a hard battle due to the pain issues.

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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Tue Dec 13, 2022 1:20 pm

.
Thanks Pugsy for taking a zoomed look at 12/7!! - It's good to get the confirmation that I seem to be identifying most of the SWJs & false events correctly.

Will get that MAX up & see what more I can do with the MIN as long as I tolerate it.

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Re: HELP needed for 13-yr CPAP user!

Post by Pugsy » Tue Dec 13, 2022 2:18 pm

You know at this point I would be targeting just getting better more solid sleep if it were me and not worry a horrible amount about the AHI.

I did look at some Central flags on 12/7 and what I saw all looked like arousal or SWJ to my eye.
Reaffirms my thoughts that your EPR use isn't causing centrals.

I think when you sleep better and more soundly your AHI will reduce markedly. From what I saw...a handful of "real" asleep OAs and the majority was SWJ flagging of even the OAs.

You know last year I had a night where my AHI was 9.4...extremely unusual for me so I took the time to look at it up close.
Nice normal mixture of centrals, OAs and a couple of hyponeas.
95% of those flagged events were SWJ and so obvious a blind man could see it.
This happened to be a night where I slept horribly due to bad back pain because I was a dumb ass during that day and did WAY too much gardening work. I hurt like hell and slept like hell as well. I remembered tons of wake ups due to pain occurred that night.

While you do have an airway problem....you also have a sleep quality problem from the pain and that problem is going to be your most difficult problem to address. I am in that boat right now myself. Pain management can be hit or miss for sure.
My pain isn't horribly horrible but it is enough to mess with my sleep.

Open up the max and see what happens...then maybe a little bit more minimum but go small and slow with that part of the experiment.
Don't want to risk creating more sleep quality issues.

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Re: HELP needed for 13-yr CPAP user!

Post by papnapper » Wed Dec 14, 2022 3:18 am

On the day I received my Wellvue O2-ring, 3 months ago, I was concerned about the possibility of personal identification data being sent via the internet when plugged into my PC to ?????
I sent 3 emails to the makers, the support and the software people asking what was in the unusually large connector of the supplied USB cable. I have never received a reply.
I decided never to plug into my PC but I have been using the app on my Android phone. The only permission I had to allow the app was Bluetooth UNTIL YESTERDAY. It suddenly asked for permission to know my location! Then today, it also wanted permission to access " Photos / Multimedia / Files storage ... in the cache".

I am not being paranoid with my concern as I am simply following the common advice to avoid having personal information published, in order to avoid spam, fraud, hacks etc.

I would not be posting the above if I had received a reply to the emails I sent either.

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Re: HELP needed for 13-yr CPAP user!

Post by JoyD. » Wed Dec 14, 2022 7:29 am

papnapper wrote:
Wed Dec 14, 2022 3:18 am
On the day I received my Wellvue O2-ring, 3 months ago, I was concerned about the possibility of personal identification data being sent via the internet when plugged into my PC to ?????
I sent 3 emails to the makers, the support and the software people asking what was in the unusually large connector of the supplied USB cable. I have never received a reply.
I decided never to plug into my PC but I have been using the app on my Android phone. The only permission I had to allow the app was Bluetooth UNTIL YESTERDAY. It suddenly asked for permission to know my location! Then today, it also wanted permission to access " Photos / Multimedia / Files storage ... in the cache".

I am not being paranoid with my concern as I am simply following the common advice to avoid having personal information published, in order to avoid spam, fraud, hacks etc.

I would not be posting the above if I had received a reply to the emails I sent either.
Papnapper,
I am puzzled as to what your post above has to do with the subject of my thread ???

JoyD.

_________________
Machine: Airsense 10 Card to Cloud
Mask: Zest Nasal CPAP Mask with Headgear
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Additional Comments: CPAP Pr 13.8; EPR:3 Full; Heated Hose; Nexcare blue mouth-tape; PurSleep Buckwheat Hull Pillow; Caldera Releaf Collar.
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Re: HELP needed for 13-yr CPAP user!

Post by Pugsy » Wed Dec 14, 2022 7:34 am

JoyD. wrote:
Wed Dec 14, 2022 7:29 am
Pappernapper,
I am puzzled as to what your post above has to do with the subject of my thread ???
It doesn't. Your thread just got highjacked. Pappernapper should start his/her on thread and not muddy up your thread.
Maybe he/she doesn't know how to start a new topic of their own. :lol: wouldn't be the first time someone didn't see the big orange box on the main forum page that says "Post a new topic".
Hell...they don't bother looking at the stickies either. Sometimes I wonder why I bother.

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ozij
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Re: HELP needed for 13-yr CPAP user!

Post by ozij » Wed Dec 14, 2022 7:40 am

Pugsy wrote:
Wed Dec 14, 2022 7:34 am
Sometimes I wonder why I bother.
Because of all those who read, and you don't even know about them because they didn't ask....
Oh, wait, am I derailing Joy's thread now?
:shock: :shock: :shock:

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