Struggling after switching to APAP from CPAP

Dog Slobber wrote: ↑

Sat Jul 06, 2024 2:18 pm

So no, you're statement about him not being liked here is a complete fabrication.

'Scam down by the river'? Yeah... right. Blow me.

Pugsy claimed I thought he 'walked on water'. There's a big contingent of APAP freaks on here that disagree with Jason's theories. You know this.

vandownbytheriver wrote: ↑

Sat Jul 06, 2024 6:43 pm

There's a big contingent of APAP freaks on here that disagree with Jason's theories. You know this.

Just because someone disagrees with Jason doesn't mean we don't respect him or his right to have his opinion about something.

And calling people "freaks" who prefer apap auto adjusting pressures over fixed cpap is just plain old friggin tasteless bullshit.

Totally uncalled for name calling....but then I consider the source and move on.
I rarely agree with anything you say....but then I don't respect you like I respect Jason.....but you get to voice your opinion.

DS is correct though....you lied about what "most" people think about Jason or else you put words they didn't say in their mouths....and that's just plain rude.

You just can't seem to state the facts and leave the comment section blank any more than you can offer both sides of a way of doing something. You seem to think that the only person's opinion that is right or important....is yours.
News flash...it isn't. Your way of doing something is far from the only way of doing something quite successfully despite what you think.

Have a nice day.

And with that.....no more off topic crap in this thread.
I will promptly remove it and this is the only warning so I suggest you heed my warning.

djb wrote: ↑

Sat Jul 06, 2024 9:52 am

Worked for 15 yrs, my AHI avg was 2-3, but over the last yr the numbers were creeping higher and sometimes 5 or slightly above on some nights.

Since 10 fixed stopped doing it for the past yr, and we can see all those flow limitations, I suggest you up either the fixed pressure, or the minimum APAP pressure.
You doc may have set your machine up at 10 to 20 to use it for finding your optimal new pressure, and what you've posted shows that for that night, you were spending half the time at (almost)14 or above.

Dog Slobber wrote: ↑

Sat Jul 06, 2024 1:01 pm

Comparing Flow Limitations it is clear that Fixed 10cm was not adequate. On APAP with minimums of10cm ipap and 8cm epap that is even less adequate.

And you can see your AS11 going through cycles of "oh, this pressure is good enough so I can go back to minimum...oops, wrong pressure, up we go". That's not doing your sleep any good.

Pugsy wrote: ↑

Sat Jul 06, 2024 6:00 pm

If you do that.....use EPR at setting of 3.
I am hoping that with a higher minimum as well as EPR.....that the FLs will reduce and then the machine won't need or want to go to the high teens and not move around so much.

And remember....some people just do better with fixed pressures (with or without EPR) and you were using fixed for many years. Your brain/body has to get used to new settings.

I agree.

Tried my old machine, resmed airsense 10, fixed at 13 cm H2O, no EPR. Didn't get to sleep until about 130am, so alot of the early stuff is just me lying there with my eyes closed, not sure what is being flagged, seems strange with the events there. Seem to still have flow issues, not sure if that needs to be solved or would make things better.

Do you know why there's such a difference in leak between your old machine and the new one?
Are you using the same mask?
And there's also a difference in the flow limitations.

Any chance your old machine is not working properly?

Is it the switch from 10 to 13 that kept you from falling a sleep? It's a dramatic one.

Same mask, not sure about the leak, I do struggle with finding a good mask and have to pull this one (F20) tight, so it could be better. I may try some different masks, but any suggestions are welcome where there was success with getting a good seal at high pressures.
Not sure on the flow limitations, the machine is old so it could be a machine issue.
Switch to 13 not the issue, I am really stressed with a trip upcoming to CO (elevation approx. 7000 ft) and trying to adjust from my old machine to the new one. Will likely take both with me.

djb wrote: ↑

Sun Jul 07, 2024 11:50 am

Same mask, not sure about the leak,

The difference in leak and flow limitations between the two machines makes no sense to me, unless something in the old one is malfunctioning.

Are both hoses slimline?
If yes, and those were my machines, I would set up the new one identically to the old one for starters (same pressure, mask, humidity and EPR) and try to find out what works only on that one.

djb wrote: ↑

Sun Jul 07, 2024 11:50 am

I am really stressed with a trip upcoming to CO (elevation approx. 7000 ft)

Is that your first trip there? Would you feel more relaxed if you postponed the adjustment to the new machine till after you came back? Given the hight altitude, I don't think that period in CO would be very helpful in the adjustment process.

Maybe you can discuss the trip with your doctor, ask him/her what they suggest would be the best thing?