DSM:
I have to agree with RG. I don't use the ramp with my CPAP, either. I found it to be a waste of time. My AHIs are always now under 1.0, the highest lately being 0.5, so I don't think my setting is too low. I think not needing the ramp can be indicative of good lung power and no respiratory problems perhaps. I am no doctor, either, but unless we're missing something here, I can't see the correlation. I have been keeping my machine set to APAP the past couple of nights, with the same high/low setting for the pressure, just because I like seeing the graph on the software that you don't get if it's set on straight CPAP. And I did use the ramp in the very beginning, but then decided I wanted to keep the setting the same and it wasn't really that important anymore.
DSM, what mask are you using now?
Oh, about the Oracle mouth piece, I made one last night and it didn't work for me. Those soft seals, as F&P likes to call them, don't work in my shaped mouth. It brought back all the old memories of why I stopped using that interface. I used to wake up, amongst other things, with lips that were SO swollen, it looked like a botched Botox job. And it would take hours for them to go down, not to mention the soreness that accompanied it. No matter how loose I would make that adjustment with the ring, it would pinch the bottom of my bottom lip so bad, it would blow up like a balloon. Also, the "soft" seal used to cut up my gums and inside of my lips. So the DYI Oracle modification, for me anyway, was huge failure.
Last night I decided not to tape my mouth or do anything. As I said, it was my highest AHI in days, but it was only 0.5. And my leak rate only went up by one. I KNOW I woke up with mouth breathing a few times, and my large/max. leaks figures came back. But it still has to be doing its job if my AHI is that low and the leaks are being recorded almost the same. I needed a break from waking up due to leaking Tegaderm patches. It's worse than mouth breathing, IMHO.
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CPAPopedia Keywords Contained In This Post (Click For Definition):
CPAP,
Ramp,
Power,
APAP