Need Input (updated last nights chart)

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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macewa
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Re: Need Input

Post by macewa » Sat Apr 14, 2012 3:44 pm

Robysue thanks for your long post.

I do have a portable swamp cooler that I can put ice cubes in but it has to be refilled every 4 hours and actually is a huge pain in the you know what and is why I got the small room air cond. Also, I have no room in my bedroom to put it much less an outlet to plug it into. I hate this house (and this area), but am stuck with it as I'm $20,000 in the hole due to the market - so can't sell. But at least I have an affordable house note (under $500). It does, however, leave much to be desired now that I have all this equipment to plug in. I hate hot, always have which I why I loved my time in the Sierras, but now I have to deal with hot. Actually if I could stop this hair loss thing I would be happier person dealing with hot (even as I walk around with this tissue plug in my nose due to the wind burn I got from upping my EPAP to 14.5) .

You know, I started this willing to do what i had to in order to feel better and get my life back. And it seems no matter what I do, I'm just switching one thing out for another. So, I get to live longer, but I get to live longer in pain and discomfort and a lesser quality of life in many ways. I guess I have to reach a point of acceptance difference from the acceptance I had in the beginning. My whole life seems to center on this sleep apnea stuff. I know compare to others I am fortunate but even knowing that, I am getting to the point that i hate it. I didn't in the beginning. I'm a person who does whatever needs to be done to make things better for me. And as I wrote in another response, no time to grieve the things I've lost or gone through. I just do what needs to be done and keep moving forward. And now I'm at a problem that no matter what I'm doing I really dont' get better, even if my numbers are better. I do know that just about all my other health issues are due to this sleep apnea and sleep deprivation. I guess before, I thought I was getting good nights sleep because I wasn't aware of wakefulness. Now though, I'm aware that I'm not sleeping well and yet I'm doing what has to be done. What other choices do I have? None.

Thanks again for your very understanding response.
robysue wrote:
macewa wrote: I will do that I'm sure, but if really upsets me that to deal with this sleep apnea I have to do so many things that are not to my liking, i.e. having to wear something to try and keep my hair from breaking off, meaning I wear even more stuff to bed. Now having to move to my living room and who wants all this "you know what" in their living room and my living room is not that large.

This OA has totally taken over my life. I guess no matter what, I really will never get my life back. I so totally understand why people walk away from this. I wish I could say that things are better 7 months into this, but it's not. I just seem to get worse. One thing seems to get solved and another or two pop up.
Although I never had to face the problem you've got with broken hair, everything else you've said here could easily have been written by me in May or June 2011 when I was 8-9 months into therapy. But things finally started to turn around for good in late June. There was still a lot of two steps forward, one step back progress during last summer and even into the fall. But once I could finally say I was feeling better with CPAP on some days every single week than I'd felt pre-CPAP, I finally was able to start the hard work of taking my life back from the OSA/PAP + Migraines + TMJ taking over my life.

So---if you can come up with some workable solutions for getting through the summer, I think you'll find that things will eventually start to get better.

My charts are better, but now I'm losing my hair and look like crap, have pain during the night, still not much energy, and now having to move out of my comfortable bed to the uncomfortable sofa bed.
I'd be reluctant to move out of the comfortable bed until the heat really does become unbearable. A silly sounding, but seriously offered idea: Maybe you could put ice cubes in the humidifier and use it on passover mode so the ice doesn't melt too fast?
I'm still on Ritalin so I don't fall asleep during the day and now take pain meds at night and I had surgery on my deviated septum in hopes it would help. No one I know in "real" life has these problems with their apnea. I know people are going to say I'm whining and it's better than being dead; but I hate it now and I didn't in the beginning. I was so optistimistic and eagar to do what was needed. You know, it's bad enough to have to wear all this freaking stuff, but all the other just adds insult to injury.
Again, I understand how much you hate the whole CPAP thing now. My own hatred re-emerged over Easter weekend for reasons that are not completely clear. It had been several months since I'd had that much dislike of the whole CPAP thing (along with my osteoporosis diagnosis). And sometimes you need to whine. And there's no need to apologize for it.

The thing is, you'll continue doing what you need to do simply because you have to. And we'll continue to be here to help you get through the tough stretches ahead as you figure out how to deal with everything + the heat and humidity.

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macewa
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Re: Need Input

Post by macewa » Sat Apr 14, 2012 4:27 pm

LOL what a pretty picture. I tried last month using a cut up t-shirt but the cut frayed edges kept tickling my face and I kept wanting to scratch or push them away (can't do that with a total face mask on). I finally eneded up pulling it out and throwing it away that same night. I will try this and try to get more creative.

Oh how I wish I could use the FF mask or the nasal pillows. But if I didn't have the leaks with this total face mask it would be fine. I'm going to check with my DME on Monday to see if the new models are in and if not when . . . supposedly the leak problem is supposed to be fixed in the next model.
BlackSpinner wrote:When I use my quatro mask, I make a liner out of old well washed cotton panties so that nothing touches my face. It also helps with the sweatiness.
It means my current liner has pretty little flowers on it.

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chunkyfrog
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Re: Need Input

Post by chunkyfrog » Sat Apr 14, 2012 7:09 pm

I made a liner for my zzz-mask out of an old pair of my 'fat' underpants.
I used a piece of elastic cord to hold it in place--(next one goes on the serger).
It was such a kick cutting up those big, ugly undies.
PS: Sheriff Buford informed me that Karen at Pad a Cheek has made a liner for his Fitlife,
and apparently it helps with those hot nights.
If you're totally unhandy, give her a try.

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macewa
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Re: Need Input (updated last nights chart)

Post by macewa » Sun Apr 15, 2012 12:42 pm

Last night I used the knit cap to protect my hair. After wetting it and stretching it out it covered my head perfectly and I made a tie to hold it in place. It took me a while to get to sleep as all of a sudden the flow of air has gotten noisy and the air blows directly into my nose in this total face mask. I THOUGHT I had a good nights sleep. This morning I looked at my charts and this is what I saw:

Image

I have to go find the users guide for the mask online as I didn't get one and I don't know what acceptable leaks are, but suspect this was not acceptable. Never have I had a reading like this even with higher leaks. What do you all think?

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Pugsy
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Re: Need Input (updated last nights chart)

Post by Pugsy » Sun Apr 15, 2012 12:58 pm

I thought you were using auto mode? The pressure lines look like straight bilevel...no variation after ramp.
What are your settings? Pressure support?

Don't know what to think about that leak line. Full face masks do have a higher vent rate but I don't think that much.

Can you put your mask on while awake, turn machine on...use nothing over your head and just use the mask while awake for about 15 minutes making sure zero leaks...then look at your report for that 15 minutes and that should give you a baseline to go on to evaluate the over the night stuff.

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macewa
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Re: Need Input (updated last nights chart)

Post by macewa » Sun Apr 15, 2012 1:13 pm

I went into set up and this is what it says:
Mode: Auto B
IPAP - max 23
EPAP min 14
Max PS - 3
Flex Type - Bi F
Ramp time 30 min
Ramp start 8
Auto on off
Auto off off
mask alert off
mask fit off

I left out other stuff because I don't think it's necessary right now. I have no idea what Max PS is about. I did notice last night with my ramp tha it was 8 and 10. Appeared to be 8 on inhale and 10 on exhale?

I will go do the mask thing and see what results I get.

Thanks

Pugsy wrote:I thought you were using auto mode? The pressure lines look like straight bilevel...no variation after ramp.
What are your settings? Pressure support?

Don't know what to think about that leak line. Full face masks do have a higher vent rate but I don't think that much.

Can you put your mask on while awake, turn machine on...use nothing over your head and just use the mask while awake for about 15 minutes making sure zero leaks...then look at your report for that 15 minutes and that should give you a baseline to go on to evaluate the over the night stuff.

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Additional Comments: I've changed that saying of One Day at a Time to One NIGHT at a time
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Pugsy
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Re: Need Input (updated last nights chart)

Post by Pugsy » Sun Apr 15, 2012 1:22 pm

macewa wrote:Appeared to be 8 on inhale and 10 on exhale?
Yes...in auto mode there is a 2 cm default..that is what you will see until you go to sleep and events cause the machine to make changes. I think the reason for the straight line is the Max PS of 3...it can't ever be farther apart than that. IPAP max may be 23 cm but the machine is never even reaching 17. Odd....
We would expect some fluctuation at sometime during the night.

Auto B mode?....let me check my machine. I thought I saw only...cpap, bilevel, and auto....no B anywhere.

But even with my PS of 4 I had more variation than that. Let me see if I can find an example. Will take me a bit.

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Re: Need Input (updated last nights chart)

Post by Pugsy » Sun Apr 15, 2012 1:51 pm

Could you take a screen shot that includes the data on the left..for the pressure averages?
See my screen shot. I only did one night in auto mode on the PR S1 Bipap Auto....I had PS of 10.
Normally auto mode has the little sawtooth probes...even APAP in auto mode has them.
Image may be large...right click over image and choose "view image" to see the whole thing (not cut off)
Image

and here is same pressure line using Encore.
Image

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macewa
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Re: Need Input (updated last nights chart)

Post by macewa » Sun Apr 15, 2012 2:19 pm

I HATE WINDOWS 7 - this is my 4th try to do this. aughhhhh

From users manual re leaks. I'm not sure which one I have, all I know is that it does swivel.

Image

Did a snip on these:
Question: Setting in the Machine say Max PS 3- In the top report section it says PS 9 and below in the statistics it says PS 2. Does that sound right to you?:

Philips Respironics
System One 750P
RemStar BiPAP Auto with Bi-Flex
Mode: Bi-Level
EPAP: 14.0 IPAP: 23.0 cmH2O
PS: 9.0
Date Sleep Wake Hours
4/14/2012 02:20 09:13 06:49:21
Image

Image
Pr. ReliefPressure Relief Bi-Flex x3
HumidifierHumidifier Setting x1


Pugsy wrote:Could you take a screen shot that includes the data on the left..for the pressure averages?
See my screen shot. I only did one night in auto mode on the PR S1 Bipap Auto....I had PS of 10.
Normally auto mode has the little sawtooth probes...even APAP in auto mode has them.
Image may be large...right click over image and choose "view image" to see the whole thing (not cut off)
Image

and here is same pressure line using Encore.
Image

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Pugsy
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Re: Need Input (updated last nights chart)

Post by Pugsy » Sun Apr 15, 2012 2:35 pm

macewa wrote:Mode: Bi-Level
Straight fixed pressures...

Mode should say Auto to have varying pressures.
macewa wrote:EPAP: 14.0 IPAP: 23.0 cmH2O
PS: 9.0
It may say PS of 9 but you are only getting PS of 2 all night....This makes no sense...if you were in straight bilevel mode with these settings you should see 23 cm on inhale after ramp and the top pressure line should be at 23 but it isn't.
You can plainly see that it never varies.

My machine is in the closet...later this evening I will get it out and see what I can jog my memory on. Short on time at the moment.

Something weird here...Only got 3 hours of sleep last night and it is catching up with me...brain cells not too sharp right now but something is off here.

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macewa
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Re: Need Input (updated last nights chart)

Post by macewa » Sun Apr 15, 2012 3:01 pm

If my machine reset itself to Bi-level, in SleepyHead would all of my old charts revert to showing it in that mode? And is Bi-Level, what i call Straight mode? In the machine where it says Mode, it say Auto B and I took that to mean auto BiPap. But further down it says auto on --and shows off and auto off -where it shows off. I wonder if that is what needs to be changed and if so, I do not have access to change it. Tomorrow I can go into town to my DME and see what she can do. Maybe it did reset because when I changed it to 14.5 I got that nose burn again and the past few days I've been saying that there is noise from the air I don't remember having before. I feel like I spend all my time dealing with this and nothing ever really gets accomplished. I'm going to go see if I can find old posts where I posted a chart and see if it was in Bi-Level at that time.
Pugsy wrote:
macewa wrote:Mode: Bi-Level
Straight fixed pressures...

Mode should say Auto to have varying pressures.
macewa wrote:EPAP: 14.0 IPAP: 23.0 cmH2O
PS: 9.0
It may say PS of 9 but you are only getting PS of 2 all night....This makes no sense...if you were in straight bilevel mode with these settings you should see 23 cm on inhale after ramp and the top pressure line should be at 23 but it isn't.
You can plainly see that it never varies.

My machine is in the closet...later this evening I will get it out and see what I can jog my memory on. Short on time at the moment.

Something weird here...Only got 3 hours of sleep last night and it is catching up with me...brain cells not too sharp right now but something is off here.

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Pugsy
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Re: Need Input (updated last nights chart)

Post by Pugsy » Sun Apr 15, 2012 3:04 pm

You know...if your RX is written into the SD card...the original RX at straight bilevel...every time you make a change....the SD card will tell the machine to go back to the original setting choice.

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macewa
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Re: Need Input (updated last nights chart)

Post by macewa » Sun Apr 15, 2012 3:11 pm

So what do I do? Can my DME person fix this? Dumb me deleted the old jpegs on Photobucket and it figures all the charts I posted are gone so i can't even check to see when this started back up. Can I get my own SD card and if so where, plus how would I format it? But then if the machine has certain parameteres then a different card won't make any difference. Right now I really want to scream. I guess tomorrow I spend time with the DME.
Pugsy wrote:You know...if your RX is written into the SD card...the original RX at straight bilevel...every time you make a change....the SD card will tell the machine to go back to the original setting choice.

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Re: Need Input (updated last nights chart)

Post by Pugsy » Sun Apr 15, 2012 3:19 pm

Settle down...take a deep breath... I can help you sort it out but I have to go over to my mom's right now.
Hubby's birthday is today and she has a present for him.

We can either erase your card...or just get you another one. Doesn't have to be a special card. I got one at Walmart for my machine because I lost mine. Think the dog from Hell ate it. She's bad about that sort of stuff. Also ate my glasses...my $300 titanium frame glasses...
Maybe $10 for a new card or I will walk you through erasing the existing card.

The SD card is an easy fix...let me get back with you later this evening when I get home. I will send you a private message when I get home.

No need to even bother with DME tomorrow.. I can walk you through what you need to do and we will get this mess sorted out. I can then have my machine in front of me...Perhaps we could chat on the phone.
Will be quicker and easier and I don't mind at all.

Gotta run right now.

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macewa
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Re: Need Input (updated last nights chart)

Post by macewa » Sun Apr 15, 2012 3:59 pm

sent you a PM
Pugsy wrote:Settle down...take a deep breath... I can help you sort it out but I have to go over to my mom's right now.
Hubby's birthday is today and she has a present for him.

We can either erase your card...or just get you another one. Doesn't have to be a special card. I got one at Walmart for my machine because I lost mine. Think the dog from Hell ate it. She's bad about that sort of stuff. Also ate my glasses...my $300 titanium frame glasses...
Maybe $10 for a new card or I will walk you through erasing the existing card.

The SD card is an easy fix...let me get back with you later this evening when I get home. I will send you a private message when I get home.

No need to even bother with DME tomorrow.. I can walk you through what you need to do and we will get this mess sorted out. I can then have my machine in front of me...Perhaps we could chat on the phone.
Will be quicker and easier and I don't mind at all.

Gotta run right now.

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