[Treatment] PurpleOx Therapy: Diagnosed with Moderately Severe OSA

[PurpleOx]

Oh and this post is flaired "Diagnosis"... Should I start a new thread for OSCAR results when they come in?

[SarcasticDave94]

You could keep posting here and if you wish a Moderator can edit the thread title to reflect the new context.

[Crimson Nape]

PurpleOx - Like Dave said, either PM me a new thread title or post it here. I'll take it under advisement.

- Red

[SarcasticDave94]

In other words, send a box of Black Rifle coffee and he can edit the title.

I'm probably kidding.

[PurpleOx]

After being quoted a 2+ month wait from my insurance for an APAP, I've gotten my hands on an AirSense 10 Auto for Her myself. (Bonus: 4 GB Resmed SD card came with it!) My mask is arriving on Monday, so my first usage will be Monday night.

Here are the settings I will try the first night. Could I have feedback please?

• 4-16 cm H2O: This was in my prescription. I know 4 is low but I tend to breathe low and slow, so I'm going to give it a try for a night. Like most everyone else I will probably need higher so I'll adjust according to feedback on my OSCAR charts.
  
• EPR: Off? For first night use, would you rather see no EPR at all, or EPR set to 3 which will kick on once the pressure gets to 7cm?
  
• Ramp: Off (Since min is 4)
  
• Humidity: Auto
  
• AutoStart: Off
  

Thanks!

Ah I replied twice and my question got lost on the previous page. Here it is^

[Gideon]

IMHO, EPR is generally a huge help to resolving/eliminating obstructive events, that I would try
EPR=2, fulltime, min pressure=6 to allow the EPR room to work (6=4+2). This sets your min pressure, your min exhale pressure = 4, the machines min pressure.

[Sleeprider]

I updated the post title and flag.

[PurpleOx]

Ok let me explain... I got my mask today (woohoo FedEx!), I was super tired, I went to nap. I didn't truly fall asleep but I blinked in and out a few times. Because every time I fell asleep, the machine increased pressure and woke me up. Do I just have to learn to fall asleep with it increasing pressure just as I fall asleep?

I'm attaching my OSCAR chart. At 13:40, I was on my back. Around 14:10, kept waking up because of the machine so I restarted it then got on my right side. Around 14:45, turned on my left side. Why does it keep increasing my pressure? Any tips on actually falling asleep?

[Crimson Nape]

The pressure range is probably the problem because your flow limit is raising the pressure.  I would try initially tightening it up where it can only change by 2 cm. This is just a test and more than likely will be totally different in the end.  I'd try a minimum of 8 cm and 10 cm. maximum. If you haven't tried the EPR set to 3, I would take it for a test.  See if you can tolerate that.

[PurpleOx]

Thanks Crimson Nape! I'll try that tonight and report back with results. 

I'm finding that my tongue leaves the roof of my mouth as I fall asleep and then big pockets of air try to escape through my mouth. My jaw is clenched shut and I'm not really tucking my chin, so I don't know if a chin strap or cervical collar is going to help. Is this solely a job for mouth tape? (I have retainers so the double-sided dental appliance won't work.)