[Diagnosis] Would like comments to fine tune

[Magordon]

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I’m new to CPAP (4 months) and just discovered this forum and software. Here are images. Any comments or help is appreciated 

[img]blob:http://www.apneaboard.com/b9602749-4c6e-42cb-9c2c-3a8fb8909825[/img]
[img]blob:http://www.apneaboard.com/4105f163-4a8e-401e-acea-e0ad6caf0921[/img]
[img]blob:http://www.apneaboard.com/56ae69f8-bb8e-48a4-940c-91948e534bde[/img]

[staceyburke]

You need to take the screenshot using F12 then post by adding the attachment using the button at the bottom of the post.

[Magordon]

Sorry thought I added screen shots. Here they are.

[SarcasticDave94]

I'd say the Min pressure needs to be increased from 4, let's try 6 (95% pressure was 6) and see what the data tells us. Also include the answer to "how does it feel?" so we get your feedback. 2 reasons to edit the pressure up, 1. Respironics machines are slow to increase pressures for events, and 2. you need higher pressure to combat the events. Finally, I see you have a Ramp programmed. I'd suggest not using the Ramp button, as this offers preset pressures that are below therapy pressure. Ramp doesn't respond to events, so the duration of Ramp means compromised therapy.

[Magordon]

I changed Min to 6 and turned off ramp (not sure if I turned off ramp correctly because it show on the attachment??). I did not feel any different with the change but am getting good results when I changed to C-flex using pressure setting 3 last couple of days.  I do wake up in the night with a ringing in my ears but goes away when I get up.  Not sure if that is caused by CPAP or not.  I use a CPAP memory foam pillow and am a side sleeper and tend to switch sides a lot during the night.

[Sleeprider]

There is still obstruction and hypopnea present that require an increase in minimum pressure. Increase minimum pressure to 7.0 and you should see some improvement. The statistics show a 20 minute ramp from 4, but I don't see it in the chart. It sometimes takes a day for changes to show up in the statistics.

[SideSleeper]

Resperonics recommends using C-Flex with CPAP mode, A-Flex with APAP mode like you are using. I had a Resperonics for 5 years and remember I didn't like C-Flex when using APAP but can't remember why.

[Magordon]

Raised Min to 7 and didn't sleep as well. Woke up several times with pressure built up in my mouth. Also I raised the Max up since the Min was getting close to it. Not sure if that affected anything.

[SarcasticDave94]

My look at the chart says the pressure change did little to affect events. You're probably going to need even higher pressures to treat the events. You may have to talk with your DME and tell them the Respironics isn't doing a very good job and ask to swap for a ResMed AutoSet. Tell them that it's not treating the events very well, and with increasing pressure it's not comfortable.

[staceyburke]

I agree with David, if at all possible get rid of the phillips and move to a ResMed. The difference in therapy is the computer program the 2 cpaps use. The phillips is slooow to react to events and the resmed is just much quicker. The supplier makes more money from the dreamstation (costs him less) but he get the same money from insurance so of course he gives people the one he can make the most money from...