Hard to breath with CPAP and RSD(CRPS)

[Gideon]

Your numbers look good, let's see if we can improve your charts

The most useful charts for diagnostic purposes are:

• Event Flags
  
  
• Flow Rate
  
  
• Pressure
  
  
• Leak Rate
  
  
• Snore
  
  
• Flow Limit (Resmed Only. Respironics includes Flow Limitation in Events)
  

Each chart has a name displayed on it vertically on the left side of the chart.
You can move a chart up or down in the order by pointing your mouse pointer in the label part of the chart, left clicking and dragging up or down to change the order.
The chart height can be resized by pointing your mouse at the border of a graph until the cursor changes to a double bar with an arrow above and below, then dragging the border up or down.  

Events snore and Flow Limit all contain info about things that cause apneas, you are missing 2 of them.  Include Pressure and not mask pressure on a normal basis.  But these tell us the most at a glance.

Try and get all of these on one page.

[Biggz]

Thank you Bonjour, It looks really crunched up but i believe i got it.  Thanks again for all the information and help!

[Gideon]

Not bad,  Drop Mask Pressure, make Flow rate and events a little bigger,  Snore and Flow Limits can be a little smaller and still show the detail needed.

[Biggz]

Well guys I just had a visit with my doctor and we were on the CPAP talk, anyways she asked me about my oxygen levels needing raised or lowered. Here is the kicker....I have not been on a concentrater with the CPAP for a month or since i have been prescribed the APAP is what I believe i am on.. I have not heard anything back from the sleep study i had almost 3 weeks ago at the hospital. I think I am going to look for another doctor. The DME just brought the concentrater for me to use! Anyways I hope having the oxygen will let me breath a little easier. I have complained to this doctor 3 times in a month about not being able to breath with this machine.

[SarcasticDave94]

Is it possible, that unless therapy results indicate otherwise, that starting at a pressure of 4 would be too low? I think it would be for most adults, and it may make one feel like there's not enough air being delivered.

[Biggz]

Thank you SarcasticDave94 for that information, i will try to have that looked at.

[SarcasticDave94]

FWIW many adults start at 6 instead of 4. But go with whatever is best for you on a personal need level.

[Biggz]

My doctor has finally got the results from the sleep study i had done 3 weeks ago, i am not sure what results are yet but DME calls me and say that they are going to put me on a BIPAP machine. I guess i am getting somewhere now, I hope. I will have to review on BIPAP cause i am not sure about those.. Thank you

[Sleeprider]

Bilevel means separate pressures for inhale IPAP and exhale EPAP.  The difference between IPAP-EPAP is Pressure Support (PS).  PS can help increase tidal volume and minute vent, and ventilation as a whole.  In addition, since you are on supplemental oxygen, any CPAP or BPAP can be used with an Oxygen Bleed adapter to deliver supplemental oxygen during therapy.  I'm a little surprised this was not done before ordering bilevel.  As always, keep us informed, and we will help where we can.

Your diagnostic study showed a lot of central and mixed apnea.
28.9 Central Apnea
23.5 Mixed Apnea
50.4 Hypopneas
2 Obstructive Apnea
104.8 Total Apnea

We have said before, ASV is the correct therapy, and that you would have to fail CPAP and bilevel to get there. I don't expect bilevel without backup to work.

[Biggz]

Thank you again Sleeprider. I will try and get the results of this new study and post it. The DME lady is just fantastic, she helps me as much as she can and she said from the beginning to me that i need at least a bipap, she is not hard to work with at all..she knows that i need asv but wont come out and say it but their store only goes up to the bipap machine they do not carry asv.