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New user with high CA
#11
RE: New user with high CA
OK driver, it's not terrible but can be better. Let's work up to min 7 and add in that EPR full time. Starting EPR 1 to help the CA.

Make sure you're not using Ramp if at all possible.

Here's how min pressure relates to EPR:

Min 4 EPR can't start until pressure rises
Min 5 EPR 1 works fully
Min 6 EPR 2 works fully
Min 7 EPR 3 works fully

At least match one of those 3 to increase that minimum. You may need to also increase the max from 10 to 12, but not at the same time as minimum settings and EPR addition. So the results won't get confused.

Adding some pressure with EPR will very likely reduce the blue Obstructive Apnea and Hypopnoea. This only leaves a small amount of CA. Should be a winner.

Try it, see what happens.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#12
RE: New user with high CA
(05-26-2024, 05:59 PM)Jay51 Wrote: EPR can sometimes aggravate CA's also and increase them.  It might take turning down EPR or even turning it off.
(05-28-2024, 01:06 PM)SarcasticDave94 Wrote: Adding some pressure with EPR will very likely reduce the blue Obstructive Apnea and Hypopnoea. This only leaves a small amount of CA.

H (dark blue) can be caused by both CA (magenta) and OA (light blue), so if I ignore dark blue and green (UA) and compare magenta to light blue, I can see which is the bigger issue. CA seems to be consistently larger:
   

Since my CA seems to be the larger problem, I'd like to focus on getting down first, then deal with other issues after I've gotten a handle on that. Jay said EPR could aggravate CA, so I turned it off altogether.
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#13
RE: New user with high CA
Yes, true, EPR may conflict with Central Apnea.

It would depend on how bad your CA were, to help determine if they're mixed in with Hypopnea. Sometimes, we can determine that by the sleep study report.

Most people, other than myself and a few others, this will not be the case, and they should therefore be treated as Obstructive Hypopnea.

The problem is your machine can treat Obstructive based events, but not Central Apnea. With the CA, you can only attempt to avoid them, like I avoided NYC driving. This is why you may have to treat what you can to bring Obstructive based events down and see what you've got leftover.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#14
RE: New user with high CA
Yes, use the EPR 3. Your main apnea will drop and the CAs may go up, but right now the other apnea is more important to treat.
Machine:  ResMed AirCurve 10 Vauto
Mask:  Bleep DreamPort Sleep Solution
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#15
RE: New user with high CA
Ok, that makes sense. I guess I'll try EPR again. Since I'm still early on with getting used to things, and since 4 doesn't feel like much pressure at all, I'm just going to jump to 7-11 and EPR 3 full-time.

Also, in my last post, I was confusing hypoxia for hypopnia -- that should have been a no-brainer since I don't use an oximeter!  Loco
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#16
RE: New user with high CA
Tuesday through Thursday screenshots attached. Would it help to share graphs from Garmin Connect? It shows heart rate and something called "Body Battery", which seems pretty good at gauging how rested I am.


Attached Files Thumbnail(s)
           
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#17
RE: New user with high CA
Those CA showing you why we label them consistently inconsistent.

As far as I'm seeing, all other events good to great therapy. How do you feel with how things are going?
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#18
RE: New user with high CA
(05-31-2024, 03:26 PM)SarcasticDave94 Wrote: How do you feel with how things are going?

Not bad, especially considering that my sleep hygiene is pretty horrible right now; I'm getting settled into a new home; and, since I'm still moving things, I'm often getting exposed to stuff at my old apartment that provokes CIRS reactions.

On an interesting note, it was mentioned earlier by Stacey that positional apnea can cause/be mistaken for (?) CA. Since I started therapy, I've used that side-sleeping trainer I made a few times. During those few times, my AHI for the session was EXCELLENT, but I felt horrible... so I'm just going with what makes me feel well-rested going forward. That's another good argument for ignoring CAs and focusing on OAs and Hs.

Any thoughts on the Garmin Connect data? Here's the graph from last night with the Body Battery overlay. Frankly, their estimation of sleep stage is ridiculous, except for when you're awake, but the rest of it seems good.

   
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#19
RE: New user with high CA
If you wear a soft cervical, it will keep your neck straight enough in any position that it should lessen your positional apnea, whether it is O or H or false CAs.  I recommend you try that.  It should result in a lower AHI and more comfortable sleep.  Good luck with whatever you try! Smile
Machine:  ResMed AirCurve 10 Vauto
Mask:  Bleep DreamPort Sleep Solution
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#20
RE: New user with high CA
I don't know much about the Garmin item, so can't really comment, especially to accuracy.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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