Now my son needs help

[Damiansd]

Well, this OSA stuff seems to run in the family. 

My son, now 19 had a sleep study at 15 and was told to start taking Melatonin. I had never seen the sleep report until I explicitly requested it a week ago. I had suggested my kids get checked every two years and he had a follow up with the Sleep Specialist. When I got my hands on the report, I was furious as it was clear that he probably needed a CPAP 4 years ago. 

Thankfully the Sleep Doc agreed and said you don't even have to get tested. "Trial a CPAP and let me know how it goes" he says. 

So I had a Dreamstation lying around and have put him on it. 

Below is his sleep study from 4 years ago. In the next post I'll put his last two night's of Oscar data. 

   
   
   

Any input would be appreciated. Post night 1 he put the cervical collar on. I had told him he might need, But he did so on his own. Please check the first two nights to see if it was needed. I think it way. My second observation is that he is probably going to need to join the Resmed family like me.

Thanks in advance,
Damian.

[Damiansd]

First night.

5-13 with ramp and flex 1. Saw the clusters and suspected collar. Mentioned to son and he did it without him telling me. If you don't think he needs it, I'll ask him to take it off.

   

Second night

5-13 with ramp and flex 1. RDI went down from 11.44 to 3.55. I saw the pressure spiking so thought to up his pressure for the next night.

   

Two more nights in next post.
D

[Damiansd]

And finally his last two nights.

Two nights ago.
6 - 13, ramp and flex 1. Still seeing spikey behaviour.

   

Last night
7-14, , ramp to 15 minutes to avoid early events, flex 2. He bad a short bad sleep he says. 

   

Early days, I know.

Suggestions gurus?
D>

[jaswilliams]

Reduce the minimum pressure to 6 all those spikes at that pressure is good the spikes is the Philips machine getting bored as nothing is going on so tries 1.5 cm pressure more finds it doesn’t help and drop the pressure again.

The night with min pressure at 7 looks much worse with leaks and disturbances

[Damiansd]

Thanks Jaswilliams. Doing it now.

Sleep tight,
Damian.

[Gideon]

Well done.
Get a week at min pressure of 6. See how stable the results are.
I think that is at Worst an extremely good start.
Experiments. Only 1 at a time.
1 remove the collar and observe. He is good with the collar, see how he is without it now that he is more used to the DS.
2. Flex = 2. Again observe.
3. Minor increase in min pressure, .1 or .2 and observe. 6 is a safe place.

Always note how your son feels. Comfort is important.

Your son is doing well with a PR. No NEED to replace. I would consider a backup machine, a machine to use if either main machine should fail, ideally an AutoSet.

[Damiansd]

It has been a week of a static setting with no collar. 

Here is the data, please have a look.

3 nights
   

   

   


Next 3 in next post

[Damiansd]

   

   

   

Thoughts?

Thanks in advance,
Damian.

[Damiansd]

And last nights.

   

He is complaining of not being able to breathe out.

Can someone please take a look? I have suspicions but I'm not a guru in this space.

Thanks,
Damian.

[Gideon]

Increase Flex, let's see if that helps.  We are looking for comfort, nothing else.

Then see what we have.

Next is likely an experiment, swap devices with him.  Min pressure =7, EPR=3 Fulltime.

Let's see what happens.  I'd like to get the RERAs under control as an immediate focus.  This is to prove or disprove if an AutoSet is in his future.