Please help with treatment review

[quiescence at last]

You never know, though. The pmin might be just fine, and one night is just one snapshot.

Great job so far.

QAL

[DaveL]

Yes. I know. 

So is a sleep study.  One night; maybe an hour and a half out of a night.  ;-)

[sheepless]

looking much better I think. let's hope it holds. increasing min a hair looks like a good move as your oa and ca are lower, there's no flagged periodic breathing (csr) and leaks are much better than at higher pressure. the latest screenshot showing far fewer mouth leaks. idk if that's from lower pressure or tape or both but it's the result that counts. a good fitting collar should help with residual mouth leaks and the few relatively clustered oa you're having. your ca is minor and seems to mostly occur during the troubled breathing/hairbrushy areas. if those areas reflect plm, you may be holding your breath against the insult of movement. hopefully you're feeling better at these settings but if you continue to get these results for a while and still feel poorly, I think the next step is to look into what's causing those hairbrushy areas and some treatment for plm. nothing I've tried stops plm completely but an inexpensive TENS/EMS unit (transcutaneous electrical nerve stimulator/electronic muscle stimulator) used on my lower back and rear upper thighs for 30-60 minutes in the evening is the best thing I've found so far to relieve mine.

[DaveL]

Thanks sheepless. I dropped pressure back last night. Pmin at 10. Horrible night.
I'll set it at Pmin = 10.6 again.

CSR was absolutely terrible.

[DaveL]

sunday night December 12th.

almost non compliant...

[quiescence at last]

Hi DaveL, I said I'd post this showing my REM sleep...

The highlighted areas are highly likely REM state sleep.




QAL

[DaveL]

Thanks. That helps.

Last night -- I slept in by mistake. That helps. I need to be wary of sleep hours. Sleep longer. Go to bed at regular time.

Today my new cervical collar came. I'll use it tonight.

Tape is helping. Really helping.

[sheepless]

you could be developing a problem with ca but i doubt it. your events, including ca, tend to occur in the more troubled areas of your flow rate. the few views of your 'csr' I've seen don't look like csr to me, suggesting (to this completely unqualified respondent) they aren't related to a heart condition (again, this is reasoned speculation; I have no training/expertise about such things).

you have have said a number of times that you suffer plm. it would explain your long lived fatigue, inconsistent results, variable hairbrushy flow rate, prevalence of ca in those areas and periodic breathing flagged as csr. it might even bear in part on your leak problem.

you've been papping longer than most and tried lots if settings. I suspect apnea and pap aren't the current problem and solution.

no guarantees of course but imo you'd be well advised to devote some attention to movement now while continuing to fine tune pressure settings & leak mitigation.

[DaveL]

Thanks sheepless/

[DaveL]

Your responses help a lot. Last night was better.
Time to start using the new soft cervical collar. It arrived! Time for unboxing.
Time to see what time brings, I think.

iWatch says I moved 1/2 as much last night as other nights. It says my sleep period was longer And I woke up feeling better rested. That's a miracle.

"you've been papping longer than most and tried lots if settings. I suspect apnea and pap aren't the current problem and solution. "Yes but. Most of my time being a hoser was wasted.
I didn't know about this forum and Sleepyhead & OSCAR. I had a lot of learning to do.

I appreciate all the hints.

With alll those bad-treatment years in I must be pretty stubborn or pretty scared.

DaveL