SonjaAHI41 - Therapy Thread

[OpalRose]

Well the change is impressive.  I see some progress.

Do you see the spikes on the leak rate graph?  This indicates mask movement.  

The only problem is that you shouldn't have to tighten a mask so tight as to cause discomfort, or leave marks on your face.  

Try using this technique when fitting your mask:  

https://www.apneaboard.com/wiki/index.ph..._Jeffy1958

[SonjaAHI41]

OpalRose, thanks ,good advise

I read everything about masks, but I didn't read the wonderful article :
"How to get a perfect mask fit - GUARANTEE! by Jeffy1958"

Just one more question.(for now  )
Can you see the quality of sleep, rem phase on Oscar?

[OpalRose]

Can you see the quality of sleep, rem phase on Oscar?[/font][/size]
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Sonja,
I suppose you would have to open up the flow rate graph to look at some individual breaths and compare with the respiratory graph.  I think the respiratory graph may rise during REM sleep.  

I'm not real certain how to tell that exactly.  Maybe others here can.  

There are wearable devices, like Fitbit, Apple Watch, etc. that track rem sleep, deep sleep, etc.,  but I don't know how accurate they are.

[SonjaAHI41]

Quote;

There are wearable devices, like Fitbit, Apple Watch, etc. that track rem sleep, deep sleep, etc.,  but I don't know how accurate they are.

Yes, I know about them although I don't think they are completely accurate.
Thank you OpalRose from the bottom of my heart.
Until the next question   ,greetings.

[Narcil]

pretty sure the only way to be completely accurate at determining sleep cycles is with an EEG, like at the hospital during a sleep study.

Apple / fitbit should give good enough data.

[SonjaAHI41]

 Narcil 
pretty sure the only way to be completely accurate at determining sleep cycles is with an EEG, like at the hospital during a sleep study.

Apple / fitbit should give good enough data.

OpalRose:

Sonja,
I suppose you would have to open up the flow rate graph to look at some individual breaths and compare with the respiratory graph.  I think the respiratory graph may rise during REM sleep.  



As you advised me, I went to study the flow rate graph, individual breaths and the respiratory graph.  
At one point my Obstructive Apnea rose to 38,
flow rate from -51 to 114.
Of course, I don't know how to read and know what's causing it, but you can see a big oscillation in some moments.


In any case, I am attaching the data, so if someone can explain, I will be very grateful for their help.

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[SonjaAHI41]

Good morning

Yesterday I tried to raise the minimum pressure from 7 to 8 because I constantly had a feeling of suffocation.
The mask stayed on me for even 2 hours, I, as usual, was not aware of it.
I have the feeling that every day I'm falling more and more. I have no energy, strength at all. I hardly get up in the morning and most days I lie on the couch.
I don't know what I would say and think.  

[SonjaAHI41]

       

Good morning,


I am attaching new data. I would be extremely grateful if someone would analyze it for me.
As far as energy is concerned, it is still very low, I am sleepy during the day, rarely would I just lie down.
I still hope it will get better.

Thank you from the bottom of my heart for being here.

[OpalRose]

Sonja,
I've taken some time to reread through all your posts and what has been suggested and tried this far.
I'm convinced that the high flow limitation won't or cannot be resolved with your current machine.

The flow limitation may be caused by your sleep position. Try to stay on your side if able.

It also appears that you did much better with a minimum pressure set at 7, but felt like you were not getting enough air, then changed it to 8.

Are you able to try a minimum pressure of 7.5 or 7.6 and drop the maximum pressure to 9.5. This will be a narrow pressure range and limit the machine from raising pressure to the max due to flow limitation. The pressure swings might be the reason you are pulling your mask off.

Summary:

Minimum set to 7.6
Maximum set to 9.6
IPR set at 2
NO RAMP.

[SonjaAHI41]

Dear OpalRose,


thank you for taking the effort and analyzing the results for me.
I also noticed that my minimum pressure is 8 too much, I was thinking of returning it to 7, but I will listen to you and adjust it as you said.


Thanks again.

Sonja