[Treatment] leonardocolato - OSCAR analysis

[Deborah K.]

Since you don't feel any difference, turn ramp off. You'll do better without it.

[leonardocolato]

So, this is how my Oscar data looked like yesterday and the day before yesterday with the new changes you suggested. 

What do you think?

       

[SarcasticDave94]

Positional Apnea are still in play unfortunately. You need to address the chin tuck that's causing the airway to kink closed.

Turn off OSCAR calendar next time please.

[leonardocolato]

My cervical collar arrived yesterday. I will test it in the next few days, but it feels a little stiff... I don't know if I should choose a softer one.

[leonardocolato]

An update from last night with the cervical collar. What do you think?

   

[leonardocolato]

So, I started using a cervical collar and my Obstructive events got better, but...

I had already achieved it before without using the collar with the settings my doctor was doing for me! The problem that time was with the Hypoapnea events, which were high (as you can see in the first image in my OSCAR reports). 

Last month, I started doing things on my own to improve these H events, but then the O events got worse... Like?

Now, with the cervical collar, both O and H events got better (as you can see in the second image), but it's something I find uncomfortable, almost unbearable to use, even more knowing I've already achieved less O events without it. And the CA events, I don't know what to do with it too – and quickly.

Maybe I should just follow my doctor's instructions/settings and wait a month before doing any change in settings? She always told me the therapy would take some time to make any improvement because it is something my body needs to get used to, but I was feeling so bad I thought I should do things on my own too.

I'm so confused about how this therapy works, if we should feel a overnight improvement every time we make a change in settings or if it takes time between each change to see the differences... 

I have an appointment next week and she doesn't know I'm doing things on my own yet. I don't know how she'd react.

         

[greatunclebill]

every breath you take, every night you sleep, is different, so results will normally fluctuate. anytime you change things make little adjustments on one setting at a time. if you change 2 things at the same time you won't know which setting made it better or worse. give your setting changes time to work before trying something else.

[SeePak]

leon

you appear to be adjusting pressure higher, and chart is looking better i think, not sure how you feel when you wake up and during the day?

You are also using EPR.

Try raising your pressure to 11 cm, leave EPR3

See what that does and how you feel.

With the collar, it takes a bit to find the sweet spot for not too tight and not too loose.

Maybe you had it too tight which is why it was better without collar?!

2 fingers should fit between neck and collar, try that maybe?

Also, in general you should wait a bit between settings, depending on what you are adjusting.

Dont change pressure AND ePR at the same time.

Keep raising your pressure a little bit every couple nights, 0.2 cm , until you feel good.

Overnight setting change, depending on what you change, may or may not make you feel better.

There are so many factors that can change day to day.

I think you have shown charts that you are heading the right way.

Pick a strategy and stay with it for a week or so.

As for your doctor, it is your health, when you get things under control, who cares what they think, though i think they will be OK when things are good.

Good Luck!

[leonardocolato]

Thank you for your comment. I appreciate it a lot.


Sadly, I don't feel any better during the day with the new settings.

Actually, since I started changing pressures, I'm with a lot of brain fog and dizziness, feeling almost like I'm drunk or high along the day. It's being worse than before, I think, though my OSCAR is looking better.

This is why I'm afraid to make other new changes in settings, like you suggested. I'm lost 

[SeePak]

I'm not sure how many different settings you've tried or how low you've gone with your pressure or how many epr settings you've tried have you tried Auto CPAP are you only using CPAP with a fixed pressure because it seems to me that you need to lower your fixed pressure to possibly get rid of some of those ca events I just don't know what's going to happen with your hypopnea