Variable Breathing/CSR?

[G. Szabo]

If turning off the flex helped, then you want to experiment with it a bit further and turn it back at a lower level because of the tremendous benefit of EPR. Your provider must have had a similar way of thinking. You might need time to accept EPR/Flex and go through a learning curve starting in a lover setting.

[tresero]

Well it definitely helped. I'm going to try it for a few more nights to make sure. I'm meeting with the respiratory tech Friday and bring the machine etc. We shall see. The only difference from before all this started now is going from 15 to 18 pressure.

Here is last night. 
   

[G. Szabo]

Please let us know the outcome of your meeting and the tech's explanations of their prior intentions regarding the settings.

[tresero]

Here is day 2. Definitely helped. Not perfect, but beats AHI of 70 during the periodic breathing!
Not sure if there is much else I can do, but I'll see what the tech says Friday. I'm a 99% side sleeper so many mask options just don't work.

   

[G. Szabo]

I would increase the minimum pressure to 11 or 12 cm to reduce pressure adjustments and have a smoother ride, which would lead to less disturbed sleep.

[tresero]

Thanks, I'll mention it to her, but they are strange. I'll set it this weekend if she doesn't want to.

[lonigan]

I'm a 99% side sleeper so many mask options just don't work.


Might be worth trying a couple if they'll offer some different types. I experienced quite a few leaks and mouth leaks with the N20 and N30i. Nothing major but they were always there. Recently had a sleep study to test for ASV and the sleep tech came in after a couple hrs and changed me to a hybrid full face mask because he couldn't get a good test with those nasal masks. I decided on keeping with the switched out mask for that same reason. Since switching I've pretty much had Zero leaks!! Pretty surprising for me as I am a side sleeper tossing and turning on each side multiple times per night.

The new mask is the Resmed F30i, I never would have thunk it prior to trying. I tried the respironics full face before but didn't get a good mask fit and discounted all those types until trying the resmed. It just fits my face.

see if the VA will let you test drive a couple different ones and different sizes as well until you find one that fits.

good luck

[tresero]

Thanks, I'll see what they say, they are very strict on what they give out, hence the Phillips.

BTW, here is my chart for today. Back to periodic breathing, but decent sleep. I thought I would have great numbers, but no.



   

[G. Szabo]

You would need some low-level FLEX to reduce Hs. The leaks you are having trigger CAs. Hence, it would be best to minimize the leaks by changing the strap's tension; tighter is not necessarily better. Alternatively, you can use a different mask. Your minimum pressure should be increased.

[tresero]

Thanks, I'll talk to them Friday. Not hopeful about mask changes with the VA, but we shall see.