WW4B Therapy thread

[Sleeprider]

I think one of those was closer to 3-seconds. Your therapy is going very well by all appearances. The useful closeup shows some double waves on expiration which is often a swallow, and it is followed by a couple brief inspiratory breath-holds, which is likely a shift in position.   An interesting arousal or sleep movement, but not a respiratory issue or therapy problem.  Everything I see looks very good.

[WW4B]

Thank you for your input and time...very much appreciated. Although my overall therapy is going well I always feel, and still do sense that there is a brief pause after exhaling before inhaling starts. It's like I exhale than its a 1 Mississippi, two Mississippi before inhalation starts. Is there a settings tweak that I could try to eliminate that feeling or pause between exhale and inhale. I am currently at the following settings:
Ti Max = 3
Ti Min = 0.3
Trigger & Cycle both at Medium
Should I leave all pressure settings as they are ....

Feeling stronger every day........

[WW4B]

Hello, it has been several weeks since my last post and I was wondering how my two attached charts are looking. Although my overall numbers appear to be trending better and feel my therapy is going well (numbers related) I still always feel tired and fatigued by mid afternoon. I suspect my issues my be related to positional arousals but would appreciate more experienced views and input on this. I also sense that my breathing cycle is still somewhat off in that while lying down there is a brief pause after exhaling before inhaling starts. It's like I exhale than its a one Mississippi, two Mississippi before inhalation starts. Is there a settings tweak that I could try to eliminate that feeling or the pause between when exhale ends and inhale begins. Does my I.E time, respiratory rate, minute vent and tidal volume look normal. I am currently at the following settings:Ti Max = default 2.0, Ti Min = 0.3, Trigger & Cycle both at Medium.
Also if I may, can I have my thread changed to "WW4B Therapy Thread". 

https://imgur.com/a/EaQb82I


https://imgur.com/LGSH5ab

https://imgur.com/LGSH5ab

https://imgur.com/LGSH5ab

[Jeff8356]

WW4B,
I changed the title of your original post at your request. New replies should have the new thread name.

[Sleeprider]

Those are excellent results with stable pressure, reasonable leaks and very good efficacy. The only flow limits correspond with leaks and may represent some movement or restlessness. I don't see a need for changes from 10-20 PS 4. Of course you don't come anywhere near your maximum and pressure is only moving in the range of 1.4 cm.

[WW4B]

Thank You for the input. Is there anything to try or to discuss on the concerning breathing issue/delay I experience on exhale before the inhale begins. All in all it does seem like the current pressures I am using are so easy...like its too easy. Does this make sense ?

[Sleeprider]

I use a high trigger sensitivity setting. Try it, and if you like it, keep it. I offer it free to all members on request.

[WW4B]

Hi, it has been several months since my last post. I am including a screenshot of last nights sleep report from Oscar. Can anyone assist with reply as to why there seems to be a "flat plateau" line on my inspiration at the zero line on my flow graph. What causes this flat plateau and should I be concerned. Is there anything to try or assist to get a more rounded flow rate. Currently using Ti Max: 2.1, Ti Min : 0.5, Trigger: High and Cycle: Med. AHI seems to be very good but are my Tidal Volume, Minute vent, Resp rate, Inspiration & Expiration times seem to be in a normal state. Breathing still does not feel completely in sync and at times feels short and shallow and not deep enough. What can I do....Still feeling very tired during the day and can nap no problem if I find myself sitting in a comfy chair. It is affecting my quality of life. Appreciate any and all comments. Thank to all in advance.

[attachment=50689]

[WW4B]

One more nights post for reference. Any assistance appreciated. Thank You

[attachment=50690]

[Crimson Nape]

That's normal. Everything below the red zero line is an exhale. As you near the end of exhaling, your breath will taper off. Don't overthink this. You have found your sweet spot.

- Red