hwnboy therapy thread

[Jay51]

If you had a large number of CA's on your sleep study (or you can prove to your Dr. that you are still having a lot - by increasing EPR to the maximum to combat the flow limitations), then my might get a sleep study with the ASV to confirm this.  

ASV was designed to stop CA's with its dynamic back up rate, but it can very effectively treat OSA also.

[hwnboy]

I decided to experiment with the effects of EPR on my therapy. For the past several weeks, I’ve been using CPAP mode with a pressure of 8 cmH2O and EPR set to 3. Curious about the impact of turning EPR off, I noticed a significant drop in central apnea events, but an increase in flow limitations, RERAs, and hypopneas. After collecting a week’s worth of data, I’m now planning to use EPR at 1 for the upcoming week to see if I can reduce the flow limitations, RERAs, and hypopneas without causing a substantial rise in central apneas.

Attached are the last 7 days of Oscar data with EPR off.

                 

[hwnboy]

October 17, 2024               October 18, 2024             October 19, 2024
                 

[hwnboy]

Here is last night, October 20, 2024 - the flow limitations bothered me over the week, although I had a significant decrease in Centrals.
   

[Jay51]

It can be a balancing act like you are seeing.  I hope your experiment works.  If it doesn't, you have some good charts that you have already posted to go back to.