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+--- Thread: Introduction to group and need general advice. (/Thread-Introduction-to-group-and-need-general-advice)
Further Introduction - Gazza59 - 07-08-2017
Previously posted a introduction where I detailed the problems I encountered getting diagnosed & tried to copy/paste snapshots of both my initial test results & my Sleepyhead data.
They both appeared fine until I posted them & then they just appeared as a continuous jumble of continuous lines of random letters.
I've copied & pasted this - had to convert the test results file format & rearrange the Sleepyhead data back in to columns but know the feedback I'll get will be worth the trouble.
TEST RESULTS
Gazza59 "presents with a history of snoring, restless sleeping, poor concentration, a dry mouth upon waking, abnormal leg movements and excessive daytime sleepiness. Epworth Sleepiness Score (ESS) = 19/24. Past medical history includes bronchitis and heart burn. He rated his quality of sleep on the study night as average, awakening feeling un-refreshed. Approx. 3 standard alcoholic drinks were consumed on the evening.
Lights out@ 21.00hrs. Sleep onset= 30.0 mins. Latency to REM sleep= 244.0mins. No slow wave sleep was recorded. REM sleep proportion = 9.6%. Sleep efficiency= 60.0%. The EEG arousal index = 100.9, most often associated with respiratory events.
Respiratory: There were 267 obstructive apnoeas (average duration= 17 secs-longest= 42secs), 2 mixed apnoeas and 139 hypopnoeas (average duration= 19secs-longest = 45secs) recorded. The overall AHi = 97.5 and REM AHi = 102.5. A total of 250.5mins of supine sleep were recorded, with 24.0mins of REM. Frequent snoring was recorded. Mean awake SaO2 = 82%, nadir SaO2 = 80%. 58.8% of sleep total was recorded at an oxygen saturation below 88%. Total number of Limb movements= 43, PLMS index= 6.7 with a PLMS arousal index of 1.9/hr and 6 isolated limb movement arousals. Average heart rate= 84 bpm.
SLEEP PHYSICIAN REPORT
Interpretation: Very severe obstructive sleep apnoea/hypopnoea associated with snoring, severe oxyhaemoglobin desaturation, evidence of hypoventilation in sleep with poor recovery of oxyhaemoglobin saturation between discrete obstructive events, and very severe sleep fragmentation.
Recommendations: CPAP therapy is strongly recommended. Measures including weight reduction, avoidance of alcohol and sedatives and attention to issues affecting sleep hygiene should also be emphasized."
The REM & leg movement data should be much higher as the sensors became dislodged during the night.
CPAP Statistics
22 days of CPAP Data, between Fri Jun 16 2017 and Fri Jul 7 2017
Details Most Recent Last Week Last 30 Days Last 6 Months Last Year
CPAP Usage
Average Hours per Night 02:56 06:10 06:39 06:39 06:39
Compliance 0% 86% 95% 95% 95%
Therapy Efficacy
Apnoea Hypopnea Index 2.38 4.90 5.50 5.50 5.50
Obstructive Index 0.68 2.22 2.74 2.74 2.74
Hypopnoea Index 1.02 2.27 2.28 2.28 2.28
Clear Airway Index 0.68 0.42 0.48 0.48 0.48
Flow Limitation Index 1.70 1.39 1.27 1.27 1.27
RERA Index 1.02 1.57 1.16 1.16 1.16
Leak Statistics
Average Leak Rate 8.86 9.71 20.51 20.51 20.51
90% Leak Rate 13.00 23.00 54.00 54.00 54.00
% of time above Leak Rate thresh 0.00% 8.94% 30.56% 30.56% 30.56%
Pressure Statistics
Average Pressure 11.83 12.09 12.32 12.32 12.32
Min Pressure 4.00 4.00 4.00 4.00 4.00
Max Pressure 14.50 17.50 19.00 19.00 19.00
90% Pressure 13.00 14.50 15.00 15.00 15.00
Average EPAP 10.22 10.37 10.64 10.64 10.64
Min EPAP 3.60 3.50 3.50 3.50 3.50
Max EPAP 12.50 15.10 16.90 16.90 16.90
Changes to Prescription Settings
First Last Days Apnoea Hypopnea Index FL Machine Pressure Relief Mode Pressure Settings
Fri Jun 16 2017 Fri Jul 7 2017 22 5.57 1.27 Auto CPAP (500X150) None APAP (Variable) Min 10 Max 20 (cmH2O)
Machine Information
Brand Series Model Serial First Use Last Use
Philips Respironics DreamStationAuto CPAP (500X150) J154296175208 16-Jun-17 07-Jul-17
Feeling heaps better than I was - huge improvement. Not having any issues with my machine - don't feel like there are issues with my mask but Sleepyhead has warned me on a few occasions since I changed to the Airfit mask that I have leak problems whereas DreamMapper has recorded 97 to 100% mask fit.
Look forward to the feedback.
RE: Introduction to group and need general advice. - Gazza59 - 07-08-2017
![[Image: iLCyRLf.png]](http://i.imgur.com/iLCyRLf.png)
RE: Further Introduction - Gideon - 07-08-2017
Welcome
97 AHI, I was only a 90.
A couple of things. Change your profile to show the machine you have "Dream Station Auto CPAP" so it is apparent what machine you have. and
Post your daily charts. Pay attention to the organization. How to is included in "New to Apnea - helpful tips to ensure success" both in my signature and in the links at the top of the page under "Using SleepyHead"
We will help you get dialed in.
RE: Introduction to group and need general advice. - Gideon - 07-08-2017
What I see is that you are very close. I suggest you raise your Min to 11cm H2O and see how that does. I suspect that we may raise it further but let's take it easy. This should help bring your AHI down.
Also disable your VS2 events. They are of no use since noone knows what they mean.
Fred
RE: Introduction to group and need general advice. - Gazza59 - 07-08-2017
Thanks Rose - still tried posting a screenshot straight to this page with the same result. Finally took notice of your & others advice & looked up imgur & now all good.
Slow process but learning all the time.
RE: Introduction to group and need general advice. - OpalRose - 07-08-2017
(07-08-2017, 09:28 AM)Gazza59 Wrote: Thanks Rose - still tried posting a screenshot straight to this page with the same result. Finally took notice of your & others advice & looked up imgur & now all good.
Slow process but learning all the time.
Everything takes time.
Agree with bonjour about raising the minimum pressure. Go with 11, you may eventually need to be at 12cm.
May I also suggest you turn off ramp (unless you really feel you can't do without.).
Look at the events that occured during the ramp period. Could also be what we call SWJ (sleep wake junk), where you really haven't fallen asleep yet.
If you feel more comfy using ramp, then set it to start higher. So if you move your minimum pressure to 11cm, then start ramp at 8.
RE: Further Introduction - Beej - 07-08-2017
You may find that sleeping on your left side helps some with both the apnea and the reflux.
It often helps with obstructive apnea.
RE: Further Introduction - ajack - 07-08-2017
sleepyhead has 25 as a major leak, with DS it's around 50, because it includes the normal venting leak as the total number.
post some charts, it looks like your minimum pressure needs to go up, I'd use min 12 for now.
RE: Further Introduction - Gazza59 - 07-09-2017
(07-08-2017, 10:13 PM)Beej Wrote: You may find that sleeping on your left side helps some with both the apnea and the reflux.
It often helps with obstructive apnea.
The reflux is totally controlled with Nexium - no problems at all.
Don't think I could sleep on my left side - I used to roll from side to side & kick the covers off all the time before I started using the CPAP - but now I wake up in the same position - on m y right - as when I went to sleep.
My AHI has dropped fom 97.5 to 5.55 since starting treatment - allbeit with mask leakage problems - & I'm feeling 200% better.
Still ready to listen here & learn & thanks for your concern.
RE: Further Introduction - Gazza59 - 07-09-2017
(07-08-2017, 10:54 PM)ajack Wrote: sleepyhead has 25 as a major leak, with DS it's around 50, because it includes the normal venting leak as the total number.
post some charts, it looks like your minimum pressure needs to go up, I'd use min 12 for now.
I changed my minimum to 12 - see if it makes a difference.
Uploaded all my charts to imgur but it won't resize them - when I copy the link it posts them still small.
It did work the one time on my previous post but now it won't.