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+--- Thread: Please help with treatment review (/Thread-Please-help-with-treatment-review)
RE: Please help with treatment review - Gideon - 11-07-2021
would you post some random 3 minute segments
I would like to see what is actually happening flow limit wise.
Would you like to try that rabbit hole?
Also post a night with EPR=3, I'm sure you have one.
EPR=3 - DaveL - 11-07-2021
These 3nights were at the very beginning of my cpap use. I had just put my S10 *for her* into use. Brand new. It was delivered to me set up as a cpap with the prescribed pressure So one night---last one added was first night of use and using it as a cpap. The AHI was much worse than my I would achieve with my old S9.
We changed EPR to 2 from 3 right away. If i remember right, it was due to feeling out of breath?
Dave
FLOW limit random choices Novembe 6th - DaveL - 11-07-2021
These are selected from last night's screenshot.
Thanks Gideon!
Dave
RE: Please help with treatment review - Gideon - 11-07-2021
That last chart is real bad.
Can you do EPR=3 tonight
then post several random 3-minute screenshots as well as the whole night.
I want to get an idea of how bad the flow limits are at EPR=3 The goal is about 90% well-rounded breaths for the night. You will have to do that look.
RE: Please help with treatment review - hegel - 11-07-2021
Dave...I don't mean to be a butt-in-ski...I haven't read this whole thread...and it looks like Gideon's on the case, so listen to him..,BUT (in-ski): looking at some numbers where you had a terrible night's sleep, they don'[t seem so bad at all. And not THAT different from the night when you reported a great sleep.
I wonder if there isn't something else that's wrecking your sleep other than what can be addressed by cpap? You mentioned restless leg syndrome, and that it hasn't been addressed. I wonder if approaching your doctors and asking if there's some treatment for that might be another avenue to explore. Or something else?
Maybe this has all been brought up earlier. Apologies, if it has.
RE: Please help with treatment review - DaveL - 11-07-2021
@ Gideon
Gladly. I'll do it.
hegel. Thanks. I've been searching desperately for something missing in my treatment. I tried the latest ff masks recently to see if there was a common sense solution. Wearing all this gear isn't fun.
BUT it's so much better than the care in our medical system where I have to prove that my machine was on at least 4 hours a night, and AHE<5 or I lose my driver's license. (necessary for work.) I lived with that sentence a long time.
Thanks to both of you for looking. I'm going to change the EPR setting on my machine. I'm so happy you both help.
Dave
Toronto
RE: Please help with treatment review - DaveL - 11-08-2021
I apologize.
I forgot to put the card back in my S10 *for her*....I've put it back so I'll follow up tomorrow when I have my history to show.
edit: I did increase so that EPR=3
I wish I did have history....once again I'm sorry. Card is safe back in my S10 machine.
Second night with EPR+3 feels better - DaveL - 11-09-2021
Here are 3 detail shots....
two more screenshots fromNovember 8th night, last night - DaveL - 11-09-2021
Thank you for looking at these.
Although I have no record of night-before-last sleep I felt somewhat better yesterday.
Gideon thanks for looking. Please comment. I appreciate your help.
RE: Please help with treatment review - Sleeprider - 11-09-2021
Your AHI remains very good, and respiratory statistics all look healthy and normal. The event below appears to be either a breath-hold, or mouth leak where you are breathing outside the mask, not apnea, and may be from a change in position in bed or not. There is slight flow limitation here, and the last breath terminates in inspiration with an abrupt termination without exhale. This can happen when you hold your breath, or your mouth slips below the mask. There are several small ineffective inspiratory bumps at a frequency similar to your normal respiration rate, and a slow resumption of respiratory volume, ending in normal flow-limited breaths. The detail charts do not show much impact from this event on resp rate or volume.