(01-29-2017, 05:12 PM)Sleeprider Wrote: Albercook, you are experienceing a significant number of obstructive apnea events.  This is easily solved, but you're going to need to go rogue, and adjust your settings.  You are on fixed CPAP at 7 cm pressure.  You can enter the clinician menu by pressing the control knob and home button at the same time for a couple seconds, then entering settings.  

In Settings you need to select mode (currently CPAP) and make it Autoset. If you have an option for Standard or Soft, choose Standard.  For Minimum pressure select 7.0, for maximum pressure, let's set 15 (could go for 20, but let's limit it for now).  Your exhale pressure relief (EPR) is already at 3.  What this means is that at your current pressure of 7, the exhale pressure is only 4.  This probably is causing a lot of the obstructive apnea since it does not keep your airway patent.  The new settings will allow your pressure to go higher.  When you are done changing settings, exit clinician menu.  This will change your settings.

I would not wait to implement the change to Auto mode.  If it makes you feel better, tell your doctor you did this, and that under fixed pressure of 5 you had an AHI of 8.  I'm sure you will see significantly better results tonight.  As far as compliance, you are early in your therapy, and the lost days will add up pretty quickly.  Hopefully, we can help you to get comfortable and effective therapy that keeps you using the machine.  Your leak rate is excellent, so mask fit and compatibility looks good. The large rate of snore and flow limit on your chart confirms we're dealing with simple obstructive apnena, and everything else looks great.  I would guess you can probably be near 1 or less AHI by the end of this week.

(01-29-2017, 05:25 PM)bonjour Wrote: Well done,
Follow Sleepriders advice, it is good.  I was going to suggest something very similar.

(01-30-2017, 03:09 PM)PaulaO2 Wrote: How long have you been using CPAP?
If you are brand new to it (less than 30 days), leave it alone. Your AHI is still less than 5.

You are only showing us one night's worth of data. We all look at trends, not one night. What does the data say over a week's time? Does the AHI stay at about this? Do you have good nights mixed in with bad nights? Better yet, how do you feel? Do you feel rested? Better than before? Same?

Gather data. Study it. Understand what is normal for YOU. At some point you will want to take full advantage of the machine you have. Sure, you can turn it to APAP now. 7 seems to be pretty close for you. I'd suggest a setting of 6 minimum and 10 maximum. And change the EPR to 2 perhaps if you can tolerate it. Gather data for at least 10 days and adjust if necessary.

(01-30-2017, 03:09 PM)PaulaO2 Wrote: How long have you been using CPAP?
If you are brand new to it (less than 30 days), leave it alone. Your AHI is still less than 5.

You are only showing us one night's worth of data. We all look at trends, not one night. What does the data say over a week's time? Does the AHI stay at about this? Do you have good nights mixed in with bad nights? Better yet, how do you feel? Do you feel rested? Better than before? Same?

Gather data. Study it. Understand what is normal for YOU. At some point you will want to take full advantage of the machine you have. Sure, you can turn it to APAP now. 7 seems to be pretty close for you. I'd suggest a setting of 6 minimum and 10 maximum. And change the EPR to 2 perhaps if you can tolerate it. Gather data for at least 10 days and adjust if necessary.