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new user 2weeks in oscar data - Printable Version

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new user 2weeks in oscar data - bg1987 - 06-26-2024

hello,
I am a 37yo male, on treatment for 2 weeks. still waking up pretty tired but that appears normal from what I have read. Just hoping someone can look at my oscar data and let me know if anything jumps out, I was prescribed 4-14 range but felt suffocated so I increased to 8-14 about a week in.
thank you very much,
benjamin


RE: new user 2weeks in oscar data - Deborah K. - 06-26-2024

Welcome

Things look pretty good.  Most of your apneas are CAs.  Did you have a lot of them in your sleep study?  If not, they are treatment-emergent and will lessen as time passes and you adjust more to therapy.  If you're not sure, post a redacted copy of your sleep study.

You can improve your Oscar chart if you make a few changes.  Remove the calendar, as that will allow us to see more important information below.  Also, on the chart itself, you have the right things in the right order, but we don't need to see the Snore graph.  The last one we need on that page is Flow Limits.  That will allow us more room to see the things that matter.

And yes, it's normal to feel tired while you are adjusting to all the changes involved in starting pap therapy.  It will get better and become quite comfortable as time passes.  Smile


RE: new user 2weeks in oscar data - bg1987 - 06-26-2024

This is the data from my sleep study


RE: new user 2weeks in oscar data - Phaleronic - 06-26-2024

Welcome to the forum bg1987 Smile Deborah has some good suggestions about getting Oscar formatted correctly Smile I myself just hit f12 for my screenshots and post them, so most of the relevant info is shown. I can't see if you have EPR enabled or not, but at 5.28ah and the number of events and likely non-flagged events is higher than like to see, and in your sleep study you had some heavy desats.

I'd like to have you adjust pressure a little bit to see if we can get it lower please:

Raise min to 8.6cm check EPR and set it to 2 fulltime, 3 if 8cm feels too high when you're breathing. Give this a shot for a little while before bed and see what you think. Also, how are you feeling?


RE: new user 2weeks in oscar data - bg1987 - 06-26-2024

I turned off epr last night as I read it can increase events. It's set to only be on during ramp.
I also set the response to soft and had a little rain out last night. Humidity is set to 5 and 78° down from 84°
Tonight I will go up to 8.6 and set humidity to 4.


RE: new user 2weeks in oscar data - Phaleronic - 06-26-2024

(06-26-2024, 08:54 PM)bg1987 Wrote: I turned off epr last night as I read it can increase events. It's set to only be on during ramp.
I also set the response to soft and had a little rain out last night. Humidity is set to 5 and 78° down from 84°
Tonight I will go up to 8.6 and set humidity to 4.

If it's set to 3 it can cause CA events, but overall is should help with comfort so I would leave it on 1 now fulltime..  Are you having rainout issues?


RE: new user 2weeks in oscar data - Deborah K. - 06-26-2024

Your study shows that your CAs are treatment-emergent and will lessen on their own as time passes. I would set EPR to 3, as for most folks it makes breathing with the machine more comfortable and keeps flow limits low. Yes, it will cause a few more CAs, but they don't matter much in your case.


RE: new user 2weeks in oscar data - bg1987 - 06-28-2024

Wednesday and Thursday with settings of 8.6-14 + epr


RE: new user 2weeks in oscar data - Deborah K. - 06-28-2024

Your AHI looks better, but the one night your leaks were pretty high. Do you think you mouth breathe sometimes when you sleep? Also, do you feel better with the pressure changes?


RE: new user 2weeks in oscar data - bg1987 - 06-29-2024

i did feel better until last night, 
I switched to an n30 mask I had ordered and slept terribly, the mask kept shifting and blocking my nostrils waking me up, not sure why as I measure medium and was using a medium cushion. I have had a pounding headache all day and my stats look worse, unfortunately for some reason the full data didn't get saved and I only have overview data. 
I will likely go back to the p10 tonight.