[Treatment] simplychillin - Request for Advice/Treatment Thread - Printable Version +- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums) +-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area) +--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum) +--- Thread: [Treatment] simplychillin - Request for Advice/Treatment Thread (/Thread-Treatment-simplychillin-Request-for-Advice-Treatment-Thread) |
simplychillin - Request for Advice/Treatment Thread - simplychillin - 12-18-2024 Hey everyone! First, I wanted to say thanks to everyone at ApneaBoard - based on my perousal of other threads, y'all seem really helpful, and it's amazing to see this kind of support given without asking for anything in return. So, thank you! Now, on to my own request: I started APAP therapy on the night of 2024-12-12, and have been having a couple of issues and questions. They're enumerated below, but as for some context, the 3 images attached are best representative of my therapy so far and the other days are, as far as I can tell, unhelpful or repeat the same point as another screenshot. Now, on to the meat of the post.
RE: simplychillin - Request for Advice/Treatment Thread - Old Steve - 12-18-2024 As to the pressure, I would leave the EPR on, but to start I would run your minimum pressure to perhaps 9cm as your current average is higher than that. I think that most of the people on the forum use EPR, it helps to control flow limits and is more comfortable as it lowers your exhale pressure. Your hose temp is actually a bit less than I use. As to mask issues I can't help as I haven't used any of your masks... Welcome to the forum! RE: simplychillin - Request for Advice/Treatment Thread - simplychillin - 12-18-2024 Thanks for the quick reply! I'll be setting my minimum pressure to 9 cmH2O tonight and will update tommorow with how it goes. Will be using the P30i nasal pillows as I can get over the uncomfortableness for now. Will also try wearing gloves/mittens to see if that makes it harder for me to get the mask off. Good night! RE: simplychillin - Request for Advice/Treatment Thread - simplychillin - 12-19-2024 Alright, we have the first night's data back! It's generally looking good, as far as I can tell - lower AHI compared to the other valid days, low leak, and I'm feeling a tiny bit more rested (though that last part could be placebo). I've gone ahead and attached the OSCAR chart, in case anyone wants to compare it to the other days. On the con side, I forgot to put on gloves/mittens/something to make it harder for me to take off the mask, but thankfully, I wasn't off the therapy for too long when I inevitably took it off last night. Mouth tape stayed on the entire night this time! To anyone else taking a look at the thread - I'm still looking for input on questions 1 to 4 in my original post. Any musing is welcome! On a sidenote, I'm super grateful for the advice, Steve, I had a small hunch the minimum pressure was too low, but you suggesting it made me feel a lot more confident that I wasn't misreading the situation, so I appreciate you taking the time to write out your thinking. I'm also glad you said you hadn't tried my masks rather than making stuff up that sounds right; in my opinion, this kind of thing is what makes this forum so amazing: people being willing to say they don't know everything in the world yet helping others with the knowledge they do have. So, thanks, dude! As to the future, unless I get other advice, I'll probably stay on this pressure for a few more days, and I'll post if anything abnormal happens with my OSCAR data, or if the mittens work to keep my mask on two nights on a row. Again, though, this is just my current plan and I'm open to suggestions. Thanks again for reading! RE: simplychillin - Request for Advice/Treatment Thread - simplychillin - 12-19-2024 Alright, quick update before I go to sleep: I was reading a post by Nightynite in a thread titled "DiabolikalDeux - Therapy Assistance" and I found that they stated something interesting; here's an excerpt of their post: Quote:I also battled this congestion when I started and then from advice from this board I started using Fluticasone Propionate. Same as Flonase. I buy it on amazon, it comes in 5 little spray bottles and one spray in each nostril and I’m good to go all night. It’s a steroid and it takes a little while to work so be patient. It has turned out to be the missing part of the puzzle that made pap therapy work for me. After doing about half an hour of research, I've found that it doesn't interact with my meds, generally isn't habit-forming, and is relatively cheap. For these reasons I went ahead and ordered a pack of bottles, as to deal with my fears of not being able to use my CPAP with a stuffy nose. This technically renders questions 3 and 4 unnecessary, as, because the P30i works better than the Forma in terms of leak, there's really no point in trying to stick to a FFM if I have no issues with nasal breathing. (Or, at least, that's my assessment; if there's hidden benefits to an FFM, I'd totally be willing to listen!) However, if anyone has spare time, I'd still be curious about the answers to questions 3 and 4 (and maybe people from the future will be curious, too.) Anyway, that's all for now. Definitely going to try to remember the mittens tonight. As mentioned in my previous post, I probably won't be updating on here unless there's some kind of new development. Until then! |