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tallhelmut123
  Unread post  Post subject: Can someone help me understand my sleep report....  |  Posted: Sat Sep 05, 2020 11:39 am

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

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I would like to have some help understanding this....

Started using Auto CPAP ResMed Airsense 10 w/full mask/F20/climate tube/humidifier on 9/1/2020

Honestly speaking, I have slept more without than with it....though about an oral mouth piece that holds tongue too....but, I know that they are efficient when it comes to jaw and tongue...I have been dealing with sleep trouble for almost 9.5 months prior, fatigued, weak voice, chest pressure/pain/burning frequently felt, but not always...I also have tinnitus....I wonder, if my fragmented sleep has caused such feelings or if maybe something like the heart or lack of blood flow can cause these.....I am fixiated on RDI becuase my AHI seems in good range in this report.....attached my sleep report and may reply with some stats from my machine/OSCAR program in replies....


Attachments:
lofta_sleep_report.pdf [400.31 KiB]
Downloaded 185 times

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DeltaBravo3.8
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sat Sep 05, 2020 2:30 pm
User avatar

Joined: Sat Jul 04, 2020 8:38 am
Posts: 595
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: Required to start over on ResMed AirSense 10 AutoSet.
Humidifier: HumidAir and Heated hose
Pressure Setting: Auto PAP 7-14, EPR full time 3

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I can't reply in detail right now, because I am on a cell phone. You've got moderate sleep apnea definite as seen in the report. I'm gonna say you need optimized PAP settings.

If you've got OSCAR, which is a replacement for SleepyHead, post some standard charts and we'll help to adjust it.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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Respirator99
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sat Sep 05, 2020 5:36 pm
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Joined: Mon Apr 27, 2020 1:06 am
Posts: 339
Location: Australia
PAP Mask: Resmed Airtouch F20
PAP Machine: Resmed AirCurve 10 CS Pacewave ASV
Pressure Setting: Min EPAP: 8.0 Max EPAP: 11.0 PS Min: 3.0 PS Max: 8.0

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G'day . Welcome to the forum.

Your report indicates a moderate level of respiratory disturbance but low apnea and hypopnea, as you have observed. The setting of 4 - 20 cmH2O should be regarded as preliminary only, with the intention to come down to a narrower range once you're accustomed to the machine. So an important question right now is "Have you had a follow-up appointment with the sleep doc / tech to optimise your settings?"

As Dave mentioned above, we can help with the optimisation - but we need to see the Oscar data which shows how you're going on the machine. See the links in my signature below, especially the one about organising your charts.

Looking at your symptoms, some of them are consistent with apnea but the " chest pressure/pain/burning frequently felt" is often a danger sign of something more serious and potentially urgent. Have you had a general health review by your GP? If not, I'd suggest that is something you need to do, to rule out a heart condition or gastric reflux.

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tallhelmut123
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sat Sep 05, 2020 6:30 pm

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

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@DeltaBravo3.8 will do so soon

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tallhelmut123
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sat Sep 05, 2020 6:34 pm

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

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Respirator99 wrote:
G'day . Welcome to the forum.

Your report indicates a moderate level of respiratory disturbance but low apnea and hypopnea, as you have observed. The setting of 4 - 20 cmH2O should be regarded as preliminary only, with the intention to come down to a narrower range once you're accustomed to the machine. So an important question right now is "Have you had a follow-up appointment with the sleep doc / tech to optimise your settings?"

As Dave mentioned above, we can help with the optimisation - but we need to see the Oscar data which shows how you're going on the machine. See the links in my signature below, especially the one about organising your charts.

Looking at your symptoms, some of them are consistent with apnea but the " chest pressure/pain/burning frequently felt" is often a danger sign of something more serious and potentially urgent. Have you had a general health review by your GP? If not, I'd suggest that is something you need to do, to rule out a heart condition or gastric reflux.


yess, I have a 4- 8 cmH20 range now....and yes about the chest pain, I have been contemplating about going to ER, though I have an appointment with my dad's cardiologist on Sept. 25th....I should probably get that checked out sooner....my dad had six bypasses at the age of 51, I am 30 years old mate

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DeltaBravo3.8
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sat Sep 05, 2020 8:52 pm
User avatar

Joined: Sat Jul 04, 2020 8:38 am
Posts: 595
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: Required to start over on ResMed AirSense 10 AutoSet.
Humidifier: HumidAir and Heated hose
Pressure Setting: Auto PAP 7-14, EPR full time 3

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GERD/acid reflux can be extremely uncomfortable/painful. I get it bad sometimes and had thought one episode of it was a heart attack and took an ambulance ride to the ER a few years ago. Triggers can be coffee or other caffeine, mints, chocolate, spicy foods I think as well. IMO GERD needs a doc to control or at least suggest a plan of attack. I'm not stating or implying you do have GERD, but if you notice that list causes symptoms, tell Dr. Dolittle.

PAP therapy can make it worse BTW.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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tallhelmut123
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sun Sep 06, 2020 7:18 am

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

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Last night, I slept with my ResMed Airsens 10/Airfit F20 mask, 4-8 cmH20 range, EPR on 3, auto humidifier/climate tubing....my AHI was 0.3...yet I always take the mask off and haven't slept through a night with it....everytime I take it off its because I feel like I cant breathe with it....bot sure if I should consider another type of machine like a bpap/asv, I know my sleep doc/resp. has that say....not sure if CO2 or if an underlying problem is causing me to do that....also, I always seem to wake up between dreams/REM stages....RDI is what got me on my Auto CPAP, yet it hasn't been a week since being on machine....and again, when I wake up it feels like I need to take some breathes/chest pain does accompany at times....I will attach all my data with my f2o mask, you will notice an absence of using it for a full night due to not being able to sleep with it, mainly because of breathing and slight discomfort.

*****Also my first two nights I was using n30 nasal cradle, I ended up not liking it*****


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Respirator99
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Sun Sep 06, 2020 7:04 pm
User avatar

Joined: Mon Apr 27, 2020 1:06 am
Posts: 339
Location: Australia
PAP Mask: Resmed Airtouch F20
PAP Machine: Resmed AirCurve 10 CS Pacewave ASV
Pressure Setting: Min EPAP: 8.0 Max EPAP: 11.0 PS Min: 3.0 PS Max: 8.0

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Short sessions like this are pretty common, especially when people are starting out. The idea is to identify what's causing the discomfort and make the necessary adjustments. Typical causes are: a) Pressure too high or too low; b) mask is leaking; c) mask is otherwise uncomfortable; d) your body is just getting used to the situation.

I'd suggest you increase your pressure to overcome the suffocation feeling. Many people find that 4.0 just isn't enough pressure to breathe comfortably through the mask. Raise your minimum to 7.0 but leave the maximum where it is.

Your leaks aren't too bad overall, so I don't think that's a factor.

Getting the right mask can be a problem - every face is different, so it's often a case of trial and error to get the right mask to suit you. Have a look here: http://www.apneaboard.com/wiki/index.php/Mask_Primer

Finally, things do tend to get better as your body adapts to a new type of breathing. Some degree of discipline is required to keep going when your body is saying "just take it off!"

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Regards from Australia

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tallhelmut123
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Mon Sep 07, 2020 9:03 am

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

Offline
Respirator99 wrote:
Short sessions like this are pretty common, especially when people are starting out. The idea is to identify what's causing the discomfort and make the necessary adjustments. Typical causes are: a) Pressure too high or too low; b) mask is leaking; c) mask is otherwise uncomfortable; d) your body is just getting used to the situation.

I'd suggest you increase your pressure to overcome the suffocation feeling. Many people find that 4.0 just isn't enough pressure to breathe comfortably through the mask. Raise your minimum to 7.0 but leave the maximum where it is.

Your leaks aren't too bad overall, so I don't think that's a factor.

Getting the right mask can be a problem - every face is different, so it's often a case of trial and error to get the right mask to suit you. Have a look here: http://www.apneaboard.com/wiki/index.php/Mask_Primer

Finally, things do tend to get better as your body adapts to a new type of breathing. Some degree of discipline is required to keep going when your body is saying "just take it off!"


Thank you, will look into it...

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tallhelmut123
  Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Wed Sep 09, 2020 8:20 am

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

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I have some new data here from last night...my AHI was over 7.0, felt like I slept better without than with...


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DeltaBravo3.8
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Wed Sep 09, 2020 12:01 pm
User avatar

Joined: Sat Jul 04, 2020 8:38 am
Posts: 595
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: Required to start over on ResMed AirSense 10 AutoSet.
Humidifier: HumidAir and Heated hose
Pressure Setting: Auto PAP 7-14, EPR full time 3

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Hi, a friendly reminder is all this is: Don't overload yourself with advice from this forum and over at Apnea Board as well. I am not trying to discourage you from getting answers, advice or chatting, or even from having both forum accounts. Both forums have people that want to help. I just don't want you to inadvertently receive differing or conflicting info and create confusion for you.

I've posted assistance and suggestions both here and there to you, and more important in my opinion, you've heard from 2 of the top tier gurus in Sleeprider and bonjour over on Apnea Board's forum and you've also heard from 2 top tier gurus here in Pugsy and Respirator99.


With sincere best wishes for your therapy success,
DeltaBravo3.8 on this forum
SarcasticDave94 on AB
Dave in real life
A wonderful day to you.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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tallhelmut123
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Thu Sep 10, 2020 7:24 am

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

Offline
[quote="DeltaBravo3.8"]Hi, a friendly reminder is all this is: Don't overload yourself with advice from this forum and over at Apnea Board as well. I am not trying to discourage you from getting answers, advice or chatting, or even from having both forum accounts. Both forums have people that want to help. I just don't want you to inadvertently receive differing or conflicting info and create confusion for you.

I've posted assistance and suggestions both here and there to you, and more important in my opinion, you've heard from 2 of the top tier gurus in Sleeprider and bonjour over on Apnea Board's forum and you've also heard from 2 top tier gurus here in Pugsy and Respirator99.


With sincere best wishes for your therapy success,
DeltaBravo3.8 on this forum
SarcasticDave94 on AB
Dave in real life
A wonderful day to you.[/quote

Yeah, I see...Thank you! I tried both, seems that my AHI was lower within the 6-8 cmh20 range...may do small incremental changes and see....not sure why with last nights AHI of. 0.48, I don't seem to leave mask on for longer, but I know its a common thing in the beginning


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DeltaBravo3.8
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Thu Sep 10, 2020 9:58 am
User avatar

Joined: Sat Jul 04, 2020 8:38 am
Posts: 595
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: Required to start over on ResMed AirSense 10 AutoSet.
Humidifier: HumidAir and Heated hose
Pressure Setting: Auto PAP 7-14, EPR full time 3

Offline
This chart show very good numbers except hours of use. Keep working on it and you'll get it soon enough.

Two things that will help PAP be a success:

1. Keep adjusting with reasonable, attainable goals in mind, and adjust with knowledge

2. Do not quit; if you have a habit of pulling off the mask or having short sessions, don't get frustrated and quit, a deep breath count to 10 and put it back on...I was there too one day so I've had to defeat that also. Just tell yourself you will accept nothing less than winning this battle and don't change your mind later.

Best wishes for all the success you can find.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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tallhelmut123
Unread post  Post subject: Re: Can someone help me understand my sleep report....  |  Posted: Tue Sep 15, 2020 3:44 pm

Joined: Sat Sep 05, 2020 8:37 am
Posts: 9
Location: Hollywood, FL
PAP Mask: Airfit F20 Full Face Mask, N20 Nasal Mask
PAP Machine: ResMed Airsense 10/Auto CPAP
Humidifier: Water/Auto Climate
Pressure Setting: 4-8 cmH2o/Auto////Try to manually fix at a pressure now

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Just got the AirFit N20 Nasal, I have been watching Jason's videos a lot and have decided to take my ResMed off auto and find the best manually fixed pressure. Also, I turned off EPR, bought a mouth guard and want to work my way up in increments to find the best pressure....Last night I did a 4-8 cmh2o auto and did not sleep long with it

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