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Okay. Tonight's a waste, partially to this 9.5 epap, and partially because I can't sleep, so I'm going to change the settings. I've been comparing tonight's brief report with yesterday's success, There are some things I observed that lead me into thoughts of changing EPAP and IPAP. 1)AHI stays lowest with a 9 Epap. 9 epap tends to hover around 1 and 2 AHI, 9.5 seems pretty stable too, but 9.0 has been the champ, so I shouldn't exclude it as a minimum. Also, just from looking at the graphs, I get the feeling that 9.5 Epap is , sort of pushing the IPAP as high as possible (11) and 11 is four time worse for AHI as 9. So my opinion is a range from 9.0 Epap to 10.0 Ipap, with 1 Bi-Flex, is where our next test should be. I believe it's possible that a 9.0 Epap and 9.5 Ipap could be the sweet spot, but I prefer to work in the gradual mode. May not seem gradual by going from 11 to 10 instead of stepping it down to 10.5 Ipap. That's because I haven't seen a favorable AHI during a 10.5 pressure, so why go visit the disaster? Also, as I said before, leaking masks produce lower AHI. Seems like too much pressure. One more thing. It's only hypopneas that survived tonight. That makes me think that the airway is being cleared too well. Pressure is too high. Both Epap pressure and Ipap pressure. Going back to sleep (briefly, because of job) and setting the auto bipap to Epap: 9, Ipap 10, Bilflex: 1.
Totally agree. It could be a major set back in the face of a break through. Okay. Bi-Flex on 1, epap to 9.5 and ipap remains 11. Makes sense to keep it like that even though I'm curious about the results of 10.5, Ipap. Maybe later. I will be asleep by 2 am which will, by then, essentially be, 1am, since we fall back.
I think we can get away with ipap of 10.5
I am very pleasedwith no CAs too. I didn't think that was even possible. I stayed kind of groggy today, but I think the extra oxygen to my extremities has started to release this pain in my should that was bad enough for me to wonder if it was bone spurs. It's amazing how much better it feels. I'm looking forward to restorative sleep.
Leak rate will be improved. I'll secure the mask just a touch more. Oh here's something weird. I notice that when the leak graph starts to climb, the AHI graph starts to drop. To me, this indicates, like before, that there's too much pressure. It seems logical and makes no sense at the same time. When leakages starts becoming a hill, AHI becomes a valley.
It was easy checking the pressure. It goes into OA when both epap and ipap are on 9 exactly. Maybe 20 percent 10 and then one OA is at 10.5. Pressure never got beyond 10.5 and both epap and ipap were at 9 the majority of the time. That was with Bi-flex on 1, epap on 9 and ipap on 11. Automatic bipap, of course. Tonight I have changed it to no auto bipap, no Bi-flex, epap on 8.5 and ipap on 11.
I'm sorry I'm so wishy washy. I forgot to read the article and now, I'm not so sure I should have turned it off. I guess I'll find out tonight I took it off bi-flex and turned epap to 8.5. There is a method to my madness, but I'll spare you. I've been wordy enough.
I went back and re-read and it made me even more firm on not using Bi-Flex...At least, like you said, until I get the ideal AHI plugged in. Since it's not like the ResMed, which takes the pressure down 1, 2 and 3 centimeters, and is instead more like low, medium and high, its vague how much pressure it gives you. I think, once we focus in on THE AHI number, I can use different flex settings, noticing the next day through the data, what the actual cm pressure difference is.
Wait. Am I soaking this in correctly? Bi-flex or C-flex brings epap down to eight, If I set epap at 9 and Bi-flex at 1? So Bi-flex set to a "1" position would be the same thing as shutting Bi-flex off and just setting epap at eight? So then what's the point of Bi-flex on the setting of Bipap or auto Bipap? You can set expiration at what you want to set it on anyway. Which brings me to the following point: Based on what I just said, by just now, turning the Bi-flex off, and leaving the setting on 9, I have, effectively, made the machine one numeral higher. Previously, it was set on 9 with a 1 Bi-flex, effectively making it an 8. Now, It's an honest nine. Seems to me, that I should change that 9 to an 8 for the machine to perform like it did last night. Correct or am I confused?
The provider preset biflex to 1. You said it brings my epap down one, and since I don't need that for comfort, It's better that I shut it off. Seems like a little troublemaker. I have shut if off. It seems like you've already suggested that. Just let me know if I'm wrong.
