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Sleep

Sleep
Joined Oct 2014
Sleep
Joined Oct 2014

Hi Wiredgeorge, so to recap your story......please correct me if I get any info wrong. So you're on Bipap therapy with a full face mask. things have been relatively well, AHI is low, oxygen saturation levels have been good. The full face mask you were using with liners leaks a lot but doesn't seem to be affecting your AHI adversely and didn't seem to be waking you up or bothering you. So this is great, it would be ideal if the mask leak was lower but overall it didn't seem to be affecting you too much. On a side note, leaks can cause something called arousals in your sleep, where the briefly arouse you from your sleep, they can affect your overall sleep quality. one would need a in-lab sleep study to see if this is occurring. but despite the leaks, it wasn't bothering you. your ahi was low, and your oxygen levels were good, so it appears that the bipap was effective despite the leaks. so going back to present day, everything is going pretty well but for a few nights your ahi has increased. you recognized the pattern that higher leaks correlate to higher ahi. so in that case I would suggest you check some of the more usual culprits. how old is the full face mask? any visible signs of wear or cracks? has enough time passed that your insurance will cover a new mask and/or supplies. how about the headgear? they get stretched out from washing and wear. check out your hose, these can be tricky but can develop little cracks in the plastic in between the rings and can be difficult to find. filters, need changed? but your already aware of that. it can be frustrating that it seems like nothing has changed but now your leak has increased. so moving on, you changed to a different full face mask, it sounds like it is falling into the correct location on your face but if your bottom lip is coming out during sleep I wonder if indeed it is fitting you correctly. how have the leaks been with this other mask?