Happy New Year!
I settled in with F20 mask, tennis ball (when i can remember) & cervical collar (every night). AHI started to crepe above 1, (approx 1.2 avg prior 3 nights),,, to much eating around holidays, going to bed with full stomach?
I changed high pressure to 11 from 12 to make a change (I changed from 13 to 12, ten days ago). I had a "Hard Wakeup" 4:45. Not that hard wake up is that unusual. When I glanced at my CPAP, I was pleasantly surprised to see AHI @ .7. *OA @ 4:42 with CA of 12s a couple of minutes later. This is around my somewhat usual disruption time.
Anything to be made of that hard wake up with with lowered pressure? Or to small of a sample size & looking to far into it?
Prior nights, CA & HY .5% & OA's .3%.
Merry Christmas! Slept all night! Started on RS woke up and changed sides. Tennis ball and collar. Just pesky CA's. **I've been consistently wearing the F20 w/Zzz pads (one complete + folded over Zz forehead pad over the bridge of nose)
I will sew in Tennis Ball tonight
Slept all night! F20 on loose side (cause of leaks) w/extra Z pads to help nose.
Started on side, I know I rolled towards back at some point, That partial cause of CA's?
CA's = 19s@4:10, 17s@4:40, 12s@6:30, 13s@6:40, 15s@6:45
Makes sense out of pocket vs Insurance coverage. If I go Bipap, I'm sure (?) Insurance will insist on a study to justify one(?). But, if my #'s are under 5, I'm not sure what insurance will say. But knowing what I know now, with settings, sleeping on side & collar. It would be interesting to see what Bipap would do,, with a good clinician.
I contacted my Sleep Dr, telling them I've cancelled my Bipap study since my AHI is under control & requested a new machine since its 5+yrs old.
*They said AHI looked good w/4.4 30 day avg. (I think 4.4 is a high avg., it probably still includes high #'s, from before we implemented machine changes & collar).
They want me to wait another month to make sure its controlled. If I wanted to move forward w/new machine now, they say my Insurance Company may request updated study. Saying they would start with one at home. Last one I had was in June and was no help at all. They just said I woke up a lot. Never had me lay on side, etc.
With that being said. Do you think CPAP is adequate for me? The only time I tap max pressure (18-20) is when I'm laying in recliner.
Do you think there will be much to gain with EPR beyond 3 that Bipap offers?
I just want to make sure I'm fully educated before going with new CPAP.
Last night with AirFit F30i & collar laying on side. Using this mask it seems like my API is approximately twice as high vs F20. *Could it be that my mouth may be opening w/F30i? *If so should this make a difference with Full Face? Design of F20 makes me think It would be less prone to letting my mouth open.
Concerning Leak Rate: New hose and reservoir arrived, but yet to install. On CPAP side of reservoir, one of the silicone seals look like it may be leaking, with slight deformation and a dark spot (from leak?)
Went back to F20 w/gel strip after giving the bridge of my nose a break with the P30i Nasal. Slept thru the night! I can probably count on one hand how many times I've done that in the last year. On side the whole night w/collar. Sinuses were unusually (naturally, w/no sinus meds) clear at night. A few nasal rinses during the day and kept humidity up in living room in evening.
The RemZzzs Mask Liners are on the way (Thursday). Not crazy about cost vs lifespan. We'll see. Just got done putting a little 1% Hydrocortisone on bridge of nose.
Glad to see that you have your mask figured out! That had to be very frustrating, especially if you were paying out of pocket and find out you invested in a bad mask setup quickly...At least I now have the data (OSCAR) and the help (You!). Your help and knowledge is much appreciated!
Kept settings the same, although I did find myself on my back a couple of times through the night.
Changed mask to AirFit F30i for the whole night. 1:00 wake up looks like due to hard leak, w/Leak & Flow Rate skyrocketing amd Mask Pressure plummeting. Not sure if I tightened mask @ 1:00 wake up (I had no idea at the time why I woke up - odd time for me), but definitely tightened mask @ 4:45.
I'll probably use AirFit F30i again tonight using the present mask tension.
Stayed with F20 last night to get a full nights sleep. I didn't want to chance experimenting with a new mask again.
13/20cm on side the whole night w/collar.