I work mainly with face to face discussion, but I use written information for patients who need it and pictures as well when writing is not suitable. Indeed, anything I can reasonably do to help a patient understand whatever they need to understand, I will do.
I must admit that the icon-based menu on the Icon CPAP annoys me to no end. Also the humidifier chamber is hard to clean and the lid can be fiddly, but otherwise it's a fine machine. Did you know that it can work as a clock and play your favourite music as an alarm?
We certainly only use sleep time on our home studies, not time in bed. I imagine it depends on which sensors are used in recording the data.
Actually, it is far more likely for a home study to overestimate AHI, and often by a very large amount. They can also underestimate but this is far less common. As a lab based study usually has a lot more sensors, this allows detection of other causes for an arousal besides respiratory, which will reduce the AHI. Because a home study has fewer sensors, almost every arousal detected will be classed as an apnoea or hypopnoea because it is not looking for the other this which could be responsible for that arousal. Sorry if that doesn't make sense. I've just finished a 13 hour shift.
Patient education is a major part of my role. In general the better educated the patient, the better the outcomes. However, I know that this view is not shared throughout the industry. It is also worth remembering that some people are unable to understand much due to language or intellectual hurdles, and other people really want to know as little as necessary, so I try to tailor what I do to suit the needs of each individual patient.
The pressure your ramp starts at is all about comfort, so if it is comfortable then it is right. It's that simple.
Ha. I'm not sure if I could. I can be to honest for my own good sometimes. I work at a facility that provides studies and treatment to patients free of charge, so I have no vested interest in whether someone is treated or not, or in what form of treatment they use. My job is just to help, which is nice.
Are you starting at a pressure of 11? CPAP is more likely to induce central events, especially at onset, at higher pressures. Perhaps you could set a ramp and start at 4 cmH2O. Once you have settled into sleep the problem will most likely go away.
Overall, apart from a few peaks in the middle, your leak rate is pretty good. However, if it is bothering you then it is a problem. Are you sure that you have the right size of mask. With the Simplus, the top of the mask cushion should be at the bridge of your nose and the bottom of the mask cushion should be comfortable below you bottom lip. If the mask is to big the bottom of the mask may fall below you chin and create a leak. If it is too small it may go into you mouth if it opens and create a leak. Another common problem I see with many masks is that people over-tighten the top straps. This pulls the masks upward, which causes leaks into the eyes so the patient tightens the top straps more and pulls the mask up further making the problem worse. Generally, you want to top straps to be going straight back just above your ears, and the bottom strap should be pulled low down of the back of your neck. This helps to pull the mask into your face instead of up it. I can't help much more than that without being able to actually see the thing.
I am not very familiar with the AirFit F30 so I can't really give you much help with that either.
Why not just connect your hose to your machine, without the mask attached, and run some air through it for 10 minutes? That should dry it.