DankShroud wrote: ↑Tue Apr 10, 2018 2:19 pm
So I need more pressure? How am I supposed to get rid of these!!
These what? The unflagged probable OA?
or the SWJ central?
Are you expecting that if you have zero events of any kind that your sleep will be perfect and you will feel like superman?
How come so many breaks in therapy last night April 9th?
The first group of centrals during that short segment of use at 19:00....I am betting you never went to sleep and they are all SWJ.
Then you have a gap in use until approx 21:00 and again a short period of use with some central clustering and again you probably weren't asleep....then another gap in usage until 22:00...then solid use until roughly 8:00 AM...then another gap and about 90 minutes of usage.
Why so many gaps and during the time from 22:00 until 8 AM...do you remember waking often but you elected to continue using the machine?
Did you know that the best and most perfect AHI in the world doesn't mean squat if your sleep is crappy for some other reason?
My personal opinion...you are likely using way more pressure minimum than is needed for the obstructive stuff and you are worrying about centrals that most likely aren't real and you need to take a hard look at more than just the AHI numbers.
I suspect crappy sleep in general..now what is causing the crappy sleep quality and arousals... I don't know but I think that you are using an atomic bomb to try to totally eradicate everything in hopes that's the miracle needed so you feel like superman but it's not happening because that's just what life gives us sometimes. Not all our problems are related to sleep apnea and they can't be fixed by the machine if those problems are related to something else. I can understand trying and wanting but that doesn't mean it's going to happen.
Been there and done that myself.
Even if ever single one of your flagged centrals were real (which I seriously doubt anyway) there's not enough of them for a doctor to want to do anything about except maybe watch them.
Your obstructive events...the OAs and hyponeas...the count is so low that they aren't going to alarm a doctor.
Now what might be happening is you are having a lot of those borderline non flagged events and those might be causing sleep disturbances and arousals, etc.
Here's what I suggest before yielding to the knee jerk reaction of "more pressure"...
Go into SleepyHead and into Preferences and make some user flagged changes so that SH will flag those flow reductions that the machine isn't flagging for whatever reason.
It's Preferences/ CPAP tab and lower left corner turn on custom event flagging.
Make something like 30% and maybe 5 seconds and see what happens. You will most likely have to do a rebuild of the data...and that's found under Data on the top menu.
Then at that time evaluate what the pressure was doing when/if you see a lot of those non flagged events that otherwise you wouldn't know about.
The centrals...you are going to have to ignore them for the time being. I don't think that pressure is causing them and we can't fix them with this machine anyway. I think that most likely they are a symptom of crappy sleep and not the cause of the crappy sleep.
Now figuring out the cause of the crappy sleep....can be really difficult. It may or may not be related to airway collapse.
I may have to RISE but I refuse to SHINE.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
