First night with Resmed P30i mask

Just bought a Resmed P30i. And used it 9 hours last night with 1 bathroom break. Had a leak rate of zilch and I didn't need to crush my nose to get a good seal like I did on the AirFit F40. And the nose piece didn't move like on the P10 (which also sealed well) due to the straps and the hose in front. I do tape my mouth and wear a Ruby style chin strap

Based on my flow limit though, I might have to wear my Caldera soft collar tonight and see if that helps.

Now if my body would hurry and adapt to this therapy I'd be happy and much less tried despite 9 hours.

Are you having any nasal congestion?
If not....try adding in EPR at 3 to your settings and see what happens with those FLs.

Please review this thread with examples of what to show on your reports that you share.
http://www.cpaptalk.com/viewtopic/t1585 ... eview.html

Pugsy wrote: ↑

Thu Oct 31, 2024 3:29 pm

Are you having any nasal congestion?
If not....try adding in EPR at 3 to your settings and see what happens with those FLs.

Please review this thread with examples of what to show on your reports that you share.
http://www.cpaptalk.com/viewtopic/t1585 ... eview.html

I do suffer some congestion. I do a daily Flonase and a nevage nasal rinse about an hour before hitting the rack.

I was having a lot of CA's with very few OA's when first put on therapy. Removing EPR and switching to CPAP seemed to help. I'll try putting some EPR back in and give it a go. I do have my first phone appointment with a sleep Dr. Nov 13th since getting my machine.

Thanks!

If those FLs are related to nasal congestion then adding EPR won't help but worth trying.
Going to be either that or more baseline pressure is going to be needed but I don't know just how critical those FLs are.
They are ugly for sure but I have seen worse and sometimes the cure is worse than the disease.

Pugsy wrote: ↑

Thu Oct 31, 2024 3:50 pm

If those FLs are related to nasal congestion then adding EPR won't help but worth trying.
Going to be either that or more baseline pressure is going to be needed but I don't know just how critical those FLs are.
They are ugly for sure but I have seen worse and sometimes the cure is worse than the disease.

I saw that my theraputic pressures were hitting about 10.8 while on APAP. So went with 11.4 CPAP with no ramp and EPR 2 then 1 then EPR off. The thought was that as I'm new. I might be a bit sensitive to the pressure changes on APAP and EPR and keep getting mildly awakened and hence the super tiredness I feel.

I did back off the pressure to 10.2 because of that recalcitrant AirFit F40 and it's leaks (noise) that woke me. It was comfy (at first) but kept riding up my chin and pushing much too hard on my nose. So much so that the nose pain was waking me. So I'll also return to 11.4 and play with those EPR's and see what happens.

Thanks again

The FL's are a little bit better as are the number of logged events. Still lots of what look like awakenings.

What doesn't help is that I'm suffering terribly from dry eye and a lacrimal duct blockage (stone) of my left eye. Hard to tell the diff from tired sore eyes or medical condition sore eyes or if it's both. also a bit of restless leg. And all those could be adding up to not getting sleep and not sleeping well when I do fall asleep.

After being in therapy for 6:38 last night. I shut off the machine at 5:18 laid my head back down and promptly went to sleep for 90 more minutes and even remember a dream I had. So I can sleep a bit.

I guess the first question for the Dr. on Nov 13th is going to be, Am I just having a hard time adapting to pressurized air with the added eye/leg issues throwing me over the edge of restless/no sleep?

also threw in a blow up of some nutty breathing.

super7pilot wrote: ↑

Fri Nov 01, 2024 10:16 am

also threw in a blow up of some nutty breathing.

That's normal awake/arousal breathing. Nothing nutty about it since you weren't sound asleep.
Now what caused the arousal/awakening....million dollar question.

I suppose it's the four issues I am dealing with right now.
1, New to PAP and body is resisting.

2, My diagnosed dry eye issue. Appt with Dr. on Nov 12th for a lipiflow treatment to (I hope) get the oils flowing again. My eye hurts and burns 24/7

3, Lower back issue from arthritis causing a bit of nerve stenosis and leads to foot neuralgia on the left foot. So I get a bit restless and move my leg & foot a lot right after going to bed. Strange that my lower back doesn't hurt that much and I'm mobile.

4, hit & miss sinus congestion. Not totally clogged at all. some nights it's clear as can be. other nights it's just some resistance to inhalation and I get the nostril to nostril stuffiness dance going.

Even though one can't always be on them and I haven't taken a decongestant in 25 years . I might try a nasal decongestant for one night to see what that does. Always a gambit though when one is dealing with multiple issues that might effect sleep at one time.

And If I win that million. I'll donate a bunch to the two apnea forums I joined recently. Both have been a great source of good info and calm in this new storm I'm in.

super7pilot wrote: ↑

Fri Nov 01, 2024 12:33 pm

I suppose it's the four issues I am dealing with right now.
1, New to PAP and body is resisting.

2, My diagnosed dry eye issue. Appt with Dr. on Nov 12th for a lipiflow treatment to (I hope) get the oils flowing again. My eye hurts and burns 24/7

3, Lower back issue from arthritis causing a bit of nerve stenosis and leads to foot neuralgia on the left foot. So I get a bit restless and move my leg & foot a lot right after going to bed. Strange that my lower back doesn't hurt that much and I'm mobile.

4, hit & miss sinus congestion. Not totally clogged at all. some nights it's clear as can be. other nights it's just some resistance to inhalation and I get the nostril to nostril stuffiness dance going.

Sounds like #2 and #3 are significantly affecting the quality of your sleep.

In other words, until the eye problem is better under control and your other pain/restless issues are addressed, you probably aren't going to be sleeping all that well. The CPAP will prevent the untreated OSA and its apneas & hypopneas from occurring, and that will mean there's one less thing interfering with your sleep, but that may not be enough for you to sleep well with the machine just yet.

May have to hand over the dead blow mallet to my wife and she can administer a sleep aid that bypasses all that other stuff

Well, At least the P30i mask has been a success in dramatically improving my under pressure therapy time and it's pretty comfy. I still want to get out the sewing machine and make an improvement to the F40i head gear so the top strap doesn't pull the mask up into my nose so much.

Pugsy wrote: ↑

Thu Oct 31, 2024 3:29 pm

Are you having any nasal congestion?
If not....try adding in EPR at 3 to your settings and see what happens with those FLs

Could you please help me understand why adding EPR would effect FLs? Does that reduce the pressure to allow for easier exhalation? I would have thought that the decreased pressure on exhalation would bring. Ore comfort but inxrease FLs!

robysue1 wrote: ↑

Fri Nov 01, 2024 12:51 pm

super7pilot wrote: ↑

Fri Nov 01, 2024 12:33 pm

I suppose it's the four issues I am dealing with right now.
1, New to PAP and body is resisting.

2, My diagnosed dry eye issue. Appt with Dr. on Nov 12th for a lipiflow treatment to (I hope) get the oils flowing again. My eye hurts and burns 24/7

3, Lower back issue from arthritis causing a bit of nerve stenosis and leads to foot neuralgia on the left foot. So I get a bit restless and move my leg & foot a lot right after going to bed. Strange that my lower back doesn't hurt that much and I'm mobile.

4, hit & miss sinus congestion. Not totally clogged at all. some nights it's clear as can be. other nights it's just some resistance to inhalation and I get the nostril to nostril stuffiness dance going.

Sounds like #2 and #3 are significantly affecting the quality of your sleep.

In other words, until the eye problem is better under control and your other pain/restless issues are addressed, you probably aren't going to be sleeping all that well. The CPAP will prevent the untreated OSA and its apneas & hypopneas from occurring, and that will mean there's one less thing interfering with your sleep, but that may not be enough for you to sleep well with the machine just yet.

Well, after last night. I think it's a lot to do with sinus. With the other things added in for extra torture. It's just crazy. I use Flonase every day. I rinse my nose via a Nevage machine about an hour before bed. And my nose feels great and super clear. Put on the P30 mask and the moment my head hit the pillow the right nostril went awol. DANG IT! Took off the mask and sat up on the edge of the bed. Nose instantly went totally clear. Laid back down and the left nostril went awol. I just don't get it.

So slept without a CPAP and the nose was doing it's left/right stuffy dance all night (that I could remember) Got up this morning. Boom! the nose went clear the moment I got off the pillow and has been clear ever since. I swear I'm in an episode of the twilight zone.

This does not bode well for me and CPAP. It will likely be relegated to the back of the closet. I really want to use it though. But I just don't know what to do.

super7pilot wrote: ↑

Sat Nov 02, 2024 11:34 am

[ It's just crazy. I use Flonase every day. I rinse my nose via a Nevage machine about an hour before bed. And my nose feels great and super clear. Put on the P30 mask and the moment my head hit the pillow the right nostril went awol. DANG IT! Took off the mask and sat up on the edge of the bed. Nose instantly went totally clear. Laid back down and the left nostril went awol. I just don't get it.

Were you lying on your side by any chance when you lay down in bed? If so, which side?

Also, please keep in mind that some people's noses are just a whole lot more picky than other people's noses are when it comes to the selection of a mask. Some people's noses just plain don't like nasal pillows masks like the P30. Some noses just don't like anything touching the area around the nostril. Some don't like the feel of anything being even slightly inside the nostrils. And some noses don't like the feel of the air being blown in through the pillows.

In other words, your nose may be a nose that would simply prefer a different style mask. Perhaps a nasal mask or even a nasal cushion that rests against the bottom of the nose but does not have the cones that are inserted ever so slightly into the nostril with a nasal pillows mask.

So slept without a CPAP and the nose was doing it's left/right stuffy dance all night (that I could remember)

The plot thickens: If the nose kept getting stopped up when you were not using the CPAP, then you can't blame the (entire) nose problem on the CPAP.

For what it's worth: Back in my pre-cpap days, there were lots of times where I would be rolling from side to side because whatever nostril was on bottom would get seriously clogged up and make me feel restless. Certainly it happened more when my seasonal allergies were acting up. It also was more prone to happening if I was sleeping in an air conditioned room or if I was sleeping under a fan. Sometimes it would also happen a lot during the first week or two we had the heater on in the fall. And it most definitely would happen if I was coming down with a head cold. But sometimes? It just happened for no reason that I could discern. And on the worst nights? Yeah, it felt like I was turning over every few minutes while getting very little sleep.

During my early CPAPing days I was having so many different kinds of problems. Nasal congestion that would start just as I put the mask on and tried to get to sleep was sometimes a problem. But since I had been dealing with the "toss from side to side because my bottom nostril felt completely blocked for years, I never really attributed the problem to CPAP. I did find that once I started being more conscious of nasal hygiene and started using a nasal rinse plus flonase, I had much less of a problem; but it didn't completely eliminate the problem. I also made sure that I was always using a hypoallergenic filter in the machine. (They cost a bit more, but do a good job of filtering out pollen and dust allergens.)

Now? Its been years since I've regularly used a nasal rinse or flonase unless my daytime allergies are acting up. And the nose finally got use to the CPAP and now I seldom have this problem.

This does not bode well for me and CPAP. It will likely be relegated to the back of the closet. I really want to use it though. But I just don't know what to do.

Please re-read what you wrote: "So slept without a CPAP and the nose was doing it's left/right stuffy dance all night (that I could remember)". Your nose problem continued all night long even after you made the decision to sleep without the CPAP. In other words, your nose problem is not being caused by the CPAP machine.

Now, it may be true that you are more aware of the problem now that you ever were before you started trying to make CPAP work for you. But that doesn't mean the problem is being caused by the machine.

Yes robysue, Hope I didn't infer that the nose issue was from the therapy. The nose issue along with all the other niggles I'm having are making it hard to try and be compliant. Feel like I'm playing whacka mole and my frustration is high. I often wonder if this CPAP business is worth starting in my late 60's.

I have for years slept on my side as I was diagnosed with apnea quite a few years ago and used the adams nasal pillows with a CPAP and tolerated them just fine.

But back then. The Dr's said that I didn't fit the normal apnea patient profile in that I was young and fit. I had a very large uvula, large tonsils, large base of tongue muscle. So they recommended UPPP surgery.

I had that surgery in 2001. That was hella painful. But it worked for 23 years. But now it (apnea) has returned. My ENT likened that UPPP surgery to medieval medical practices. They do not do that surgery anymore.

I 'think' part of my issue is that I seem to be sensitive to the pressure changes of the APAP mode when it ramps up to blast pass the stuffy nose. But I could be wrong.

I have tried the new Resmed F40i mask. And I liked it for the most part. But the one buggaboo is with the top straps. Resmed as made the top strap a big curvy thing to stay away from folks eyes. But in doing this they made the angle of the velcro strap with too much an upward tilt. So when I tighten it to cure a leak. It pulls the mask up much more than pulling it into my face. Which then imparts enough force to drag the mask up my chin and painfully compresses my nose and makes leaks worse. Seems a form over function thing resmed did. I'm looking at a mod to run a strap from the upper curvy one down to the rear of the lower strap. I'm trying to pull the mask in at a 90 degree angle into my face instead of the 45ish it now has and sliding it up my face.

Shnoozer wrote: ↑

Fri Nov 01, 2024 10:29 pm

Pugsy wrote: ↑

Thu Oct 31, 2024 3:29 pm

Are you having any nasal congestion?
If not....try adding in EPR at 3 to your settings and see what happens with those FLs

Could you please help me understand why adding EPR would effect FLs? Does that reduce the pressure to allow for easier exhalation? I would have thought that the decreased pressure on exhalation would bring. Ore comfort but inxrease FLs!

Shnoozer, I think it was just an experiment to see what would happen. As you can see from robysue1's reply elsewhere on the forum to my post asking about FL's. The flow limitation is complex given that the info surrounding it is sorely lacking from the manufacturers. Just that higher is worse, lower is better. I was just searching for a scale so I could compare how much worse a .37 FL was to a .07 FL. Higher EPR's for me brought on more treatment emergent CA's.

Like you. I'm new here and trying to absorb a lot of info. And it can be pretty confusing as well as seemingly counterintuitive at times.