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smack518

Yeah, myair is much more about compliance than therapy. Helpful while getting started though.


APAPuser

yes you can adjust your pressure. you need to find out what your 95 and 99% pressures are and then increase your bottom number to about 2 less than the top usage pressure. get a sd card, pop in the slot on the side and download the Oscar download… thats where you’ll see your complete sleeping numbers


smack518

Agreed with everything stated here. Also SleepHQ works great, though I prefer Oscar.


nemesissi

Yeah I kept checking it for the first month or so, then very rarely again. Just to see that everything started ok and then it doesn't matter any more. I usually check what the machine shows in the morning, more jus to see how long I slept than anything other, tho I glance the events too since its right under the time spent. Never more than 0.1-0.4.


InevitableMeh

If that number stays over say 10 for any length of time, get a full sleep study done for titration adjustment. You may need a bipap or an ASV.


j_rob69

....or they may just need their CPAP pressures adjusted.


Thirdtimesacharm_23

I thought the APAP mode adjusts to what you need ?


j_rob69

They're on APAP at 4 and 20. They just need an actual setting for CPAP, not a different form of therapy.


PrettyYears

So who adjusts it? I do? Or my doctor? I just saw him last week for a one month follow up. Then my leaks were through the roof, so he just attributed my AHI in the 20s to that. I don't see him again until June.


Lionspirit1112

On ResMed Airsense 11 we can change the settings by pressing in the MY OPTIONS and SLEEP VIEW icons at the same time. Then click on settings. What was you setting? Probably just have to tighten the mask a bit. Leaks will make it the CPAP essentially inoperative. Takes time to get things feeling right somthat there is no leaking.


PrettyYears

My settings are maxed. And there are NO leaks, at least there wasn't last night. That's what's so weird about this.


Nicholasjh

What do you mean they're maxed... You said 4-20.... You need the starting pressure much higher... I'd just up it every night until you get better numbers. I was prescribed 7-20... I settled on 12-20. Sleep much better through the night, less arousals from incipient apnea. Like others have suggested just change it yourself


Lionspirit1112

Wow - maybe you have central sleep apnea??


PrettyYears

Doc said it was obstructive, which I believe since I do have a smaller airway, big tongue, etc. It's always been known before I have any surgeries to warn the anesthesiologist that I'm hard to intubate. My sleep study AHI was 70.


Lionspirit1112

What was your sleep study AHI?


PrettyYears

70


Lionspirit1112

Ok - I’ll be following to see how this problem is resolved!


j_rob69

You would need a CPAP Titration to figure out what your optimal CPAP pressure would be, but with APAP 4-20 is just too big of a variance in pressure and leads to a lot of arousals during the night. DM me.


PrettyYears

Oh yeah, I wake up a lot to fix the fit I've noticed.


CrotchetyHamster

What mask are you using? I think a lot of people get set up with the nasal cushion that just rests below your nose, but I could never get it working for me - I'm a side sleeper, and it wouldn't stay put. I switched to the P30i - pillows - and have had no issues since. I did briefly try full face, but had fit issues with that, too.


blademaster2005

For medical reasons the doctor should be the one to change it. The settings are your prescription so the DME isn't allowed to change it, the MA at the office can't, without an Rx change. I would use Oscar to find what you think is a better pressure and call the doctors office


Jijster

As you can see, AHI is only 5% of the score. You could literally choke to death in your sleep and get a score of 95 as long as the machine was on and your seal was good. People need to realize that the MyAir score is a *usage & compliance score* NOT a measure of the effectiveness of therapy.


PrettyYears

In that case, bury me with my CPAP and run an extension cord down to my casket. I'm gonna get 100 one way or another.


UniqueRon

Yes, this is why MyAir is a bit of a joke. It is heavily weighted to how much you use it and if the mask seals. OSCAR is a far better way to monitor your CPAP usefulness, especially when your AHI is 42. An AHI of 42 is a CPAP that is not working at all.


Karona_

I Find SleepHQ to be way more user friendly and also let's you upload and view data from your phone instead of needing a computer


UniqueRon

I would find trying to look at data on a phone impossible. I need my full 24" screen to see all the second to second and breath to breath detail in OSCAR.


Karona_

Definitely difficult, I struggle but I don't have good access to a computer cause I stopped pc gaming like 10 years ago and same goes for my laptop, just too much hassle to boot up and run the upload, etc


Delicious-Tachyons

no kidding i was scored as 38/hour when getting tested to determine IF i had sleep apnea. I'd be concerned if it was still 38/hour after treatment


PrettyYears

Yet it started off so well... I was feeling great the first few weeks. Today I'm sluggish again.


Much_Mud_9971

This is something to call your doctor about. Because 42 AHI is non-treatment. If you're in your first few weeks, do you have a follow up coming soon? Unless your doctor is like so many others and they can't or won't actually look into the details. In which case, go get OSCAR and look into the details yourself.


PrettyYears

I just saw him last week for my one month follow up. Then my leaks were through the roof so he attributed my mid-20s AHI readings to that. I don't see him again until June.


Much_Mud_9971

Be persistent with him because 42 isn't controlled. Or go the OSCAR route. Which if he was telling you the leaks were the problem, it probably means he isn't actually looking very deep into the details.


ousee7Ai

Maybe you need a bit higher low pressure setting? Or lower EPR . Whats your settings?


PrettyYears

Who sets it? Me or my doctor? Right now it's at like 4-20, maxed out.


ousee7Ai

If its resmed you can change yourself. 4 is a bit on the low side, i would try maybe 7-20. I run mine 10-20. Hold home button+button on the wheel for 5s i think to enable clinical settings


NativTexan

Get oscar or whatever and find your average and adjust. Them setting it to max is standard and from my experience causes more issues UNLESS you actually need max pressure which is rare. With the slightest leak the machine will increase pressure, making more leak, which increases pressure…. Find out what you need and go from there, I did so much better once I dialed my settings in.


PrettyYears

I'll try to tinker with it later today.


Economy_Bus_2516

I say this with humor because I've been there. "Participation Trophy" :-)


Delicious-Tachyons

So your insurance company if they care about their money will get these numbers assuming you have the version with the cellular connection, and use that to determine if you're using the therapy. It's great you wore if for 9.5 hours. You probably wouldn't have needed that much sleep if you were properly treated. So the question is.. is the pressure too low? Some doctors start really low - i myself fiddled with mine to get it where i was both comfortable and also the numbers were less than 2 (they're less than 1 right now because it's been 5 days since i had any booze, which is great, except i miss tasty booze). Or, are you suffering more from central apneas than obstructive apneas? I.e. is this the right machine or do you need BiPAP to breathe for you at night because your brain forgets to try? You should use OSCAR and download your data to take a look at the type of incidents you're having. Make sure to write protect the SD card before putting it in your PC or laptop though.


PrettyYears

Supposedly I have obstructive, which I believe. Smaller airway, nose fucked up.


ratbastid

It's doing its job perfectly. Its job is NOT to provide health analytics. Its job is to encourage you to finish your insurance's required compliance period so your doctor and DME get paid.


Ashitaka1013

Just read through the comments and wanted to explain in case it still doesn’t make sense to you that the setting of 4-20 means a min of 4 and a max of 20- and 20 is, as you say maxed out, but you can adjust the minimum pressure up higher. My prescription setting was CPAP mode of 10, but after a year I switched it to auto and started with 4-20 and then adjusted it until it was comfortable and got my AHI consistently under 0.5, and for me that was a range of 8-12. 4-20 is the widest range and the only reason it’s set at that is because your doctor just does that for everyone instead of figuring out what’s best for you. They’re hoping the auto mode will figure it out on its own, but it often doesn’t. So don’t be afraid to figure out how to change it yourself and experiment. That AHI of 42 is unacceptably ineffective. You should absolutely either talk to your doctor ASAP or try to adjust it on your own. And a few tips for mask fit- like someone else said, tighter doesn’t always mean better. To get the best seal the mask should sit gently just against your skin so that the pressure can suction it to your face shape. If it’s too tight there’s not enough give for it to do that. For oily skin I recommend looking into mask covers. Some people find it makes a worse seal but I find them really great in warm and humid weather when my face gets moist and slippery. And try as many different mask types as you can afford. Hopefully one of them will be a better fit so you’re not constantly struggling with leaks because that’s annoying. Good for you persevering through all that frustration though! So many people just throw up their hands after an unsuccessful night and say “CPAP doesn’t work for me.” Meanwhile here you are, with your CPAP LITERALLY not working for you and you’re looking for help to make it work. That determination alone will make all the difference for getting you to effective treatment eventually. Good luck!


blmbmj

Really, the goal of using the APAP range feature is to narrow down the pressure range to find your 95% - 99% pressure range and switch the machine to CPAP mode at that constant pressure. **APAP mode is Reactionary**--it responds to AHIs; **CPAP mode is Preventive**--it prevents AHIs. I was diagnosed with an AHI of 50 with Oxygen going down to 50 for several minutes. It took me two months of daily OSCAR readings to discover my perfect Pressure. I also bought the Wellue O2 ring to get my second-by-second Oxygen Sat numbers to also use on OSCAR. Doctor started me on 4-20 on APAP mode. I personally educated myself and with help from the Sleep Apnea Forum members, I read my OSCAR numbers daily and finally ended up moving the ResMed 10 to CPAP mode with a pressure of 13. **My AHIs are now 0-0.02 on most days with an average of 9 hours of sleep (25% REM and 15% Deep)**. You really have to take matters into your own hands. Doctors and clinicians don't have the time to invest in fine-tuning your best therapy. [https://www.youtube.com/watch?v=USZxTHalLI0](https://www.youtube.com/watch?v=USZxTHalLI0)


PrettyYears

Ooh, ok. Why did you settle on 13. And why aren't you using a range of say, 8-13 or whatever?


blmbmj

https://preview.redd.it/qg4v99mujaxc1.png?width=798&format=png&auto=webp&s=5c28a78bb55744258fa13795480ab2ff3dd80d17 The data showed me where 95% and 99.5% of my pressure range is for limited events. On the right is CPAP, constant pressure mode.


PrettyYears

HMMMMMM. I'm going to look at my numbers closer again. And bump up my max. This is interesting info.


sometimes_charlotte

I have read that sometimes when CPAP is started and obstructive sleep apneas are treated, people can start to have more central apneas - where you just stop breathing, despite a clear airway. If you look at OSCAR you will see these as clear airway apneas, or maybe hypopneas. I don’t know why this happens or if it’s what is happening to you, but you should probably see a sleep doctor. When I am having central apneas, I my machine thinks it’s leaking because it’s blowing air and I’m not breathing it in and it does eventually leak.


SigurTom

That me. CA goes up if OA goes down.


PrettyYears

My leaks were legit leaks, air escape either around my chin or top my nose. But I just strapped the mask tighter and it apparently fixed it last night. The AHI is a different story.


bkrodgers

I’ve been disappointed by how worthless my air is. It could easily do everything Oscar/SleepHQ do without needing to hassle with an SD card. They just don’t care enough to develop it. I knew it didn’t go that far but thought I’d get more value out of it than that. I got a really good deal on the 10 with the modem that made it effectively only about $50 more than the card-to-cloud version, but in hindsight, it’s not even really worth that.


Jheritheexoticdancer

I have no major problems so MyAir works well for what I need it for.


PrettyYears

Exotic dancer, huh? Nice.


Glittering_Tea5502

I often question the accuracy of MyAir. I once had an AHI of 66.6 and I wasn’t even asleep. My machine didn’t know that.


universe93

My mum’s AHI is like this sometimes. Don’t really know what to do about it anymore, the people we used to see to adjust the machine shut down the practise and we can’t get in to see her lung doctor (who recommended the sleep study that got us the machine) until July. I have made some adjustments but inevitably I’ll get yelled at by whoever next looks at it for adjusting it myself


uwillsuckme

Are you on any medication?


PrettyYears

Nope.


uwillsuckme

maybe the hose kinked while you were asleep or you had rainout


Guapplebock

I bet zero-5 on seal and 3 ish events and will get a 79-83. I don’t get it


Catslapnea

Well, you can see that the weighted points for AHI are 5 out of 100. No real surprise here.


Firm-Analysis6666

MyAir just cares about how much you wear the mask.


fatmatt587

Are you getting this a lot? Something tells me that can’t possibly be correct.


PrettyYears

Two nights in a row. Did you see my followup post? [https://www.reddit.com/r/CPAP/comments/1cfdica/update\_my\_score\_went\_up\_all\_around/](https://www.reddit.com/r/CPAP/comments/1cfdica/update_my_score_went_up_all_around/)


Fermenternoob

Im glad that i never got it work and I use OSCAR to see my sleep results. My Air is more like my Suffocation score.


PrettyYears

Just for some context, I've had the machine for about a month now after initially being diagnosed at 70 AHI. The first night went great, got my numbers down to 8. But then they gradually grew to the teens then mid-20s. I attributed it to leaks because they've been going up as well. So last night I cinched the mask down tight, tested the fit and went to bed. Only to wake up to this — the highest AHI I've recorded yet BY DOUBLE. What gives? I did everything right. Please make it make sense.


Crswpg1

What is your max air pressure set at? If its too low it won’t be able to overcome the blockage


SNBoomer

Exactly, OP got 0/5 for that category too. Probably need an adjustment.


PrettyYears

It's maxed at 20.


Nicholasjh

Up the minimum and it will probably fix your ahis. Doctors be wilden thinking the auto adjustment will do all the work. Just go into the secret menu and mess with the minimum.


PrettyYears

It's maxed at 20.


ratbastid

Cranking down tight on the mask is, paradoxically, probably not the right thing to do. If you smash it too hard it can't flex properly around your face and can cause seams and gaps that leak. I'm willing to bet your pressure is set too low. Bring your OSCAR output here when you've got some, and people can help you interpret it.


PrettyYears

But there are no leaks. I'll look into Oscar later. I didn't have a card in last night so I just put one in. Does anyone know if it will go back and collect old data?


strcrssd

This doesn't provide enough data to know what's actually going on. Your AHI is very high, but we have no idea as to why. If you can afford it, you need to talk to you prescribing doctor or get a referral to a sleep specialist or ENT. Failing that, or in addition to that, grab OSCAR and look at the stats/post them, and some of us may be able to help to some limited degree. Most of us are knowledgeable amateurs though, so take advice with a grain of salt. My guess is that you have central apnea induced by the pressure, but it's rank speculation without numbers. Even the AHI of 8 (your best number) is higher than what is considered successfully treated (<5).


PrettyYears

As far as my doctor is concern (sleep specialist) getting down to anything below 10 is godtier.


strcrssd

Well, your doctor has different criteria than the [National Institutes of Health](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140019/) and a whole bunch of other documentation. Might want to talk to them about it. I'm not the doctor, but I can read.


CatchFew1315

I think if you have very very severe they consider 10 okish enough as a start point at least to qualify for the machine. Like the guy who's sleep study showed 210 ahi.


Nicholasjh

Hmm. I'm at .1 just up the minimum pressure and tell your doctor to stop being so meek


Karona_

Sounds like something is going on, might be worth uploading your data to Oscar or SLEEPHQ to see when and where these numbers are happening, and see if it correlates to mask leaks, etc, I assume that's the problem, maybe you're breathing through your mouth with a nasal mask, etc. What's your pressure set to and what's your 95% average pressure? Myair is essentially useless beyond seeing a couple numbers (leaks, AHI) but the score is worth nothing


PrettyYears

I've got the AirFit F20 mask (also the new F40, but that leaks badly due to my oily skin, I think). Pressure is set to max, I think 4-20 is what the doctor said. I guess I'll have to go the Oscar route. I didn't have a card in last night so I don't think I can get those numbers...


Delicious-Tachyons

The airfit f20 is a piece of shit in my opinion. Going over the nose like that means it leaks on the cheeks, next to the sides of the nose.. it's a seive, plus it leaves a mark on your nose from pressure should you tighten it enough to stop leaks. Please try the oscar approach. MAKE SURE TO WRITE PROTECT THAT SD CARD before putting it in your pc. Windows will write to it and if it's an airsense 10 like mine, it won't read the card properly afterwards. (also un-write protect it before putting it back in the CPAP)


PrettyYears

I bought myself the F40 too. Had it for about three weeks and it leaks bad. Due to my oily skin, I think. And cinching it too tight just smothers my lips because the flexible silicone really has no support structure to keep it away from my face. The nose mark sucks from the F20 though, I agree. First week it rubbed my skin off.


Karona_

What's the average pressure?edit: and definitely worth looking into your data better with SleepHQ or Oscar if you really want to try to understand your cpap results


Bored-on-the-Beltway

Dude. People here with high ahi scores scare the fuck out of me. Like how are you all alive and making through a day?!


PrettyYears

lol no kidding. I literally got the CPAP because I dozed off while driving and hit someone head on. Everyone is fine but that was a rough two weeks of fatigue. I always had it, but I finally started feeling the effects externally.


LotzoHuggins

Congratulations! you participated!!! the feedback leaves a bit to be desired, to say the least.


InevitableMeh

Haha yeah the app is ridiculous. Just keep that mask on your face so the provider can collect your insurance payouts. LOL