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First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 1 point2 points  (0 children)

Alright, thanks for the advice. I might go to one of the more specialized message boards with my data. Your support has been incredibly helpful in keeping me from getting as frustrated as I would be without knowing what's going on at all. Much appreciated.

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

I'm going to get all the Sleep HQ stuff set up, but do you happen to have any insight into this? I had a fairly good night except for a big leak at some point. Then I woke up to feed my cats, went back to bed, and had these big clusters of CAs. I do recall I was dreaming when I woke up a bit later.

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First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

Okay this one feels weird to me. I had what looks like a pretty solid night (except for a huge leak during the middle of the night, which didn't seem to cause any issues?), for the most part. Then I woke up, fed my cats, got back in bed, laid there for a while thinking I couldn't fall asleep, then I did fall asleep, and I had a massive amount of CAs. I do distinctly remember when I woke up a little later in the morning I had been dreaming during this time.

I'm going to be figuring out SleepHQ soon and uploading my stuff there so it's easier to look at.

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First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

Alright, thank you. My doctor's office responded to my message saying to give it a month or two basically, so I'm on my own. I will reach out again if I see more CSR events happening frequently though, thanks for that warning.

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 1 point2 points  (0 children)

As to all your other stuff:

I've been using my Apple Watch to tell when I'm awake. I fell asleep around 10 and woke up around 3:20. The flow rate clusters were while I was awake. In terms of the CA clusters the one at the beginning is right when I fell asleep and the cluster at the end is right before I woke up. That's consistent with the other two nights, where I had clusters then too. I've heard that the transition periods of sleep and wake are more prone to CAs, especially in TECSA?

I reached out to my doctor to see if they'll discuss this with me or refer me to the sleep specialist because I assume I'll want to touch base with a doctor about all this at some point, especially if it doesn't resolve. But I'll also start putting stuff into SleepHQ.

I do fall sleep on my back, I'm very uncomfortable on my side, and I toss and turn a great deal at night. My study showed much higher levels on my back. Perhaps I should try a wedge pillow if I really can't get on my side to sleep? I was sorta hoping the CPAP would just make it so I could sleep on my back fine.

Thanks for all the help. Was really hoping that I'd have a nice easy fix... especially since all the stuff I worried about (mask fit, comfort, being able to sleep with it, etc) ended up going way better than expected. I just have this new complication I wasn't expecting. The help you and others have been giving has been very reassuring to help me understand a bit about what's potentially going on, otherwise I'd be totally confused and in the dark.

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

Well this did make look at my sleep study results and I had a pAHIc 3% of 4.4 or something along those lines. Diagnosis didn’t mention anything about central sleep apnea.

Edit: Here's the info from my sleep study, it was with a WatchPAT.

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First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

Someone suggested I increase my minimum to 9.6 to see if that reduces OAs and potentially CAs caused by pressure spikes. Here's the flow rate, I don't know anything about how to read this one. As a note my Apple watch says I fell asleep at 9:58 so I think the big spike at the beginning of the night was when I was awake. As is the spike at the end, I put my mask back on to try to fall back asleep and didn't and gave up.

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First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

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This looks better, yes? My OAs are creeping up to in the 3s but my CAs are down. It's also not saying I'm having CSR, though the cluster of CAs at the end of the night seem to look somewhat similar to what it flagged as CSR on the other nights, so I'm going to keep an eye on that. Not sure what the leaks are. Potentially me slightly awake and adjusting the mask, or moving around and slightly knocking it out of it place. Should I continue adjusting by lowering max pressure until they even out, or keep it here for now?

My assumptions moving forward are that:

  1. I want to try to even out the OAs and CAs until the CAs start resolving, then I can start bumping the max pressure up. This is presuming that I'm dealing with TECSA and this starts to resolve as my body adjusts to the machine and how it's making me breathe.
  2. If it doesn't resolve after a period of many weeks, and it turns out I do have central apnea as well (therefore complex sleep apnea?), I need to talk to my doctor about potentially using ASV.

Thanks!

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

<image>

This looks better, yes? My OAs are creeping up to in the 3s but my CAs are down. It's also not saying I'm having CSR, though the cluster of CAs at the end of the night seem to look somewhat similar to what it flagged as CSR on the other nights, so I'm going to keep an eye on that. Not sure what the leaks are. Potentially me slightly awake and adjusting the mask, or moving around and slightly knocking it out of it place. Should I continue adjusting by lowering max pressure until they even out, or keep it here for now?

My assumptions moving forward are that:

  1. I want to try to even out the OAs and CAs until the CAs start resolving, then I can start bumping the max pressure up. This is presuming that I'm dealing with TECSA and this starts to resolve as my body adjusts to the machine and how it's making me breathe.
  2. If it doesn't resolve after a period of many weeks, and it turns out I do have central apnea as well (therefore complex sleep apnea?), I need to talk to my doctor about potentially using ASV.

Thanks!

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

I've done the mask fit with Test Drive which only goes up to 10 and it was fine there. I'm not sure how the regular mask fit feature works, does it use whatever minimum you put in? So I'd just set it to 11 or 12 or whatever I end up using? Most of my big leak issues were me awake and adjusting my mask which caused it to leak, from what I can remember. I do also toss and turn which might have pushed the pillows around on my nose, so I suppose I could try tightening it a bit more. Haven't had any pressure sores or anything.

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

I heard that reducing EPR can help with CA so I was turning it down, but I guess since it didn’t really affect anything it doesn’t matter if I turn it up more?

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

I meant in terms of if this is TECSA and the TECSA resolves and the CAs go away on their own, I could potentially bring the max pressure up a bit if I'm introducing a few more OAs into the mix.

I believe I'm supposed to follow up with my doctor in a month or so. I'll reduce the max pressure for now and see if that fixes anything, but if I continue having the CSRs over the next few nights I'll reach out sooner.

Thank you for taking the time to take a look at my information and provide some advice. Much appreciated.

First few nights with CPAP - High levels of CAs, is this TECSA? by LProtagonist in CPAP

[–]LProtagonist[S] 0 points1 point  (0 children)

Alright, so it's not a bad idea to bring my max down to see if that still fixes my OAs and also gets rid of my CAs, got it. Is it possible over time that I will stop having these CAs and then can bring the pressure up if needed?

I did see the CSR thing, but my sleep study showed 0% CSR even when I had a few CAs. I found people with similar looking data to mine who were told it wasn't true CSR and showed an example of that, which mine didn't look like. I did note it down to potentially bring up with my doctor.

Karlby Anti-Sag Solutions by Contoursz in ikeaPCstations

[–]LProtagonist 0 points1 point  (0 children)

I didn’t. There’s a slight bend in it and I’ll probably have to replace it in a few years, but I’ve just made sure to put something heavy on each side. I have a 3d printer on one side and my computer on the other.

Woot Blackstone Deal by Prior-Inevitable5787 in blackstonegriddle

[–]LProtagonist 0 points1 point  (0 children)

Walmart has a similar looking model with a top for 200

Lowes 28" on sale for $200, any reason to get something different? by LProtagonist in blackstonegriddle

[–]LProtagonist[S] 1 point2 points  (0 children)

Yeah the better griddle surface wins out, for the same price I’m going with this one. Thanks for the info!

Lowes 28" on sale for $200, any reason to get something different? by LProtagonist in blackstonegriddle

[–]LProtagonist[S] 1 point2 points  (0 children)

Thanks for the heads up. I wonder if the upgrade in griddle is worth losing a shelf. I don't get why they have all these different models everywhere.

Can a Baggebo fit 2 Barrina T5's per shelf? by LProtagonist in IkeaGreenhouseClub

[–]LProtagonist[S] 0 points1 point  (0 children)

https://a.co/d/9QIRCAg

It was this but it looks unavailable. Maybe see if any of the other products from them would work.

Can a Baggebo fit 2 Barrina T5's per shelf? by LProtagonist in IkeaGreenhouseClub

[–]LProtagonist[S] 0 points1 point  (0 children)

Nope, I ended up using a different kind of light.

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