The Hard Truth About CPAP Reports

[@fayebragg3682]

No doctor has EVER explained or even mentioned this data. Just “bring your machine in” and we will download it. I now have a Resmed which transmits data but never been told anything. So upset because other than asking for my pressure to be reduced there have never been any changes made. I have started to wonder if this is just another way for them to make money, not to really help anyone.

[@bobandpaul8751]

I really respect his straight forward say it like it is. So important. Thank you.

[@CPAPReviews]

Cheers bob

[@ronarprefect7709]

It is obvious the manufacturers want to make their machines look good rather than help patients the most possible. Thank you for your videos. I am very glad I found your channel.

[@CPAPReviews]

I think that's probably part of it also. Thanks for your comment my friend. Nicko

[@catallergiccat]

Probably the hard truth keeps people awake too .. 😂

[@Superfly1503]

After 6 months using a machine this is what I’ve found. After countless masks and adjustments I can report that I am now sleeping far worse than I ever did before. I am just as tired as I’ve ever been. It takes me eons to fall asleep even when I’m dog tired. I feel like I’ve been sold a very expensive and worthless waste of time.

[@fred1092]

Since I've been watching your videos, I have awoke and am being aware of much more of what is going on with my CPAP machine and myself. The doctor never told me anything. Basically he just told me I had severe apnea and let me loose. Didn't even tell me where to go to get a machine. Believe me, you have opened my eyes. I have learned so much and have so much more to learn. Thank you so much.

[@papabear562]

"Since I've been watching your videos, I have awoke and am being aware of much more of what is going on with my CPAP machine and myself." Same here. I go to see my VA doctor tomorrow and hopefully things go ok and I'll be able to get a newer ResMed CPAP. But if not, I can now maximize the usage of my current AirSense 10.

[@LukeVincent78]

Wow you are amazing. The NHS sent me home with a CPAP 3 years ago. Apart from a couple of phone calls I’ve had no other support.

[@CPAPReviews]

Hi Luke, that's very kind of you to say. Glad it helped. Best wishes. Nicko

[@lorriebriggs824]

@@CPAPReviews you

[@Septeemberpain]

Sounds exactly like my story and many others… Absolutely horrible…

[@Bridgerguide]

Just watched this last night. I opened an account at sleep hq. I started cpap in june of this year. I am still not sleeping, and it's taking a toll on my life. I was diagnosed as mild sleep apnea of 14. I have been consistently under 5 ahi, really since starting cpap. Yet i can't sleep through the night and wake up exhausted. I made some adjustments last night after watching this, and i tried using some mouth tape. It's hard because i have a goatee. But i managed to get it on, and it stayed most of the night. My ahi was 0.47 and went down .19 My leak rate was 4.8 down 3.6 My pressure is set from 7 to 11. Humidity 4 and epr on 2. I use airsense 11 and nasal pillows. It seems from the data i should be sleeping like a baby. But looking at the saw tooth breathing says a different story after rewatching this video. I will not give up! I do hope i have a breakthrough soon brefore a breakdown!

[@vibes..585]

Ware a mouth strap .taping mouth is dangerous I believe..

[@Bridgerguide]

@@vibes..585 Tried mouth strap didn't work. Mouth taping helps and not dangerous. It is a light glue easily removed. My brain would wake me up if I were suffocating just like it did before I started using cpap. Thanks for your suggestion!

[@vicaccino]

Praying for your brother, you'll solve this. I'm also fighting sleep apnea but yeah I'll solve it soon 😁

[@vicaccino]

Btw have you tried upping the pressure setting till you feel you're sleeping better?

[@Bridgerguide]

@vicaccino I've actually lowered it. I looked at sleep hq and oscar data and adjusted in a tight range of where the pressure is 95% of the time. Much better, but even better with mouth tape.

[@stpaulimdog]

When it comes to your own health, you have to take control. It's ultimately up to you. Thank you for this. Doctor was saying things were fine, but I didn't feel fine at all.

[@CPAPReviews]

G'day, great comment. I think that phrase 'trust but verify' can be applied to all aspects of health (and life!). Cheers

[@chazzthaspazz4475]

hoping my doc can fix me not breathing and my shallow breathing. along with the pins and needles

[@lazlo09]

@@chazzthaspazz4475 Pins and needles? Please explain cuz for like two years i experienced pins and needles in my skin mostly in the feet, legs and hands. Even in the face sometimes. Was just diagnosed with severe sleep apnea and got a cpap 1 week ago.

[@gondishapur]

I was wearing a CPAP machine for 7 years without which I would have died. I started an intermittent fasting regiment along with eating no bread, rice, or sugar. I don't have to wear one anymore. Diet Diet Diet Diet and generalized inflammation!

[@Hsteel]

No sugar at all? Not even fruit?

[@gondishapur]

@@Hsteel no fruit

[@gondishapur]

And no sugar at all. You won’t miss them after a few days.

[@Hsteel]

@@gondishapur just veggies and chicken ok

[@Hsteel]

What foods would you recommend for this diet?

[@andaris8375]

As a programmer & mathematician with experience coding signal processing algorithms, I would say it should be easy to write the code to correctly identify the hypopnea events in the examples you showed, without missing so many.

[@Stopsign002]

Exactly. Its not that its a human problem, its that the criteria is way too strict. Pattern recognition is within our ability to program for this kinda stuff

[@pgerschibm]

Hello, I’m also a programmer , Data Scientist with a Math degree. I agree , since there are degrees, Perhaps they should not be counting each breath as yes or no. They could rate them on a scale of 1-5, or 1-10, Then compute a score. But I am guessing this how they have always done it!!!

[@johammy]

​@pgerschibm precisely! I am NOT a programmer with a degree, and even I know that this can easily be done and should be flagging by category... 0-20%, 20-30%, 30-40%, 40-50%, 50+%. They only giving HALF of the data with this all or nothing approach. How UNscientific.

[@johammy]

​@@pgerschibmfor a world that now runs on data, this oversight is ridiculous. Also very disappointing is the medical community and their disinterest in digging into these issues, and educating their patients properly.

[@eyeofthetiger7]

Someone should create an open source Github repo to do this. I'm going to make a note to myself to create on and I'll come back to this video to post it.

[@JP-ry9ob]

Just got my machine yesterday after a 4week trial. Your vids are invaluable and in fact people at the cpap clinic said they watch your vids too! Have now signed up to sleephq and checking it out. Cheers mate

[@FrankZen]

I love this app! It's solving all of my CPAP problems. Mine was set way too high!

[@ramtsin]

You're doing such an important job, and doing it very good. You helped me a lot in the past few weeks - before and after I started cpap therapy. Thank you so much !!!

[@CPAPReviews]

Awesome mate! Thanks for the great feedback Good luck with your therapy. Nicko

[@sampiazza302]

Eye opening. Now it makes sense why with 99%compliance I still feel like I am exhausted. Even went to a nose Dr that gave me a surgery that opened the passage way through my nose. I feel like I breathe better but am still exhausted. Tried new bed new pillows. This is the first time hearing about the flow rate of breathing. Thank you

[@CPAPReviews]

G'day Sam, compliance will get you 50% of the way mate and the other 50% is the right therapy mode / pressure settings and mask fit. Cheers

[@starrfishhill]

Tonight is my first night of my 3B cpap machine… I watched your videos part one and part two of how to set it up and I went in and changed numbers around to the numbers you suggested for beginners now I’m scared to use it… I’m thinking I probably should not have done that because maybe my doctor had it already set to a certain number..?!?!? could someone please please tell me I’m literally scared to go to sleep and use this as I said it would be my first night I just don’t want to not wake up Supposedly I have “severe” apnea that is what is marked on my papers that she sent me home with apparently I woke up 42 times in one hour

[@darrylwells2673]

I'm just starting my therapy. Going in to the unknown. Thank you very much for puting videos up on KZbin. They are very helpful in understanding what is happening and what to expect.

[@itsonlyapapermoon61]

Me too hows it going

[@smokingtarheel3003]

This is the best explanation of flow rate and what I need to be looking for in Oscar. It's no wonder that I'm consistently way under 5 AHI but not sleeping well every night. Thanks mate!!

[@CPAPReviews]

Great stuff brother. Let me know how you go

[@davidretiredleo155]

Outstanding content! I have learned soooo much from you. Pressure adjustments, the menu behind the menu and so much more. Thank you, keep up the good work! I may be able to get used to this machine after all

[@dianejohnson7196]

I'm a new cpap user thankyou for the great information you have explained alot about the cpap machine that should be explained but not

[@CPAPReviews]

Hi Diane, glad you enjoyed the video. Thanks for watching

[@andrewgraafmans3093]

Key point is 10:44 "So unless your airflow drops by a massive 50% for 10 seconds or more, RESMED doesn't feel there's a problem. They won't flag the events". It is very important to learn the Sleep HQ data, we need to take control of our own data cause it looks like no one else will.

[@CPAPReviews]

Certainly one of the key points mate. Cheers

[@gervaiselantier]

Is the 50% drop in airflow for 10 seconds or more a ResMed-specific standard, or is it the general medical standard for defining hypopneas? I've seen similar criteria mentioned in various medical sources unrelated to any specific company.

[@cesalt2408]

@@gervaiselantier I'd love to know the answer to this question!

[@chriswood4510]

I love the way he flipped off his buddy with the O2 sensor ring 😂

[@asgerrasmussen9219]

Thank you for telling me about OSCAR. I have download OSCAR to my computer and it works fantastic. I use a ResMed S9 ACS-A Pacewave and my AHI 7 day average is 0,15. I use the machine 8 hours a night. I am 74 Years old and I am a CPAP user since 2005. Starting with ResMed S8. I got the S9 ACS-A cheap a Year ago and it is 100 times better than the regular S9 CPAP I used before.

[@CPAPReviews]

You're welcome mate

[@briannickson6631]

What an excellent presenter. Thank you.

[@CPAPReviews]

Hi Brian, thanks for the lovely comment. Best wishes. Nick

[@tatochip]

This was so informative. I look and my data and don’t have a clue what it means. Hope you continue to make the explanatory videos.

[@CPAPReviews]

Hi Doreen, glad you liked it my friend. I certainly will!

[@dwightmoore8018]

I can't begin to tell you how much I've enjoyed your videos! They've Really helped me in my quest to get my AHI's within a reasonable range. I currently use a Dreamstation 2 and don't currently have any access to reports other than what is provided by Phillips. Even so, This video(Along your other videos) have been a HUGE benefit to me! THANKS !

[@CPAPReviews]

Hi Dwight, thanks for the lovely comment mate. Great to hear you're enjoying the channel. All the best. Nicko

[@TheJudeJane]

Phillips RECALLED due to patients inhaling particles breaking off of the machine. UNETHICAL!!

[@dimiterprenerov8683]

Thank you for you for what you're doing. I find your platform SleepHQ very informative and helpful. This video too. I was not aware that my Dreamstation keeps records of every my single breathe and could be viewed as timeline graphic. Really nice job! I firstly tried a china cpap machine Reswell which reported AHI about 15 or so, while Philips Dreamstation reports always below 5. Now I have a logical explanation of this discrepancy.

[@CPAPReviews]

Thanks for sharing your insights mate. Nicko

[@jakec5618]

incredibly informative !!!! This needs some more views...

[@CPAPReviews]

Hi Jake, i'm glad you enjoyed the vid

[@jakec5618]

@@CPAPReviews Messed up tho, because by the CPAP reports coming out like that, it falsely shows higher effectiveness for therapy. They can then show their machines are doing a great job, when in fact, they are not.

[@danashay]

Huh. What a breath of fresh air you are. A new paradigm in my experience. Can't really say I'm dissatisfied with my Resmed and support program. Even with my collection of allergies clogging my sinus, 24/7. Loved your delivery, and the little Bean thumbnail. Don't ever change, please carry on! 😎

[@CPAPReviews]

Hi Dana, thanks for the lovely comment. It made my day. Best wishes my friend

[@pbrian9527]

Great information. One recommendation may be to change away from the pillows. I used pillows for years and determined that I had trouble exhaling and sometimes inhaling

[@CPAPReviews]

Thanks for sharing your great insights mate

[@karenzimmer7607]

I used pillows because I have sinus and congestion issues esp when I sleep. I thought it was getting the air in me the best. I wake up though with a heavy chest. Could that be why... I'm struggling too hard? My o2 ring shows my oxygen is good though..always within the range..90s

[@VikVeerENTSurgeon]

Great video mate. As an interesting follow up I would look at a WatchPat, or other sleep study auto report. I have found that these studies over report AHI (mark each event multiple times), so that it makes you look worse than you really are. Then they get you on CPAP and give you artificially low readings.

[@CPAPReviews]

Brother! Great to hear from you. I don't think we have the WatchPAT down under but i had a look at it. I think if i venture down the diagnostic rabbit hole i might never come back up . It's a great point you make though. So many businesses doing home sleep studies, it's really not hard to artificially report a high AHI during the study and then sell them a pap. Keep up the fantastic work with the youtube channel. Nicko

[@AlexOzer]

Nice to see you around Dr. Veer! Wanted to mention that I've actually been told, and experienced first-hand, WatchPAT underreporting AHI rather than overreporting. Perhaps this is due to the nature of my AHI being mainly hypopneas with microarousal but very little oxygen desaturation. My recent in-lab picked these up giving 11 AHI overall and 17 during REM, while WatchPAT AHI was around 0.

[@cesalt2408]

@VikVeerENTSurgeion I did a lab study that resulted in severe OSA and then a WatchPat that resulted in mild OSA. I assumed the harness of sensors from the lab was far superior to the single sensor on the WatchPat. I wound up getting the Airsense 11, and yes, my first night AHI was 1.8. Rubbish, as my ongoing exhaustion confirms the lab results.

[@MrSector001]

This was eye opening- thank you for this. My AHI is consistently

[@CPAPReviews]

Hi Chad, you're welcome. Glad to hear you're enjoying sleephq. Cheers

[@Myrdraall]

So did you ever change your settings?

[@dewitubeX1]

So this again goes to what you said in one of your previous videos, besides what the machine is telling you, you can go by how you feeling. If still feeling tired, add an 1 additional pressure and see how you feel. Thanks Nick for your help, you rock.

[@CPAPReviews]

G'day mate, great comment although i'll just add that sometimes it's not all about adding pressure which you will see in an upcoming video. Stay tuned

[@dewitubeX1]

@@CPAPReviews oh man can't wait, thanks for your reply, have a wonderful day.

[@SimonTemplarVK3XEM]

One of your great videos Nicko! Thanks.

[@CPAPReviews]

Many thanks brother. Glad you enjoyed it

[@mechellecranford6378]

I'm a rpsgt and I really appreciate this video. My hubby is still exhausted after 5 yrs on cpap. I will check his data. I recently got dx'd with osa and I will start checking mine, too.

[@CPAPReviews]

Awesome! Glad you enjoyed the vid

[@PurpleMartinView]

I use the Wellue ring along with CPAP and it’s awesome. It wakes me when my SP02 drops. It’s helped immensely!

[@CPAPReviews]

love it mate

[@Aurleis]

I really love your videos and their informational quality. I purchased my BiPAP machine (went online and got it in less than a week because the DME said it would take them at least 4 months), and I'm getting AHIs and CAIs in the 40s (I'm getting used to the high pressure settings with the lower ones I put in. Thank you by the way, the first night felt like my lungs had been put through the ringer with high settings, and your tips are allowing me to build up to my correct settings). Frequently when I'm reaching early stages of sleep I can actually tell that I'm having an event as my body isn't getting the reminder to breath. I check my machine by stopping it and looking at the reports and it picked up an event.

[@CroElectroStile]

I really want to take you for sharing this information, it can really save lives!

[@CPAPReviews]

Glad it was helpful! Cheers

[@craigwesson1788]

Absolutely golden information Nicko. Thank you.......just gotta get an o2 ring from ya.

[@CPAPReviews]

Cheers brother. Absolutely! I'm working on a brand new iphone app right now and it's nearly done. Cheers

[@rik.teuben4772]

As a Lowenstein CPAP user so curious to know how this data analysis works out. But the Lowenstein Prisma data cant be read by Oscar and SleepHQ. Currently there is a way to read the datacard by the companies own (cloud) software to analyse it (but it reaches by far not to the level that you show in your video). Any suggestions?

[@ThePrettyeyes341]

That thumbnail is fire! Lol love it. It looks like Morpheus truly is struggling with cpap breathing. One of my favorite movies .

[@CPAPReviews]

Thank you! It is my fav haha

[@ThePrettyeyes341]

@@CPAPReviews welcomed !

[@johncostigan6160]

I scored a ResMed 100/100 score last night. What was it really? I feel no more rested or alert, and by the way, I HATE when corporations lie to me.

[@CPAPReviews]

G'day John, MyAir is really designed for patient compliance. It's not really a useful tool for analysing treatment efficacy which is why the AHI only contributes 5/100 points. Cheers brother. Nicko

[@robertmccarthy2642]

I would have thought the manufacturers would have exaggerated the number of AHIs being recorded to foster a sense of dependence upon the product. But is it likely a reason to undercount incidents around the machines capacity to function effectively enough? Five is the golden number to be below and as long as the machine is recording the majority of users below five then the punters are happy and so is the company's sales figures.

[@CPAPReviews]

This is spot on mate. I think it's by design. Cheers

[@davidb7261]

Excellent video! Thanks for sharing the Sleephq link - I din't know I could access such valuable information from my home PC!

[@CPAPReviews]

HI David, you're welcome mate! Best wishes my friend

[@chrisr7426]

Wow. I’m barely 3 weeks into my therapy and my Resmed 11 is telling me I’m consistently having AHI of less than 1 while my pre-therapy score was 53. I still feel like crap and now I’m totally skeptical!!!

[@CPAPReviews]

G'day brother. Well now you know how to validate your AHI . For many, the ahi number provided will be an accurate representation of their breathing quality however for many it will be way off. For those still feeling tired, it's worth doing a thorough check once in while just to see what your breathing quality is like. All the best mate

[@stpaulimdog]

Plus, you haven't gotten used to it yet and may not be sleeping much. If you're not sleeping, then you're not snoring. Still doesn't make you feel any better though.

[@LukeVincent78]

It took about 6 weeks to kick in for me. Stick with it.

[@remsleepster]

It takes a while for your sleep to resume the flow of sleep architecture that you have not had due to apnea interruption. Getting apnea treated is not just solely for helping you feel better, it is to increase your quality of life by regulating your sleep, which in turn, decreases all of the apnea risk factors.

[@briansmith8749]

Holy jeez thank you for the info! Videos are concise and very appreciated.

[@CPAPReviews]

Most welcome Brian

[@sabrepinkt]

Just started therapy about a month ago and using a nose cradle. Waking up in a panic in the middle of the night thinking I am being suffocated for anywhere from 15 minutes to 2 hours since starting.

[@CPAPReviews]

Hi Tammy, this could be for 2 reasons. 1. The pressure is too low and you're still experiencing apnea or 2. The pressure is too high and overwhelming your respiratory effort. If you're using Auto CPAP i would experiment with Fixed pressure CPAP. With a bit of trial and error you should be able to find a pressure that's comfortable and effective. Good luck. Nicko

[@joecannon1231]

Wow thank you so much Nick Thank you for the info and Help. Your a great help to us all. I'll set my Cpap to 13 and see how we go. Sleep Doc tomorrow, Interesting to see what he has to say.

[@CPAPReviews]

Nice one brother! I'll be very interested to hear about your visit and to check the changes over the coming week. I received your email

[@joecannon1231]

@@CPAPReviews Had a bad eye leak (as in just my right eye)last night for the first time, kept waking me up. drop down to 12.6 see how I go tonight. Thank you for all your help I can not say this enough times

[@eminpasha7472]

How can I get a graph like that for my BMC machine. And nice info

[@CPAPReviews]

G'day mate, you won't be able to at the moment however we are doing a full API integration with BMC which will be very special. Stay tuned

[@SoulGifts2013]

I am so looking forward to that. I have a BMC G3 too

[@eyeofthetiger7]

Great video! This chart analysis could really benefit from machine learning...

[@bw7057]

When I switched from my Phillips machine, because of their shite foam, and bought a Resmed machine. I haven’t felt as good since.

[@PcItalian]

Thanks for the amazing video!

[@CPAPReviews]

You're welcome brother. Thanks for your support

[@elladar2]

OMG! THIS IS IT! I´ve been using my CPAP for a month (Resmed S10) now and i am still so tired feeling like bull**** (not as like when i was not using my CPAP). My doctor changed the pressure many times in this month, from 14 to 12, then to 11 and back to 14 because my AHI goes from 1-2 to 30 depending on the day. 14 is the spot where i maintain the AIH below 5 ALWAYS, but i can´t sleep well because i have only a couple of hours of it thanks to the uncomfotrtness i feel when i wake up wearing my mask and feeling like i am chocking. I´ve been on licence for 2 months now and the doctor said i will be able to get back to work asap because the therapy is going well in general and the only thing that left is me to get used to it.... I´m still feeling pretty bad :/

[@CPAPReviews]

That's a tricky one mate. When you're just starting out i recommend you focus more on comfort and compliance. Just try and get to a point where you're using it 4+ hours a night. After a couple of months, your breathing will adapt to the pressure and then you can shift your focus to better apnea control. Good luck!

[@williamroberts6327]

Those large swings could be chin tucking OA clusters, on oscar they look like 1=oa. 1 1 1 11111 111 1 1 1

[@YoSpiff]

I've had difficulty understanding what I've been looking at. That was very useful, thanks.

[@CPAPReviews]

Glad it was helpful! I will be doing a lot more tutorial videos in the near future

[@bernierelf4765]

Fantastic information as always. Off to check the flow rate.

[@CPAPReviews]

Great stuff Bernie, Glad you enjoyed it brother

[@andrewbarnes605]

Absolutely tremendous eye-opening video! Very informative and clear. Many thanks for your educational and useful videos!

[@CPAPReviews]

Hi Andrew. I'm glad you enjoyed it. Lots more to come

[@toby621]

I can’t stand the machine I need it but can’t do it I use a mouth guard it helps a bit I wake up about 20 times a night every night

[@rdhulljr]

Awesome video! Thank you from the States

[@CPAPReviews]

Glad you enjoyed it!

[@richardbennett8678]

I just made my FREE account. Am I able to get my ResMed s9 to work with this?

[@dadams19111]

Makes sense. My dream station is set at 10 but it will drop some times and raise no higher than a 10 other times. Sometimes I am tired and other times I am ok. I am a back and side sleeper, no perminate position

[@coffeebeforemascara]

Jesus Christ! I'm gobsmacked. I'm getting SleepHQ right now for my Resmed AirSense 10. This is the kind of data I want

[@texdan1]

One feature that might be nice with this respect then is a split screen mode or overlay mode to compare hours or nights.

[@CPAPReviews]

G'day mate, yeah that's a very cool idea! I like it I'll add it to our big list of features we're currently developing.

[@lvers9377]

Thank you, very clear!

[@CPAPReviews]

Great stuff. Glad you enjoyed it

[@mania002]

I just signed up for a SleepHQ account have yet to upload any data yet. I have been using a CPAP machine for 15 years and am now very curious as to how my flow rates look. Thanks for the tutorial. Cheers.

[@CPAPReviews]

Hi Peter, awesome mate! Welcome to the party let me know how you go

[@petkuscinta9797]

I am using APAP for 1 week. Autoset 11 resmed. In basic terms it has resolved my issues but I feel there is fair bit of potential still in improving comfort and performance which requires patience and tuning. I am engineer electrical so highly analytical and such detailed reports would be perfect for me to tune myself to perfection. But Resmed is currently on hire and for some reason office calls me. Which is great but it does not allow me to tune it myself. So the question is which company/brand provides best machine software to analyse yourself and customer service ? I hardly ever have central appnea (almost 0-0.5), total blockages are happening but not for long but reduced flow is like 80% of time. Machine is set to standard, 5-20, mostly machine pressure ends up at 12.8 pressure, leak is 1L/min, AHI 4.7, constructive 3.7, total ai 4.3

[@jeffj318]

Thanks, Nick. Superb information. I have to give Sleep HQ a try.

[@CPAPReviews]

Awesome mate, yeah absolutely! Certainly lots of cpap users on the platform checkout their therapy performance. Should also see lots of cool new features in the near future. Cheers bro. Nicko

[@rougegan]

Thank you Nicko! You opened my eyes!!! I didn't know that was possible for me to monitor and evaluate the quality of my sleep. Indeed I think that having this opportunity will my sleep get better!

[@gregkiely4839]

Thanks, had a dream station (DS), now resmed, after the motor foam problem. Set pressures, started on nine, AHI around 6, up to ten, AHI .09-1.5 mostly. Last test Doc recommended drop to seven. Three days of C Crap, so I'll take it back up. One thing I did like about the DS, break apart for short term travel.

[@gayleullmer6812]

Very informative, thank you! I started my therapy just a couple of weeks ago. I was so excited that my ResMed myAir app showed I was consistently below 5. Now I'm skeptical because I'm still very tired sometimes during the day. But I know that I'm still adjusting to therapy and am probably not sleeping deeply.. I'm so glad I found this, as I'm always very proactive in my medical treatments and have learned the hard way not to completely trust Drs without question. Where can I get this O2 ring everyone is talking about?

[@donnakilfoyle4960]

Did you get an O2 ring?

[@karenzimmer7607]

Got mine off Amazon.. wellvue

[@AmethystWoman]

I've been doing CPAP for 2 weeks and I just I did great the first 9 days and then something happened and I've had trouble ever since and I can't get my sleep doctor or the DME people to listen to me. I literally just physically left the DME and he showed me my "chart" for last night and I said "I do not believe that you're readout is accurate. Nowhere on this machine does it say where I was awake and where I was asleep it also doesn't show what my O2 was during the night and according to my Fitbit it went down as low as 87. During my sleep study by the way and REM sleep my 02 went down to 73. (Long covid issues.) I slept 10 and 12 hours the first 9 days I had it and then all of a sudden I woke up one night smothering and I took it off my face and there was no air coming out of it. The machine was still on. I felt like I had Saran wrap around my face and I was smothering. And true fashion of acting like the patient doesn't know what they're talking about she said there was no way I could smother because there's a tiny air hole in it. I know for a fact that that little tiny air hole will not keep my oxygen level in the 90s, maybe closer to low 80s. That would account for me feeling like I'm smothering. I have oxygen threaded in to CPAP and have been on an O2 concentrator for 4 years, daytime 02 for 6 months. Now what the DME guy just told me, which the doctor's specialist did not, is that my central apnea problem is at .9 which he said is about halfway to needing a BiPAP. In my sleep study they did half the night with CPAP and half the night with Bipap. On my side low pressure from a CPAP works on my back high pressure from a BiPAP works. So she told me I have to sleep on my side. With a lot of physical problems that I have I can't sleep on my side all the time and I wake up on my back. At which time it appears my CPAP at 5 to 10 is just not cutting it. But they won't listen to me. Yesterday I had so much air in my abdomen and around to my back that I was crippled over in pain. I was in so much pain I had to cancel an appointment which I never ever do. And I believe that the air was pushing on my spine where I have several herniated discs. Last night I was awake with it on and I knew I was swallowing air. I had it on for about 3 hours I have insomnia so I put it on and don't sleep right away. I was swallowing air and I needed to be someplace today so I took it off. I needed to be someplace today that I couldn't cancel. When I woke up at about 8:00 in the morning I put it back on cuz I really need to meet the Medicare standards at 4 1/2 hours a night. I'm trying to tell them that they don't see what's happening in my room. And that I don't believe that they're read out is accurate. Resmed 10auto. They tell me everything is perfectly accurate. I'm on day 14 the first nine were perfect the last five I didn't even use it to entire nights. And I'm afraid that I'm going to get scared of it. And I need it. I was apnic over 100 times just during REM in sleep study. Is it normal for a sleep doctor and a DME for neither one of them to have an emergency on call person? Thanks for reading if you have. I will download your software but will they pay attention to it? If I look and see that there's not enough "H"s, well they think I'm just being an asshole. For me that means a nurse who looks up stuff on the internet! They hate us oddly, even though in real life they actually are us. I'm not sure why it's okay for the doctors nurse specialist to look things up and me not. Weird huh? Thanks.

[@jennygibbons1258]

Very valuable information. Thanks

[@CPAPReviews]

Thanks for your comment Jenny

[@sylviabryant3515]

Very interesting Nicko.

[@CPAPReviews]

Thank you :hell:

[@DonnyProductions]

Is there a way to either: 1) increase the cpap machine's sensitivity to flag more hypopnea events, or 2) us the sleep HQ software to provide an alternative estimate of hypopnea events?

[@kaykitchen4627]

Just went through my data. My recorded AHI is consistently below 2 and often below 1 but now I can see that it isn't entirely accurate! My real AHI is not too bad and still way below 5 but still I feel tired a lot. A lot of my events are clear air events and I was wondering if there is any breathing training that we can do to help normalise our breathing. I used to think that clear air events weren't anything to worry about but, after looking at my breathing, I can see that I actually stop breating for no obvious reason, like a mask leak. I remember talking to a D..K Head "specialist" a few years ago who just ignored me when I said I was certainly feeling better than before CPAP but I still didn't feel great and I was still constantly tired. He even said that, based on the F&P machine data I had at the time, I didn't need to use a machine at all. My husband was with me and was shocked at his arrogant attitude and said that I didn't snore on CPAP so I wasn't going to stop using it. The doctor just ignored that as well and rabbited on about his training with a CPAP pioneer and that he knew what was best for me - as if I was just an inanimate object he was studying. But he didn't miss with his fee.

[@jbeargrr]

This happens a lot. I know I'm still not sleeping well, but as far as my doc is concerned, I'm fine, because my machine says so. Nevermind that I'm still waking up a lot, and I'm still tired. I'm better, yeah, but my sleep is still shit. Just not quite as bad as it was.

[@danielbrown7077]

Grate video, recently I had some problems with my therapy. as i lost weight i slowly dropped my pressures to stop some bad side effects i.e. wanting to throw up some mornings ect with a API of about 1.5. It was going grate until I got COVID. my API was still low at 7 but this video makes a lot more sense to me on why

[@CPAPReviews]

Glad you liked it Dan. Thanks brother

[@blackrhino44]

That’s so grate mate!

[@tomn5880]

I had a CPAP and everything was good at first. I cleaned it once a week as demonstrated in the company videos. My machine got sick there buy making me sick and the company only said "buy another one" I learned to sleep in my recliner which ended my snoring problem.

[@andrewgraafmans3093]

Is there a way to go through my data on the Sleep HQ and edit it by adding in a H or CA line for the noticed changes, and Do the RESMED 10 or others machines update on their own?

[@CPAPReviews]

G'day Andrew, that's a really cool idea mate! I'll chat it over with Adam. We're pretty busy working on machine compatibility right now but in the future we want to provide analysis tools on the platform that will provide a more accurate report. Cheers

[@faithjackson5514]

Your the greatest Nick, thanks

[@wgsm6229]

I love your content. Taught me more then my "doc" i'm switching because of this. Mine is complex. I have asthma. But i'm 100 percent adherence. AHI says 0 the report shows the hypnea's . Increase pressure in increments to get my overall well being and sleep good. I'm doing good. but i also noticed my o2 would go down to 88 sometimes. Keep up the good work. i'm only 39 years old. i have a long time to go. i'm now off of blood pressure meds and depression meds for 3 months. My asthma was worse for over a year after covid. Any data out there to see if Covid caused worse sleep apnea after disease? I noticed my wife's apnea has gotten worse.

[@startledemu]

A most excellent video, thank you

[@CPAPReviews]

Glad it was helpful!

[@greywolfe1114]

Now I want to watch the Matrix series again. LOL. But thank you for the great videos. Looking at the larger range of data in SleepHQ is awesome and your videos explaining how to look at different things within your data and small recommendations that can help correct and improve the limitations inherent to the CPAP machines is really helping me get my machine set back up after it's settings reverting back to default since it's been unplugged and not used for an extended time and I rolled off of being eligible for support from the sleep clinic and have to go back thru my normal doc if I want to go beyond monitoring it myself or for new sleep study. Looking at the AHI index my changes had been looking very good. After watching a few more vids and looking closer at other areas of the data I have more work to do. Thank You so much for sharing your knowledge and making these videos.

[@CPAPReviews]

Hi there, what a great comment! Glad you're enjoying the platform . Keep up the great work

[@andrewbaroch2141]

Got a new one earlier this year. Hope it stays safe.

[@A.Martin]

One day I messed up the settings and had the pressure too low, and I ended up with an entire night of respiratory events that the machine would not flag as they were all too short to flag. So the AHI of 90 showed on the machine as near 0.

[@kal7049]

Are the manufacturers still using different criteria? Have you posted an updated video on this topic? What’s the point of collecting the data if the patient can’t rely on the data being accurately reported.

[@MrMarcusWWW]

Then how about adding an alternative score SleepHQI for example by reanalysing the data?

[@robcampbellcampro4359]

Will SleepHQ ever be able to reevaluate the data to properly analyze the data?

[@CPAPReviews]

Yes we are building in this functionality and adding new tools to provide more accurate analysis.

[@robcampbellcampro4359]

@@CPAPReviews that would be awesome and very helpful😃

[@oxigenarian9763]

This is a particularly good discussion for me. This morning was a good example of what I face in my own therapy: I think I would benefit from a higher upper pressure limit but the mask fit will not hold it. This morning, I was awakened by my mask leaking - the pressure was blowing past my seal and it would only hold if I got the mask EXACTLY square on my face. This has been true for a long time and what I have had to do is set the upper limit down to stop the problem. Fortunately, I had enough quality sleep last night that I am OK for the day but you really piqued my interest when you talked about using therapy, thinking everything is OK but still feeling draggy during the day. That is, I have good days and bad days without an apparent cause. I use a Resmed Airsense 10, Vitera full mask. I wish someone made a mask that really sealed well for my face contours but I fear there is not. Have used the Resmed Quattro, too. Same issues. I am going to pay more attention to my settings and see if I can adjust around this a little more. Anyone w/ suggestions?

[@KBS117]

I use the nose mask. It has a smaller ares to leak..

[@oxigenarian9763]

@@KBS117 Thanks very much - for reasons I won't get into here, a nose-only mask just won't work for me...

[@quieter]

Have you thought about adding these events as a separate metric to SleepHQ? ie. we could see AHI as reported by the machine and another AHI+ metric with the less conservative events. It should be doable algorithmically

[@CPAPReviews]

Yes and it is happening. We are also including Ai to analyse the data.

[@BRUTUSz]

@@CPAPReviews I was thinking about that. Resmed in general should try or probly have new tech research with AI learning.

[@michaelcook1760]

A very informative review which has opened my eyes further.

[@CPAPReviews]

Hi Michael, glad you enjoyed it mate.

[@stitchesandstaples]

Thanks for the great videos. I’ve been in sleep medicine for about 13yrs and did my Masters in Sydney. I have mostly been scoring but have started back in CPAP consulting so finding your videos great. I did use ASV years ago for centrals but managed to treats the underlying cause but know how important patient based feedback info is. If there is anyway I can help contribute or learn from you I would love to help and learn. I’m RPSGT (used to also be RST) and ANZSSA member. Keep up the great work!

[@Robert-fl6ei]

Good morning, You mentioned Central Apnea. How did you find the cause? Many thanks, Robert

[@texdan1]

Add to that concern that the measurement is taken though multiple feet of hose and a potentially leaky mask. I wonder just how accurate the measure is (which might go into why it flags at only 50% because perhaps they don't fully trust the data). I mean some don't like the APAP mode since they think the measurement isn't good enough to drive control. The other thing that concerns me with AHI is that all events are treated the same. 10 sec with low is treates the same as an OSA that wakes me up for an hour. That being said... the pattern watching seems to be a good insight.

[@CPAPReviews]

All very relevant points my friend! Thank you

[@vincentparlante6274]

Great post . Thank you

[@CPAPReviews]

Glad you enjoyed it

[@frankt7769]

Awesome video,any chance you can do a video on how to go to the sleep hq site and drag files and and what files do drag and how ,im not so great with the phone

[@CPAPReviews]

Sure thing mate, i'll be doing a whole bunch very soon!

[@rougegan]

Does SleepHQ software automatically detect and highlight (flag on chart and dashboard) every single apnea or hypoapnea event in addition to the flags already displayed by Resmed? Thanks

[@CPAPReviews]

Not at this stage mate but we will be adding that feature in 2023

[@billbromer]

Sounds like great advice. Thanks.

[@CPAPReviews]

You bet, thanks Will

[@jblackjack]

There was a recall on some CPAP machines as fine foam was disintegrating and being inhaled. Lose weight and you will be much better.

[@lucdelhaize4029]

I take zero notice of the AHI generated by the machine but as you suggested here Nicko I use the O2 ring data as the ultimate evidence of adequate therapy.

[@CPAPReviews]

'ultimate evidence' I like that mate! Cheers

[@carolynkabore7018]

Looking forward to the O2 ring integration. My ave. O2 from sleep study was 90% and API was 97 events/hr. BIG wake up call. With CPAP on, down to 1 event/hour, but O2 average still 90%, using O2 ring. Checked with Resmed pulse oximeter - median O2, 90%.

[@CPAPReviews]

Hi Carolyn, thanks for sharing your experience mate

[@theredheadsaidNYC]

I noticed that OSCAR has a setting you can turn on (“user flags”) that will catch events under 10 sec and 50% (i yhink it’s 20% drop). Do you think turning that on will give a more accurate picture? Personally i see a lot more of these “user flags” than i do “actual” OA/CA events

[@bwide1339]

I need to get a card reader so I can use this. This data is amazing!

[@dmzabo3914]

Best move you can make while on sleep apnea therapy.

[@Evetsoma]

Pp0L

[@mikeo678]

Really interesting - am gonna go through my data with Sleep HQ today. Not sure if this is your Easter egg but I love the add in from 16:13

[@CPAPReviews]

Nice one Mike . The easter egg is here brother - 0:54 . If you look in the right sunglass reflection

[@Rusty6507]

DS2 does not work with Oscar nor with Sleep HQ…is there another option?

[@CPAPReviews]

Not at this stage Arlene, we're working on breaking the SD card data encryption (BS)

[@Rusty6507]

@@CPAPReviews I did insert the data card from the DS1 into the data slot for the DS2. The encryption is ridiculous (or it just doesn’t even write data on the card) Thx for your reply.