Three months into treatment, exhausted.....

[KAR]

Three month into treatment now, feel worse than ever. No problems sleeping through the night, but in daytime I am exhausted and have bad headaches. Tried lot of things, now the obstructive apneas are mostly gone, but I am unable to remove the centrals. No centrals during my sleep test, but CPAP treatment seems to emergence a lot of them. I suggested to my sleep doc to try an ASV device in order to make my centrals disappear and may be help adjust my breathing. CompSA?

He tells me that with an AHI under 5.0 "you must feel just fine and good luck to you".

If I look at my flow patterns from ResScan there seems to be a lot going on before\after\between events with lot of irregular breathing. Or am I mistaken, are my flow pattern quite normal??

The last screenshot shows what happened during the night prior to the one single day in three months I really felt well the whole day\evening.

Thanks for any suggestions!


Link to videos showing flow pattern http://www.stanparts.com/cpap.htm

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One single day in three months I felt really well, this is what happend during the night. Same settings as above.

[Lizistired]

Here is the tutorial for resscan. It will help you with displaying the graph ranges so they are easier to see.
http://montfordhouse.com/cpap/resscan_tutorial/
It's hard to see since your pressure is not displayed in all the screenshots. But from what I can see, I would drop the minimum to 7 and see if that reduced the centrals any. The machine isn't going to adjust pressure in response to centrals but the pressure can cause them. I don't worry about centrals when I am getting settled or just before I wake up, but you have alot and I can't see the obstructives that are bumping your pressure.

[Lizistired]

What was so different on that last night??