Sleeping 8-10 hrs a night and still tired during the Day....

[DannyPh]

I have been on Cpap for almost Five years now ( will be 5 years in October ). Sleeping 8-10 hrs a night on average and still get tired during the Day. I am wondering if I might ned a pressure Increase. Current pressure is 13 and I will be eligable for a new machine in October and an considering the S9 auto set to see if some pressure increase might help with the daytime sleepiness. What do ya;ll think ? I am trying to avoid another sleep Study if Possible. Thank You.

[jlklinko]

Hi there
1) Talk to your doc about the sleepiness.
2) Maybe he/she will change your pressure without the study!

[jtmarten]

Is 13cm controlling your apnea? Are you logging daily data? If you don't have data you're shooting in the dark.

[avi123]

I have been on Cpap for almost Five years now ( will be 5 years in October ). Sleeping 8-10 hrs a night on average and still get tired during the Day. I am wondering if I might ned a pressure Increase. Current pressure is 13 and I will be eligable for a new machine in October and an considering the S9 auto set to see if some pressure increase might help with the daytime sleepiness. What do ya;ll think ? I am trying to avoid another sleep Study if Possible. Thank You.

Comment,

Danny, I been using the S9 Autoset for a year now. I got it running at optimal pressure, at a maximum pressure of 13 cm, like your on CPAP. I have zero leaks and almost no events left. The machine takes care of everything. But I still have a RES (Residual Excessive Sleepinesss) during the daytime, especially from after breakfast till noon. So what do you think about it?

In a survey done in France in 2009 they found that about 12% of those using CPAPs have also RESes. After excluding associated restless legs, major depression, and narcolepsy, as underlying conditions, the prevalence rate of RES dropped to 6%. Overall, those with a RES were younger (42 to 65) compared to those with no RES (50 to 70).

As to your question about a sleep study, if you can get the S9 Autoset without the study, then you could use the machine to titrate yourself for the optimal pressure, as I did, even though I had a study done to check the pressure of 13 cm, but done for CPAP. After I got it checked I set it as maximum pressure on the APAP and a 9 cm as minimum. See here the results:



Please don't tell me that you been using that nasal pillows mask for 5 years.

[Pugsy]

Please don't tell me that you been using that nasal pillows mask for 5 years. As I understand it, and judging from this board, more females like those pillows that go into their nasal cavities than males. And you're a male as I see in your profile.

OMG I think I am going to puke. That is the most ridiculous thing I have heard said yet from the grumpy old man.
I am sorry but this beats everything. I am speechless and that takes a lot.

[kaiasgram]

This raises a question for me: Let's assume that the OP's AHI numbers look good and by themselves don't warrant an increase in max pressure. Under those circumstances, would increasing the pressure have anything to do with relieving the excessive daytime sleepiness?

[avi123]

del

[Pugsy]

I am waiting for the OP to arrive and discuss the more important issues.

Well go ahead and wait. Since you have your own priorities as to who or what is important. You know I don't give a rats behind anyway.

Why do you continually make fun of any mask other than your "manly mask" ?
To infer that men shouldn't wear a mask that women might also be able to wear is just plain ignorant and misleading and potentially dangerous information and I told you a long time ago that when you do that, you will see fire coming from this redhead.

Are men less manly or macho because they sleep well with a mask that women also happen to use?
Are we less female or sexy because some of us choose to wear a full face mask or heaven forbid...happen to use the almighty mask that you use?
Masks don't have a sex. They are unisex. Some are offered in sizes so that small people...men or women can wear them comfortably and have a good fit. No more, no less.

Prejudice in the worst fashion. Stupid, ignorant prejudice. Veteran cpap users will just laugh at you. Newbies might actually read this garbage and think there is something to it. Many already don't feel right using this stuff anyway.
Yeah, let's give them another excuse to not use the machine...."I can't wear nasal pillows because Avi says they are for women and I don't want my masculinity messed up"...

When will you ever learn that just because you finally have some success that what you do or use is the ONLY way to achieve success...doesn't make it so?

[avi123]

This raises a question for me: Let's assume that the OP's AHI numbers look good and by themselves don't warrant an increase in max pressure. Under those circumstances, would increasing the pressure have anything to do with relieving the excessive daytime sleepiness?

No, according to the publicized info (till 2009) that I read, it will not. The pressure levels, sex, BMI, or estimated sleep duration were the same between those who suffered from RES and those who did not. Also, there was no significant relationship between cardiovascular history, hypertension, or diabetes and RES. There is another issue here that I have not mentioned to the OP:

"OSA patients suffering from RES only demonstrated significantly younger age and greater sleepiness at diagnosis. It has been proposed that, in a subgroup of patients, OSAS per se may promote irreversible anoxic brain damage affecting the prefrontal cortex . This hypoxic damage may underlie persistent sleepiness and cognitive dysfunction despite treatment. It remains unclear why one individual OSA patient may or may not develop this kind of lesion. The fact that the subgroup of OSA patients with RES was younger and sleepier at diagnosis with the same range of OSA severity compared with those without RES suggests that RES patients represent a subgroup with particular (genetically determined?) brain susceptibility to hypoxic exposure."

p.s. the above mentioned hypoxic pressure could have been higher when causing the hypoxic lesions.

Source:

http://erj.ersjournals.com/content/33/5 ... l.pdf+html

[avi123]

Hysterical posts about pillows masks:

Please don't tell me that you been using that nasal pillows mask for 5 years. As I understand it, and judging from this board, more females like those pillows that go into their nasal cavities than males. And you're a male as I see in your profile.

OMG I think I am going to puke. That is the most ridiculous thing I have heard said yet from the grumpy old man.

You have personally attacked me! Is this per this website's code of conduct?

I am sorry but this beats everything. I am speechless and that takes a lot.

and



avi123 wrote:I am waiting for the OP to arrive and discuss the more important issues.


Well go ahead and wait. Since you have your own priorities as to who or what is important. You know I don't give a rats behind anyway.

Why do you continually make fun of any mask other than your "manly mask" ?

I have experimented with most of the masks types available and found that the one I listed below in my hardware list, or similar, does the best job regarding leaks. This has to do with the technology in it. So why not help others.


It infer that men shouldn't wear a mask that women might also be able to wear is just plain ignorant and misleading and potentially dangerous information and I told you a long time ago that when you do that, you will see fire coming from this redhead.

It infers in your head. I never said it.

Are men less manly or macho because they sleep well with a mask that women also happen to use?

I never said it.

Are we less female or sexy because some of us choose to wear a full face mask or heaven forbid...happen to use the almighty mask that you use?

Masks don't have a sex. They are unisex. Some are offered in sizes so that small people...men or women can wear them comfortably and have a good fit. No more, no less.

So why are there many masks marketed "For Her"?

Prejudice in the worst fashion. Stupid, ignorant prejudice. Veteran cpap users will just laugh at you. Newbies might actually read this garbage and think there is something to it. Many already don't feel right using this stuff anyway.

What stuff? And what's wrong if they don't use it?



Yeah, let's give them another excuse to not use the machine...."I can't wear nasal pillows because Avi says they are for women and I don't want my masculinity messed up"...

I never said it.

When will you ever learn that just because you finally have some success that what you do or use is the ONLY way to achieve success...doesn't make it so?

Are you here to tell me how to achieve success?

[nanwilson]

Hysterical posts about pillows masks:

Please don't tell me that you been using that nasal pillows mask for 5 years. As I understand it, and judging from this board, more females like those pillows that go into their nasal cavities than males. And you're a male as I see in your profile.

OMG I think I am going to puke. That is the most ridiculous thing I have heard said yet from the grumpy old man.
I am sorry but this beats everything. I am speechless and that takes a lot.

and



avi123 wrote:I am waiting for the OP to arrive and discuss the more important issues.


Well go ahead and wait. Since you have your own priorities as to who or what is important. You know I don't give a rats behind anyway.

Why do you continually make fun of any mask other than your "manly mask" ?
It infer that men shouldn't wear a mask that women might also be able to wear is just plain ignorant and misleading and potentially dangerous information and I told you a long time ago that when you do that, you will see fire coming from this redhead.

Are men less manly or macho because they sleep well with a mask that women also happen to use?
Are we less female or sexy because some of us choose to wear a full face mask or heaven forbid...happen to use the almighty mask that you use?
Masks don't have a sex. They are unisex. Some are offered in sizes so that small people...men or women can wear them comfortably and have a good fit. No more, no less.

Prejudice in the worst fashion. Stupid, ignorant prejudice. Veteran cpap users will just laugh at you. Newbies might actually read this garbage and think there is something to it. Many already don't feel right using this stuff anyway.
Yeah, let's give them another excuse to not use the machine...."I can't wear nasal pillows because Avi says they are for women and I don't want my masculinity messed up"...

When will you ever learn that just because you finally have some success that what you do or use is the ONLY way to achieve success...doesn't make it so?

Avi
I don't understand why you just reposted Pugsys reply...is it because you can or what. She is 100% right, whether you think so or not. I have noted on several of your posts that you are a male chauvistic person...it seems your opinion is that women should be seen and not heard...is that why you have so many problems with the gals on this site? Man, I would certainly hate to be your wife...there would be no equality in that relationship. In the new world...thats us... men and women are equal, there are no pink jobs or blue jobs we are all the same and can do any job or wear the same cpap stuff
Cheers
Nan

[Pugsy]

Never mind Nan. Avi just made another slur about women..."hysterical posts"...inferring that I was a hysterical woman.
Not surprised. Just when I was actually beginning to like the old fart. Oh well, I sure won't lose any sleep over what he thinks of me or women. He caught me under stress (bad last few days) and I just was fed up with his crap and let him have both barrels. I will let you all take it from here with his wild a@@ notions.
I am just another "hysterical" woman with wildly raging hormones and by his reasoning not worth anything but since he is a man and men are so superior to women...cough, cough...he is just so damn smart. I guess I should go back in the kitchen and get barefoot and pregnant again.

It is a good thing several states separate us....I have been needing some good target practice lately.

[jwerley]

You go girl!!!!! He had that coming big time!!! I am fairly new here and have noticed the same thing from him...It is so D@@@@@@ irritating!!!!!

[avi123]

Beautiful language from some of the posters. Even the self appointed moderator P. feels good to express herself with those four letter words. And what was the motivation for such a silly explosion? The Pillows mask!

[xenablue]

Just an observation here....

If avi is so down on men for wearing 'girly' nasal pillow masks, they why the heck is he drinking a very girly martini???

Cheers,
xena