Something has changed over time...

[britinjapan]

I`ve been on APAP for about 4 months now, and I think I`ve been pretty successful in adapting. What I have found though is that in recent weeks when I wake up in the morning, the machine is "working less" than in the past. It`s quite easy to breathe (whilst in the past it was more active), and if I test the machine and stop breathing, the automatic push of air sometimes does not come on, and if it does it`s much less forceful than in the past on this test.

Any suggestions what could be causing this?

Thanks as always for a great forum

[1guest]

check for leaks....hose..mouth ?

[Todzo]

I`ve been on APAP for about 4 months now, and I think I`ve been pretty successful in adapting. What I have found though is that in recent weeks when I wake up in the morning, the machine is "working less" than in the past. It`s quite easy to breathe (whilst in the past it was more active), and if I test the machine and stop breathing, the automatic push of air sometimes does not come on, and if it does it`s much less forceful than in the past on this test.

Any suggestions what could be causing this?

Thanks as always for a great forum

Hi britinjapan!

How is your "morning feel" (how do you feel when you wake up) and how do you perform during the day when you notice this?

Thanks!

Todzo

[joeyjernigan]

I`ve been on APAP for about 4 months now, and I think I`ve been pretty successful in adapting. What I have found though is that in recent weeks when I wake up in the morning, the machine is "working less" than in the past. It`s quite easy to breathe (whilst in the past it was more active), and if I test the machine and stop breathing, the automatic push of air sometimes does not come on, and if it does it`s much less forceful than in the past on this test.

Any suggestions what could be causing this?

Thanks as always for a great forum

How does you data look? AHI, Leaks, etc.?

[LSAT]

I`ve been on APAP for about 4 months now, and I think I`ve been pretty successful in adapting. What I have found though is that in recent weeks when I wake up in the morning, the machine is "working less" than in the past. It`s quite easy to breathe (whilst in the past it was more active), and if I test the machine and stop breathing, the automatic push of air sometimes does not come on, and if it does it`s much less forceful than in the past on this test.

Any suggestions what could be causing this?

Thanks as always for a great forum

Your body is simply getting use to the pressure. This happens to all of us. When you first turn on the machine and mask up the pressure seems high, but, after breathing all night the pressure seems low in the AM. The machine is producing the same pressure in the AM as it was in the PM. If you are still worried...take the machine in to your provider and they can check the pressure in a matter of minutes.

[Sir NoddinOff]

Your body is simply getting use to the pressure. This happens to all of us. When you first turn on the machine and mask up the pressure seems high, but, after breathing all night the pressure seems low in the AM. The machine is producing the same pressure in the AM as it was in the PM. If you are still worried...take the machine in to your provider and they can check the pressure in a matter of minutes.

I agree with this. I used to think that my PR System one was helping me breathe, but I eventually learned that anything short of a high end ASVs or certain Bi-Level machine is not going to prompt or assist one's breathing. In other words, an 'auto CPAP' machine is not capable of controlling one's breathing cycles while sleeping. Over time, you simply get used to the pressure pulses and/or the C-flex or A-Flex features, not to mention the inevitable pressure ups and downs during the night. I suspect that over time this makes them appear to be less than they initially were. These days, I sometimes have to wave my hand over the mask's exhaust vent to make sure the machine is even on!

[britinjapan]

How does you data look? AHI, Leaks, etc.?

My AHI is under 5 usually, and on the machine there are no large leaks.

Average total leaks - 22

95% total leaks 30 odd

[britinjapan]

I`ve been on APAP for about 4 months now, and I think I`ve been pretty successful in adapting. What I have found though is that in recent weeks when I wake up in the morning, the machine is "working less" than in the past. It`s quite easy to breathe (whilst in the past it was more active), and if I test the machine and stop breathing, the automatic push of air sometimes does not come on, and if it does it`s much less forceful than in the past on this test.

Any suggestions what could be causing this?

Thanks as always for a great forum

Hi britinjapan!

How is your "morning feel" (how do you feel when you wake up) and how do you perform during the day when you notice this?

Thanks!

Todzo

There are days I feel better than others, but I`m definitely better than pre CPAP days

[Todzo]

I`ve been on APAP for about 4 months now, and I think I`ve been pretty successful in adapting. What I have found though is that in recent weeks when I wake up in the morning, the machine is "working less" than in the past. It`s quite easy to breathe (whilst in the past it was more active), and if I test the machine and stop breathing, the automatic push of air sometimes does not come on, and if it does it`s much less forceful than in the past on this test.

Any suggestions what could be causing this?

Thanks as always for a great forum

Hi britinjapan!

How is your "morning feel" (how do you feel when you wake up) and how do you perform during the day when you notice this?

Thanks!

Todzo

There are days I feel better than others, but I`m definitely better than pre CPAP days

Hi britinjapan!

I too have noted that the machine responds differently at times. It seems to respond to less breathing less often by tempering the clear airway sensing pulses.

But no one, not even the doctors really know how these machines work. That is proprietary. Which I find a bit scary.

I have used strait CPAP for over nine years now. I want to keep using CPAP because the numbers from the studies indicate it has the fewest arousals. These clear airway sensing pulses, it think, add to the number of arousals and awakenings. I think they also add to central nervous system activation.

Since the whole thing is "proprietary" I guess we will never know.

When I can I will obtain a brick CPAP and perhaps add external flow sensing to maintain the necessary data feedback to see that my therapy is going well. My need for pressure has gone from 15 to 8 in the past year – hopefully I will never have to build that system.

Have a great weekend!

Todzo