Hows my sleepyhead data look?

[gravyv]

My sleep for the past week have been horrible. Edit: I just started therapy about a week ago which is why there are empty days. My next follow up is 6 weeks from now. My initial prescribed settings are 6 - 20 for the pressure range, epr 1 (I just put it on 2), and I've been using the humidity at 6-7. I'm just having a hard time adjusting because it's made my sleep worse so far. Also, i'm 27, and my doc put on me on therapy mainly to treat my rls in addition to my mild apnea. I've been going through several meds for rls, but they aren't helping too much.

[Julie]

Apart from "horrible", could you be more specific about what you actually feel?

[gravyv]

I'm not actually sleeping much. A few of those days I probably was lying in bed with the mask on for 3hrs. Then when I do fall asleep I wake up about 1-2hrs later. There were some small "naps" in there were okay which made me hopeful. I've been awake for almost 2 days now. I just tried to go to sleep but my nose ended up being congested so I woke back up. Now that its clear again I am going to try to go to sleep again.

It looks like its going to take me a bit to get my sleep hygeine in order. I might need some other meds to help. I still have some leftover ambien and I've taken one already for tonight.

[Julie]

OK, one specific to go by... if you're congested, could it be that you have the humidity on a high setting (or even just "On") which can cause congestion - have you tried turning it off?

[Mr Snuffy]

Whys so many days of not using CPAP? Hard to tell whats going on with just a few days recorded over a month

[brituser]

Unless you are a teenage boy, the thing that jumps out at me is how long you spend in bed. The wisdom as I know it is that if you have fragmented sleep, that's most often a sign that you try to sleep too long. If I sleep more than about 5.45, I start to get rebound bad sleep and my AHI goes up. Why not try setting the alarm clock for seven hours after you go to bed, and give it a couple of weeks of ruthlessly getting up. Really ruthlessly. That's my two pence.

[Wulfman...]

My sleep for the past week have been horrible.

Considering how you have it configured........I'm not surprised.

Way too wide of a pressure range.


Den

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[palerider]

My sleep for the past week have been horrible.

Considering how you have it configured........I'm not surprised.

Way too wide of a pressure range..

will there ever be a different dead horse?

[Wulfman...]

My sleep for the past week have been horrible.

Considering how you have it configured........I'm not surprised.

Way too wide of a pressure range..

will there ever be a different dead horse?

That one you keep beating should be good and dead by now, too.

I didn't say ANYTHING about straight pressure.......YET!
Just the wide range of pressures......in response to his complaining of horrible sleep.
It's pretty obvious to me at this point. I respond to what I see and read.


Den

.

[palerider]

It's pretty obvious to me at this point. I respond to what I see and read.

it's pretty obvious to you, always. if the pressure line isn't flat, then that's what's bothering people.

before any other things are investigated, you've already made up your mind.

perhaps there's other things that might be making the OPs sleep crappy, bad habits, stress at work, allergies.. any number of things. to jump to the conclusion that it *IS* the dreaded evil autopap causing the problems is a disservice.

it's like a doctor I used to know, now bereft of medical license, who discovered psychological issues with a VAST majority of her patients... "oh, you broke your ankle? you must be depressed, here, take these, you'll feel better".

of course, in *her* case, it was because she could bill more $$ for psych cases than a simple broken ankle... and NO, I'm not suggesting your blaming autopaps for the money... it just seems you have a deep seated hatred of them.

[Wulfman...]

It's pretty obvious to me at this point. I respond to what I see and read.

it's pretty obvious to you, always. if the pressure line isn't flat, then that's what's bothering people.

before any other things are investigated, you've already made up your mind.

perhaps there's other things that might be making the OPs sleep crappy, bad habits, stress at work, allergies.. any number of things. to jump to the conclusion that it *IS* the dreaded evil autopap causing the problems is a disservice.

it's like a doctor I used to know, now bereft of medical license, who discovered psychological issues with a VAST majority of her patients... "oh, you broke your ankle? you must be depressed, here, take these, you'll feel better".

of course, in *her* case, it was because she could bill more $$ for psych cases than a simple broken ankle... and NO, I'm not suggesting your blaming autopaps for the money... it just seems you have a deep seated hatred of them.

No. I look at a bigger picture. Part of it is:

My sleep for the past week have been horrible.

And, another part of it is looking at the report and seeing the pressures going all over the place. Very few events but enough snoring (and possibly flow limitations) to cause the pressure changes.

You DID say......in another thread:

As Den mentioned, some people feel they do better on a fixed pressure, and some people feel they do better on a varying pressure.

I believe that a tighter range (in this case) should be about 9 or 10 to 13 for about a week to see what the results are.
OR......a fixed pressure of something between 10 and 13 may be in order.
I haven't bothered to read back through this person's previous threads to see if they had a sleep study or had been prescribed a specific pressure, but at the moment, it would seem to me that a pressure setting in that range might allow for more quality sleep.

This therapy IS all about "quality sleep" while getting lower AHI numbers and better oxygenated breathing while sleeping.


Den

.

[Wulfman...]

It's pretty obvious to me at this point. I respond to what I see and read.

it's pretty obvious to you, always. if the pressure line isn't flat, then that's what's bothering people.

before any other things are investigated, you've already made up your mind.

perhaps there's other things that might be making the OPs sleep crappy, bad habits, stress at work, allergies.. any number of things. to jump to the conclusion that it *IS* the dreaded evil autopap causing the problems is a disservice.

it's like a doctor I used to know, now bereft of medical license, who discovered psychological issues with a VAST majority of her patients... "oh, you broke your ankle? you must be depressed, here, take these, you'll feel better".

of course, in *her* case, it was because she could bill more $$ for psych cases than a simple broken ankle... and NO, I'm not suggesting your blaming autopaps for the money... it just seems you have a deep seated hatred of them.

Not discounting any of that, either. But, to rule things in or out, the old "K.I.S.S." principle needs to be applied. Get things down to the basics and see which ones are the culprits.

Ranges of pressures CAN complicate trying to sort out the problems and the solutions.


Den

.

[palerider]

It's pretty obvious to me at this point. I respond to what I see and read.

it's pretty obvious to you, always. if the pressure line isn't flat, then that's what's bothering people.

before any other things are investigated, you've already made up your mind.

perhaps there's other things that might be making the OPs sleep crappy, bad habits, stress at work, allergies.. any number of things. to jump to the conclusion that it *IS* the dreaded evil autopap causing the problems is a disservice.

it's like a doctor I used to know, now bereft of medical license, who discovered psychological issues with a VAST majority of her patients... "oh, you broke your ankle? you must be depressed, here, take these, you'll feel better".

of course, in *her* case, it was because she could bill more $$ for psych cases than a simple broken ankle... and NO, I'm not suggesting your blaming autopaps for the money... it just seems you have a deep seated hatred of them.

Not discounting any of that, either. But, to rule things in or out, the old "K.I.S.S." principle needs to be applied. Get things down to the basics and see which ones are the culprits.

Ranges of pressures CAN complicate trying to sort out the problems and the solutions.


Den

.

yes, they *CAN* .... but I think, as often happens, the OP has bigger problems here:

I'm not actually sleeping much. A few of those days I probably was lying in bed with the mask on for 3hrs. Then when I do fall asleep I wake up about 1-2hrs later. There were some small "naps" in there were okay which made me hopeful. I've been awake for almost 2 days now. I just tried to go to sleep but my nose ended up being congested so I woke back up. Now that its clear again I am going to try to go to sleep again.

It looks like its going to take me a bit to get my sleep hygeine in order. I might need some other meds to help. I still have some leftover ambien and I've taken one already for tonight.

[Wulfman...]

It's pretty obvious to me at this point. I respond to what I see and read.

it's pretty obvious to you, always. if the pressure line isn't flat, then that's what's bothering people.

before any other things are investigated, you've already made up your mind.

perhaps there's other things that might be making the OPs sleep crappy, bad habits, stress at work, allergies.. any number of things. to jump to the conclusion that it *IS* the dreaded evil autopap causing the problems is a disservice.

it's like a doctor I used to know, now bereft of medical license, who discovered psychological issues with a VAST majority of her patients... "oh, you broke your ankle? you must be depressed, here, take these, you'll feel better".

of course, in *her* case, it was because she could bill more $$ for psych cases than a simple broken ankle... and NO, I'm not suggesting your blaming autopaps for the money... it just seems you have a deep seated hatred of them.

Not discounting any of that, either. But, to rule things in or out, the old "K.I.S.S." principle needs to be applied. Get things down to the basics and see which ones are the culprits.

Ranges of pressures CAN complicate trying to sort out the problems and the solutions.


Den

.

yes, they *CAN* .... but I think, as often happens, the OP has bigger problems here:

I'm not actually sleeping much. A few of those days I probably was lying in bed with the mask on for 3hrs. Then when I do fall asleep I wake up about 1-2hrs later. There were some small "naps" in there were okay which made me hopeful. I've been awake for almost 2 days now. I just tried to go to sleep but my nose ended up being congested so I woke back up. Now that its clear again I am going to try to go to sleep again.

It looks like its going to take me a bit to get my sleep hygeine in order. I might need some other meds to help. I still have some leftover ambien and I've taken one already for tonight.

I agree, there's about a 90 to 120 minute swing in some of those peaks and valleys of pressure.......which could also correspond with sleep stages. My approach is to simplify the therapy as much as possible to sort things out.


Den

.

[lilly747]

I see a number of problems. First using your machine 7 out of 27 days is not going to help you feel better. You need to use it all the time when your sleeping. Also your min pressure is way too low. I would raise it to 10 if it was me and see how that works to tame your pressure graph.