First sleepy head screen shot

[the baker]

First screenshot of my sleepy head data from last night,
Woke this morning feeling horrible... Did I do this right. I am extremely fogged so forgive me if I missed something from the instructions

screenshot-20190315-132655.png (57.73 KiB) Viewed 2013 times

[Dreaming1]

Your AHI looks great, but your leak appears high. I see you wear a full face mask. Did you feel it blowing off your face last night? Have you always used a full face? Ever used a nasal mask? You may need less pressure with a nasal mask of some choice, if the pressure were lowered to compensate for the leak of the full face, where you retained more therapy in the airway.

[the baker]

Your AHI looks great, but your leak appears high. I see you wear a full face mask. Did you feel it blowing off your face last night? Have you always used a full face? Ever used a nasal mask? You may need less pressure with a nasal mask of some choice, if the pressure were lowered to compensate for the leak of the full face, where you retained more therapy in the airway.

I'm 3 weeks in on cpap , this is my first mask, it only came off my face once.
I'm am thinking about a nasal mask...
When I saw the doctor Tuesday he never mentioned leaks, my machine says I've had 100% for for every night..

[Dog Slobber]

His leak-rate is just fine.

Respironics report leak very different than ResMeds.

[Dreaming1]

Out of curiosity, were you ever shown a nasal mask at all?

[the baker]

Out of curiosity, were you ever shown a nasal mask at all?

Yes the Dme only had up to size large.. And when I was strapped in it pressed my nose to much and it was hard to breathe, I wanted an XL to try but they did not have one


I was thinking about buying this one myself

https://www.thecpapshop.com/respironics ... ask-bundle

[palerider]

Your AHI looks great, but your leak appears high.

His leak rate is perfectly fine for his type of machine.

[Dreaming1]

Were you a mild, moderate or severe sleep apnea patient to begin with? What was your overall AHI at the end of your diagnostic sleep test? Was it a home sleep test or an in lab sleep test?

They didn’t have a single nasal mask that would fit you in the entire facility?

[the baker]

Were you a mild, moderate or severe sleep apnea patient to begin with? What was your overall AHI at the end of your diagnostic sleep test? Was it a home sleep test or an in lab sleep test?

They didn’t have a single nasal mask that would fit you in the entire facility?

The doctor told me I had mild hypopnea.

Looking at my results from the sleep lab they state. " apnea/hypopnea index of 10.8 with a rem ahi of 21.6 and zero RERA. With an RDI of 10.8
And oxygen desaturation to 91%"

The DME company is not very good ,,, but that's the company my health insurance uses so I may buy a nasal mask myself to try...

[Dreaming1]

While your “leak” isn’t super high in relation to a Respironics machine, and given the fact that your AHI is well under control, I personally believe that the mask leak is high enough to be continuously causing arousals in the EEG. Thus your current arousal index is far greater now than your RDI (Respiratory Disturbance Index) previously was, based on your 10.8 AHI. It would explain the fact that you still feel exhausted. This is also supported by the fact that you are in the mild category overall (even with a moderate REM related AHI) and milder patients can sometimes struggle to adjust to cpap as fast as moderate or severe patients, because they don’t significant amounts of sleep deficiency to overcome. Example: if your AHI is 10 and you wake up an average of 20 times an hour because of the apnea related events and snoring, you would need to decrease your arousals index to in fact possibly notice a difference in energy level. In your case though, your AHI is now under control as evidenced by your sleep head data. But sleepy head doesn’t and can’t track overall arousal index. It would seem your arousal index is still high for a reason (why you are tired), it can’t be AHI and it can’t be snoring because the evidence in sleepy head suggest those are under control. That leaves something else to cause your arousal index to be high. Leak, typically related to mask and or oral venting (problem here is you’re using a full face mask, which means it’s probably not oral venting), can fragment the hell out of a patient’s sleep. It doesn’t have to look obviously high to accomplish this. I would focus on leak first because of the argument I’ve laid out. I think your mask is the culprit that’s making you tired because your arousal index on cpap is as high as before or only slightly lower or slightly higher or a lot higher than when you weren’t on cpap (only way to track that is with EEG recording). It’s just not apnea causing the arousals this time. But then everyone has an opinion, and perhaps someone else has a better argument to make for your continued exhaustion.

[the baker]

What you say makes sense to me.

last night's sleep was a fluke normally I only get 4-5 hours the doctor said I would feel better with more sleep and the first night I get a full nights sleep i feel the worse I've felt in the 3 weeks on cpap.. All day dizzy super fogged my body hurts and nausea

[Dog Slobber]

While your “leak” isn’t super high in relation to a Respironics machine,

The OP is using am AirTouch F20. ResMed publishes a venting flow-rate of 37L/min at 10 CM of water pressure.

His graph shows a "leak-rate", fairly consistent at about (40-42)L/min. with one spike at 55L/min. The means his leak is approximately 3-5 L/min spiking once at 15 L/min.

Many here would kill for those numbers.

and given the fact that your AHI is well under control, I personally believe that the mask leak is high enough to be continuously causing arousals in the EEG.

What does this even mean?


The only good thing about your post is it is a wall of text, without paragraphs. Most people don't read those.

Thus your current arousal index is far greater now than your RDI (Respiratory Disturbance Index) previously was, based on your 10.8 AHI. It would explain the fact that you still feel exhausted. This is also supported by the fact that you are in the mild category overall (even with a moderate REM related AHI) and milder patients can sometimes struggle to adjust to cpap as fast as moderate or severe patients, because they don’t significant amounts of sleep deficiency to overcome. Example: if your AHI is 10 and you wake up an average of 20 times an hour because of the apnea related events and snoring, you would need to decrease your arousals index to in fact possibly notice a difference in energy level. In your case though, your AHI is now under control as evidenced by your sleep head data. But sleepy head doesn’t and can’t track overall arousal index. It would seem your arousal index is still high for a reason (why you are tired), it can’t be AHI and it can’t be snoring because the evidence in sleepy head suggest those are under control. That leaves something else to cause your arousal index to be high. Leak, typically related to mask and or oral venting (problem here is you’re using a full face mask, which means it’s probably not oral venting), can fragment the hell out of a patient’s sleep. It doesn’t have to look obviously high to accomplish this. I would focus on leak first because of the argument I’ve laid out. I think your mask is the culprit that’s making you tired because your arousal index on cpap is as high as before or only slightly lower or slightly higher or a lot higher than when you weren’t on cpap (only way to track that is with EEG recording). It’s just not apnea causing the arousals this time. But then everyone has an opinion, and perhaps someone else has a better argument to make for your continued exhaustion.

[the baker]

I read it...I'm desperate to find out what is going on..

[palerider]

While your “leak” isn’t super high in relation to a Respironics machine, and given the fact that your AHI is well under control, I personally believe

Which highlights the difference in "belief" and fact.

Your "belief" is flat out wrong.

Lots of completely unsubstantiated drivel

Best to just ignore all of that meandering

[palerider]

The only good thing about your post is it is a wall of text, without paragraphs. Most people don't read those.