Still having bleeping sleep issues

[tryingtosleep54]

I've been an insomniac forever but was also diagnosed with moderate sleep apnea about 5 years ago. Dozens of CPAP masks were tried and every single one leaked. I've used a custom dental appliance which only moderatley reduces events. So I was thrilled to see the Bleep Dreamport which does not appear to leak. However, my sleep with the Bleep feels very very restless with lots of awakenings. As I am getting some rest, it gets progressively harder to fall back to sleep.
My wife has reported when I mouth breathe in the past because it can be noisy for her. She does not complain of that now.
Attached is last night's Sleepyhead data.
Also some zoomed in event data. Some or maybe even all of these Central apneas might be just from awakening.
Finally, I've attached a very old file from a different mask (I don't recall which) for comparison.

[Pugsy]

I saw last night's image...and a couple of zoomed in images but nothing from another night...and then poof...all images are gone.
Where did they go? They aren't there now.

The zoomed in images that I did see...I just did a quick glance and they looked like arousal breathing flagged by mistake to me.
I didn't look real close though.

Do you take any medications at all? If so, what?
Do you have any other health issues that might mess with your sleep?

And how long have you been trying the Bleep?

[tryingtosleep54]

I started to edit them but then got called away and thought I cancelled the edit. I will repost them shortly. Sorry about that.

[tryingtosleep54]

Here is the data:

[tryingtosleep54]

And it looks like I duplicated last night's data instead of the old data. I'll get this right eventually. I need a good night's sleep!

[tryingtosleep54]

The old data

[Pugsy]

Do you take any medications at all? If so, what?
Do you have any other health issues that might mess with your sleep?

And how long have you been trying the Bleep?

Do you have an older report with low AHI and a different mask that doesn't have such prolonged periods of time in large leak?

[tryingtosleep54]

"Do you take any medications at all? If so, what?"

Januvia (diabetes), Levothyroxine (hypothyroidism), Repatha (hypercholesteremia), Lisinopril (hypertension), Vit D, Bupropion (for ADHD), Vit b12 (B12 Anemia) , Methylphenidate (ADHD and never after 2PM). I'm checked pretty regulalry for labs to make sure these problems are under control.
Several of those can cause sleep issues as can ADHD. I've been an insominiac from the time I was a baby. As a 2 yo,reportedly an apartment neighbor threatened to call social services because I cried all night and they thought my parents were beating me. But they let her babysit one night. My parents took bets on how long she'd last. At 3 AM she rang the bell and handed me back.
Sleep medications have always had nasty adverse effects so I avoid them.

The data here is from an Airfit F20 which actually felt reasonably comfortable when I tried it in the sleep clinic. But to keep it from leaking whan I layed down, the straps had to be pulled uncomfortably tight.

[Dreaming1]

If the bleep isn’t leaking like you said, you don’t appear to have enough therapeutic pressure. But that’s probably because it’s escaping your mouth.

[Dreaming1]

The F20 is a full face, right?

[Pugsy]

I am trying to determine if the Bleep is maybe adding to your insomnia issues which you know you had long before now.
And the meds question was to see if anything stood blatantly out as being a potential factor in the insomnia issues.
The Bupropion definitely has the potential to cause insomnia or make insomnia issues worse
Known side effect among a very long list...well known to mess with sleep architecture in general..
https://www.rxlist.com/wellbutrin-side- ... center.htm
With the known insomnia issues that does make me wonder if the higher AHI you are seeing is related to sub optimal therapy or simply awake breathing irregularities flagged by mistake. This is why I wanted you to get familiar with looking at the flow rate and see if those flagged events (all of them not just the centrals) are maybe awake breathing irregularities flagged by mistake.
I would hate to tell you that you need more pressure to reduce those flagged events and it not be related to pressure at all.
Those flagged events might simply be a byproduct of poor sleep in general.

So how long using the Bleep? I don't see any leaks being an issue on the report...are you hearing leaks or vent noise that might be impacting sleep quality.
Do you think the newness of just having a new mask that is stuck on the end of your nose is perhaps making the insomnia issues worse?
I understand not wanting to take RX sleep meds...they come with their own baggage which isn't so nice either.

I see 2 problems to sort through....your poor sleep in general (be it from sub optimal therapy or just insomnia)...and deciding if the Bleep itself is adding to the poor sleep.
I don't see leaks being an issue though.

Your nights with a nice lower AHI...the time periods are so short it's difficult to make any comparisons.
Both were less than 2 hours duration with that mask used.
I don't see mouth breathing with the Bleep being an issue....if there was much mouth breathing going on it would show up in the leak graph. Leak is leak no matter where it comes from. The little blip around 3:00 to 3:10 last night...might have been a very small amount of mouth breathing happening. Not enough to impact therapy if that is what happened.

[Pugsy]

If the bleep isn’t leaking like you said, you don’t appear to have enough therapeutic pressure. But that’s probably because it’s escaping your mouth.

No...it's not escaping from the mouth....if it was it would show up on the leak graph. There's a maybe time around 3:00 on last night's report but it's not nearly enough (if it is mouth breathing) to negatively impact therapy and allow the airway to close up.
I need to see a lot more of the flow rate to be sure but I am not so sure that he needs more pressure...I am not so sure that the bulk of that high AHI is even real. I am thinking there is a good chance that it's SWJ flagging happening from the awkenings from the insomnia issue.

[Pugsy]

Folks....SWJ false positive flagging isn't limited to just centrals...it can be any of the 3 categories of events.
I have proof from my own reports...I see SWJ flagged OAs and hyponeas and they are so blatantly SWJ awake or arousal breathing that a blind man could see it.

[trfarley]

What is SWJ mean ? couldn't find it on search.
Thnx
Tim

[Pugsy]

What is SWJ mean ? couldn't find it on search.
Thnx
Tim

Sorry.....SWJ Sleep/Wake/Junk false positive flagged events from awake breathing irregularities getting flagged.
Remember these machines can only measure air flow....they have no idea if we are asleep or not and they can and will sometimes flag something that is happening with the air flow and we aren't necessarily asleep. If we aren't asleep they aren't real. They can also respond thinking that they are real if using auto adjusting pressures. I have seen my pressure line go up for a couple of OA flagged events and I was most definitely awake per the flow pattern. Asleep breathing pattern is usually very rhythmic and boring. Awake breathing pattern is all over the place sometimes...not always but quite often.