As Requested: SCREENSHOTS and Data

[Mozart22]

Hello everyone, Mozart here. Several of you have requested data and screenshots, so here they are!
I feel a bit demoralized and frustrated because my APAP has made me MORE tired, not less. I've only been using it
for 10 days or so, but still... not only is there no improvement in fatigue, actually I feel more fatigue.
This is a huge problem for me because I'm so exhausted that I cannot work much at all, cannot socialize, hell I'm even
too tired to do the dishes or laundry most of the time!

Important points:

- I use the APAP every night, all night. At first the range was 4-20 cm H20 but I changed it to 6-10 cm H20. AHI numbers are good.

- I like my mask. Don't see a need to change it.

- I don't see a bad leak rate in the data. There are some intentional leaks which are normal for the mask.

- My AHI numbers tend to be good (lower than 5)

- I don't think I open my mouth much when I sleep, but if I did, wouldn't that come up in the leak data?

- I'm considering taping my mouth shut as a control test, if it seems to help I'll get a chin strap, if it makes no difference I'll stop doing it.

Another important point:

The Sleepyhead 60 Series Patch seems to report incorrect average pressure values. So I'm also gonna include some Encore Basic Screenshots at the end.

[Mozart22]

Here is some info from 2 nights ago:




and here is some info from SH start screen: (remember, 60 series Patch on SH gives incorrect avg pressure)

[Mozart22]

Now here is info from last night including specific graphs and charts











and finally, some extra data from Encore Basic:

[Mozart22]

So with this data, and my low AHI and very good compliance, can anyone tell me why I feel more tired, not less tired??

[SleepingUgly]

I don't know Sleepyhead, but you say the average pressure is wrong. Is the 95th %tile wrong too?

I would definitely close the mouth in one way or another, just to be sure that no mouth leaks are disturbing your sleep, even in terms of just arousals that you can't remember.

Did you ever try straight CPAP, or have you always only been on APAP, first at 4-20 and then at 6-10?

BTW, on your sleep study were your events throughout or primarily in REM?

Wait also for some people who are better at interpreting this data than I am to chime in.

[Mozart22]

I don't know Sleepyhead, but you say the average pressure is wrong. Is the 95th %tile wrong too?

I would definitely close the mouth in one way or another, just to be sure that no mouth leaks are disturbing your sleep, even in terms of just arousals that you can't remember.

Did you ever try straight CPAP, or have you always only been on APAP, first at 4-20 and then at 6-10?

BTW, on your sleep study were your events throughout or primarily in REM?

Wait also for some people who are better at interpreting this data than I am to chime in.

According to the LCD screen on my APAP, my 90% pressure is almost always between 6 and 8.
I think my pressure range of 6-10 cm H20 is good, and certainly the AHI numbers are working for now.

[Guest]

Do you have a report that shows what the pressure did during the night?

.

[Mozart22]

Here is one final screenshot to add to the rest, in case this is useful:

From SLEEPYHEAD:




From ENCORE BASIC:

[SleepingUgly]

Hopefully some more knowledgeable people will look at this tomorrow. In the meantime, answer my other questions, please (see above).

[cosmo]

- I don't see a bad leak rate in the data. There are some intentional leaks which are normal for the mask.

Here is what I think a good leak rate looks like. Your leak rate doesn't look good to me.

[hyperlexis]

Why are you tired? Honestly, your numbers look very good -- in my layman's opinion.

Perhaps you have a neurological problem or other disorder that is causing your tiredness.

This is really a clinical problem you need to have further investigated by a physician. Have you seen a neurologist or do you have a sleep medicine physician?

That may be where your problem lies.

[Guest]

I still think the pressure changes are wrecking your sleep. I would suggest increasing your minimum pressure to 8 or 9.

.

[cosmo]

Do you work at an odd shift? Bed time starts around 5-6am.

[wildflowertx]

I'm no expert, but even though the overall AHI number is low, it sure seems like you had a lot of events. I would think those disturb the sleep. Just because you're in bed for 10-11 hours doesn't mean you're really asleep all those hours nor that you're getting *good* sleep all those hours. Seems like quite a few leaks, too, the higher of which mostly coincide with the higher AHI events.

[Mozart22]

About LEAKS: My total leak rate is sometimes 10 above the intentional leak rate, as the charts seem to indicate. Is that very bad?
I'm new so I don't know for sure, but it was my understanding that even for those who have their leaks under control,
there are bound to be at least some unintentional leaks. Do those of you who use chin straps or full face masks really have
zero leaks after accounting for intentional leaks from the mask?

The LCD screen on my APAP always has "0%" as the value under the Large Leak option. There hasn't been a single day this week when that number
was not "0%", which I understood to mean there are no large leaks and its the large leaks that are bad.

Also I don't know if this counts, but about 3 or 4 times a night I pull the mask away and readjust it on my nose to create a new air seal.
The mask instructions say that should be done when putting on the mask or readjusting its position.

Also sometimes I have to cough (not a lot) and so that requires opening my mouth obviously. I don't have a cold or anything but sometimes
a cough or sneeze happens and so air goes out of the mouth.

Either way I've already decided to try taping my mouth shut just as a control measure. I'm actually gonna use 3M shipping tape, the kind you use
on boxes for shipping. It's very strong so it should do the job well. I know that not the right kind of tape to use but it's what I have in the house and
I'm only going to try it to see. I'm only doing this for a few days as a test to see if opening my mouth
is an issue and decide whether a chin strap is needed, I would hope not since I don't want to add yet another thing to my face!

I was under the impression that if I slept with my mouth open a lot, it would have shown up under the Large Leak data.