Sleeping but still feel exhausted. Data attached.

[riveter]

Considering the amount of time you spent at 15 cm., it still shows that it would be a good place to start and work from.
So, that would still be my recommendation of where to set your pressure.


Den

.

I have set my machine to CPAP mode at 15 CM H2O. I'm hoping for the best.
Will post data tomorrow.
Thanks!

[DreamDiver]

Are you saying the insurance exchanges will be able to discriminate against us for pre-existing conditions? I thought not.

I'm saying they're in the job of making risk assessments. They may be required to offer insurance, but as to whether the insurance will actually be affordable for those with personal health insurance is another question.

[riveter]

Better results last night using CPAP mode and reduced ramp time. Apneas lower, hypopneas still pretty high. AHI better, but still above 5.
I still have my usual feeling of not being well rested, but I have a long term sleep deficit.

Data:
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[Sheriff Buford]

Are you saying the insurance exchanges will be able to discriminate against us for pre-existing conditions? I thought not.

I'm saying they're in the job of making risk assessments. They may be required to offer insurance, but as to whether the insurance will actually be affordable for those with personal health insurance is another question.

Also: when speaking to the "Death Squad - folks" (the people that will decide if you get treatment or not)... be very polite. Your treatment is in their hands...

Just sayin'

Sheriff

[DreamDiver]

Also: when speaking to the "Death Squad - folks" (the people that will decide if you get treatment or not)... be very polite. Your treatment is in their hands...

Just sayin'

Sheriff

Sheriff Buford,
I have found the sleep techs to be the most helpful, knowledgeable and accessible of all the people in the sleep apnea industry. More than doctors or DME's. They generally know their stuff inside and out. You can learn a lot from a sleep tech.

+1

[lobo405]

What Wulfman said I can agree with.
A high pressure does not always work better, I heard from others that they even had more OA's at the moment the pressure had been increased.
I reduced my pressure, have less leaks, less problems with irritated eyes and nose (I have a nose only mask from Opus) and the overall AHI was better as well.

What I have been told, is that hypopneas are not well solved by a CPAP, although it will try to, they seem to come directly from the human nerve system.
When I have a lot of hypopneas I have an headache and are so tired next day, although the overall AHI is not to bad.
I went to a chiropractor who did something (try to remember what he did) with my nerv system and after that my hypopneas were less than half of what I used to have.

If you still have problems you might try what Wulfman suggested, lower the pressure a bit and check.

[avi123]

As long as you don't control your hi leaks any discussions about machine setting are futile.

Why Auto CPAP pressure is so hi, 18.7 cm @ 90% of time?

(To view the following I reduced the window size to 75%)

[Wulfman...]

Definitely looking better.
You may actually "need" a pressure of 17 cm., but I would suggest leaving at 15 for a few more nights to see if the numbers change a little.......and which way.
Kind of hard for us to tell what may be causing all the Hypopneas, but we just need some time to see if the numbers change a bit. Sometimes, beds, bed pillows and sleeping positions can make a difference. If you sleep with your chin closer to your chest, try tilting your head back a little to give your airway a straighter path. If you're using a lot of humidity, try turning it down. But, don't make too many changes at once......one thing at a time.


Den

.

[Pugsy]

The leaks on the most recent report using cpap mode are well controlled. Most likely because the fit/seal was more optimal to start with. Fit for seal at 10 cm starting out isn't going to work at those higher pressures.
It's a problem when using APAP mode and a wide change in pressures are seen.
One needs to make adjustments at the pressure where the machine is wanting to spend the greatest amount of time and not at the lower starting pressure.

I am concerned about the hyponeas though.
I think I would do what Wulfman suggests...give yourself a bit more time at this pressure and watch the hyponeas.
If they don't reduce...try a little more pressure to see if the hyponeas reduce...if they increase then we need to have a different discussion. The M series machines didn't flag centrals (Clear airway events) separately but they did/do sense them and they got tossed into the OA/Hyponea basket and in the past often as Hyponeas. I found this out from a discussion with Respironics a while back. Centrals got a flag but not separately and it is impossible to know if those are central in nature or not from this data.

If the hyponeas are obstructive in nature then they should reduce with a bit more pressure but if they don't and/or instead they increase....they may be central in nature and more pressure may actually make things worse.

[riveter]

Thanks a lot guys. I'll leave it at 15 for a few nights and see how it goes.

[riveter]

Second night on CPAP mode at 15 CM H2O. AHI getting worse. Feeling my normal sleep deprived self.
Will raise pressure to 16 tonight.

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[Sheriff Buford]

Also: when speaking to the "Death Squad - folks" (the people that will decide if you get treatment or not)... be very polite. Your treatment is in their hands...

Just sayin'

Sheriff

Sheriff Buford,
I have found the sleep techs to be the most helpful, knowledgeable and accessible of all the people in the sleep apnea industry. More than doctors or DME's. They generally know their stuff inside and out. You can learn a lot from a sleep tech.

+1

Agreed... but your only shot at a sleep tech is during the sleep study. Back then, I didn't know what to ask. I do the same thing with the x-ray techs, MRI techs, ultra sound techs, etc... They know what they are looking at. I'll tell them that the info they give me will not be repeated and if she's a gal... I'll flirt a bit... get anything I want...putty in the hands

Sheriff

[Wulfman...]

Second night on CPAP mode at 15 CM H2O. AHI getting worse. Feeling my normal sleep deprived self.
Will raise pressure to 16 tonight.

If I were you, I'd give it a couple more nights at 15 cm. You may just be getting "comfortable" or relaxed with this new setting or the extra apneas may be an anomaly (they were mostly in a cluster or two so your body position may have contributed to them). It does appear that you had fewer hypopneas. Try to resist the urge to make changes too quickly. Give them time and wait to see if the changes have benefits before making more changes. We don't sleep the same night after night.

"Patience is a virtue." (in this therapy)


Den

.

[riveter]

Second night on CPAP mode at 15 CM H2O. AHI getting worse. Feeling my normal sleep deprived self.
Will raise pressure to 16 tonight.

If I were you, I'd give it a couple more nights at 15 cm.

"Patience is a virtue." (in this therapy)

Den

.

Sage advice. I'll hang in there for a couple more days at 15.
Thanks.

[riveter]

Night three at 15 cm. AHI not getting any better. Did sleep for nearly six hours though.
Maybe time to raise pressure a little?



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