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palerider wrote:

bmanley wrote:The one thing I have said is since I started CPAP I have never felt rested and not sure why. One thing could be poor fit on the swift RX.

you're just guessing, it's more likely that your pressures are just *wrong*.

Though I posted this last night but I must have been tired. Why do you say pressure could be wrong? Had a tritation study done last Jan and they said pressure should be 13, I had been set to 11. Study was done with my swift FX nasal pillows so I would think it was a good study. I've lost 8 pounds since that study. Doc wanted me to change to 15 a few months ago because I was still having trouble. With no real data I'm not sure what else he could do. It's taking too long to get this new machine and I'm getting tired of messing with the local DME. Guess now it will be next month before I see a new machine

bmanley wrote:

palerider wrote:

bmanley wrote:The one thing I have said is since I started CPAP I have never felt rested and not sure why. One thing could be poor fit on the swift RX.

you're just guessing, it's more likely that your pressures are just *wrong*.

Though I posted this last night but I must have been tired. Why do you say pressure could be wrong? Had a tritation study done last Jan and they said pressure should be 13, I had been set to 11. Study was done with my swift FX nasal pillows so I would think it was a good study. I've lost 8 pounds since that study. Doc wanted me to change to 15 a few months ago because I was still having trouble. With no real data I'm not sure what else he could do. It's taking too long to get this new machine and I'm getting tired of messing with the local DME. Guess now it will be next month before I see a new machine

sleep varies, not only from night to night, but from hour to hour.

all the things you're complaining about sound like inadequate treatment.

as to your titration, ponder this:

as to sleep studies... they may be "The GOLD Standard", but they are, in many ways, woefully inadequate if you think about it.

you're in an artificial environment, all wired up and less comfortable than normal. it's *one night* and likely only part of that night. reading any titration report, you'll see that "oh, your good pressure was 12cm, you slept for 45 minutes at that pressure!"

it's a simple fact that sleep varies from night to night, you'll have better and worse days with the same exact settings. yet the "gold standard" is a small number of minutes tested on one night.... a brief photograph taken during the marathon run that is your sleep.

it's not surprising that sleep studies are somethings quite wrong, what's surprising is that they're ever right!
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again, without data, you're *GUESSING* and so was the doc. it's like trying to drive with the windows of the car painted over. recipe for failure.

Your right a sleep study doesn't last all that long many times. I've laid down to try and sleep as late as 11 and that get you up many times around 5am. If you have troubles like leads falling off and bathroom breaks they don't have all that long to look at you. Plus it is just a different place, bad or good. Some place you hear other things going on and stuff like that. My last study they said they started me at 11 my current setting at the time and went up to 15 but said I did best at 13. Might not be the right setting for everything but they though it was right. Hopefully once I get the new machine and figure out how to read it and post what I download people can help to figure out just what is going on and what will fix it. Many doctors are good but not many want to talk to you enough to get thing figured out sooner then later