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.