New chart for review

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

Sleep architecture is suboptimal? Can you put that into layman's terms? Lol

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

as I said pressure is at 13 and 20 epr at 3. What do you think should be my next step? should I continue a slow-but-steady elevation of pressure settings or perhaps bring down my epr setting next?

JBarizona wrote: ↑

Fri Nov 02, 2018 2:56 pm

Sleep architecture is suboptimal? Can you put that into layman's terms? Lol

Not sleeping soundly....too many arousals that you may or may not remember. Crappy sleep quality.
As to why...might still be related to the airway trying to collapse...so work on that first.

JBarizona wrote: ↑

Fri Nov 02, 2018 2:58 pm

as I said pressure is at 13 and 20 epr at 3. What do you think should be my next step? should I continue a slow-but-steady elevation of pressure settings or perhaps bring down my epr setting next?

Reducing EPR won't make that big of a change in the baseline average pressure unless you turn it off but you can try it if you wish.
Me...I like EPR and as long as I have room to use it I would go with increasing the minimum in small increments and giving each change a bit of time for your brain and body to adjust.

The choice is yours though. You can try reducing EPR if you wish but if it were me and I liked EPR I would use it.
I don't think that your centrals are related to using EPR...my gut says they are more likely related to the crappy sleep quality...I am betting the bulk of them are probably post arousal.

Do make only one change at a time though. Otherwise if you get a dramatic change you won't know what might have caused it.

Why would I stop breathing for 30 seconds after an arousal? The word arousal gets thrown around a lot and I don't understand why an arousal would make me stop breathing. What exactly is an arousal?.. I just want to start feeling better and having more energy. 7 weeks now on CPAP and I'm more tired than before I started it...

Sleep architecture is the nice normal progression of each sleep stage throughout the night so that we get the right amount in each stage for the restorative powers of sleep to work their magic.
It's important even to those people who don't have sleep apnea messing with things.
Lots of things can mess with sleep architecture besides apneas or airway related issues.
What we do is work on the stuff the best we can that might be messing with sleep architecture/quality....like the airway related stuff and once we get things at least looking good on paper for a while then if we still don't feel the good numbers we start looking at other potential culprits.

Right now...your reports still show that airway issues are still likely happening and thus they are at the top of the culprit list.

Snoregone Conclusion wrote: ↑

Fri Nov 02, 2018 2:38 pm

In short: the machine is taking care of your needs pretty well.

No, it's not, pressures are still too low.

JBarizona wrote: ↑

Fri Nov 02, 2018 2:56 pm

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

Sleep architecture is suboptimal? Can you put that into layman's terms? Lol

Your sleep is crap still.

JBarizona wrote: ↑

Fri Nov 02, 2018 2:58 pm

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

as I said pressure is at 13 and 20 epr at 3. What do you think should be my next step? should I continue a slow-but-steady elevation of pressure settings or perhaps bring down my epr setting next?

You have been told what to do, you haven't done it.

palerider wrote: ↑

Fri Nov 02, 2018 3:16 pm

Snoregone Conclusion wrote: ↑

Fri Nov 02, 2018 2:38 pm

In short: the machine is taking care of your needs pretty well.

No, it's not, pressures are still too low.

What do you think pressure should be Pale Rider?

JBarizona wrote: ↑

Fri Nov 02, 2018 3:15 pm

Why would I stop breathing for 30 seconds after an arousal?

JBarizona wrote: ↑

Fri Nov 02, 2018 3:15 pm

What exactly is an arousal?.

An arousal is nothing more than an awakening from sleep. You may or may not remember it.

That 30 second event after an arousal is not a real apnea event. Instead it is a reduction in air flow most likely from irregular breathing while awake....probably you held your breath. We do it all the time and don't remember it, especially during the night.
The machine doesn't always flag it correctly when it is awake/irregular breathing.

So why more tired now....what changed?
Hours of sleep?
Quality of sleep?

palerider wrote: ↑

Fri Nov 02, 2018 3:18 pm

JBarizona wrote: ↑

Fri Nov 02, 2018 2:58 pm

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

as I said pressure is at 13 and 20 epr at 3. What do you think should be my next step? should I continue a slow-but-steady elevation of pressure settings or perhaps bring down my epr setting next?

You have been told what to do, you haven't done it.

hey bro if you're not going to take a more positive attitude than the one you've been displaying I'd appreciate it if you just stay out of my posts. There's no need for condescension and snippiness. I got enough on my head and I come here looking for compassion and support not your attitude.

Pugsy wrote: ↑

Fri Nov 02, 2018 3:21 pm

JBarizona wrote: ↑

Fri Nov 02, 2018 3:15 pm

Why would I stop breathing for 30 seconds after an arousal?

JBarizona wrote: ↑

Fri Nov 02, 2018 3:15 pm

What exactly is an arousal?.

An arousal is nothing more than an awakening from sleep. You may or may not remember it.

That 30 second event after an arousal is not a real apnea event. Instead it is a reduction in air flow most likely from irregular breathing while awake....probably you held your breath. We do it all the time and don't remember it, especially during the night.
The machine doesn't always flag it correctly when it is awake/irregular breathing.

So why more tired now....what changed?
Hours of sleep?
Quality of sleep?

trying to figure out why I'm more tired.. Last night I got more sleep and time on the machine that I have ever had in the seven weeks I've been on it. I had the lowest ahii I've had in almost 3 weeks and a very low amount of total time in apnea compared to recent weeks.... I did smoke a few cigarettes last night with a friend. I don't know if that might be a culprit

JBarizona wrote: ↑

Fri Nov 02, 2018 3:21 pm

palerider wrote: ↑

Fri Nov 02, 2018 3:18 pm

JBarizona wrote: ↑

Fri Nov 02, 2018 2:58 pm

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

as I said pressure is at 13 and 20 epr at 3. What do you think should be my next step? should I continue a slow-but-steady elevation of pressure settings or perhaps bring down my epr setting next?

You have been told what to do, you haven't done it.

hey bro if you're not going to take a more positive attitude than the one you've been displaying I'd appreciate it if you just stay out of my posts. There's no need for condescension and snippiness. I got enough on my head and I come here looking for compassion and support not your attitude.

Sure, whatever you want.

All I cared about was getting you to sleeping better, bro.

palerider wrote: ↑

Fri Nov 02, 2018 3:25 pm

JBarizona wrote: ↑

Fri Nov 02, 2018 3:21 pm

palerider wrote: ↑

Fri Nov 02, 2018 3:18 pm

JBarizona wrote: ↑

Fri Nov 02, 2018 2:58 pm

Pugsy wrote: ↑

Fri Nov 02, 2018 2:51 pm

You probably still feel like crap because your sleep quality/architecture is still sub optimal.

as I said pressure is at 13 and 20 epr at 3. What do you think should be my next step? should I continue a slow-but-steady elevation of pressure settings or perhaps bring down my epr setting next?

You have been told what to do, you haven't done it.

hey bro if you're not going to take a more positive attitude than the one you've been displaying I'd appreciate it if you just stay out of my posts. There's no need for condescension and snippiness. I got enough on my head and I come here looking for compassion and support not your attitude.

Sure, whatever you want.

All I cared about was getting you to sleeping better, bro.

Well you've got a lousy " bedside manner" when in fact I have been doing what you've told me and have increased my pressures. Because I'm not doing it at the pace that you suggest doesn't mean that I'm not doing it..

Here's the deal...even if you had perfect reports showing highly optimized therapy it can still take some time to feel those good numbers.

Right now there's still room for improvement in your therapy itself..
That's just the therapy part...on the sideline is the sleep quality part. Great perfect numbers don't always equal great perfect sleep quality for any number of reasons.
It's just the way it is.

What we do though is fix or try to fix what we see can be fixed that might be part of the problem and hope we get lucky and you feel the good numbers.
Right now you don't even have the good numbers...I am not surprised that you aren't feeling so great.
And not real surprised that you say you feel worse....It's not easy to get used to all this crap on our face and head.
It took me 3 full months once I got my therapy optimized for me to get halfway decent sleep quality just from using cpap and wearing the mask.
Another 3 months before I finally had a day where I felt like super woman....
And those days are still a rarity for me but that's because I have other issues going on that aren't related to issues the machine can fix.