Hypopnea problems

Machine4111 · Post by **Machine4111** » Wed May 13, 2020 2:05 pm

I am 59 yrs old and new to CPAPTalk. My doctor has prescribed me an APAP Dreamstation. My AHI is low 1.99. My HI are 1.59. I have been only able to sleep for 3 hrs at a time with this machine. My doctor has dumped me because he says I have been effectively been treated however I wake up and feel lousy all day. Would someone have any experience with the effects of Hypopneas vs Apneas?

I am not able to sleep because I can seem to relax enough due to trying to expel against the back pressure even though my APAP is set a min of 8 cm/H20 with AFlex.

I would like to try a BiPAP but my doctor would not even let me try one. Does anyone recommend a BiPAP possibly as a better fit?

I have attached a file of my Sleep data.

zonker · Post by **zonker** » Wed May 13, 2020 2:20 pm

Machine4111 wrote: ↑
Wed May 13, 2020 2:05 pm
I am 59 yrs old and new to CPAPTalk.

I have attached a file of my Sleep data.

welcome to the zoo! and, indeed, you've attached some data. unfortunately, it's not the data the experts here need.

pls read and follow the thread i'm linking here-

viewtopic/t172378/Sticky--Newbies-PLEAS ... STING.html

it's been awhile since i've read it. it may talk about software called "sleepyhead" which isn't available any more. but substitute "oscar", which IS available, when you read it and you'll be right.

a small hint to get you going. your charts should be formatted like this-

Suggested Support Order for your charts
Event Flags
Flow Rate
Pressure
Leak Rate
Flow Limit (Only for Resmed machines, not on Respironics)

if you have any questions regarding the software or how to order charts, just ask.

oh! and please stay in this thread so you can be more readily helped.

thanks and good luck!

Julie · Post by **Julie** » Wed May 13, 2020 3:15 pm

There are ways to alleviate the exhalation pressure - and someone more familiar with your machine should be able to help.

My question is why is your max. setting so low - almost even with your min. pressure? Was anything explained to you about that?

Again, there are ways to deal with those but we need more information.

As things stand now though, I very much doubt that bipap would be advisable for you.

Jaso411 · Post by **Jaso411** » Wed May 13, 2020 3:23 pm

Even without the other data, the thing that stands out to me is the amount of hours slept. 3 hours, 2 hours, 37 minutes. Are you going back to bed at night and not using it anymore for that time? Are you only sleeping that long each night?

There are multiple options for exhaling on the dream station as well that you should check out. There is both an A-flex and C-flex setting which basically helps the machine breathe with you and lower the pressure as you breathe out.

Pugsy · Post by **Pugsy** » Wed May 13, 2020 3:35 pm

3 hours of sleep...not nearly enough sleep.
Why can't you sleep with the mask and machine on?
What do you do when you wake up in the middle of the night? Take the mask off and go back to sleep or get up and start your day?
Do you take any medications of any kind? If so, what?

DreamDiver · Post by **DreamDiver** » Wed May 13, 2020 3:45 pm

Machine4111 wrote: ↑
Wed May 13, 2020 2:05 pm
I am 59 yrs old and new to CPAPTalk. My doctor has prescribed me an APAP Dreamstation. My AHI is low 1.99. My HI are 1.59. I have been only able to sleep for 3 hrs at a time with this machine. My doctor has dumped me because he says I have been effectively been treated however I wake up and feel lousy all day. Would someone have any experience with the effects of Hypopneas vs Apneas?

I am not able to sleep because I can seem to relax enough due to trying to expel against the back pressure even though my APAP is set a min of 8 cm/H20 with AFlex.

I would like to try a BiPAP but my doctor would not even let me try one. Does anyone recommend a BiPAP possibly as a better fit?

I have attached a file of my Sleep data.

I assume you're also new to CPAP therapy in general. Welcome! Others have already made great suggestions. It may be about the machine. It may not be. If you think it is about the machine, here's one more.

I'm not a fan of the Dreamstation because of it's generally coarser approach to therapy that causes wake triggers in some. At my last sleep test they would only use Respironics machines -- didn't even have any ResMed devices. I couldn't sleep worth squat. Any chance you could swap it for a Resmed AirSense 10 Autoset? You may find it more comfortable, and if your sleep doc knows his/her stuff, they'll know exactly why it's probably a better fit than trying a more complex more expensive bilevel machine.

Chris

Machine4111 · Post by **Machine4111** » Wed May 13, 2020 5:10 pm

Thank You for the responses. Sorry for not clarifying that I sleep for 3 to 4 hrs with the machine on and then take the mask off because I cannot go back to sleep. I then just finish the night with no APAP. I do not take medications or alcohol or drugs. I will look into the Air Sense 10. I just want to try one to see what might work the best. My Sleep doctor refuses to return my calls. He told me that my tiredness was not related to sleep apnea and that I am overthinking this. I will try to sleep with the APAP longer and provide all of you with some better data with the OSCAR Software. They have not done a lab sleep study due to COVID19. You all are an answer to my prayers.

zonker · Post by **zonker** » Wed May 13, 2020 5:18 pm

Machine4111 wrote: ↑
Wed May 13, 2020 5:10 pm
My Sleep doctor refuses to return my calls. He told me that my tiredness was not related to sleep apnea and that I am overthinking this.

do us a favor and slap the @%$& out of your doctor, won't you?

unfortunately, too many of us get dealt this kind of hand when it comes to sleep apnea and doctors.

glad you're taking things into your own hands.

good luck!

Pugsy · Post by **Pugsy** » Wed May 13, 2020 5:20 pm

When you go back to sleep without cpap then guess what your body remembers....bad sleep from untreated apnea so you aren't ever going to fell any better until you can sleep all night with the mask and machine on and you stop the sleeping without cpap.

Don't get in a habit of doing that unwanted behavior....bad habits are easy to make and very hard to break.
I know it's easier said than done but you need to try to figure out why you can't go back to sleep with the mask on.

Take a hard look at everything in an effort to figure out why the insomnia?

Machine4111 · Post by **Machine4111** » Sun May 17, 2020 8:41 pm

The sleep therapist all say that my condition is being well treated with the APAP. However, I still feel sick throughout the day. My AHI is 5.38 but I have seen in the OSCAR data where I am having a combination of Obstructive and Clear way apneas that last for as much as 25 seconds.

Would a cessation in breathing that long cause someone to be still feeling bad even though my AHIs are low? I also have long hypopneas.

See the attached OSCAR data.

nicholasjh1 · Post by **nicholasjh1** » Wed May 20, 2020 1:56 pm

It's not just about sleep, Every time I don't use the machine I'm suffocating multiple times a night and doing brain damage as well as getting spikes of adrenaline to reactivate breathing. When I first used the mask it was diffficult to go back to sleep, I believe it's because my body was trained to have extra energy to survive the apnea's I had while sleeping. So finally getting some good rest with the mask on I woke up "wide awake" and had difficulty getting back to sleep. This happened for quite a while, but eventually my body went back to status quo.
Tl/DR not using the mask you run this risk of keeping your body in a high energy state at night, which could cause always having issues being hyper aroused upon waking up at night.

Also yes even 5 apnea's an hour can cause tiredness depending on how your body handles it. If it's keeping you from deep sleep or REM then it's still affecting your overall sleep outcome, even if you're not getting low O2 saturation.

Machine4111 · Post by **Machine4111** » Wed May 20, 2020 7:59 pm

Ok, Thank you Nicholas for the insight. I will keep persisting with the mask throughout the night. I did complain to the hospital administration and the sleep lab has scheduled me for a full sleep study. They will start with a APAP, BiPAP and even a BiPAP ASV if there is data to prove it might help.

Miss Emerita · Post by **Miss Emerita** » Thu May 21, 2020 9:29 am

Machine4111 wrote: ↑
Wed May 20, 2020 7:59 pm
Ok, Thank you Nicholas for the insight. I will keep persisting with the mask throughout the night. I did complain to the hospital administration and the sleep lab has scheduled me for a full sleep study. They will start with a APAP, BiPAP and even a BiPAP ASV if there is data to prove it might help.

That's good news. I hope they'll trial you with a ResMed VAuto machine, which is a bi-level machine. Even if the trial is with a Phillips Respironics bi-level, if they prescribe a bi-level, ask for the VAuto.

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