I am exhausted during day. Need help with OSCAR software

I am so tired all of the time. I have had ct test, xrays of my lungs, blood work. Now doctor thinks it could be my sleep apnea. I have sleep apnea for 18 years been using CPAP every night except for a few. I cannot get sleep study till lab opens back up.
I wear a full face mask. I am wondering if someone can tell me what the software is telling me. I have a Respronics System One Pro 60 series with Humidifier .
Thanks

How many times do you think you wake up during the night? June 11 report is full of wake ups and restarts of the machine....why?

Do you take any medications? If so, what?

I wake up a lot not sure why. Sometimes I take something to help me sleep so wont wake up. I just know something is not right. I am hoping sleep lab will open up soon. I take thyroid med, acid reflux, hormone and baby aspirin. I have been taking same meds for years. I am not sure what numbers or graphs i should be looking at.

some background-

viewtopic.php?f=1&t=156455&p=1192986#p1192986

WARNING: thread contains gibberish from alphabet boy. for those of you who remember that reprehensible jerk.

Thanks Zonker. I just continually get worse no energy memory bad. I am changing out my masks, tubing and headgear as needed. I am washing my mask. I have tried upping my pressure on machine per my Doctor.

When's the last time you had your thyroid rechecked - or does your MD just keep refilling the old script? People and life change after all, so I'd want to be sure about where I stand now.

I don't see anything standing out screaming "fix me and you will feel better" on these reports except for the obvious poor sleep quality and awakenings. I don't see what few apnea events being flagged as the cause of the poor sleep....at least what we can see on the reports.

The Pro model machine doesn't flag Flow Limitations though when in fixed cpap mode so it wouldn't be impossible that you have some flow limitations themselves causing arousals and poor sleep.

There's a long list of potential culprits for sleep maintenance insomnia (that's where you have trouble staying asleep) and sleep apnea is but one on a very long list.

I have my doubts as to whether your fatigue is related to OSA but it wouldn't be impossible for flow limitations to be a factor in poor sleep quality and if we don't have good sound sleep quality we won't feel so good. Medication side effects are common first suspects for things messing with sleep quality so you might look at the side effects for your meds just in case but none you listed are well known to do that sort of thing at least from off the top of my head and without known exact names I can't research them in depth. You can do that as well as I can anyway.

I suspect something is causing the poor sleep but as to what that is I don't know. Is it related in some way to airway issues...dunno but not from what this data shows but it is limited data.

Yes dr just recently did a lot of blood work on me. Checked for diabetes high blood pressure low magnesium thyroid. He did change my thyroid to a generic last year. I was on brand name synthroid before that. I had changed doctors. I am going to research that . Previous dr had to switch me to synthroid not generic because I was not responding well. Thanks I will check that out.

I did not realize the event flags graph was so jumbled up. I hope these graphs are easier to read now. I finally got them posted.

Did you change dates of reports...what is showing above now isn't what I saw the other day that were pretty unremarkable.
These are more remarkable.

How about instead of sharing reports from May you share a report from last night?

Yes I can do that. I will download it shortly. I did get a different day for previous report by accident. Other report was June 11 sorry

This is my report from Saturday night. I hope this helps

Do you think you slept much (if at all between 3:30 and 5:30?

Have you done much work learning how to zoom and and figure out if the flagged event looks like you were asleep when it was flagged or if it was more likely arousal/awake related?
http://freecpapadvice.com/sleepyhead-free-software

No I did not sleep much between 330 and 530 not sure why. I am still learning sleepyhead I have not zoomed in on the graphs. I will look at link you posted thanks

I think that most likely the bulk of all those flagged events between 3:30 and 5:30 are going to be false positive awake/arousal breathing related. We commonly call it SWJ or sleep/wake/junk. They aren't related to the airway as in being apnea related or the airway collapsing. Instead they are awake/arousal breathing irregularities getting flagged because that's all the machine knows to measure...air flow. Asleep breathing is very regular...awake breathing is not regular so the machine thinks some sort of apnea is happening but it's really not. If we aren't asleep they just simply don't count. We have to be asleep for the flagged events to be real.
All this is explained with examples at the above link and in the videos. While it mainly is talking about central apneas these false positives aren't limited to just centrals. We can have false positive OAs and hyponeas as well as centrals. I have them all the time especially when I have a really bad back pain night.

So in this situation it's the bad sleep causing the flags and not the apnea events causing the bad sleep. More pressure won't fix these flagged events. Instead you have to try to fix the bad sleep itself which we both know isn't easy to do even when we know the reason for the bad sleep...much harder when we don't even know the reason.