so very tired and it isn't getting better

ozij wrote: Mar, if you can tolerate it, I would nudge the 12 up slightly - Resmeds let you do it in 0.2 increments. My reasoning is the your sleep is still interrupted rather frequently, albeit by much shorter events, and possibly just a tiny bit more pressure will shorten - or avoid some of those apneas, which would improve you sleep oxygenation. Banishing more apneas is good, if it can be achieved.
Banishing apneas, like banishing thoughts, needs consistent vigilance and effort.... If 12 is not enough. 12.2 may do it
O.

SaltLakeJan wrote:Hi Mar,
I'm wondering how you are today. You have expended energy preparing for your doctor's appointment. Energy you really did not have - if we are in double digit debt in United States, you are in multiple digit energy debt. Take care, even getting good news, can be tiring.
Jan

DoriC wrote:Mar, I'll be saying prayers that the little nudge up on your pressure might bring better results. Ozij always gives measured and helpful advice. With my husband's therapy on cpap at 12cms, just a nudge up to 12.5 eliminated most of his snores. Our machine only adjusts in 0.5 increments.

DoriC wrote:OK Mar, I'll use this one, I'm a cat lover. I'll have to wait for my grandkids to come to help me put a more personal photo up there. You can see I'm not puter savvy at all but I have learned a lot about this cpap therapy so all is not lost.

SaltLakeJan wrote:Hi Mar, I have been reading about your exchange with your doctor. At the time of your appointment, SWS, Muffy, Ozji, were giving me suggestions, things to consider. Because of that the busy work, I hadn't read the actual exchange between you and your new doctor. I want to add my prayers to many others, that you will never have to face the negative scenarios that were talked about. I believe you and your doctor will make a good team. You are courageous and she was aware of that. I believe that with your team looking for the solutions that can help you, and the expertise of both new doctors that you could well be in a better place. Perhaps sooner than you realize..

I have a feeling things are going to improve for me. Heck, I've had some improvement last night...with patience and practicing good sleep hygiene and with being able to be more active again as I get better sleep, I know I will feel even better in the future.

The fact that last night was the best you had experienced since beginning ZPAP, should be really encouraging, if you weren't so tired.
Your plans for a July ride, may carry you forward for a while. You had a good meeting of the minds with your doctor, but once that is over & you are waiting for the next step - then it will be 2 more weeks before you get the results - - -. Do you find there is a let-down in the interim? All excitement in the preparations to meet the doctor - then the wait - that really isn't too long, but seems like it is forever.

Now that I have this new doctor on my team and I see that I can get nice results from the machine I have (even if my next sleep tests show issues we weren't aware of) that two week wait after my next sleep test before I get to talk to my doctor about it (because she will be out of town) doesn't bother me. I seem to be doing a good job with my reflux situation and haven't had aerophagia for several weeks now and got really great sleep results last night (both data wise and how I felt wise) so I will be able to be patient for that two weeks. Heck, I even like that I have a few weeks before my sleep/day tests to ease my bedtime hour to earlier and to tweak anything that needs tweaking so that when I have the sleep test, I won't have too many problems interfere with the results (like bad fitting masks that made sleeping hard to do with my last sleep test). I just got my Papcap in the mail today (NO...no pictures!!!!! ) and I will get to try that out...the chin strap I've been using slips over my ears and I wake up with them feeling squished...I think I will like this new chin strap better.

You have made such progress finding the bounds of your pressure. Not the dreaded 14 cm, 13 is 'bout as bad, but you had a good nights sleep at 12.2. I like the feature on the ResMed where you can increase by increments of .2 You said it would say at 12.2 for 4 more days. What if you have four very good days - do you still increase?

I'll see how things go at this setting...if they look really good over the next 4 day or week, I may just leave them where they are...I'll be open to input from the pros about whether to change after I've sat on this setting for a while...it sure does look like I've gotten good advice about what to try so far.

Sounds like you have found one solution to reduce your acid reflux -
raise the head of your bed. I feel so accomplished when something like that helps, and does not have the potential of side effects.

I just love cheap and easy solutions like that. And now that I find it makes me feel so much better than when I have reflux problems...I look forward to sleeping on my raised bed

Know that I am thinking about you, and praying for wonderful health improvements ahead for you. Jan

Thanks Jan...I think we are both making progress with our doctors. As I mentioned before, it would be great if you could keep the machine you have, even if you get the one the doctor wants you to have. That would be the best of both worlds...I want to own a spare machine someday, I think it would be a good idea for all of us to have a spare.

I'm going to hit the sack soon...I tried my new Papcap on a big stuffed teddy bear to take a picture of him in it but my Swift LT for Her didn't fit him (his nose was too long and big) You all know what it looks like anyway...I'll let you know how it works for me after a few nights of using it...oh and I got some free samples of various scents...I'm going to try one of those tonight too

Have a great night!