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john.michael,

Thanks for the updates. It's a shame that you've run into problems with the "Learn Circuit" thing. Since the PR BiPAP Auto has no such thing, I'm not sure what this is for. But your machine as an Adapt SV is a very sophisticated and advanced machine.

Re the ambien: The important thing is you've made a decision you are comfortable with. Just be sure that when you or the doc decide it's time to wean you off the ambien that it's done carefully: You don't want to trigger rebound insomnia and find out that you then have unresolved problems with sleeping with the machine for some reason. Working on the sleep hygiene should help the ambien work better and also make any future transition to not using it easier to do and less likely to trigger rebound insomnia.

robysue wrote:john.michael,

Thanks for the updates. It's a shame that you've run into problems with the "Learn Circuit" thing. Since the PR BiPAP Auto has no such thing, I'm not sure what this is for. But your machine as an Adapt SV is a very sophisticated and advanced machine.

Thanks. I've playing phone tag with DME nurse all week so I don't have an answer yet. Fortunately, it has ended with "Circuit learned successfully" each time since I have been home. They say it should be done every time something changes, such as filling the humidifier, switching the mask, etc. Yesterday, I received the attachment that allows the machine to operate with humidifier disconnected. "Learn circuit" worked just fine.

Re the ambien: The important thing is you've made a decision you are comfortable with. Just be sure that when you or the doc decide it's time to wean you off the ambien that it's done carefully: You don't want to trigger rebound insomnia and find out that you then have unresolved problems with sleeping with the machine for some reason. Working on the sleep hygiene should help the ambien work better and also make any future transition to not using it easier to do and less likely to trigger rebound insomnia.

the number one problem I have had with sleep hygiene attempts is getting up at the same time every morning. If the past two mornings are any indication, I should have that behind me soon, so long as I keep using this machine successfully. For the first time in years, I have actually felt clear-headed enough to want to get out of bed. I'm guessing this is due to higher o2sat? Man, I hope so!,
once I start doing it at the same time every morning, i expect light therapy will be more effective.
I'm about to go to bed now. A few weeks ago my usual sleep was between 4am and 6am. Then try to drag up at 7:30.....

Night 6:
Leak 0
AHI 7.2
AI. 1.2
avg pressure 8.8
Vt 260-746
Reps rate 11-15
NV 3-9
Usage 7:51 hours

Mask never hit the floor,


I guess I want lower AHI, at least, though. I also need to look up AI, VT, and NV

should be getting detailed data before the weekend is out......

john.michael wrote:
the number one problem I have had with sleep hygiene attempts is getting up at the same time every morning. If the past two mornings are any indication, I should have that behind me soon, so long as I keep using this machine successfully.

Boy do I understand this! The hardest work I've done in my own current insomnia war has been forcing myself to get up at 7:30 every single morning---even on Saturdays and Sundays. Not yet there completely, but "oversleeping" is now an intermittent problem and usually tied to a real problem beyond the insomnia.

For the first time in years, I have actually felt clear-headed enough to want to get out of bed. I'm guessing this is due to higher o2sat? Man, I hope so!,

If your diagnostic sleep study showed significant desats, then I think you are right to attribute this to higher O2 staturations.

once I start doing it at the same time every morning, i expect light therapy will be more effective.

Yep, the light therapy will definitely become more effective with a consistent wake up time since that will allow you to do the light therapy itself at a more consistent time, which will let the melatonin cycle in your body start to stabilize, which will help you sleep better, which ...

I'm about to go to bed now. A few weeks ago my usual sleep was between 4am and 6am. Then try to drag up at 7:30.....

Wow. You're even more sleep deprived than I am.

Best of luck in your own war with the insomnia and your own adjustment period to VPAP therapy and in getting the VPAP settings to be optimized.

john.michael wrote: Night 6:

I'd like an update. I am using the same machine as you (for the past 3 weeks) but I haven't seen any difference in how I feel in the morning.
My AHI has been around 0.3 and AI 0.0