FIRST night with CPAP machine

Thanks Pugsy, you are so wise. That totally makes sense, and now that you mention it, my doc did mention that deep REM requires higher pressures. That was one of the reasons he placed me so high, he said. He said I got great REM sleep during my titration study, and he used that data to RX me at 19.

I didn't have many centrals last night... it was mostly obstructives & hyponeas. And yes, they were most def clustered. I can't remember the time they occured last night, but I'll reexamine that when I get home and can access my data again. If I notice that this trend keeps up for days, then I'll post my Sleepyhead reports on here, and maybe you can help me figure out the problem? I hope I don't have to increase the pressure-- 19 is already way high, and I'm just now getting used to it. Only room for 1 more pressure point of increase.

WindyCityEsq wrote:I hope I don't have to increase the pressure-- 19 is already way high, and I'm just now getting used to it. Only room for 1 more pressure point of increase.

They should have given you the S9 bilevel pressure machine at your pressure needs. It goes to 25 and is easier to breathe with.

You can get an idea of when REM occurs and look at your graphs to see if the clusters sort of correspond with "normal" time frames for REM. First REM onset is normally around 90 minutes into sleep and as the night goes on REM becomes more frequent and lasts longer with the greatest amount of REM being in the wee hours of the morning.

My OSA is 5 times as bad in REM sleep as compared to non REM sleep and over the years I have got to the point that it's pretty easy to spot. I almost always see more pressure at the first REM sleep segment and at the ending of the night in the wee hours of the morning.

An occasional cluster is no big deal but 3 or 4 a night, every night then maybe we think about breaking them up.
I still have them on occasion myself...even have an occasion really ugly AHI night but the bulk of the nights are boring so I don't worry about the occasional ugly.

Thanks Pugsy, I'll use this chart and compare it to what I'm seeing later.

Yes, I'm aware of the BiPAP machine and how my numbers make me a good candidate for it. Believe me, if my AHI is consistently not where it needs to be, then I have no problem going to doc and requesting it. I just want to make sure I have enough data (evidence) to back up my claim that I need one. I've only been CPAPing for less than 2 weeks, and so far, half of the time I have an AHI of <1, and the other half it varied between 2-4 (although I was sick for a week, so that might have threw off my numbers), so I'm concerned that if I requested a BiPap now, that my request for one would be baseless (other than it would make it easier for me to exhale, which was def a concern for me at first, but I'm getting used to it now). I want to focus on recognizing if there's a trend for obstructives. I tend to get worked up over one night's numbers, so I'm trying harder to see for the forest for the trees.

As always, thank you so much for your help. You've been such a blessing, and I really appreciate it.

I will look at my reports when I get home and let you know what I see (or what I think I see, lol). I'll post a report on here.