I'm not recommending that you don't do it. I'm simply pointing out the issues and recommending that you only do it if you really feel you need to. NOTHING is more important than keeping you going on your CPAP treatment. So if you feel you absolutely must ...
Thanks..I think I have to try something. Living on about 3 hours of sleep is not a good thing. I don't know why I wake up so early. So frustrating. I think I've been asleep for a long time and... well...no.
08-10-2013, 08:21 PM
(This post was last modified: 08-12-2013, 03:29 PM by vsheline.)
Congratulations for persevering. That's what is most important - to never give up.
I recommend that you download and use SleepyHead software look at your data. You may be able to see what is waking you up.
You will be able to see how many central apneas you are having. Zooming in on the Flow plot will show now long the apneas are lasting. "Flow" is the rate of airflow we are actually breathing, with positive Flow referring to air entering our airway, and negative Flow referring to air exiting our airway. (By intention, the plotted "Flow" does not include leaks, only air actually breathed.)
Don't be apprehensive about maybe needing a bi-level machine. They are easy to get used to, and many prefer them because often they are much easier to breath with, because the pressure can be much higher during inhalation to help us breathe in.
What amount of A-Flex are you using? Using A-Flex will help make exhalation a little easier (reducing pressure as much as 3 cm H2O pressure during the first quarter or third of the time spent exhaling) but using a standard bi-level machine can make inhaling a whole lot easier (increasing as much as 10 cm H2O) for the entire time spent inhaling.
Unlike Respironics A-Flex, ResMed EPR is like standard bi-level and reduces the exhale pressure during the entire time we are exhaling, not just during the first second or less of time spent exhaling.
By the way, though, the standard bi-level machines discussed above usually cannot treat centrals. For mixed obstructive plus central apneas, there is a premium class of bi-level machine called an ASV (adaptive servo ventilator) bi-level machine. The ASV machines can be harder to get used to but a few people (like me) need them.
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.