Post Reply 
CPAP after a week
Author Message
acf Offline

Members

Posts: 5
Joined: May 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Fx Nasal
Humidifier: Resmed H5i
CPAP Pressure: 5-12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #1
CPAP after a week
(05-21-2014 07:39 PM)cheesedips Wrote:  Using for a week now. Cant tell much difference really. Am i supposed to feel great or something. ? Thought it would make a huge difference..

I have been using the machine for almost a week also, but noticed some improvements, such as nocturne bathroom visits...

on the other hand, i have some other issues such as small morning headaches and eyes...

one more thing, my doctor diagnosed my case as an OSA based on the sleep study, the machine's report is indicating a central apnea high rate and a negligible OSA...

Appreciate your HELP and SUPPORT

thanks
05-22-2014 12:38 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
herbm Offline

Preferred Members-2

Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #2
RE: Using cpap with nasal mask now so...
So you have a good machine with full data (Autoset).

What are you AHI and leak numbers looking like?

You have Rescan so you can post your charts and get more help. Also consider adding SleepyHead -- both programs offer some advantages to viewing and understanding the data more easily than the other. I look at both almost every time I load data.

Note that even with PERFECT treatment you may not "feel" much better for weeks, months, or sometimes even longer.

The reduced nocturia is frequently one of the first positive signs with a real quality of life benefit. You are already seeing the bathroom visits decline which if consistent is a VERY GOOD sign (mine own went immediately from 2-6 per night to almost never more than 1, and quite often none.)

Those with Central Apnea may need a different type of machine if the severity is sufficient.

Sometimes, just capping the top number on the APAP can remove (some of) those also -- we need to see your charts to determine if there are patterns (e.g., higher pressure leads to more CA).

Also, looking at the LENGTH of the event and the CLUSTERING of multiple events. A cluster of long events is much worse for you than a bunch of short isolated events spread over time.

You are actually doing quite well -- settling into the machine and seek help.

That puts you far ahead of 80% of new CPAP users.

Keep it up. People here will help.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
05-22-2014 08:34 AM
Find all posts by this user Post Reply Quote this message in a reply
acf Offline

Members

Posts: 5
Joined: May 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Fx Nasal
Humidifier: Resmed H5i
CPAP Pressure: 5-12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #3
RE: Using cpap with nasal mask now so...
(05-22-2014 08:34 AM)herbm Wrote:  So you have a good machine with full data (Autoset).

What are you AHI and leak numbers looking like?

You have Rescan so you can post your charts and get more help. Also consider adding SleepyHead -- both programs offer some advantages to viewing and understanding the data more easily than the other. I look at both almost every time I load data.

Note that even with PERFECT treatment you may not "feel" much better for weeks, months, or sometimes even longer.

The reduced nocturia is frequently one of the first positive signs with a real quality of life benefit. You are already seeing the bathroom visits decline which if consistent is a VERY GOOD sign (mine own went immediately from 2-6 per night to almost never more than 1, and quite often none.)

Those with Central Apnea may need a different type of machine if the severity is sufficient.

Sometimes, just capping the top number on the APAP can remove (some of) those also -- we need to see your charts to determine if there are patterns (e.g., higher pressure leads to more CA).

Also, looking at the LENGTH of the event and the CLUSTERING of multiple events. A cluster of long events is much worse for you than a bunch of short isolated events spread over time.

You are actually doing quite well -- settling into the machine and seek help.

That puts you far ahead of 80% of new CPAP users.

Keep it up. People here will help.

I thank you for the valuable info.

i have a Resmed S9 Autoset machine and installed the Resscan software, which I am learning to use and interpret the data downloaded from the SD card

My AHI is sometime as low as 1.2 (two days ago) and fluctuating up to around 5. the CA is ~90% of the events and OSA number is at the mere 0.2-0.3

No leakage is indicated by the machine. Average used Hours is over 6 hours per night. maximum Pressure 10.1. the CPAP pressure settings were 5-12...

yesterday I did the 1 week report, and still trying to interpret the results, too many issues and dont know really where to look at...

Do you think I am on the good track and have the right machine and settings?

Thanks again for encouraging and support
05-26-2014 12:19 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,451
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: [split] CPAP after a week
Hi acf,
WELCOME! to the forum.!
Hang in there for more answers to your questions and best of luck to you with your CPAP therapy.

trish6hundred
05-27-2014 10:07 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #5
RE: Using cpap with nasal mask now so...
(05-26-2014 12:19 AM)acf Wrote:  I thank you for the valuable info.

i have a Resmed S9 Autoset machine and installed the Resscan software, which I am learning to use and interpret the data downloaded from the SD card

My AHI is sometime as low as 1.2 (two days ago) and fluctuating up to around 5. the CA is ~90% of the events and OSA number is at the mere 0.2-0.3

No leakage is indicated by the machine. Average used Hours is over 6 hours per night. maximum Pressure 10.1. the CPAP pressure settings were 5-12...

yesterday I did the 1 week report, and still trying to interpret the results, too many issues and dont know really where to look at...

Do you think I am on the good track and have the right machine and settings?

Thanks again for encouraging and support

Your numbers sound good. The CA is a little high in relation to the OA, but is still very good... Often higher CA happens when we first start a therapy, or modify it much. So what you want to do now is just monitor things for a few days at least, and see where the numbers go.
(This post was last modified: 05-27-2014 10:35 PM by retired_guy.)
05-27-2014 10:34 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
herbm Offline

Preferred Members-2

Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #6
RE: [split] CPAP after a week
Yes, you are on the right track.

There might be some small adjustments your doc will make at the follow-up visit.

AHI 5 is a little on the high side of "good enough" -- 5 or less is considered "treated" but this is a first approximation of what your final pressure range will be so that's actually great.

Most likely would be for the doc to cap your high pressure a little lower than your current max, but that would also need to consider what pressure your machine is using when you get those CAs. Having almost all CAs means you MAY not need quite so much pressure to prevent the obstructive events. And the number of CAs is still not excessive (since you are at AHI 5 OR LESS.)

If your doc were to leave the machine as is, your health would almost certainly improve over the coming months and years so already you are getting good therapy.

No one can say how long it will take for you to feel MARKEDLY better.

For my part, I never really felt "bad" (nor groggy, sleepy, confused, forgetful etc.) despite an AHI 49 -- but I like my therapy (actively LIKE it while wearing the mask) and know that my body is healing or at least not deteriorating so fast due to lack of good sleep and near constant "almost waking up."

Plus: Very few bathroom trips -- that's a good thing right there.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
05-28-2014 09:56 AM
Find all posts by this user Post Reply Quote this message in a reply
acf Offline

Members

Posts: 5
Joined: May 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Fx Nasal
Humidifier: Resmed H5i
CPAP Pressure: 5-12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #7
RE: CPAP after a week
(05-28-2014 09:56 AM)herbm Wrote:  Yes, you are on the right track.

There might be some small adjustments your doc will make at the follow-up visit.

AHI 5 is a little on the high side of "good enough" -- 5 or less is considered "treated" but this is a first approximation of what your final pressure range will be so that's actually great.

Most likely would be for the doc to cap your high pressure a little lower than your current max, but that would also need to consider what pressure your machine is using when you get those CAs. Having almost all CAs means you MAY not need quite so much pressure to prevent the obstructive events. And the number of CAs is still not excessive (since you are at AHI 5 OR LESS.)

If your doc were to leave the machine as is, your health would almost certainly improve over the coming months and years so already you are getting good therapy.

No one can say how long it will take for you to feel MARKEDLY better.

For my part, I never really felt "bad" (nor groggy, sleepy, confused, forgetful etc.) despite an AHI 49 -- but I like my therapy (actively LIKE it while wearing the mask) and know that my body is healing or at least not deteriorating so fast due to lack of good sleep and near constant "almost waking up."

Plus: Very few bathroom trips -- that's a good thing right there.

Hello Herbm,

I really thank you for your valuable support and info, you are better than my doctor (I decided to change him...)

I just used the RESSCAN Software to plot the one month compliance report and another detailed one.

Everything seems to be in order:

Average Daily Usage 6:41
Compliance percentage 96.7%
Maximum Leak 4.8 L/min
AI: 3.2 (Started High and decreased markedly after 3 days of usage)
HI: 0.4
OSA: 0.3
CSA: 2.9 (Started to notice those during Awake-Sleep transition period...)

Pressure
Maximum: 10.3
Median Pressure : 6.2
95th percentile: 8.5

The machine settings are 5-12, do you think I should consider lowering the Upper Bound Value and by how much?

On the other hand, I personally feel much better, NO nocturnal bathroom visits, fresh morning wake ups, minor sleepy afternoon periods (I think related to previous night late sleep...), I manage to walk 2-3 nights per week for at least one hour with neighbors, I got used to the machine and tube and have no issues thereto...

Thank GOD I think I am on the good track ...

Nevertheless, as I mentioned before, I will take the report and seek the advice of another Doctor (I am still a little bit confused about the CSA).

Thanks Again for ALL

Best,
ACF

   
   
(This post was last modified: 06-20-2014 12:44 AM by acf.)
06-20-2014 12:35 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #8
RE: CPAP after a week
(06-20-2014 12:35 AM)acf Wrote:  (I am still a little bit confused about the CSA).

It's common for your CSA to drop as you adapt to CPAP therapy. Your body is adjusting, it's not used to getting all this oxygen so your brain doesn't tell your body to breathe because it figures you've got plenty of it. It'll stop when it figures out that this is the new normal.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
06-20-2014 12:44 AM
Find all posts by this user Post Reply Quote this message in a reply
acf Offline

Members

Posts: 5
Joined: May 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Fx Nasal
Humidifier: Resmed H5i
CPAP Pressure: 5-12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #9
RE: CPAP after a week
Thanks, Now it makes sense Smile

Thanks a lot

Best,
ACF
06-20-2014 01:20 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #10
RE: CPAP after a week
Hi ACF,

Your results look great. Even the CA number is nothing to get excited about. Just keep doing what you've been doing.

Good job!
06-20-2014 12:02 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  First week- why is my cpap making me dizzy? sleepjunky 44 26,433 11-12-2016 05:44 PM
Last Post: Clay L
  Been about a week with the AirSense 10 for Her Beej 4 399 11-11-2016 09:30 PM
Last Post: Beej
  [CPAP] First week and some questions cedrorum 7 284 10-28-2016 06:12 PM
Last Post: trish6hundred
  Just Started Using an Auto CPAP this week for 1st time ApneaintheATL 4 451 10-14-2016 06:06 PM
Last Post: player
Question 109AHI, starting 2nd week on CPAP, have some questions toinewi 38 2,446 10-14-2016 06:19 AM
Last Post: JaneAM
  [Diagnosis] Just Diagnosed, getting my CPAP next week bernerbits 21 978 09-09-2016 07:05 PM
Last Post: Maskup Sleepwell
  Felt happy for one week, now back to normal hmucha 10 1,125 07-11-2016 06:00 AM
Last Post: OMyMyOHellYes

Forum Jump:

Who's Online (Complete List)