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[CPAP] still very tired and don't know what to do
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mlasham Offline

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Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #11
RE: still very tired and don't know what to do
Thanks, I have a chin strap which I've not used for awhile so will give it another go.
In the past it did not feel like it helped.
Also going to try lanolin again too.

I've not found a FFM I can sleep with yet (though not tried now for several years). I always get an itch or a leak into my eye or something in the past. Reading about FFM it seems very common.
10-04-2016 02:20 AM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #12
RE: still very tired and don't know what to do
(10-03-2016 09:01 PM)Sleeprider Wrote:  Miasham, show me a graph from August. I just want to compare settings. You have developed open mouth syndrome. Those flat-topped leaks around 34 LPM are not from the mask slipping or adjustments, the spikes are. Your AHI is predominately CA, and higher pressure is not going to fix it. Just for the heck of it, try setting your minimum pressure at 8.0 and maximum pressure at 8.0. That's right, CPAP. Let's see what happens.

[Image: t4nrFoh.png]

Its from June because when I updated sleepyhead in June the sdcard was reformatted when I put it back in the ResMed and now it formats every time I stick it back in the machine too.

will also try changing machine to 8/8 as you suggest
(This post was last modified: 10-04-2016 02:27 AM by mlasham.)
10-04-2016 02:25 AM
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Sleeprider Online
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Advisory Members

Posts: 3,378
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #13
RE: still very tired and don't know what to do
Well, I was mostly interested to see if there had been a setting change, but it's the same as what you've been using. It will be interesting to see if a fixed low pressure helps. I think the leaks are your biggest challenge, and the reason the machine increases pressure. The leaks have been there for a while from what I can see, and you may need to consider a FFM. I think your CA is a result of sleep disruption from the leaks. It can't be very restful with all those leaks occurring, and no doubt you have a dry uncomfortable mouth.

The machine should not be reformatting the card on each use. Do you lock the SD card before putting it into the computer to read? It could be the machine sees index files installed by your computer and that triggers a reformat. If you lock the card before reading it, that should prevent it from being altered. Must be unlocked before installing it in the CPAP.

I don't know if fixed pressure will help, but if you see a significant increase in OA, then either pressure needs to increase, or return to current settings.

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10-04-2016 09:56 AM
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PoolQ Offline

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Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #14
RE: still very tired and don't know what to do
just a side note that surprised me, the lock on SD cards only works if the software driver handles it. It is not a physical disconnect, it's only a status to be checked.
10-04-2016 11:44 AM
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Rcgop Offline

Advisory Members

Posts: 214
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #15
RE: still very tired and don't know what to do
I too have the p10 nasal pillow mask and looking at your leak graph I noticed your leak rate never gets down to zero. My first mask, the leak rate started at 2 awake or sleeping. Once I got my first replacement, my leak rate stayed at zero until I had a true unintentional leak. This may not be anything, but my 90% pressure has come down, and sleep quality has improved.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
10-04-2016 12:30 PM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #16
RE: still very tired and don't know what to do
So last night I went to bed with a washed and dried head strap, cleaned nasal pillows, lanolin in my nostrils, chin strap and reduced fixed pressure of 8.
I felt like I was awake most of the night, so at 4:30 I switch back to APAP original settings.

Still lots of leaks it seems.

[Image: Yld7xVg.png]
10-04-2016 02:04 PM
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Sleepster Offline
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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: #17
RE: still very tired and don't know what to do
(10-04-2016 02:04 PM)mlasham Wrote:  Still lots of leaks it seems.

Yup. I also dreaded a full face mask because my first experience was with a nasal mask and it didn't go well. I much preferred nasal pillows. But a couple years later I tried a full face mask and to my surprise it went well. I've never looked back!

Plus, mask technology has advanced in recent years so full face masks are now more comfortable.

Sleepster
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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.
10-04-2016 03:44 PM
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Sleeprider Online
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Posts: 3,378
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #18
RE: still very tired and don't know what to do
Leak rate was decent, no events on CPAP. What do you think caused you not to sleep well?

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10-04-2016 04:13 PM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #19
RE: still very tired and don't know what to do
(10-04-2016 04:13 PM)Sleeprider Wrote:  Leak rate was decent, no events on CPAP. What do you think caused you not to sleep well?

Million dollar question Smile
Perhaps pizza for dinner.
Or just over thinking about the cpap changes I'd made perhaps.

thanks for your help will try again tonight Smile
10-04-2016 06:28 PM
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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: #20
RE: still very tired and don't know what to do
(10-04-2016 04:13 PM)Sleeprider Wrote:  Leak rate was decent, no events on CPAP. What do you think caused you not to sleep well?

In my opinion, there's a very good chance it's the leaks. I realize the leak rate is below the threshold of unacceptable, but when I see a leak rate rate bouncing up and down like that, I take it as a sign of mouth-leaking. And that can, in my experience, ruin a good night's sleep.

A full face mask is at least worth a try. Often it's the simple things that work best.

Sleepster
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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.
10-04-2016 08:31 PM
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