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[Diagnosis] Still Feeling Tired
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steveg11sings Offline

Members

Posts: 10
Joined: Apr 2013

Machine: resmed S9 H5i
Mask Type: Full face mask
Mask Make & Model: Resmed Quatro FX
Humidifier: Resmed H5i
CPAP Pressure: 11.7
CPAP Software: ResScan Other Software

Other Comments:

Sex: Male
Location: Toronto

Post: #1
Still Feeling Tired
Just wondering if I could get some advice. I seem to have most of the parameters set correctly yet my AHI score is high which explains why I feel so tired every afternoon.
Here are my stats:
Press: 14
Leak: 95 th percentile 13.2
AHI: 9.7
AI: 1.5

I am using a full face mask with minimal leaks and I seem to sleep though the night ...
thanks
05-08-2013 07:38 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #2
RE: Still Feeling Tired
Hi steveg11sings,
WELCOME! to the forum.!
Hang in there for more suggestions from others who know more about how to interpret data.
Best of luck.

trish6hundred
05-08-2013 07:59 PM
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Dawei Offline

Preferred Members-2

Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #3
RE: Still Feeling Tired
Welcome, Steve! The first thing that comes to mind is about that 10-14cm pressure. I wonder what ResScan shows re: if your pressure is staying up there against that top 14 for a significant part of the night? If the pressure graph shows it's banging against that top pressure of 14, you may need to have that top end raised a little, and if so, that may get your AHI lower.
As far as leaks, I don't know about your S8, but the S9 is described as capable of compensating for leak rates up to 24 L, with above that being a problem that reduces accuracy of data.
05-08-2013 08:19 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Still Feeling Tired
(05-08-2013 07:38 PM)steveg11sings Wrote:  Here are my stats:
Press: 14
Leak: 95 th percentile 13.2
AHI: 9.7
AI: 1.5
AHI indicate mostly Hypopeas, pressure may need some adjustment
Maybe schedule a followup with your sleep physician
An oximeter may help to determine if tiredness due to oxygen levels

Profile shows ... Machine: resmed S8 elite ii
S8 Elite is not APAP ... operate at one fixed pressure all night long
S8 unlike S9 don,t detect central sleep apnea and don,t differentiates between obstructive and central sleep apnea

I assume 95% leak 13.2 (L/min) from ResScan because S8 report leak in L/s on screen ... 0.4 L/s = 24 L/min
05-08-2013 08:41 PM
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steveg11sings Offline

Members

Posts: 10
Joined: Apr 2013

Machine: resmed S9 H5i
Mask Type: Full face mask
Mask Make & Model: Resmed Quatro FX
Humidifier: Resmed H5i
CPAP Pressure: 11.7
CPAP Software: ResScan Other Software

Other Comments:

Sex: Male
Location: Toronto

Post: #5
RE: Still Feeling Tired
Thanks everyone for your feedback. I am going back to the sleep clinic nect week. I agree that maybe the top end could/should be increased a bit.
05-08-2013 09:09 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #6
RE: Still Feeling Tired
(05-08-2013 09:09 PM)steveg11sings Wrote:  Thanks everyone for your feedback. I am going back to the sleep clinic nect week. I agree that maybe the top end could/should be increased a bit.
Take data card with you so they can download the data at the sleep clinic
First, ensure to insert the data card in machine while machine switched on

could you please verify what machine are you using ... S8 AutoSet or S8 Elite (as in your profile)
05-08-2013 11:00 PM
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steveg11sings Offline

Members

Posts: 10
Joined: Apr 2013

Machine: resmed S9 H5i
Mask Type: Full face mask
Mask Make & Model: Resmed Quatro FX
Humidifier: Resmed H5i
CPAP Pressure: 11.7
CPAP Software: ResScan Other Software

Other Comments:

Sex: Male
Location: Toronto

Post: #7
RE: Still Feeling Tired
(05-08-2013 07:59 PM)trish6hundred Wrote:  Hi steveg11sings,
WELCOME! to the forum.!
Hang in there for more suggestions from others who know more about how to interpret data.
Best of luck.

(05-08-2013 11:00 PM)zonk Wrote:  
(05-08-2013 09:09 PM)steveg11sings Wrote:  Thanks everyone for your feedback. I am going back to the sleep clinic nect week. I agree that maybe the top end could/should be increased a bit.
Take data card with you so they can download the data at the sleep clinic
First, ensure to insert the data card in machine while machine switched on

could you please verify what machine are you using ... S8 AutoSet or S8 Elite (as in your profile)

It is the S8 Elite
05-09-2013 08:17 AM
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steveg11sings Offline

Members

Posts: 10
Joined: Apr 2013

Machine: resmed S9 H5i
Mask Type: Full face mask
Mask Make & Model: Resmed Quatro FX
Humidifier: Resmed H5i
CPAP Pressure: 11.7
CPAP Software: ResScan Other Software

Other Comments:

Sex: Male
Location: Toronto

Post: #8
RE: Still Feeling Tired
(05-08-2013 11:00 PM)zonk Wrote:  
(05-08-2013 09:09 PM)steveg11sings Wrote:  Thanks everyone for your feedback. I am going back to the sleep clinic nect week. I agree that maybe the top end could/should be increased a bit.
Take data card with you so they can download the data at the sleep clinic
First, ensure to insert the data card in machine while machine switched on

could you please verify what machine are you using ... S8 AutoSet or S8 Elite (as in your profile)

I am using the S8 EliteII .
I felt really tired today and when I checked the stats through the Rescan program it showed little leakage and very little episodes of apnea. Mt stats were : apnea index 1.0
hypopnea index 9.0
AHI 10.0
leak 95 percentile was 8.4
Yet I felt like I didn't sleep all night... suggestions ??
thx
07-30-2014 05:42 PM
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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: #9
RE: Still Feeling Tired
What is your pressure set at?

You were going to ask for a pressure increase when you went back to the clinic, what did they say/do about that?

AHI 10 is not awful, but still too high.
07-30-2014 07:07 PM
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steveg11sings Offline

Members

Posts: 10
Joined: Apr 2013

Machine: resmed S9 H5i
Mask Type: Full face mask
Mask Make & Model: Resmed Quatro FX
Humidifier: Resmed H5i
CPAP Pressure: 11.7
CPAP Software: ResScan Other Software

Other Comments:

Sex: Male
Location: Toronto

Post: #10
RE: Still Feeling Tired
(07-30-2014 07:07 PM)retired_guy Wrote:  What is your pressure set at?

You were going to ask for a pressure increase when you went back to the clinic, what did they say/do about that?

AHI 10 is not awful, but still too high.

My pressure is set to 15. It was moved to 20 at one point from 17 but the leakage was high. When I went back to the sleep specialist she suggested that I turn it down to 15 which has helped with the leaking...
07-30-2014 09:09 PM
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