Feel Terrible - Someone Please Help

[supyasieve]

Hi ALl,

I have been browsing this forum for quite a while trying to get my therapy dialed in and I end up just feeling worse. 

I have a sleep study that said my pressure should be 8cm, but after months I am not feeling any better. I have brain fog, anxiety, and I am completely exhausted.

Recently I have been trying to use EPR based on my flow limitations but today i just feel terrible. Any feedback would be greatly appreciated!

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I also wanted to add the stuff in the beginning is me playing with the mask and humidity.

[Gideon]

Set your min to 9 and your max to 15

Your min is too low and we want room for your CPAP to work.

And you definitely want your EPR to stay at 3.

[supyasieve]

Set your min to 9 and your max to 15

Your min is too low and we want room for your CPAP to work.

And you definitely want your EPR to stay at 3.

 Thank you! I will try tonight and repost. Should I keep EPR to 3?


(Saw you updated your post too late about EPR)

[Gideon]

No problem, to be clear, yes keep EPR at 3.

[supyasieve]

No problem, to be clear, yes keep EPR at 3.

Here we are from last night. Feel little better, but still not optimal. Any thoughts?

Beginning is me playing with mask sizes.

[Gideon]

What is happening is flow limits are driving your pressures up. Currently at 0.09, while not bad your numbers are fine.
Two things to try, increase EPR, obviously you can't or increase PS which requires a BiLevel, which leaves

Increase your min pressure to see if your 95% flow limit falls, not nearly as effective as EPR but was what we did before we knew what EPR did. I am not confident of this approach but no reason not to try it.

[supyasieve]

What is happening is flow limits are driving your pressures up.  Currently at 0.09, while not bad your numbers are fine.
Two things to try, increase EPR, obviously you can't or increase PS which requires a BiLevel, which leaves

Increase your min pressure to see if your 95% flow limit falls, not nearly as effective as EPR but was what we did before we knew what EPR did.  I am not confident of this approach but no reason not to try it.

Thanks G.

Should I go 11/15 - EPR 3

[Gideon]

That will work.

[supyasieve]

That will work.

Alright, day 3. Feel worse than yesterday. 

What mask type is best for nasal congestion?

[Gideon]

I use a P10 and just push through congestion. I swear it will not work this time but it always has. The common sense is a FFM as it allows for mouth breathing.