Post Reply 
First post- 3 weeks in
Author Message
Steve4cr Offline

New Members

Posts: 3
Joined: Jul 2016

Machine: Airsense 10
Mask Type: Nasal pillows
Mask Make & Model: Unsure
Humidifier: Unsure
CPAP Pressure: Unsure
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: United States

Post: #1
First post- 3 weeks in
Hi, great forum and I suspect I can learn a lot here.

OK
Went for a sleep study about a year ago and could not sleep there. I suspected that would happen but gave it a try. Kicked it around until about June, then took the home sleep study and diagnosed with Apnea. As a side note I live in AZ and have had Valley Fever for about 1 year.
I am Male, 62 years old. 5'11 220 lbs
High BP, sometimes go pre-diabetic and due to the VF cannot use BP meds

Finally got my APAP. Airsense 10 with Nasal Pillows.
I am a very light sleeper and never make more than 6 hrs.
The 1st night I toughed it out for 7 hours with the mask and was a zombie the next day. Tired, headaches, etc

That was the last 7 hour session. Most are 2-4 hours then I wake up and seem to have lack of oxygen and headaches. At that point I pull the mask and feel like I am breathing better and go to sleep as I need to get up at 5 AM for work (cube rat).

I must be doing something wrong as I expected to sleep better with the CPAP. M Dr. Prescribed 5-20 pressure. I will include a screen shot of my stats. Any help, ideas, opinions will be appreciated.
Thanks
Steve

[attachment=2773]
(This post was last modified: 08-19-2016 07:07 PM by Steve4cr.)
08-19-2016 07:06 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PoolQ Offline

Advisory Members

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: #2
RE: First post- 3 weeks in
My guess is that 5 is a little low for you. Using the free sleepyhead would help see what is going on
08-19-2016 08:54 PM
Find all posts by this user Post Reply Quote this message in a reply
JudgeMental Offline

Advisory Members

Posts: 324
Joined: Feb 2012

Machine: Respironics DreamStation Auto-CPAP
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics
CPAP Pressure: 11-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida USA

Post: #3
RE: First post- 3 weeks in
I think you will come along soon.. It does take some folks a bit longer then others.. That's the whole range of your machines PAP pressure from 5-20. Seems strange that a Physician would RX that big of a range unless he/she is using it to get a feel for the proper settings since you only took the home sleep test.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
08-19-2016 09:10 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,452
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: First post- 3 weeks in
Hi Steve4cr,
WELCOME! to the forum.!
It sounds like you may be a bit airstarved at that low of pressure.
Hang in there for more ideas and good luck to you with your CPAP therapy.

trish6hundred
08-19-2016 09:14 PM
Find all posts by this user Post Reply Quote this message in a reply
chill Offline

Advisory Members

Posts: 864
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #5
RE: First post- 3 weeks in
Welcome aboard!

Which nasal pillows do you have? A headache might indicate a problem with the venting and re-breathing CO2. Do you pull the bedding over your head?

I will also suggest that you try some different masks. I have a hard time with nasal pillows, but no trouble breathing with a full-face mask. Everyone is different, you need to find what works for you.
08-19-2016 09:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #6
RE: First post- 3 weeks in
Id raise my min pressure until I felt I was getting plenty of air.
Probably 7 to 9 range min pressure.

Get sleeyhead software. Its free. Then you can see what your events are .
5 min usually makes folks feel smothered.
08-19-2016 09:48 PM
Find all posts by this user Post Reply Quote this message in a reply
holden4th Offline

Advisory Members

Posts: 239
Joined: Dec 2015

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Nasal mask
Mask Make & Model: Respironics Dreamwear
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 11- 15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Gold Coast Australia

Post: #7
RE: First post- 3 weeks in
What was the recommended fixed CPAP pressure?

Start with a minimum of 2 below and 2 above and see what happens. The 5 minimum is far too low. If you are not sure then your 90% pressure (which is just below 10) is a good guide so I'd go with a minimum of 8 and a maximum of 12.

It seems as if you've got your EPR set at 2 and I'd leave it at that. it means that you might go as low as 6 on exhale so that should be OK. If you still feel a bit suffocated then you get two choices. Raise the minmum to 9 or lower the EPR to 1.

If you are not sure how to change the settings then we can help you do that.
08-20-2016 04:26 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
rkl122 Offline

Preferred Members

Posts: 74
Joined: Apr 2016

Machine: Philips Respironics System One 560P (Auto, Aflex, 60 Series)
Mask Type: Nasal pillows
Mask Make & Model: PR Dreamware Frame Med, Pillow MW
Humidifier: Remstar System One - Hose Unheated
CPAP Pressure: low 8.5, high 12.5, expting
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: NJ

Post: #8
RE: First post- 3 weeks in
Welcome to the forum.

The general idea is to straddle your (average) 90% pressure with min about 2 below and max maybe 2-3 above. So you can hike the min as advised, and lower the max substantially. But it's advisable to make small incremental changes to the min, say .5 or 1 cmH2O at a time, then wait several nights before making another, especially since you're a light sleeper.

But here's the thing: your numbers are already good! (After 5 mos. APAP, I'd kill for numbers like that.) So could be other stuff going on. Do try to learn SleepyHead, keep reading, and post some SH graphs when you can.

Some early on things to try/check:
- Sleep on your side.
- Use SH to confirm low level of mask leak.
- Check for snores.
- Ensure that pressure doesn't max out often.
- Watch for improvement in bp and fewer night time bathroom breaks.
- Use the auto on auto off function (not sure what it's called on the Resmed) so if you rip the mask off while sleeping, the machine will shut off automatically. If you put it back on but don't remember doing so, or don't remember the time, there'll be a precise marker in the data.
- Watch for clustered events in SH. (If they're common, the corresponding flow region may contain clues to what's going on.)
- On the SH flow graph, make a 3 or 4 minute window and scroll around. Familiarize yourself with breathing patterns where you're pretty sure you were sleeping. They should be quite regular. Learn your "signature." Check whether it alters substantially from night to night.

I'm having issues similar to yours - feeling crummy most days, but with AHI higher than yours. I'm beginning to wonder what else is going on. But I have noticed drop in bp and fewer bathroom trips, so I figure the therapy is worth it even for that.

As Trish says, hang in there.

We are such stuff
As dreams are made on, and our little life
Is rounded with a sleep.
(This post was last modified: 08-20-2016 02:29 PM by rkl122.)
08-20-2016 02:26 PM
Find all posts by this user Post Reply Quote this message in a reply
cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #9
RE: First post- 3 weeks in
Welcome Steve4cr! You can learn a lot here! Lots of very knowledgeable people on this board.

Sounds like you would benefit from downloading SleepyHead and looking at your data. Post results here and get opinions on it. Also as others have suggested you would probably benefit from tightening up your pressure range which is usually best done gradually.

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
08-21-2016 06:44 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
Arrow Your Personal CPAP Success Story - Post Here SuperSleeper 726 208,181 12-08-2016 07:37 AM
Last Post: Gabby
  post a picture worthog 3 167 12-02-2016 07:59 PM
Last Post: pupcamper
  General rule for tweaking pressure - first post MartinT 7 393 11-15-2016 11:59 PM
Last Post: MartinT
  How do I post Sleepyhead Info? Saskie 8 247 11-11-2016 11:30 PM
Last Post: trish6hundred
Surprised Two weeks now, started ripping my mask off daniemmdee 6 462 10-27-2016 01:04 PM
Last Post: daniemmdee
  Help - Trying CPAP for over 8 weeks now stephennic 17 1,290 10-23-2016 09:50 PM
Last Post: murray s
  Two Long Weeks EnigmaGrey 20 931 10-12-2016 12:39 PM
Last Post: EnigmaGrey

Forum Jump:

Who's Online (Complete List)