First, a belated "welcome to the forum" from another WNYer. I was traveling over the Thanksgiving holidays and this is the last week of classes at the college I teach at.
Some thoughts: I wish you the best of luck on dealing with the insomnia. It's plagued me for years, but the insomnia since starting CPAP has been more persistent than anything I've ever dealt with before. But I'm a far, far outlier when it comes to "bad adjustment" stories. I would say this: In retrospect I wish I had been more open to the idea of taking Ambien at the start when the PA in sleep doc #1's office first proposed the idea. It may have saved me some grief. But then again, since much of the insomnia was being fed by some really nasty aerophagia problems, maybe it wouldn't have helped all that much.
Quote:Not feeling terribly rested during the day yet but I understand with a deficit of rest, it takes time to get there. I can and have always been able to function pretty well driving and working. I was never 'in a fog' or falling asleep when I shouldn't. Just not a ton of energy. Making myself go to the gym every day after work is a mental battle because I don't feel like it, don't have the energy and just don't want to go. Once I go and get done I am happy and feel good but the mental battle is tiring too.That pretty much described me pre-CPAP. I think that CPAP can be harder to get used to when your pre-CPAP life is pretty functional. Hopefully you won't have the same problems that I did.
I will say this: You may want to keep some kind of a "journal" where you can make some quick notes about how you're feeling each day. The improvements in how you feel on CPAP will likely be very subtle---so subtle you may miss them if you're not looking for them. In my case, the first thing that was a clear, bonafide positive PAP result was when I started to notice the phrase "woke up with no hand and foot pain" in the insomnia log I was being ask to keep to fight the CPAP-insomnia that had become entrenched and had turned my life upside down. I'd been waking up with hand and foot pain for several years before my sleep test. And it took me six months to really notice that the hand and foot pain was gone on almost every morning with CPAP. That's still the biggest, most positive difference in my life. Sounds like a little thing, but chronic pain, even when it's mild chronic pain has a way of sucking the joy of life out of you ...
So as you go through your own CPAP adventure look for small improvements at the margins and celebrate them even if you don't see any magical sudden burst of energy ....
And feel free to PM me if you ever need to actually have a chance to talk with another middle-aged OSA sufferer from WNY.