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Great expectations
#1
I started using my Respironics CPAP machine with humidity on March 2. This is my first experience with CPAP.

I guess I was expecting too much. I expected to feel a LOT better immediately. I do feel better and am sleeping better than before, but I still get up feeling somewhat like I have a hangover, but it's not as bad as before the machine.

I use the machine an average of 6 hours each night. The average AHI is 5.2 and the average time in large leak is 1 hour. CPAP pressure is set at 10. My pulmonologist prescribed increasing pressure to 10 and a refit of the mask.

I am a 64 year-old man.

Can anyone give me advice on the above?

Thanks!
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#2
Welcome

There may be several factors at play keeping you from feeling better right away. With an AHI of ~5, next question is what is the duration of the events? Are you still suffering from oxygen desaturations? Wearing a recording oximeter overnight could give you that information, but looking at durations might offer a clue. Not sure how much data is generated by the CPAP Pro model of the dreamstation, but data is needed to make any good conclusions. It takes time to get the most effective treatment, because you have to get used to the thing on your face - but the "hangover" feeling is worrisome and may be symptomatic of desats.
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#3
It would help to know where you were starting from, what your AHI was at your sleep study (assuming you had one). If you AHI was moderate 15 or less, then it can take a while to feel a lot better. That was my case. After 7 weeks I am feeling more energized, but it is a slow improvement instead of a major leap forward.
I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
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#4
Hi Sam. Welcome to Apnea Board.

Ditto to what Daria said. I also think that fixing the large leaks should help you a lot. In fact, I'd say that an hour's worth of large leaks could ruin your sleep. Your mask may not fit well. A comfortable, well-fitting mask is essential for CPAP therapy to be effective.

Some people do feel better overnight when they start using CPAP therapy. Others improve gradually over a period of several months. Some people say they don't feel any better at all.

Many of the users of this forum use software called SleepyHead to look at the data from our CPAP machines, get a better idea of what's going on with our therapy, and learn how we can improve it. There's a link at the top of the page to download the software if you want to do that.

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#5
Thanks.

My AHI on the first sleep study was

9.2 REM, 4.6 NREM, 5.1 TST (SLEEP)

"Diagnosis was mild obstructive sleep apnea with associated arterial oxygen desaturaion (86%). Overall AHI is likely to an under representation of this patient's actual night to night problem with sleep disordered breathing due to poor sleep efficiency. Loud snoring was noted. Avg heart rate = 75. Disrupted sleep architecture due to increased arousals and increased wake after sleep onset. Limb movements most likely associated iwth respiratory events."

Second sleep study showed AHI at

1 for REM, .8 NREM, .7 TST (Sleep)

sleep efficiency 59% (I guess that's bad?)
sleep latency (38 min)
REM latency 75 min

no snoring!

diagnosis: obstructive sleep apnea

According to what I read on this forum SleepyHead software does not work with Dreamstation Pro. I used Encore Pro 2 instead.
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#6
SamStamport,
The latest version of Sleepyhead works with your DreamStation Pro.
http://sleepyhead.jedimark.net/
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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.




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#7
The Dream Station CPAP Pro is fully data capable. As Daria and Rose suggest, it would be well worth your time to download and install the latest version of SleepyHead. You could use it to upload the data generated by your DramStation so the experts on the the board can help you analyze your data.
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#8
OK. I'm a pretty smart guy, but having lots of trouble installing SleepyHead. I tried the "Testing-0.9.8-1-T3-Windows-Installer & got error messages about OpenGL. I uninstalled it then tried 1.0.0-beta-2-Snapshot-Win32-OpenGL-20160422 and got the same error messages. I've done web searches and searches on this site and cannot find a solution.

I am running Win 10 64-bit.
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#9
OK. Finally figured it out. I had to go to the SleepyHead folder and click SleepyHead-BrokenGL.

How do I share this data here in the forum?
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#10
This may help:

https://sleep.tnet.com/resources/sleepyhead/shorganize

A lot of use an outside source like imgur to upload.

http://www.apneaboard.com/forums/misc.ph...elp&hid=19

OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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.




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