Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Help ! Feel like im going backwards and bad sleep is returning
#21
RE: Help ! Feel like im going backwards and bad sleep is returning
Work has me stressed and just generalized anxiety. I thought the PAP therapy had gotten me over this but it seems to be coming back and all my therapy seems to be going to sh*t. 

Nothing much else has changed.
Post Reply Post Reply






Donate to Apnea Board  
#22
RE: Help ! Feel like im going backwards and bad sleep is returning
Did you check your flow limit chart?
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply
#23
RE: Help ! Feel like im going backwards and bad sleep is returning
what is that? how do i check it? what does it mean? i wish i had a doctor that gave 2 craps
Post Reply Post Reply
#24
RE: Help ! Feel like im going backwards and bad sleep is returning
Flow Limit is a graph line on OSCAR that is made up of data from your PAP. Flow limits are the beginnings of Hypopnea or Apnea.

The last chart I saw on this thread had flow limits with some actives areas, but wasn't seriously bad. 95% FL was 0.03 and Max was 0.20. FL is shown on a scale of 0.00 to 1.00, with higher numbers representing more limits.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply






Donate to Apnea Board  
#25
RE: Help ! Feel like im going backwards and bad sleep is returning
Heres another night - didn't wake up refreshed at all snoozed 2 extra hours.

Tried usinga chin strap to see if it was mouth breathing and it looks like different than yesterdays report.

MAn i really thought i had this treated why does it feel like im going backwards


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#26
RE: Help ! Feel like im going backwards and bad sleep is returning
Okay,
Flow Limits, The first half of the night they look bad. The 95% is just a touch high, but that is for the full night.
correlating with the Flow Limits, which we know are bad, you see a spike in the flow rate, indicating possible arousal. Looking at the second half of the night we see more regular spikes in the flow rate that could be arousals, but without the strong flow limits. If those are in fact arousal that could be a cause for your tit=]redness.

Confirm this via a closer look at the flow rate looking for a fairly smooth regular breathing before the spike followed by irregular uneven breathing indicating awake thus arousal.
Post Reply Post Reply
#27
RE: Help ! Feel like im going backwards and bad sleep is returning
As stated prior, you seem to be experiencing a lot of anxiety.  I can't help with that, as you will have to examine your lifestyle, what has changed recently, any new medications?  You also mention that your work was stressful.  These life's stresses are easily brought to bed with us, and affect how we sleep.  

Talk to your doctor.  I'm not one to advocate taking medications unless absolutely necessary, but maybe there is something a doctor can help with short term.

With all that said... your graph indicates you are well treated.  Yes, there are some leaks going on.  Looks more like a combination of mask movement and some mouth breathing.  This may be brought on due to the Flow Limitations which tend to increase pressure.  The pressure spikes could cause some discomfort, arousals and mask leaks.

I think narrowing your pressure range may help with the pressure swings.  Keep your minimum at 7 and bring maximum down to 15.  Keep EPR at 3.  This may prove more comfortable and allow you some needed rest.
OpalRose
Apnea Board Administrator
www.ApneaBoard.com

OSCAR Chart Organization
OSCAR - The Guide
Soft Cervical Collar
Optimizing therapy




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.
Post Reply Post Reply






Donate to Apnea Board  
#28
RE: Help ! Feel like im going backwards and bad sleep is returning
Another note on leaks, if you say leaks are becoming very high on 7 cmH2O, then something is wrong with your mask, either fit/size, adjustment, or overall choice for you. 7 cmH2O is on the low side of pressure, and if your mask can't handle low pressures, it's one area to address.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply
#29
RE: Help ! Feel like im going backwards and bad sleep is returning
I don't really follow much of any of this? What is CMH20? Somethings wrong with my mask??? What do I do then???

Gideon is saying it looks bad?!? What looks bad? How do I fix it?

Opal is saying I am well treated???

Please can someone boil this downs so I can understand? Is the treatment working? Is it not? Why is all this flow rate stuff?? How do I know my mask isnt working???

I am really trying to understand but this is going over my head.
Post Reply Post Reply
#30
RE: Help ! Feel like im going backwards and bad sleep is returning
Apnea is your air being cut off. They are classified in my signature. Please take a look at them.

Obstructive, hypopnea, flow limits are ALL apnea. They are classified by how much obstruction and length of time you have the event. (Again see signature for classification)

Most of your apnea looks ok but the flow limits are not treated well. Flow limits can stop you from having deep sleep or wake you up.

Flow limits are treated with EPR. As I wrote before your min of 5 does NOT allow EPR to work. You need at least a min of 7. You stated that 7 is to strong for you. It is really very low compared what most Cpap patients need for therapy.

Again I would suggest
Min 7
EPR3
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Teeth/gums feel weird in the AM HockeyGoon 7 196 Yesterday, 11:26 AM
Last Post: Kuutar
  Low AHI in CPAP I still feel very bad sleepywizard 7 246 09-22-2021, 01:39 PM
Last Post: Marillion
  Feel like the Walking Dead! hookedonstitch 10 320 09-01-2021, 09:41 PM
Last Post: hookedonstitch
  results seem ok but don't feel any better eekamouse 1 152 08-31-2021, 05:54 AM
Last Post: koala1
  New to board and recent addition of O2 to cpap and feel weird Mtngrace 37 452 08-17-2021, 02:01 PM
Last Post: Mtngrace
  Feel like my numbers look pretty good, but I'm not sleeping any differently? bigsnarfy 2 162 08-14-2021, 11:18 AM
Last Post: bigsnarfy
  Feel like my Pillow isn't giving good therapy...reco to try? tierdal 52 1,142 08-11-2021, 01:44 PM
Last Post: CorruptAlligator


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.