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Horrible Night
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LJones Offline

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Posts: 34
Joined: Sep 2014

Machine: Philips Respironics RemStar BiPap Auto with BiFlex (760P)
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Wisp
Humidifier: Onboard
CPAP Pressure: 9/4
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
Horrible Night
So... Everything was going ok this week. Definitely not a 0 AHI yet, but I was feeling great and then bam... last night I get this. I feel horrible. I am back to where I was before, hateful and snappy, wore out. I know the machine seems to be begging for more pressure, but this is a jump from just under 5 to 10. Could there be some other explanation besides poor settings? I don't want to keep tinkering with it until I have my first followup. This is a rental and I want to be compliant with insurance.
[Image: badnight.jpg]
09-15-2014 07:20 AM
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LJones Offline

Preferred Members

Posts: 34
Joined: Sep 2014

Machine: Philips Respironics RemStar BiPap Auto with BiFlex (760P)
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Wisp
Humidifier: Onboard
CPAP Pressure: 9/4
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #2
RE: Horrible Night
Just as a side note... I appear to have a vitamin B12 deficiency. For some reason I took a supplement before bedtime last night. Could that have upset my sleep enough to cause all of this?
09-15-2014 07:37 AM
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surferdude2 Online

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #3
RE: Horrible Night
I'd try another night, no B12 or anything before bedtime this time, to see if it returns to better readings. If not, then take it in and show your readout results and let them make the obvious decision. It looks pretty evident that your rig is set too low to knock down the restrictions you had, at least for that particular night. You need more than one night though or else your clinician will tend to pooh- pooh any single night results.
(This post was last modified: 09-15-2014 08:25 AM by surferdude2.)
09-15-2014 08:15 AM
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herbm Online

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #4
RE: Horrible Night
Insurance only checks to see if you USE the machine (typically, > 4 per night etc.)

Your Sleep Doc MIGHT fuss at you for changing a machine.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
09-15-2014 08:19 AM
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LJones Offline

Preferred Members

Posts: 34
Joined: Sep 2014

Machine: Philips Respironics RemStar BiPap Auto with BiFlex (760P)
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Wisp
Humidifier: Onboard
CPAP Pressure: 9/4
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #5
RE: Horrible Night
Well, I cannot have nights like this and function. I pretty much did not work for 8mos this year because I thought I was going insane. The problem was my apnea had caught up with me. I would go into rage over the smallest thing. I am back working and definitely need good rest. If this goes on for a few days and the Sleep Doc can't work me in, I will have to change the settings myself.
09-15-2014 08:28 AM
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surferdude2 Online

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #6
RE: Horrible Night
Well, this is just me but when I get desperate I take charge. If I felt as you do, I wouldn't hesitate to bump my maximum allowable pressure up to somewhere around 16 cm. I don't much care if it offends anybody. This stuff isn't rocket science and having to be at the mercy of someone else to do the simple tasks that are often so obvious, and even when not obvious won't do any real harm, is ludicrous.

That's just me so... to each his own.
(This post was last modified: 09-15-2014 08:43 AM by surferdude2.)
09-15-2014 08:41 AM
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herbm Online

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #7
RE: Horrible Night
The machine is staying maxed out near 9 almost all night.

I would either go see the sleep doc (for changed settings) if this continues or do what surferdude2 suggests.

It also spends almost no time down at the minimum setting of 4 so that is likely to be upped as well.

You said "Keep tinkering", have you already been adjusting your settings? What adjustments have you made?

There is a big difference between us suggesting someone should change the settings (I won't) and helping someone to pick good settings IF they have already made that decision (It's not rocket science).

Also do note that changing based on 1 night's data is pretty iffy in most cases, although sometimes the settings are so obvious that a good guess can be made pretty quickly.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
(This post was last modified: 09-15-2014 09:30 AM by herbm.)
09-15-2014 09:00 AM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #8
RE: Horrible Night
IF you decide to change your pressure settings, I wouldn't make a drastic jump to begin with. And, if you do change the settings, leave them there for at least a week without making other changes so you can see how you get along with those changes. If you make more than one change then you won't know which one is either helping or not helping. Hope this helps
09-15-2014 09:17 AM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #9
RE: Horrible Night
(09-15-2014 07:37 AM)LJones Wrote:  Just as a side note... I appear to have a vitamin B12 deficiency. For some reason I took a supplement before bedtime last night. Could that have upset my sleep enough to cause all of this?

Actually yes. Anything we do that we haven't done before, or anything we don't do that we normally do can cause our body to go crazy go nutz. Especially when we do it at bedtime.

So if it were my machine? ...and my cute, young, schoolboy sort of body? I would not take anymore B at night for now. I believe I would also increase the range a little (A LITTLE) because the 9/4 is way too low a number that would make me a happy camper. But I would not go further than 10/6 for awhile.

The one thing you do not want to do is jump the pressures too far which could then encourage your CA's to get even more cranky, making you even more cranky, which in turn could make everyone more cranky, because after all we are all different except for me, because I'm not different I'm the same and since I'm the same everyone else must be as well so I don't want to end up cranky because you cranked up the pressures on your gadget too far.
09-15-2014 11:46 AM
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PaytonA Offline
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Posts: 3,010
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #10
RE: Horrible Night
(09-15-2014 11:46 AM)retired_guy Wrote:  The one thing you do not want to do is jump the pressures too far which could then encourage your CA's to get even more cranky, making you even more cranky, which in turn could make everyone more cranky, because after all we are all different except for me, because I'm not different I'm the same and since I'm the same everyone else must be as well so I don't want to end up cranky because you cranked up the pressures on your gadget too far.

If you understood all of that, please translate for me. I think that I got lost at the second crank. Laugh-a-lot

Hope we are all having fun.

Sleep-well

PaytonA
09-15-2014 12:03 PM
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