I was diagnosed with mild OSA (8.7) by a take home test in November. My symptoms were frequent night time awakenings and general fatigue during the day. I only slept for less than 1 hour at my lab study on December 8. The tech said that he could not see how the doctor could recommend a therapy pressure with the little data gathered. Nevertheless, the sleep doc sent a script to my general physician with a fixed pressure of 6. My brother-in-law works in research in the field and recommended strongly that I get an APAP so that the machine's algorithims could detect the right therapy pressures. After considerable research on my own, I decided to get a Respironics DreamStation with humidification and a DreamWare Nasal Pillow Mask. I was able to persuade my GP to get the script for an APAP. Our local DME RT said he had little experience with this machine and mask, tried to get me to accept another, but finally agreed. After not hearing from him for several weeks, I called and found out that he had been "let go"and my paperwork was in limbo. A very nice RT who replaced him asked for several weeks to research the DreamStation. Finally last Thursday, I met with him to get it set up. He had a Respironics Rep at the meeting who was very helpful. I had to wait until Monday to get it, however, since the first RT ordered the wrong mask!
I've used it for 2 nights. I really don't expect an instant cure, and I'm willing to work hard and patiently to get results. The first 2 nights produced AHI's higher than the study! In addition, I have had considerable nasal stuffiness both nights and and dry mouth on the second. I have noticed that some air leaks out of my mouth during exhalation. (I didn't think I was a mouth breather)
Here are my settings:
Pressure Range - 5 to 20
AFlex - 3
Ramp - 45 minutes (I changed to 20 minutes on 2nd night)
Humidifier on Adaptive
Humidifier Heat - 3 (I changed to 4 on 2nd night; at 4 tank is almost empty in AM)
Tube Heat - 3 (I changed to 4 on 2nd night)
Here are my results (1st night, second night):
Usage - 6.5 hours, 8.5 hours
AHI - 10.7, 9.7
Pressurized Breathing: 2%, 0%
Mask Fit - 100%, 100%
90% Pressure - 9.5, 7.0
Since my DME is relatively unfamiliar with the machine and my doctor is not much involved, I need your experienced guidance. Please help!
Thanks for your quick reply. I will try your adjustments and keep you posted. I have downloaded SleepyHead and will collect my data.