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I've been using my APAP for a week, symptoms wors V2e.
#21
RE: I've been using my APAP for a week, symptoms wors V2e.
Yep, or get some bobby pins/hair clips if you have hair to clip straps to. Anything to make it harder for your sleepy self to get the mask off. Also, use the CPAP if you're having naps too.

I totally understand about your schedule being off - mine is too because of my other chronic illnesses and I kinda run somewhere around the time in the Maldives. Big Grin They generally don't care how you get those hours, as long as you get them, so if that means topping up with a nap, so be it.

What exactly is causing you discomfort with the mask? It's pretty normal for it to feel weird but if it's really uncomfortable or painful that's not something to just put up with. Is this with the Airtouch mask you ordered or the original one you were using?


See my comparison of Viatom/Wellue and CMS50F oximeters here.

Not a doctor, definitely not your doctor, all advice is given as-is and represents simply my own understanding as a fellow patient and OSCAR user.
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#22
RE: I've been using my APAP for a week, symptoms wors V2e.
This is the original one I was using, the f30i. They gave me all the sizes that didn't fit me well :/ However, I just received my Airtouch f20 around 20 minutes ago, tried it on, and it feels infinitesimally better on the face and especially for breathing - excited for sleeping tonight. I'll also hopefully have access to my origin sleep study results within the next hour, which I'll promptly upload for analysis.
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#23
RE: I've been using my APAP for a week, symptoms wors V2e.
I got my sleep study results, and it shows no signs of central apneas before CPAP therapy. The results may be slightly skewed from how I normally sleep since I normally sleep for much longer and have more events later in my sleep. The photos of my results are attached for those who wanted to see them. 

[attachment=33232]

[attachment=33233]
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#24
RE: I've been using my APAP for a week, symptoms wors V2e.
OK, so the reason is that it doesn't even MENTION what events you had or when. This leads me to believe it doesn't tell if the apneas are central or obstructive. Because it literally doesn't even say (unless I missed it somehow) whether they were obstructive apneas, centrals or hypopneas. Though it's clear you had a lot of arousals marked as RERAs.

So, unfortunately, this just means we have no way to know what your balance of central to obstructive events was, which kind of sucks.

The good thing is that your oxygen levels stayed healthy the whole night, that was recorded.

Try tonight with the F20 and see how you go. If it's more comfy, you might find that you don't pull it off. And if you do, try getting some medical adhesive tape and put a strip over the straps to keep it on your face. That way, hopefully, you will wake if you pull at it.


See my comparison of Viatom/Wellue and CMS50F oximeters here.

Not a doctor, definitely not your doctor, all advice is given as-is and represents simply my own understanding as a fellow patient and OSCAR user.
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#25
RE: I've been using my APAP for a week, symptoms wors V2e.
Actually, pAHIc refers to the AHI value of central related apneas/hypopneas. So the results indicate that there were no central apneas present in my sleep study. What's annoying, is that even with 4 hours of sleep on Friday with my old mask, I finally woke up feeling somewhat rejuvenated, more clear-headed, and felt noticeably more creative. However, since using the AirTouch f20, my sleep quality and daytime symptoms of physically and mentally feeling like utter crap have returned. I don't have any results with the new mask since I've forgotten to put my sd card back in the machine, but will have some results available tomorrow.
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#26
RE: I've been using my APAP for a week, symptoms wors V2e.
Also, I've made my minimum pressure 9cmH20, and my max pressure 13cmH20 after looking at the trends of my Apap usage. As you said, I hope minimizing the range of my potential pressure will mitigate flow reduction and the frequency of now confirmed, treatment-emergent central apneas. Let me know if you need me to upload more data to determine whether I need to change my pressure values or if there's any way I can minimize the pressure range even further.
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#27
RE: I've been using my APAP for a week, symptoms wors V2e.
Alright, guys here's an update. 

So on the 25th (Friday), I only slept for around 5 hours and woke up feeling great. I actually had physical and most importantly, mental energy to do most of what I needed to do. However, in an act of celebratory drinking, I forgot to wear my mask going to sleep on the 26th and felt awful again the next day. Still excited to feel almost normal again the next day, I used my Airtouch F20 and still felt awful the day afterward. I had my SD card in my laptop so I had no access to the results that day. 

Yesterday, I used my old mask, the f30i, with a pressure setting of 9 - 13 in an attempt to reduce my pressure range and use the same mask that made me feel amazing the other day. Yet I still woke up feeling awful. I only slept with the f30i for 2 hours before unconsciously taking it off, and then proceeding to sleep for 3 more hours without the cpap. I then used my Airtouch f20 and had pretty good results, but still felt awful. Here are my results from the day I felt great, and yesterday's sleep. 

The day I felt great:

   

   

Yesterday (06-28-2021):

The first image is with f30i

The second image is with Airtouch F20

[attachment=33310]



Another note to add, my doctor remotely changed my CPAP settings to 8-15cmH20 with EPR 3 full-time. 

Let me know what I should do, and if there's any hope to feel the same way I felt that day soon.
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#28
RE: I've been using my APAP for a week, symptoms wors V2e.
It appears the higher pressure set increased CA, at least once. Any CA are consistently inconsistent meaning up and down constantly. And this is regardless of CA type.

If you're bothered by doc editing settings, write a letter stating you're revoking that permission. State that you want to be told about any edits that are suggested, and that you'd do them manually.
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.
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#29
RE: I've been using my APAP for a week, symptoms wors V2e.
These results were nights before my doctor changed the settings (my doctor just changed the settings today after I woke up). The results for the night I felt great were with settings 7-14 and EPR at 2. Yesterday night my settings were 9-14 with EPR 2.
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#30
RE: I've been using my APAP for a week, symptoms wors V2e.
Ah ok. Choose what you feel best with and balance that with OSCAR results.
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.
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