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Is there an adjustment period?
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JCB7777 Offline

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Posts: 4
Joined: May 2014

Machine: ResMed S9 Escape
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: ResMed H5i
CPAP Pressure: 7
CPAP Software: Not using software

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Sex: Male
Location:

Post: #1
Is there an adjustment period?
I was once told that sleep deprivation is cumulative, and that after years of not sleeping well, it might take a long period of "good" sleep to recover. Curious whether anyone has any thoughts, or can direct me to any literature, along that line?

I've been using CPAP for two weeks. I started with very mild apnea (5.3 AHI) and my doctor suggested I try CPAP for 30 days and see if I felt better - i.e., my apnea wasn't a serious health risk, but I had been yawning 24/7 for years, had very non-restorative sleep, felt tired & mentally "not-sharp" during the day, occasional periods of depression etc.

I have found it very easy to adjust to the equipment. FFM feels comfortable & I like the feel of the deep breathing CPAP produces. I'm definitely sleeping better, deeper, not waking up as often in the night. But I haven't yet experienced the level of daytime energy I'd been hoping for, and still yawn a fair amount (though not as much as before).

Yesterday was interesting. I had a good night's sleep. Felt a bit snoozy in the afternoon and, since it was a Saturday, I decided to "close my eyes for a few minutes." Slept like a rock for more than three hours. Then another full night's sleep last night.

How long does it take to reach the "new normal?" How long should I use the CPAP to determine if it's really the answer?
(This post was last modified: 06-01-2014 06:58 AM by JCB7777.)
06-01-2014 06:53 AM
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DeepBreathing Offline
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Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #2
RE: Is there an adjustment period?
G'day JCB7777, welcome to the forum.

CPAP therapy can take a while to show results. As you said the effects of apnea are cumulative and reversing those effects also takes some time. In your case an AHI of 5.3 is very much a borderline apnea so you may not notice a lot of difference. It may also be that there is another issue causing your tiredness.

I notice you have a Resmed Escape - these machines only give very limited data and we generally advise people to avoid them if possible. If you get the Elite or Autoset machines, these record a great deal of detailed data which you can access by software to understand exactly what's happening with your therapy.

Good luck!

DeepBreathing
Apnea Board Moderator
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(This post was last modified: 06-03-2014 08:57 PM by DeepBreathing.)
06-01-2014 07:01 AM
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retired_guy Offline

Preferred Members-2

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: #3
RE: Is there an adjustment period?
It can also be a matter of finding that "sweet spot." That can take awhile. Watch your graphs on Sleepyhead. What are your leak numbers? If they are really good, is that because you're lucky, or are you tightening the face mask down so tight your body is fighting it all night? What about your snore graph? Good? Ok....

You will make small adjustments to your therapy as you go along and suddenly one morning you'll wake up thinking that was the best night ever!

Then the longer term adjustment starts with the yawning 24/7. For me anyhow. I thought I was never going to stop doing that. But it was much preferable to falling asleep behind the wheel all the time, so I learned to love it.
06-01-2014 10:26 AM
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bwexler Offline

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Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #4
RE: Is there an adjustment period?
I agree with deepbreathing. Unless you have a data capable machine no one really knows how effective your therapy is or which settings may need to be tweaked. With your machine all you really know is how many hours you used the machine everyday.
I would want to swap the machine for an S9 Autoset ( NOT Escape Auto) so the machine could to an auto titration every night and tell me the technical results to compare with how I feel.

I understand it can take somewhere between 50 minutes and 50 years to feel the results and or be acclimated to XPAP. I was comfortable with the machines within the first week with each. Shaking off the tired feeling not so much. But I no longer feel like I am falling asleep at the wheel. Been compliment for 3.5 years now.

Edit one word can make a big difference.
(This post was last modified: 06-02-2014 09:46 AM by bwexler.)
06-01-2014 10:47 AM
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PaytonA Offline
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Posts: 3,012
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

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: Is there an adjustment period?
(06-01-2014 10:47 AM)bwexler Wrote:  I would want to swap the machine for an S9 Autoset ( Escape Auto) so the machine could to an auto titration every night and tell me the technical results to compare with how I feel.

If you want to swap machines to an S9 Autoset that would be great but if you swap to an Escape Auto you will gain very little data. The Escape Auto only shows AHI. The S9 Autoset is not the same machine and it is completely data capable.

Best Regards,

PaytonA
06-01-2014 11:14 AM
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herbm Offline

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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: #6
RE: Is there an adjustment period?
Most people take weeks to months -- some even longer -- to "feel better".

Repairing damage to organs takes longer than that in almost all cases.

It's trivial to google for OSA and "atrial fibrillation" or "heart disease" or cardiomyopathy. It's patently clear that this kind of serious damage or problem will not heal over-night.

Some few people DO start FEELING much better after the first few nights to a week or so, but that is NOT the common experience.

And as mentioned above: Until you have a data capable machine, you don't even know if your machine is effective (enough).

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: 06-01-2014 02:36 PM by herbm.)
06-01-2014 02:35 PM
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trish6hundred Offline

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Posts: 6,446
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #7
RE: Is there an adjustment period?
Hi JCB7777,
CPAP therapy can take some getting used to and it can take a while before you really notice improvement, give it time.
Since you haven't been on the CPAP machine that long, You might talk to your DME and see if you can exchange your S9Escape, (which is not a data-capable machine,) for an S9Elite or the S9Autoset. The S9Elite and the S9AutoSet are both fully data capable machines.
Good luck to you.

trish6hundred
06-01-2014 02:47 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #8
RE: Is there an adjustment period?
What Trish said.

Everyone's mileage may vary, but do get a better machine so you an
record for yourself daily and see how well you're doing. If something goes amiss you'll be the first to know and can start asking questions to get help.

Sleep-well

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
06-01-2014 09:24 PM
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eviltim Offline

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Posts: 408
Joined: Aug 2013

Machine: Resmed S9 VPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: H5i heated humidifer
CPAP Pressure: 5 exhale/9 inhale
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #9
RE: Is there an adjustment period?
Mine was like, 6 months! So yes, definitely.
06-01-2014 10:16 PM
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jaycee Offline

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Posts: 115
Joined: May 2014

Machine: S-9 Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air Large
Humidifier: 5i
CPAP Pressure: 9-13
CPAP Software: ResScan

Other Comments: RT at a DME

Sex: Male
Location:

Post: #10
RE: Is there an adjustment period?
I've heard a number of my patients tell me that they didn't realize how much benefit the machine was providing until their first night without it.
06-02-2014 08:49 AM
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