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Newbie - 5 days in
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remltr Offline

Preferred Members

Posts: 37
Joined: Aug 2013

Machine: ResMed S9 Auto
Mask Type: Other
Mask Make & Model: Sleep Weaver
Humidifier: ResMed Hi5
CPAP Pressure: 5 ramp up to 7. 10 max
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Seattle area USA

Post: #1
Newbie - 5 days in
Hello everyone,

First post.

Diagnosed with sleep apnea. During the sleep study I stopped breathing 49 times a hour on average.

I now have a resmed s9 auto that the doctor has prescribed a pressure of from 5 to 9 to start. Using a FFM and have no issues with the comfort.

It is now that I believe that I am not having any apnea events, per Sleepy Head, I am waking up constantly throughout the night and I don't understand why. Previously I used to sleep through the night, not aware of the apnea. Go figure.

So I need a little advice and sympathy.

I am posting a Sleep Head screen shot from last night. Hopefully that will provide some information for those more experienced. I don't understand all what I see here, but slowly figuring it out.

I would appreciate some feedback.

Thank you
08-13-2013 12:48 PM
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eviltim Offline

Advisory Members

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

Other Comments:

Sex: Male
Location:

Post: #2
RE: Newbie - 5 days in
Well, do you notice anything on these awakenings? Maybe the mask is leaking and blowing air onto your face?
08-13-2013 02:06 PM
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remltr Offline

Preferred Members

Posts: 37
Joined: Aug 2013

Machine: ResMed S9 Auto
Mask Type: Other
Mask Make & Model: Sleep Weaver
Humidifier: ResMed Hi5
CPAP Pressure: 5 ramp up to 7. 10 max
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Seattle area USA

Post: #3
RE: Newbie - 5 days in
(08-13-2013 02:06 PM)eviltim Wrote:  Well, do you notice anything on these awakenings? Maybe the mask is leaking and blowing air onto your face?

No I don't notice anything. I am not tangled up in the hose, my mask feels fine. The mask could be leaking, but I am just not aware of it.

Kind of frustrating in that the process seems to treat the apnea but now causes another issue. I know this all takes time, but I am trying to get to the "I wake up and feel well rested" part as soon as I can and want to correct any issues that can be corrected. I also know that a lot of this is out of my control. I just have to work with what I have.
08-13-2013 02:20 PM
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Paptillian Offline

Preferred Members-2

Posts: 474
Joined: Jun 2013

Machine: S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i
CPAP Pressure: 4 - 10, EPR x2
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Pennsylvania, USA

Post: #4
RE: Newbie - 5 days in
Hi remltr,

You're still having some apnea events but your AHI is controlled (at least from that one night's data). Anything less than 5 for AHI is considered good. With time and practice, I think you can get that number down some more.

The first thing that stands out to me is that your machine is plateauing at the 9.0 pressure setting several times. If this trend continues, your doctor will probably want to raise your upper pressure limit.

Your max leak for the night is bordering on unacceptable, but the median leak is still good. Check your mask and make sure not to over-tighten. Tightening increases leaks, contrary to most people's instincts.

The number of times you're waking up now is probably much less than the number of times you were waking up before. The thing with apnea is that it causes arousals (potentially dozens of times an hour) in order to restore structure to the airway, but we don't remember those arousals. Thus we "think" we've been sleeping all night, but in reality we got next to no sleep at all. I don't know what's waking you up now... could be leaks, could be getting used to the machine... but it is normal to awaken a few times a night especially at the end of a REM cycle.

Were there any other things noted in your sleep study which could be contributing to arousals? Any leg movements?
(This post was last modified: 08-13-2013 02:37 PM by Paptillian.)
08-13-2013 02:25 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #5
RE: Newbie - 5 days in
Hi remltr,
WELCOME! to the forum.!
It takes time to get used to CPAP therapy and the mask is the hardest part of it all.
I'm just curious, did you get a full-face mask, (FFM,) because of mouth breathing?
FFMs can be very proned to leaks, so if you find that you're having trouble with the mask you're using, don't be shy about asking to try different ones.
Just stick with it ,hang in there for more responses to your post and best of luck with your CPAP therapy..

trish6hundred
08-13-2013 03:05 PM
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remltr Offline

Preferred Members

Posts: 37
Joined: Aug 2013

Machine: ResMed S9 Auto
Mask Type: Other
Mask Make & Model: Sleep Weaver
Humidifier: ResMed Hi5
CPAP Pressure: 5 ramp up to 7. 10 max
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Seattle area USA

Post: #6
RE: Newbie - 5 days in
I did just adjust the mask a little tighter last night around the jaw line and loosened it around the head and noticed no leaks while awake, had some the previous nights though before tightening. Leg movements were mentioned in the study. I use FFM because I am a mouth breather (allergies/stuffy sinuses).

Living alone does not help with observations of the issues. I need to hire a spouse for a couple weeks who doesn't sleep at night and get some feedback. Wink

I have a follow up appt with the doctor in two days, got them to move it up 2 weeks. Maybe it will help sort some of this out quicker.

Thanks for the info and encouragement.
08-13-2013 05:20 PM
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Shastzi Offline

Advisory Members

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: #7
RE: Newbie - 5 days in
Sounds like you need a few weeks to get used to the machine.
Your brain may just me waking up with "what's this damn thing doing on my FACE??!!"
If your AHI is good then you are doing a stellar job!

Keep up the good work and keep capturing that data!

Cheers!

=^.^=

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

Cool
08-14-2013 05:49 AM
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