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Not feeling much of a change...
#1
Not feeling much of a change...
Hi everyone.

I started cpap treatment in August of last year, and after a tough first couple of months and a pressure adjustment I finally got used to using it every night/all night. I dare say it would be more difficult to fall asleep without it than with it.

My main concern now is that I haven't felt or seen much of an improvement in my daily life. I still feel tired constantly unless I have caffeine, and take naps regularly. My sleep doctor says that my numbers look good but I'm looking to see if there could be improvements made. Below are a couple of readouts from this week. I have an unsophisticated understanding of the data so I only see that the apneic events are on average lower than my diagnoses.

Also it's only been 5 months of treatment so far, and only three of those were consistent. In summary if you can offer any help or have some wisdom to impart that would be much appreciated!


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#2
RE: Not feeling much of a change...
Your doctor was so smart, he set your auto CPAP to fixed pressure mode at 7.5 and left you stranded there. Things are mainly obstructive, and you will benefit from changing to Auto mode and setting pressure to minimum 8.0, maximum 14.0 and whatever Flex setting you are using should be no greater than 2 (not 3). Not impressed with Philips machines for most people, but we can get them optimized a lot better than this. The good news is, your leak rate is low. Minimize the daily calendar on the left column and we can tell a lot more about what is going on. Just click the triangle in the date line or use the view menu.
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: Not feeling much of a change...
Thank you for responding!

I will say that my original titration session indicated a pressure of 6 would be sufficient, but after the first couple of months of poorish results my doctor allowed the machine to figure out a better setting which resulted in the number you see now. I'm not sure if that's relevant to your recommendation, but thought I would make it known.

What does the flex number represent?

And here are the snapshots without the calendar


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#4
RE: Not feeling much of a change...
Flex on a Respironics is supposed to add some comfort by allowing some exhale pressure relief. I've not had one that used Flex, but I see comments here it's somewhat helpful but not nearly as good in usage as a ResMed EPR on their AutoSet.
Dave

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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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#5
RE: Not feeling much of a change...
Ahh gotcha, thank you!

My flex setting is at 2. Yeah that was one of the most uncomfortable aspects getting used to the machine, was the pressure on exhale. I think it has helped me so far.
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#6
RE: Not feeling much of a change...
FWIW comments reveal that flex 3 isn't nearly as good as flex 2 like you're using now.
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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