Post Reply 
One month in
Author Message
Elizabeth25 Offline

Members

Posts: 10
Joined: Nov 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: H51
CPAP Pressure: 10-15
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #1
One month in
I went to see a see a sleep doctor recently because of being constantly tired (other health factors ruled out by pcp). I wake up 15+ times per night and am often wide awake for an hour or two in the middle of the night. A home sleep test diagnosed mild apnea (ahi 8).
I have been using a S9 machine/nasal pillows for about a month. Ahi is now between 1-2. But I am still waking many times per night (most being after the first 2-3 hours of sleep) and don't feel any less tired. I have tolerated the machine pretty well. Second mask more comfortable Sleepyhead shows 1-2 ahi and no leaks. It shows many, many other things that I have not yet decoded.
The sleep doc said the next step it for a home titration study (with a special cpap machine) because we need to "dial in the proper pressure" in order to decrease number of night wakings. When I asked if there are other things besides apnea that could cause this the answer was restless legs. Unless you can have restless legs and not know it I don't have that. Also, doc said because I did not have a sleep test in the lab (insurance reasons) there is no way to tell if I am getting the proper amount of REM sleep
Does this all make sense? Are there Sleepyhead graphs I should pay particular attention to?
Thank you. This forum is a gold mine of information!
E25
11-18-2014 05:23 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: One month in
First, there's no reason to pay for a second home titration test. You have the machine that can do that. The autoset is providing the numbers the doc needs to determine if the pressure is correct, what kind of events you are having, how long they last, etc. The only thing missing would be the oximeter. Did you wear a belt around your chest for the first test?

You want to know what type of events you are having. That would be in the Event Flags.
- what events are you have?
- how long do they last?
Next you want to view the statistics in the left hand panel.
- Know what your 95% pressure is.
- what was your 95% and max leak rate

Here's some places to get started on looking for definitions, alphabet soup, etc.
http://www.apneaboard.com/wiki/index.php?title=Acronyms (list of other sources at the bottom)
http://www.apneaboard.com/wiki/index.php?title=Definitions
SleepyHead user guide http://sourceforge.net/apps/mediawiki/sl...sers_Guide - The SourceForge website is down for maintenance or something right now so I can't confirm that my link is still right.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
11-18-2014 06:01 PM
Find all posts by this user Post Reply Quote this message in a reply
Eurika Offline

Preferred Members

Posts: 92
Joined: Nov 2014

Machine: Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Nuance Gel
Humidifier: Intergrated
CPAP Pressure: 5 to 11.4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Singapore

Post: #3
RE: One month in
+1 on the Autoset, if you watch the pressures over a week on sleepyhead you'll see a range that your machine is working in, and also the pressure that is the mean for you.

Failure is NOT an option.
11-18-2014 06:54 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
surferdude2 Online

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #4
RE: One month in
Perhaps show the good doctor some nightly readouts with graphs so that he may rule out getting another home sleep test. It may just be that sleep apnea wasn't the culprit that was waking you in the middle of the night. You can have restless leg syndrome without knowing it, especially if you sleep alone, since there's nobody to tell you if your legs are jumping occasionally. You won't necessarily be aware of that on your own, some are while some aren't.

There are other causes for waking. Do you wake and feel out of breath? Do you wake with a rapid heartbeat? Do you just seem to wake for no reason? Any of those, and more, could mean you might have some other problem in addition to apnea. Try to remember how you feel when first awakening in the middle of the night so you can have something for your doctor to go on if it comes to that. He may want to fit you with a recording device to see if your pulse rate, blood pressure and/or some other vital sign is going wonky.

Aside from the above, if you wake for no apparent reason and also have trouble falling asleep, you may need to use a sleep aid medication for a while to get back on track. Anxiety about CPAP is often a culprit in cases like yours and a sleep aid could get you past that point and to where you are comfortable with it. Time alone will also do that in most cases, if you can stand the wait.
(This post was last modified: 11-18-2014 09:41 PM by surferdude2.)
11-18-2014 08:03 PM
Find all posts by this user Post Reply Quote this message in a reply
trish6hundred Offline

Advisory Members

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: #5
RE: One month in
Hi Elizabeth25,
WELCOME! to the forum.!
Hang in there for more answers to your questions and much success to you as you continue your CPAP therapy.

trish6hundred
11-18-2014 09:25 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Elizabeth25 Offline

Members

Posts: 10
Joined: Nov 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: H51
CPAP Pressure: 10-15
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #6
RE: One month in
Thank you for your ideas and well wishes.
Paula,here are the answers to the Qs you asked:
Events: of the average 1-2 ahi most are OA with a few CA. I don't know how to tell how long the events last.
The 90% pressure is 9.44.
Avg. Leak rate 0.34
90% leak rate 0.00
When I go to the doctor are they seeing all of the same kind of information that I can see on Sleepyhead?
Surferdude, my husband says my legs stay put all night. No rapid heartrate or feeling out of breath. Good idea about trying to pay attention to what I feel like when I wake up. Mostly I just feel "awake"! All the night wakings and middle insomnia started way before cpap.
E25
11-19-2014 01:02 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  AHI index has taken a nose dive the past month pdbabb66 32 1,368 11-09-2016 05:58 PM
Last Post: pdbabb66
  1 Month into CPAP - Still Exhausted. What Data to Post? IMSleeplessInSeattle 21 1,219 10-01-2016 12:40 PM
Last Post: TomfromTexas
  5 Month Check-in - SleepyHead Data MeDee 10 601 09-12-2016 08:49 PM
Last Post: Sleeprider
  Have apt.after 1 month of use. Stats Attached sleepyinFL 6 462 08-31-2016 02:46 PM
Last Post: Sleeprider
  [CPAP] First month of CPAP usage, help with the logs Bravo 13 763 08-22-2016 11:35 PM
Last Post: chill
  1 Month data review request dontwantapnea 14 675 08-14-2016 10:19 AM
Last Post: dontwantapnea
  AHI A Month In (and other newbie questions) dclaryjr 16 673 08-04-2016 01:28 PM
Last Post: dclaryjr

Forum Jump:

Who's Online (Complete List)