At about 2:30 am, my mask started leaking drastically, enough to wake me up. I tried moving the mask, tightening the bands and shifting my position in the bed. I put the machine into standby mode to removed the mask for a while and to take a break. The ramp pressure started back from 5. After a short time, it was back up to a pressure that was causing leaks. I was exhausted by morning. In my way of thinking, that is the wrong direction to go after being much improved at a max setting of 10. They raised the pressure to 15 after noticing that I maxed out at a pressure of 10 much of the night and my events per hour were averaging 8.
I called today asking if the pressure could be lowered to 12 where the mask doesn't leak and I could get used to the increased pressure. The tech at the sleep center said to try it another night. If it still leaked, I could come in and try a different mask.
I explained to her that my lungs were very tired by morning. My wife asked me if they were considering the massive pulmonary embolisms I had less than two months ago. I hadn't even thought of that. They have my records, they should know. I barely survived. I spent 24 hours with an ultrasound catheter and clot buster drugs to break up the embolisms in my right lung. They were too big to leave unattended. It turned out that post surgery, I had a crushed common iliac vein in my abdomen. After taking care of the embolisms, they had to take care of the vein.
My lungs are still tired and feel weak after last night. Should the pulmonary embolism and my tiredness issue be considered with my pressure levels?