03-09-2021, 09:00 PM
RE: Remember2Breathe's First night new machine
Hi Sleeprider,
Your reply is definitely disconcerting. I also feel disappointed in the quality of my therapy. The first hour of "sleep" is the most uncomfortable and usually the most eventful. I don't fall asleep as easily as I used to nor do I notice a complete lack of daytime sleepiness. Sometimes I do feel like my nasal passages are more clear after a night of CPAP.
The night before last, my hose and mask frame was still wet, so I slept without CPAP. I almost feel that I slept more soundly.
I didn't go down to 6, as the cardiologist suggested. In favor of little steps, I decreased the max pressure to 7 and kept the EPR at 2.
My AHI more than doubled to 2.85; but my leak rate went way down. Unfortunately the flow limitation was essentially the same. I did tell my cardiologist that I was concerned about my flow limitations. He seemed to think I should focus on AHI and leak rate for now. And of course, was more skewed towards being happy at relatively good AHI numbers. I'm not sure he knew or understood much about flow limitation. Tho he did ask about how I am feeling. My understanding of how to interpret flow limitation and tidal volume charts is quite sketchy. (Leak rate was hard enough to understand.) And what that means to me in regards to my well being. I need to read the Wikis and Oscar interpretation in more detail but it's not easy to wrap my head around it.
If I in fact do have a complex apnea or severe upper airway resistance, do you have a recommendation?
During my sleep studies, my oxygen level went down in the high '70's. Should I be trying to get a pulse oximeter that works with Oscar. Do you think that would shed more light on the situation?
This is frustrating. I need to focus on prepping my house and affairs for surgery recovery and had hoped that getting used to CPAP would be straightforward and easy once I committed to it.
Do you think a sleep doctor might help with this, or better to proceed on my own for now?
Thanks,
Remember2Breathe
Your reply is definitely disconcerting. I also feel disappointed in the quality of my therapy. The first hour of "sleep" is the most uncomfortable and usually the most eventful. I don't fall asleep as easily as I used to nor do I notice a complete lack of daytime sleepiness. Sometimes I do feel like my nasal passages are more clear after a night of CPAP.
The night before last, my hose and mask frame was still wet, so I slept without CPAP. I almost feel that I slept more soundly.
I didn't go down to 6, as the cardiologist suggested. In favor of little steps, I decreased the max pressure to 7 and kept the EPR at 2.
My AHI more than doubled to 2.85; but my leak rate went way down. Unfortunately the flow limitation was essentially the same. I did tell my cardiologist that I was concerned about my flow limitations. He seemed to think I should focus on AHI and leak rate for now. And of course, was more skewed towards being happy at relatively good AHI numbers. I'm not sure he knew or understood much about flow limitation. Tho he did ask about how I am feeling. My understanding of how to interpret flow limitation and tidal volume charts is quite sketchy. (Leak rate was hard enough to understand.) And what that means to me in regards to my well being. I need to read the Wikis and Oscar interpretation in more detail but it's not easy to wrap my head around it.
If I in fact do have a complex apnea or severe upper airway resistance, do you have a recommendation?
During my sleep studies, my oxygen level went down in the high '70's. Should I be trying to get a pulse oximeter that works with Oscar. Do you think that would shed more light on the situation?
This is frustrating. I need to focus on prepping my house and affairs for surgery recovery and had hoped that getting used to CPAP would be straightforward and easy once I committed to it.
Do you think a sleep doctor might help with this, or better to proceed on my own for now?
Thanks,
Remember2Breathe
