I have been happily using that Resmed S9 for about 13 years. but in the last year I started noticing that I have been feeling fatigued and sleepy during the day, a lot like I was before I started treatment. So early in 2020 I had a new sleep study done with the thought that my 13 year old machine was probably starting to fail me. It helped that my insurance deducible for the year was satisficed so the study didn't end up costing anything however It ended up taking me about 11 months to get a new cpap machine. My policy is high deductible and wouldn't pay a dime for the equipment. The best they would do is help set me up with a payment plan of nearly $100 a month for a year for the new machine. I ended up getting my new machine from [Commercial Link Removed] Supplier #1 with a coupon code for $499 after saving up the cash to outright buy the machine.
I am offering all this background because I am wondering if anyone has experienced a lag after starting with a new cpap machine before they started noticing that they are no longer tired everyday?
My new machine seems great and as near as I can tell is working perfect. My setting from the Sleep study was supposed to be a cpap set at 12, but I got my doctor to write the prescription for and Auto Cpap. The Initial setting on the machine was 10 - 18. I found out about OSCAR and started using it at the same time I got my new machine, and I noticed that I was having a good number of events because the machine was trying to run at the lower setting and would only bump up when it detected a breathing issues. I have been changing settings to help improve my readings in OSCAR and I have what seems like a great readout from my most recent nights of sleep. The info has been looking good for around a week now, however I am still feeling like I have not had a good night sleep in a long time.
My new settings are
Apap 14 - 20
EPR - Full Time
EPR - Level 3 cmH2O
I have seen information advising not to use EPR because it is thought that it can cause central apneas, I started out not using it, but the higher levels that I am running at make it difficult to use the machine without EPR. I have also noticed that since turning EPR on my reports show much lower events overnight. I have also since starting to use OSCAR tried plugging in the memory card from my S9 and found that the EPR was running on it all along at the same 3 cmH2O setting.
Any input is appreciated, Thanks.
Attached a screenshot of last nights data.
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