03-15-2015, 09:14 PM
(This post was last modified: 03-15-2015, 09:38 PM by quiescence at last.)
your study is somewhat revealing regarding the lack of energy or euphoria.
both in non-PAP and in CPAP periods, you have 0% deep sleep (Stage III/IV). you should do a little reading on this. see below comment *
also, you had 80.9% sleep efficiency during first half and 51.3% sleep efficiency during second half of your study.
that is a lot of loss of sleep and if it turned out to be normal for you, this could explain a little of the effects so far.
But, your brain and body will eventually settle their dispute.
Stay with it.
Can anyone on the forum recall their own sleep architecture during lab sleep study, and whether there was an absence of deep sleep? It is certainly possible that no deep sleep is the norm while they are studying you....
* I believe you would benefit from a combo of exercise and brain wave entrainment treatment. Hold back for a moment on the quackery comments, and do some reading, and maybe do some trials. Ask your GP about that.
one study you should read is ## http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417155/
note the point about lower-carb dieting as well.
Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
03-15-2015, 10:54 PM
(This post was last modified: 03-15-2015, 11:05 PM by vsheline.)
It speaks well of your Durable Medical Equipment (DME) provider that you were dispensed an APAP set up in CPAP therapy mode, rather than a cheaper fixed-pressure or less data-capable machine.
EPR is considered a "comfort" adjustment which patients are usually encouraged to adjust for themselves.
The provider took it upon himself to increase EPR to 3, which lowered EPAP (your exhale pressure) to 11 - 3 = 8. During the titration you had better results when EPAP was 11 - 2 = 9.
I suggest lowering EPR to 2 or lower.
I also recommend making sure you never roll onto your back while sleeping, or else call your doctor to ask for a change to APAP therapy mode right away.
If you haven't already by that time been changed (at least temporarily) to APAP therapy mode, when you next see your doctor (hopefully you will have an appointment soon with your doctor) I recommend requesting a change to APAP therapy mode, along the lines suggested by other posters. A titration is a portion of just one night. It is pretty common that the pressure prescribed on the basis of a titration study which lasts just a few hours is significantly off from an optimal setting.
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.