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[Treatment] Still Tired
#1
Still Tired
Hi there,


I have been very tired for a number of years.  The doctors told me for the longest time it was depression, so I tried just about all the medications and I tried therapy to no avail.  I finally had enough and in the summer of 2019, I demanded a sleep study.  

I had the sleep study and it confirmed that I did indeed have sleep apnea, however insurance denied the titration study, so my sleep doctor set my CPAP to a constant pressure of 10.  A few months later, I was still complaining of constant tiredness, the doctor ordered the titration study and this time the insurance covered it.  I now have my CPAP in APAP mode with a minimum pressure of 10 and a maximum pressure of 16.

I have felt a slight improvement since these changes were made, but I am still feeling quite tired most of the time.  Attached is what seems to be a typical night looking at the data in the OSCAR program.  I do have the occasional night with far fewer apneas and I seem to feel best of those days.   I do not see my sleep doctor again until March 11th.  I was hoping some of you could help shine some light on what is going on in the meant time Smile

Thank you!
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#2
RE: Still Tired
Hi jrobinson2003 - Welcome
You cut off some important information to the left of these graphs. Please read the links in my signature below on how to organize your graphs and taking screenshots in OSCAR.
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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.
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#3
RE: Still Tired
Thanks for the tips! I think I've got it now.


Attached Files Thumbnail(s)
           
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#4
RE: Still Tired
You AHI number is good. The CA events may be treatment emergent and will probably gradually decrease. You do have flow limitations which are driving the pressure up which may be disrupting your sleep. They may be reduced by increasing EPR from 2 to 3.
Download OSCAR

Organize Charts
Attaching Charts

Mask Primer
Soft Cervical Collar

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.

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#5
RE: Still Tired
How long have you been using CPAP?
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#6
RE: Still Tired
Since the end of August 2019. I had second sleep study in early January 2020 and the pressure change was made a week or two later.
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