Daisylouu, as far as I know you have never uploaded data to get help with the problems you have had with CA or periodic breathing and now this. There is only limited value to our speculating on the problem if you won't or cannot provide some insights in the form of data. Have you successfully installed and been able to view Sleepyhead or Encore? Please consider attaching a screen shot of your data.
You have any reason to think you could have COPD? feeling like you have trouble breathing while awake is a symptom. Yep I have it and felt the same way
05-19-2016, 11:00 PM
(This post was last modified: 05-19-2016, 11:07 PM by robysue.)
Those nasty clusters of OAs are timed about right for REM-related OSA. A lot of people's OSA is a lot worse in REM and many people need more pressure in REM than non-REM to keep the airway from collapsing.
It looks like your min pressure is too low: Once the events start, it takes too long for the machine to raise the pressure up to an appropriate level. The fact that the pressure never dips below about 12cm for any amount of time between those two nasty clusters is significant.
You might very well want to increase your minimum pressure up several cmH2O. But you will want to do it slowly: Too big of a jump in pressure can be hard to adjust to.
It also looks like you are using a ramp that starts at 5cm. How uncomfortable are you when the machine is blowing with a pressure that is above 10cm? And do you have any problems with aerophagia or exhaling against the pressure? Answers to these questions will give a lot of information about how slowly you may need to go in adjusting the minimum pressure up to something that will help end those clusters of REM-related events.
The other thing that stands out in your data is that your tidal volume increases quite a bit as well as becomes more variable after you hit the ramp button at around 2:50AM and you turned the machine off and back on around 3:05AM. Any chance you were awake or sleeping very lightly (i.e. dozing) between 2:50AM and 4:10?
Did you wake up with the arm numbness at around 2:50? Or at 4:10? And what did you do after turning the machine off for good at 4:10?
Answers to those questions might illuminate possible reasons for why you are still feeling so bad during the day time.
Might I suggest that you visit your physician for a workup to rule out issues like nerve compression and the possibility of positional carotid narrowing or other physiological symptom. If your physician is not providing adequate answers ask for a referral to a cardiologist first and a neurologist second. Best of luck with a diagnosis and treatment. Remember, it's your life that is being affected.
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius