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+--- Thread: help please I feel like my therapy is not working (/Thread-help-please-I-feel-like-my-therapy-is-not-working)
help please I feel like my therapy is not working - King of no sleep - 08-18-2019
[attachment=14613][attachment=14614][attachment=14615]Good morning can I please get some advice. I now feel like I did before I started my cpap therapy here is last night charts
RE: help please I feel like my therapy is not working - Sleeprider - 08-18-2019
Your AHI was half this and much fewer hypopnea using EPR at 3 with pressure at 8-11. Why did you change?
RE: help please I feel like my therapy is not working - King of no sleep - 08-18-2019
I was telling my sleep doc how I was feeling and I guess he must have done it so should I put it back to 3
RE: help please I feel like my therapy is not working - mesenteria - 08-18-2019
We do have to comply with physicians if we want them in our back pockets moving forward, but we also have to be as objective as possible, and to note, what if any changes arise from any changes in treatment. So, we must be aware of what our treatment comprises, and then soberly accept long-standing, or durable, changes that result. In your case, you should at least double it from an EPR of 1 to 2 and try it for a couple of nights. If it starts going in the right direction, say with an AHI less than 3.0 or so, then go back to 3 and see what happens.
Nothing is cast in concrete here, and certainly not when our results start 'going south' on us.
RE: help please I feel like my therapy is not working - King of no sleep - 08-18-2019
Thanks Mesenteria I will try that.
I know it sucks to sleep all night with your mask on and wake up to feel like you havent slept at all.
RE: help please I feel like my therapy is not working - OpalRose - 08-18-2019
(08-18-2019, 11:45 AM)King of no sleep Wrote: I was telling my sleep doc how I was feeling and I guess he must have done it so should I put it back to 3
My recommendation to you was based on a chart dated Aug. 1, in which you were using a minimum pressure of 10 and max 16, EPR 3. Your Obstructives and Hypopneas were low. Total AHI was 3.60.
I recommended turning down the EPR due to the Clear Airways, thinking that would help clear up a few of those (At that time, your Obstructives and Hypopneas were low.)
I never recommended a change in minimum pressure. I assumed you would keep it at 10.
Curious, did your doc drop your pressure from 10 to 8? That’s probably why your Obstructives and Hypopneas went up.
RE: help please I feel like my therapy is not working - King of no sleep - 08-18-2019
yes my Doc is the one who changed it.
So may I ask what you would recommend?
all I know is my Balance is off and my brain is foggy and it sucks
all I want to do is sleep.
RE: help please I feel like my therapy is not working - Big Guy - 08-18-2019
(08-18-2019, 11:55 AM)King of no sleep Wrote: Thanks Mesenteria I will try that.
I know it sucks to sleep all night with your mask on and wake up to feel like you havent slept at all.
My sentiments exactly.
RE: help please I feel like my therapy is not working - OpalRose - 08-18-2019
(08-18-2019, 12:40 PM)King of no sleep Wrote: yes my Doc is the one who changed it.
So may I ask what you would recommend?
all I know is my Balance is off and my brain is foggy and it sucks
all I want to do is sleep.
What was the reason the doctor gave for lowering the minimum pressure from 10 to 8?
I’m no expert, but I think you needed the higher pressure to tackle Hypopneas and Obstructives.
I’m not saying it was right or wrong, but in combination with the lowering of EPR had a negative effect.
My feeling is it should be one thing at a time and wait and see how it goes.
Sometimes, it’s trial and error getting things just right. You have CA’s, Hypopneas and Obstructives which makes it a balancing act to get pressure just right, and allowing you to sleep better.
RE: help please I feel like my therapy is not working - King of no sleep - 08-18-2019
you know I am not sure I have been feeling this way for awhile
and that's what I was try to tell him
but you know how it goes your numbers look pretty good
for some reason I think I need a in lab sleep study or possible asv