Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Need help. Fatigue/Daytime sleepiness even with low AHI
#11
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
As for the collar, I had some pain for 3 days but it went away. So if you want, it just takes some time and you will get used to it. It helps me a lot.
Post Reply Post Reply
#12
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
Okay then. Will stick with this setting and collar for a week and will report back.
Thanks everyone :')
Post Reply Post Reply
#13
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
Okay then. Will stick with this setting and collar for a week and will report back.
Thanks everyone :')
Post Reply Post Reply
#14
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
Have a simple doubt.
With SCC can i sleep in my back or still recommend to sleep by my side?


I got neck pain when i slept on my side with the collar
Post Reply Post Reply
#15
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
If the collar is keeping your chin from tucking toward your sternum, you should be able to sleep in any position.  We will take a look at the next OSCAR and see if you still have positional apnea.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply
#16
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
Hi.
Coming back with an update Smile
Changes I did :
1) Pressure 7-12 and EPR 3
2) Went back to Rio nasal mask. I bought a new dreamwear nasal pillow since the tubing is above head, hoping to reduce rainout. But i had leaks nomatter what i tried. It doesn't just fit properly. I was given size M but the pillow nostril seems bigger than Rio nasal pillow's. Leaks reduced after i went back to rio.
3) Bought a new neck collar with XL size (Previosuly had L) Fit it as loose as possible.

I think the numbers are better , but I need your guys opinion.

Oct 2nd: I felt like i woke up better compared to previous days. AHI was less than 1 too.
   

Oct 4th: I slept without setting an alarm, since i felt i had some sleep debt and want to get more time on the machine. Slept for 8 hours. But woke up bit groggy. Does this means I overslept?
   

Oct 5th: I just couldn't sleep on time. I went to bed on time but didn't feel sleepy. I only used CPAP for four hours. AHI was zero. I never got zero AHI, so curious what does this mean?
   

In this there are some spikes in flow rate (and correspondingly in flow limit). I have included the zoomed photo. There are some incidents where flow rate gets flat and some irregularities. Is this how it is supposed to be?

Overall I feel I am on the right track, but need to get consistently good amount of sleep using it. Any tips on how to feel tired/sleepy by bedtime ? And how to find how much time of sleep is good for me personally.


Thanks a lot. Grateful for this forum.

Zoomed photo.

   
Post Reply Post Reply
#17
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
I would try to move the min up one (8) and see how it feels and how it effects your sleep. But things LOOK good, it does take a while for anyone to start feeling better. You had apnea for a long time, most likely and it will take a while for the therapy to make a difference.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply
#18
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
Hello FindingCourage, that zoomed in graph looks like a bit of sleep junk, and you do need to raise your minimum pressure up to 9cm gradually, but go slowly as suggested. You can do this or drop EPR down.

I personally (and others) do not like how EPR feels nor do we like how it curtails the return of ipap pressure-so I always suggest turning it down or off if someone is not sleeping well.

There is no reason not to try turning it down/off but please do that slowly too as turning it down by 1 will increase baseline epap by 1cm. I suggest turning minimum pressure to 7.8cm and turning EPR down to 1 as you have it at 3 fulltime.

Since your charts look very good we can just focus on how you feel during the night with the therapy. Smile
Post Reply Post Reply
#19
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
Thanks for the reply. Yes i think i have had apnea for wrong time and probably have need mroe time to feel better.


Any tips on:
1) How to avoid rainout? My humidity is on maximum since i feel it helps me with my clogged nose. The roon temperature is 72 F and machine temperature is 86 F. I also have a hose cover and use a hose holder to elevate. Even with that i get rainout and water droplets in my mask and nose when i wake up.

2) Any tips on how to reduce RERA? If i wake up during sleep it is almost certain i am gonna have a bad day. i am sleeping by my side. use a nasal dialtor and mouth tape (And cervical collar now ) what else can i do to decerease nasal blocking/congestion.
Post Reply Post Reply
#20
RE: Need help. Fatigue/Daytime sleepiness even with low AHI
(10-08-2024, 08:23 PM)FindingCourage Wrote: Thanks for the reply. Yes i think i have had apnea for wrong time and probably have need mroe time to feel better.


Any tips on:
1) How to avoid rainout? My humidity is on maximum since i feel it helps me with my clogged nose. The roon temperature is 72 F and machine temperature is 86 F. I also have a hose cover and use a hose holder to elevate. Even with that i get rainout and water droplets in my mask and nose when i wake up.

2) Any tips on how to reduce RERA? If i wake up during sleep it is almost certain i am gonna have a bad day. i am sleeping by my side. use a nasal dialtor and mouth tape (And cervical collar now ) what else can i do to decerease nasal blocking/congestion.

1. Move the machine close to the floor and use a room purifier.  There is more dust close to the floor but that's irrelevant if you change filters and use a purifier. How high above your head is the hose?  Here's a picture of my setup and I can crank the humidity without rainout:

https://live.staticflickr.com/65535/5353...4945_b.jpg

2.The main tips to curtail reras are to raise minimum pressure and to turn off or down EPR (as it decreases min epap pressure)..  There are a few books I've read that also explain this issue, reras are basically low level airway collapse events (under 30 percent collapse of the airway but still contribute highly to UARS and RDI). 

Reras and EPR go hand in hand and cause many arousals and microarousals, and that sleep junk is part of the issue as they aren't flagged by Oscar.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [CPAP] Help with ASV OSCAR data? Persisting Daytime Fatigue Despite 0 AHI LennySleeps 3 318 09-04-2024, 01:20 AM
Last Post: LennySleeps
  Persistent CA events and fatigue with low-ish AHI ATT9791 11 797 08-28-2024, 09:50 AM
Last Post: SarcasticDave94
Gross 27 y.o. male, new to CPAP, AHI<2, extreme fatigue fitandfatigued97 6 442 07-09-2024, 08:38 PM
Last Post: fitandfatigued97
  No Improvement in Fatigue karnote54 13 722 06-03-2024, 11:42 AM
Last Post: karnote54
Question [CPAP] Intense Fatigue - Seeking Advice: CPAP Data Analysis PerplexedTom 35 2,405 05-28-2024, 09:48 PM
Last Post: PerplexedTom
  Daytime events huge spike liz0859 4 396 04-24-2024, 07:56 PM
Last Post: liz0859
Question Help - Mask change causing fatigue? coffee9724 3 567 04-15-2024, 09:01 PM
Last Post: jcp519


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.