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[Treatment] Still fatigued, history, are these CAs real?
#81
RE: Still fatigued, history, are these CAs real?
The two-hour reported gap last night is somewhat false. I woke up to go to the bathroom, disconnected the hose, and fell back asleep. Two hours later I woke again, noticed the hose was disconnected, and figured it out. I am dragging today, as usual, but not exhausted.

The 2:15 hour gap the previous night -- with the excellent AHI -- is real. Over the last six days, that day was the only one with a real 2 hour gap in the middle of the night. More typically, I get to bed between 9 and 10:30, sleep to about 6, up for an hour and a half, then nap for an hour or so (nap usually without CPAP, though I am changing to using it). Then I feel pretty good until sometime in the afternoon. I am trying to be very regular about bedtime (9 is the target) and avoiding caffeine. If feeling wired, I'll take a benadryl at bedtime to help getting to sleep.

OAs are relatively rare, so I am not too concerned about them. As I look through the flows, I see some evidence of sleep disturbance being triggered by flow limits, which is why I thought of addressing that. I also see what look like sleep disturbances associated with mask leaks. I figure the mask leak develops when I change position and nudge the mask out of its optimal position.
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Apnea Board Monitors are members who help oversee the smooth functioning of the Board. They are also members of the Advisory Committee which helps shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#82
RE: Still fatigued, history, are these CAs real?
That is a better assessment than I can make, and I think it provides some ideas on where you might want to focus your optimization.
Sleeprider
Apnea Board Moderator
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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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#83
RE: Still fatigued, history, are these CAs real?
I have been using the VAuto for a week now, and for the last several days with EERS 12".  Oscillatory breathing continues but is somewhat muted.  Average AHI seems reduced.  I have not had one of those catastrophic nights I used to have where I was so tired in the morning that it took two days to recover.

In two years of CPAP use, I have never before seen an AHI of 0.0 for a full night.  I also slept through the entire night without waking, which is also not usual.

[Image: attachment.php?aid=25721]


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Useful links
Download OSCAR (current version is 1.5.1)
Best way to organize charts
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Apnea Board Monitors are members who help oversee the smooth functioning of the Board. They are also members of the Advisory Committee which helps shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#84
RE: Still fatigued, history, are these CAs real?
My question is.
Is that the result of the VAuto?
Or the VAuto + EERS?
either answer is ok, it the the result you had that is important.
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#85
RE: Still fatigued, history, are these CAs real?
VAuto + EERS I think. VAuto alone, which I reported earlier, was somewhat of an improvement over the AutoSet but not as good as last two nights.
Useful links
Download OSCAR (current version is 1.5.1)
Best way to organize charts
How to attach charts to your post

Apnea Board Monitors are members who help oversee the smooth functioning of the Board. They are also members of the Advisory Committee which helps shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#86
RE: Still fatigued, history, are these CAs real?
like
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#87
RE: Still fatigued, history, are these CAs real?
The combination of therapy is potentially powerful, but unproven in trials. It's great to hear of your your success. We are working on the bleeding edge and have seen more success than failure. Thanks for playing Guinea pig. Smile
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#88
RE: Still fatigued, history, are these CAs real?
I thought I'd give you an update on my use of VAuto + EERS.

Overall, my energy is more stable. I still need a lot of sleep but have more energy when I am awake.

AHI is averaging around 0.5 instead of the 1.6 I saw with the AutoSet. Average would be even lower without the occasional outlier. For example, I had an AHI above 2 a few nights ago. I had 22 OAs in about a 30 minute period, probably while sleeping on my back. 22 events in a 30 minute period, while obviously disturbing that period, still gave me an overall good sleep for the night. If they had been evenly spread through the night, it would have been a bad night.

Looking at my history, the largest AHI I saw with the AutoSet was about 6. In the two months I have been using it, the highest AHI was less than 3.

Oscillatory breathing continues but is more muted and not enough to cause the machine to record an event. I've even seen occasional periods of "normal" breathing pattern!

I am dreaming a lot, which wasn't happening before. I think I have some catching up to do! Sleep stages, as reported by FitBit, are looking more like a normal cyclic pattern with a decent amount of time in deep and REM stages.

I'll have my own VAuto in another week or so. The process of upgrading to VAuto has gone very smoothly, with the only delay being that I had not had the Medicare-required face-to-face meeting with my doctor recently enough. I'll see him next week and the DME is hot to provide the VAuto.
Useful links
Download OSCAR (current version is 1.5.1)
Best way to organize charts
How to attach charts to your post

Apnea Board Monitors are members who help oversee the smooth functioning of the Board. They are also members of the Advisory Committee which helps shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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