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JuanMa
Unread post  Post subject: In desperate search for better nights of sleep.  |  Posted: Tue Apr 02, 2019 2:16 pm

Joined: Sat Jan 19, 2019 12:58 pm
Posts: 3
Location: South Florida
PAP Mask: Resmed AirTouch F30 Full face mask
PAP Machine: Resmed AirSense 10
Humidifier: Structured into Resmed AirSense 10

Offline
Hello Everyone. Firstly, I would like to thank everyone in advance for any attention and thoughts you provide on my situation. So here it goes...........

Equipment

Machine: ResMed AirSense 10
Mask: ResMed AirFit F30
Software: SleepyHead (Latest version as of January 2019)

History

I am a 40 year old male with a height of 5’10” and weight of 240lbs and mostly a side-sleeper. Back in December 2016, I had a home study for sleep apnea performed which lead to a diagnosis of sleep apnea. I started treatment with the ResMed AirSense 10 machine and an AirFitN20 Nasal Mask as per physician’s prescriptions. After a couple of follow ups, my doctor concluded I was having lots of mouth leak and therefore prescribed a full face mask. I tried a few and found recently that the ResMed AirFit F30 is the most comfortable one for me therefore that is what I am staying with. The bottom line is I have been doing CPAP/APAP treatment since December of 2016 and I have not found much relief from it. In fact, sometimes I feel worse (more sleepy) during the days after treatment than back when I used to not have a machine (right before I was diagnosed). I had a second in-house study done at a local hospital in the beginning of 2018 which confirmed my first study done at home. About a month after this second study, I still did not find enough relief and gave up on my CPAP/APAP treatment. At the end of 2018 I decided to give treatment a chance again, but I decided to take research of my issue into my own hands rather than continuing to see my doctor. Consequently, I saw many online videos and read a lot. I also joined your forums. I have been doing this whole research with my wife’s assistance. She is a dentist and also treats me for Bruxism (which is severe). I wear a night guard and also receive Botox treatment from my wife for pain management of the muscles in my neck, head, and face as the Bruxism comes with those conditions. She actually has specialized in pain management with Botox, taking courses and certifications just to help me out with that. Sometimes, I wake up with headaches. The Botox helps with that. During my research about my issue, I came across a video which proposes what I consider a thorough approach in search of the appropriate static air pressure (or air pressure range) for me. Maybe I am wasting my time with this approach or maybe not, but I am somewhat desperate. This approach somehow makes sense to me therefore I have put my faith in it. Hopefully, some of you in this forum can help me interpret the results.

Approach:

I put my ResMed AirSense 10 machine in CPAP mode and chose a night to start sleeping with a fixed pressure of 5.0 cmH2O. My intention was to add 0.2 cmH2O every night after that, but I did skip from 5.2 cmH2O to 6.4 cmH2O. That is the only time I have made such a jump. I have been much disciplined at making jumps of 0.2 cmH2O nightly ever since 6.4 cmH2O. I am now at my 40th night with an upcoming pressure of 14.0 cmH2O.

Results:
After 40 nights, I am left with results on paper in addition to results on how I actually feel. I have tried to interpret the results on paper myself, but I just can’t see a constant in them. I expected to see a gradual, noticeable change in OAs and maybe CAs but a gradual change is not obvious to me. I wonder if I am just not seeing this because I am not trained to interpret this. I am going by what I learn online. My wife sees it slightly different than I do. She does feel there is enough data to pick out somewhat of a pattern, but we would like opinions from people more knowledgeable about these studies like some of you in this forum. On the other hand physical results are easier to recognize although not 100% concise either. I can say that I have never felt fully rested after any particular night. I have felt more rested after some nights than others but never fully rested after a specific night (or set of nights) to say “this is my ideal pressure”. I felt my better nights were at around 10.0 cmH2O. Another factor that may matters in all this is my facemask. It has been such a journey for me to find one that provides treatment with minor or no leaks and that feels as comfortable as possible during sleeping. The ResMed AirFit F30 has been the best one out of like six masks I have tried but this does not mean it doesn’t bother me at all. Especially at pressures around 11.0 and above, I find 3 particular issues:

a) I have to tighten my mask at no-so-comfortable levels in order to avoid mask leaks.
b) I wake up feeling like my head is an overblown balloon. It feels as if all that air fills up every cavity in my head/face. I am short of ripping the mask off my face the minute I wake up because the relief of pressure is so gratifying.
c) Lots of air in the stomach. As if I overate. Sometimes the relief of that comes quickly within a couple of hours, but other times I can feel remnants the bloating all the way into the evening. Not to get too detailed, but I become an air machine (air comes out from north and south). It makes it hard to be around people.

Questions:

So after this whole explanation and your analysis of all the SleepyHead results provided below, I have the following questions:

1. Do I need to provide further results of nights at pressures higher than 14.0 cmH2O for you to make better assessments?

If the results up to 14.0 cmH2H are enough, then I have the following questions

2. If I wanted to use the CPAP mode, what should my pressure be?
3. If I wanted to use the APAP mode, what should my range be set to?
4. Is there anything else of essence that I should be doing as far as my CPAP/APAP treatment in order to have more restful nights?
5. Is there anything else of essence that I should be doing outside of my CPAP/APAP treatment in order to have more restful nights?
6. I also heard my doctor once tossing around the idea of putting me on BiPAP, but he wanted to do more treatment on CPAP/APAP first. What do you think about this?

Your attention to this desperate search for better nights of sleep will be greatly appreciated.

Regards,

Juan M. from South Fla.

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JuanMa
Unread post  Post subject: In desperate search for better nights of sleep.  |  Posted: Tue Apr 02, 2019 3:02 pm

Joined: Sat Jan 19, 2019 12:58 pm
Posts: 3
Location: South Florida
PAP Mask: Resmed AirTouch F30 Full face mask
PAP Machine: Resmed AirSense 10
Humidifier: Structured into Resmed AirSense 10

Offline
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JuanMa
Unread post  Post subject: In desperate search for better nights of sleep.  |  Posted: Tue Apr 02, 2019 3:24 pm

Joined: Sat Jan 19, 2019 12:58 pm
Posts: 3
Location: South Florida
PAP Mask: Resmed AirTouch F30 Full face mask
PAP Machine: Resmed AirSense 10
Humidifier: Structured into Resmed AirSense 10

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LSAT
Unread post  Post subject: Re: In desperate search for better nights of sleep.  |  Posted: Tue Apr 02, 2019 6:34 pm

Joined: Tue Sep 05, 2017 9:40 am
Posts: 375
Location: WI
PAP Mask: Simplus
PAP Machine: S9 Autoset
Humidifier: H5i
Pressure Setting: 12-20

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Set your machine to auto..min 6..max 20. Then go to sleep and forget about changes for a week You are thinking too much.


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