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Gman
Unread post  Post subject: feel better at first and then worse on cpap  |  Posted: Sat May 12, 2018 2:12 pm

Joined: Sat May 12, 2018 1:46 pm
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Why would I feel better the first couple days on cpap but then progressively worse as though I'm not getting enough air?

A few years ago I started suffering from apnea really bad. I've never had a study but my dad had it and he was a sleep tech and director of a sleep lab so I knew what it was. I began using his machine (he had passed away) with a new mask. It took about 3 weeks to feel better but I was waking up feeling pretty good and clearheaded every morning. Then my mask started giving me trouble and I could no longer use it. I did several things to reduce my apnea w/o cpap so that I felt okay. But, not feeling really good I have tried using it again about 4 times with different masks. Each time it seems I feel much better the first couple days, and I'm like great, it's working. Then I feel worse and worse like I'm starved of oxygen so I feel even worse than without it. However, I still often get tired easily and feel lousy. I would use it if it would help. Any insight to help me solve the mystery would be appreciated, and I will make a donation. I have sleepyhead data but not sure which nights to post. Thanks


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diamaunt
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Sat May 12, 2018 2:50 pm
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Joined: Wed Mar 02, 2016 2:26 am
Posts: 1929
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

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Most people have no feeling of oxygen starvation with actual hypoxia, though, a few do.

There's no way to know anything about what's going on with you,without data.

Start with *exactly* what machine and mask you have. If you're not sure, look on the back, or bottom of the machine for a REF number.

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LSAT
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Sat May 12, 2018 6:52 pm

Joined: Tue Sep 05, 2017 9:40 am
Posts: 257
Location: WI
PAP Mask: Simplus
PAP Machine: S9 Autoset
Humidifier: H5i
Pressure Setting: 12-20

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Gman wrote:
Why would I feel better the first couple days on cpap but then progressively worse as though I'm not getting enough air?

A few years ago I started suffering from apnea really bad. I've never had a study but my dad had it and he was a sleep tech and director of a sleep lab so I knew what it was. I began using his machine (he had passed away) with a new mask. It took about 3 weeks to feel better but I was waking up feeling pretty good and clearheaded every morning. Then my mask started giving me trouble and I could no longer use it. I did several things to reduce my apnea w/o cpap so that I felt okay. But, not feeling really good I have tried using it again about 4 times with different masks. Each time it seems I feel much better the first couple days, and I'm like great, it's working. Then I feel worse and worse like I'm starved of oxygen so I feel even worse than without it. However, I still often get tired easily and feel lousy. I would use it if it would help. Any insight to help me solve the mystery would be appreciated, and I will make a donation. I have sleepyhead data but not sure which nights to post. Thanks


Maybe you are not getting enough air...What machine? What Mask? Pressure settings? Post data!!!!


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Gman
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Mon May 14, 2018 6:00 pm

Joined: Sat May 12, 2018 1:46 pm
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Resmed s9 Autoset and Resmed airfit n20 mask. Last time I used it for about two weeks. I am attaching a screenshot from early, middle and end of the period.


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screenshot-20180514-205512.png
screenshot-20180514-205512.png [ 129.36 KiB | Viewed 641 times ]
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diamaunt
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Tue May 15, 2018 12:04 am
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Joined: Wed Mar 02, 2016 2:26 am
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Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

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I'd bump up your minimum pressure by 2 cm, and turn down the EPR

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Gman
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Tue May 15, 2018 6:06 am

Joined: Sat May 12, 2018 1:46 pm
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What are you basing that on, diamaunt? I want to uunderstand


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diamaunt
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Tue May 15, 2018 11:29 pm
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Joined: Wed Mar 02, 2016 2:26 am
Posts: 1929
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

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Obstructive events, (OA and H) are almost always lessened with more pressure.

With some people, the extra ventilation that EPR gives can cause some CAs.

So, raise your minimum so that the machine doesn't spend so much time going down to a pressure that's too low for you (and causing more events), and drop the EPR some to see if that makes the CAs better.

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Gman
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Wed May 16, 2018 9:23 am

Joined: Sat May 12, 2018 1:46 pm
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Okay thanks. Since I first posted this, I adjusted my wedge pillow I use to elevate my head and I'm doing tongue exercises and I feel much better. I doubt I need to use cpap now but it's good to know anyway


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LSAT
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Wed May 16, 2018 10:35 am

Joined: Tue Sep 05, 2017 9:40 am
Posts: 257
Location: WI
PAP Mask: Simplus
PAP Machine: S9 Autoset
Humidifier: H5i
Pressure Setting: 12-20

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Gman wrote:
Okay thanks. Since I first posted this, I adjusted my wedge pillow I use to elevate my head and I'm doing tongue exercises and I feel much better. I doubt I need to use cpap now but it's good to know anyway


Ridiculous statement..What was your AHI when you were diagnosed with OSA?....Unless you have a sleep study that shows you no longer have a problem, you should use the machine.


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Gman
Unread post  Post subject: Re: feel better at first and then worse on cpap  |  Posted: Wed May 16, 2018 11:13 am

Joined: Sat May 12, 2018 1:46 pm
Posts: 5

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If you read my original post, I never had a sleep study. If I feel worse using cpap than without it, why would I keep using it?


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