Abdulfakih - Therapy Thread

[SarcasticDave94]

Simple, you're dealing with Central Apnea. They are notorious for being random. They're called consistently inconsistent for a reason. Exactly as you described, low one night, high the next.

[Abdulfakih]

Simple, you're dealing with Central Apnea. They are notorious for being random. They're called consistently inconsistent for a reason. Exactly as you described, low one night, high the next.

So this was last night. Idk what to even think anymore lol

[Abdulfakih]

Okay guys, I ended up trsvellling to the capital and saw a neurologist and a nose doctor, both specialists in sleep.

Nose doctor: she told me to adjust a few things on Cpap, steady pressure of 9, no epr, humidity at 5 and to try full face mask. She told me not to worry about centrals because they are treatment emergent. She told me to try that and send her some results. I tried and today I got a 2.6 ahí, with lots of hipoaoneas and central. I assume she will ask me to put the pressure a bit up. However all in all I still feel like sh*t and tired, even with an ahí of 2…

Neurologist: the guy basically had no clue what else to try, as with Cpap I should feel rested, but because I don’t, maybe I don’t need it. He gave me 2 options, an antidepressant for the day or one for the night.

All in all, I am lost guys. Idk what to do anymore and I feel like I’m giving up all hope. Do I need the damn machine or not? Is it all mental or not? I was already on amitriptiline and didn’t do anything to me.

I just want to increase my deep sleep. Today I got 38, and I can’t get past an hour. Why was I cursed with this sh*t, I just wanna sleep and feel rested ?

[PeaceLoveAndPizza]

Some suggestions…

I assume you are using some kind of smart watch. Put it in a drawer and don’t look at it. Stop focusing on numbers, focus on quality sleep. Worrying about deep sleep vs REM vs light does nothing except make you focus on the wrong things. Particularly as smart watches are not accurate in determining sleep stages. If you do continue to wear it understand it is a directional indicator, not an absolute authority.

In the same sense AHI is just a number. You can have a low AHI and have poor sleep, as you can have a higher AHI and still get a great nights rest. AHI is not a sleep quality indicator any more than time in a sleep stage number. 

And something I learned from experience. Getting suggestions from many trying to help is non-productive in the end. I understand the desire to find anything that works, but it is not going to help you in the long term. You will keep reaching for something unobtainable following every new suggestions from anyone and everyone, which never gives things a chance to settle down.

There is no quick overnight fix and no magic spell for quality sleep. You have to slowly find each piece of the puzzle and start putting it together. It looks like you have received a lot of great advice, the thing to do now is work through it from there.

[Abdulfakih]

Some suggestions…

I assume you are using some kind of smart watch. Put it in a drawer and don’t look at it. Stop focusing on numbers, focus on quality sleep. Worrying about deep sleep vs REM vs light does nothing except make you focus on the wrong things. Particularly as smart watches are not accurate in determining sleep stages. If you do continue to wear it understand it is a directional indicator, not an absolute authority.


In the same sense AHI is just a number. You can have a low AHI and have poor sleep, as you can have a higher AHI and still get a great nights rest. AHI is not a sleep quality indicator any more than time in a sleep stage number. 

And something I learned from experience. Getting suggestions from many trying to help is non-productive in the end. I understand the desire to find anything that works, but it is not going to help you in the long term. You will keep reaching for something unobtainable following every new suggestions from anyone and everyone, which never gives things a chance to settle down.

There is no quick overnight fix and no magic spell for quality sleep. You have to slowly find each piece of the puzzle and start putting it together. It looks like you have received a lot of great advice, the thing to do now is work through it from there.

yes I understand the smartwatch is not accurate, but I have found a correlation between how I feel during the day and how much “deep sleep” is telling me I got. I have been using cpap for 2 months, and some nights I feel normal and others I feel like absolute crap. The only thing that changes from night to night is the amount of deep sleep that is recorded on the watch. I don’t understand how can I be sleeping for 8 hours, using Cpap with a low score and I still feel like absolute dog sh*t. I am desperate and the path seems hopeless. Idk what else to do

[Abdulfakih]

I was able to put all my data in a Google drive https://drive.google.com/drive/folders/1...drive_link

[Abdulfakih]

Hello ?

[Crimson Nape]

This is a big vacation (holiday) time in the US. Please don't expect immediate replies until the end of summer.
- Red

[Abdulfakih]

Hello guys, I hope everyone is doing okay.

I have switched over masks to a F40 and I have switched to steady pressure as instructed. Any comments on my data? Also I have attached the link to my google drive, if anyone is curious about my data. Thanks

[Sleeprider]

As expected with fixed pressure and no EPR, your flow limits are sky-high. Doesn't look like fun. You are the best judge of your sleep quality, and in the best position to figure out what works best for yourself. I don't give much regard to a nose specialist that has the opinion fixed pressure and no EPR is how everyone should PAP. What do you think?