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New CPAP user had and AHI of 74.49 last night.
#1
New CPAP user had and AHI of 74.49 last night.
I'm a 34 year old male, and I was recently diagnosed with severe sleep apnea. I averaged 80+ apneas during my test and my blood oxygen was below 87% for long stretches of the night. I got my CPAP on Wednesday. Even with the machine, I've been having consistently high AHIs. I know there is a bit of a process to get used to the therapy, but from the research I've done, I don't seem to have come across anyone else who still have AHIs this high.

The first night was a little rough getting used to the machine I had an AHI of 20.27, but I felt much less fatigued than normal the next day. 

The second night was amazing. I only woke up once and slept hard through the night for the first time in years. My wife joked that she thought I might be dead because I didn't move all night or even stir when she came in. Had an AHI of 11.86 that night. But I woke up at 5:45 am and felt rested all day.

The third night was not as good AHI 43.59. Still felt decent the next day.

Last night it was 74.49, which is not much better than when I did my test. Felt much more tired today. I'm worried that the machine is not working as it should given the extremely high AHIs. I attached my Oscar results to look at. Thanks in advance for any advice you guys can give me. 


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#2
RE: New CPAP user had and AHI of 74.49 last night.
(07-21-2019, 03:44 PM)importantbrian Wrote: I'm a 34 year old male, and I was recently diagnosed with severe sleep apnea. I averaged 80+ apneas during my test and my blood oxygen was below 87% for long stretches of the night. I got my CPAP on Wednesday. Even with the machine, I've been having consistently high AHIs. I know there is a bit of a process to get used to the therapy, but from the research I've done, I don't seem to have come across anyone else who still have AHIs this high.

The first night was a little rough getting used to the machine I had an AHI of 20.27, but I felt much less fatigued than normal the next day. 

The second night was amazing. I only woke up once and slept hard through the night for the first time in years. My wife joked that she thought I might be dead because I didn't move all night or even stir when she came in. Had an AHI of 11.86 that night. But I woke up at 5:45 am and felt rested all day.

The third night was not as good AHI 43.59. Still felt decent the next day.

Last night it was 74.49, which is not much better than when I did my test. Felt much more tired today. I'm worried that the machine is not working as it should given the extremely high AHIs. I attached my Oscar results to look at. Thanks in advance for any advice you guys can give me. 

Thanks for posting your graphs... It looks like your Apnoea is positional and your machine is maxing out trying to clear your apnoea and failing. You may have good success with a soft cervical collar as this will prevent you chin tucking and causing your obstructive apnoea.
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#3
RE: New CPAP user had and AHI of 74.49 last night.
Nailed it, Positional Apnea from tucking the chin.

read the 
Positional Apnea Wiki
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#4
RE: New CPAP user had and AHI of 74.49 last night.
Thank you so much for the information. I read through the linked page. That makes total sense. I get that tucked chin position all the time now that I think about it. I'm going to order a soft collar today. In the meantime, I tried changing up my pillow arrangement and sleeping on my side to prevent it. It definitely seems to have helped. I woke up a couple of times and could tell my chin was down, so hopefully, the collar prevents that. Still had high AHIs last night, but I can see where I had long periods without any apneas and then clusters of them altogether. [attachment=13756]
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#5
RE: New CPAP user had and AHI of 74.49 last night.
Your latest effort cleaned up the leaks, but I really look forward to seeing the "after" a soft cervical collar shot. I think it will challenge the efficacy of the example we used in the Wiki.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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#6
RE: New CPAP user had and AHI of 74.49 last night.
(07-22-2019, 08:39 AM)Sleeprider Wrote: Your latest effort cleaned up the leaks, but I really look forward to seeing the "after" a soft cervical collar shot.  I think it will challenge the efficacy of the example we used in the Wiki.

I'll be sure to post after I try it out. It should come in tomorrow.
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#7
RE: New CPAP user had and AHI of 74.49 last night.
Well, the first collar I got was too small, but I finally got one that is the right size. It took some getting used to, but each night with it has gotten better. Last night I had an AHI of 6.77. It's still hight, but that's the best it's been since I started treatment.

[attachment=13915][attachment=13916][attachment=13917]
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#8
RE: New CPAP user had and AHI of 74.49 last night.
Didn't have time to pull my charts this morning, but it was my first night under 5 AHI. The collar along with sleeping on my side has really really helped. Thanks for the suggestion. The treatment has been a revelation for me. No more falling asleep at red lights, while driving, watching movies or working. Basically, any time I slowed down for more than a few minutes I started falling asleep. I did a three-hour drive over the weekend and didn't start to dose at all. I didn't even feel very tired. I know that seems like a silly milestone, but for me it was huge.
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#9
RE: New CPAP user had and AHI of 74.49 last night.
not silly at all. it's what we're all striving for.
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