New to Forum's - AHI in the 50's, yes fifties

[My3rd3y3]

I am not sure where to start. I a sort of new to cpap, used it a few years ago and now i have returned to using my machine. I'll post some screenshots of my sleepyhead.....

[attachment=1779]

[My3rd3y3]

I thru the advise of my Wife and family DR. 3 years ago went to a sleep dr who sent me for a sleep study. I did the study over night at some sleep center and the Dr with those results prescribed me an Auto-Cpap etc. I went to the local medical supply and they gave me a PR System One Auto Cpap machine with a humidifier, and I choose the ComfortGel Blue Nasal CPAP, but about a month later went back and for a Full face mask as sometimes I cant breath thru my nose (I have a deviated septum it turns out) and sometimes mouth breath and also shallow breath. I used it non stop for the first 6 months or whatever till i became compliant or whatnot then just stopped using it as often till i stopped all together. It just felt like i was not getting enough air and I would wake up multi times thru the night either with dry mouth or the machine blasting air at me.
About a month ago I decided this is stupid, I need to do this for me, my wife, my future family etc and use this CPAP and deal with it. I went and got a new mask a Wisp Nasal as I thought it was light and real nice, well I cant get thru the entire night without waking up like 3-4 times either from the air blasting at me, or I feel I am not getting enough air or oxygen. I feel its oxygen as a lot of the time I don't feel like I am getting enough.

I am going to be going this week to get a S9 machine with heated tubing etc from a friend who got a new machine, maybe that will help or be better then my current machine - PR System One Auto Cpap machine with a humidifier. I also have a new appt with an new sleep specialist who works at a sleep center in our area so I think going to her on a reg will def help me. That Appt. is Dec 22nd so I hope I can get her some real good info/data whatever to help her out.

I did get another appt for a new sleep study.

[DariaVader]

50 is severe apnea, but don't worry it can be < 1 with treatment. The S9 Autoset is a fine machine and will provide data that can help you to finetune your therapy.

[trish6hundred]

Hi My3rd3y3,
WELCOME! to the forum.!
It’s good to hear that you are going to start CPAP therapy again.
Hang in there for suggestions and more answers to your questions.

[surferdude2]

I think you're going to need a different machine. That graph demonstrates that even at 20 cm H2O the OA's are still occurring. It's possible that a Bi-Pap machine might handle it. You'd need to see a sleep Dr. and likely get a lab test to verify.

Edit: I advise you to get that December appointment changed to ASAP. You need this therapy now!

Stick around for other opinions.

Dude

[justMongo]

I did get another appt for a new sleep study.

When is that sleep study scheduled?
Your SH graph is odd. From the flow waveform it looks like you only operated for a short period, then quit. You score both CA and OAs nearly equally.

You may need more than an auto cpap. If your sleep study shows they cannot control OA without inducing CA, then you have a complex form of apnea; and that may require a more complex machine (ASV.)

Can you push up the sleep doc appointment?

[surferdude2]

Very curious graph. High tidal volume (860 med) with minimal flow limitationss (.14) yet high OA's. None of that jibes. It's imperative that you get back in for a new evaluation ASAP.

Five sleep sessions in seven hours isn't resting, it's floundering.

Dude

[justMongo]

Five sleep sessions in seven hours isn't resting, it's floundering.

[My3rd3y3]

Thanks for the welcome!

The new sleep dr apt cant be till Dec as shes on maternity leave :-( While new to all this, I did find someone on a diff site that has been very helpful. I am so thankful for all your inputs and the time you guys take to help a stranger in danger lol..... I can post some more screens or even have dropbox? but not sure how to share that link or the .

   

I am a shallow breather, I take methadone daily have been told that also might not be helping the centrals but then again I had them prior. If there is anything else I can share or what not that might help please let me know

[justMongo]

I am a shallow breather, I take methadone daily have been told that also might not be helping the centrals but then again I had them prior. If there is anything else I can share or what not that might help please let me know

Methadone is an opioid; and all opioids are know to be a bad mix with sleep apnea. They lower the brain's central ventilator drive.