New to forum..help needed

[bjzman100]

I have been on a Resmed 10 with humidifier, wisp nasal mask, thinline hose since June this year. I at 45 AHI, so severe Apnea. they set my range to 6-10, EPR to 2, no ramp. I was doing good up until late August. I started to have nights sweats, headaches, daytime sleepiness, having to take naps and nightmares again like the symptoms before I started treatment. I am 37 and in decent health. The machine states that I have .1-.5 apneas. Went to dr and of course he said the machine show u are fine. So roughly 3 months now of fighting with this. Sleep is just a battle. I have changed my auto range to 9-14 since I was at the max every night at 10 back in mid October& that seemed to help but still have the mentioned symptoms above. I have been in the clinical setting and found the EPR settings. I have used the device every night since I got it in June.
I need some advice as where to start since my DR is treating the machine not the patient. Thanks,
Brian

[kaiasgram]

Welcome. Can you post a SleepyHead screenshot of one of your recent nights when you had a bad night? I'm wondering if we might see some things that aren't part of the AHI but could be contributing to the problems you're having. Below is a sample of a SleepyHead report with the graphs we want to see: Event flags, flow rate, pressure, flow limit, leak and snore. Also include the info on the left (don't really need the calendar).

[trish6hundred]

Hi bjzman100,
WELCOME! to the forum.!
Hang in there for more suggestions and answers to your questions and much success to you with your CPAP therapy.
P.S. It might be time to go doc shopping if the one you are seeing now is only concerned about the machine, rather than the patient using the machine.
Good luck to you with this situation.

[DumfriesDik]

Hi bjzman100! Out of interest, I run hot and sometimes enjoy a siesta.

I am no expert, but is your machine not capable of changing the pressure between 4 and 20? I wonder why they have set it so low? Again, this is new to me, but it looks like an increase in the upper pressure might be in order? My average pressure is around 9.

See what those with more experience have to say . . .

[kaiasgram]

Hi bjzman100! Out of interest, I run hot and sometimes enjoy a siesta.

I am no expert, but is your machine not capable of changing the pressure between 4 and 20? I wonder why they have set it so low? Again, this is new to me, but it looks like an increase in the upper pressure might be in order? My average pressure is around 9.

See what those with more experience have to say . . .

Increasing the max pressure may not be warranted. First we need to see where the pressure has been going with the 9-14 settings. That's why I'm asking for a SleepyHead screenshot. If flow limitations and snores are causing the pressure line to bump along the max setting of 14, then an increase in max pressure would make sense. Otherwise, it might not be a good idea to increase max pressure.

[bjzman100]

Hi bjzman100! Out of interest, I run hot and sometimes enjoy a siesta.

I am no expert, but is your machine not capable of changing the pressure between 4 and 20? I wonder why they have set it so low? Again, this is new to me, but it looks like an increase in the upper pressure might be in order? My average pressure is around 9.

See what those with more experience have to say . . .

Increasing the max pressure may not be warranted. First we need to see where the pressure has been going with the 9-14 settings. That's why I'm asking for a SleepyHead screenshot. If flow limitations and snores are causing the pressure line to bump along the max setting of 14, then an increase in max pressure would make sense. Otherwise, it might not be a good idea to increase max pressure.

So for the past month since changing average pressure 11.8. When I check the machine for the past week, it is 13.2. I do not have any software to use. I will look at getting sleepyhead so I can post results.

[cate1898]

Hi bjzman100 and welcome to ApneaBoard! Glad you found us!

[bjzman100]

This is from Saturday. I changed the EPR setting from 2 to 1 after the post last night.

[Sleepster]

I was doing good up until late August.

Anything significant happen in your life at that time?

The machine states that I have .1-.5 apneas.

That is awesome!

I have changed my auto range to 9-14 since I was at the max every night at 10 back in mid October& that seemed to help but still have the mentioned symptoms above.

What is your AHI since you made that change? Please change your profile to indicate that you have the ResMed A10 Autoset, if that is what you have.

I think it's time you look into finding a different doctor. For example, you could be experiencing flow limitations that are causing you to waken, but those don't show up in your AHI. They can be treated with higher pressure, but you want to be careful doing that because it could raise your CA index.

Do you see anything in SH that could account for the change in late August?

[Sleepster]

This is from Saturday. I changed the EPR setting from 2 to 1 after the post last night.

What were the values of the three indices that add up to the AHI?