[Symptoms] 1 Month of use, still experiencing fatigue/brain fog

[Vincesleep]

So my AHI dropped for 2 nights with the new settings and then went back up to around 2.2 for 2 following nights. I've attached last nights charts, any recommendations from here?

[Vincesleep]

To clarify my last post, my AHI was <1 for 2 days and I had no brain fog either day. Yesterday my AHI popped back up to 2.3 (with no changes to settings) and I needed to take a nap at 11 am to clear some minor brain fog. Last night my AHI was 2.2 (charts linked in my previous post) and I anticipate that the chronic 9 am brain fog will be coming for me today.

[Gideon]

The only setting change would be to turn EPR off in an attempt to further reduce your Central apnea.

[Vincesleep]

The only setting change would be to turn EPR off in an attempt to further reduce your Central apnea.

I can give that a shot, but turning the EPR on is what earned me 2 nights of <1 AHI.

[Gideon]

Treating both obstructive and Central apnea on a CPAP is a balancing act. Your numbers are good. The use of EPR =1 vs off is really based on how you feel, not what I see

[Sleeprider]

Your CA events range from very good to acceptable at just over 2/hour. I'd rather they not be present, and the best way to take it to the next level without ASV is EERS, enhance expiratory rebreathing space. http://www.apneaboard.com/wiki/index.php...ace_(EERS) You probably know the ASV (adaptive servo ventilator) is the positive pressure therapy device for complex and central apnea, but is very expensive, and will be difficult to get based on your relatively good therapy results.

EERS is an unconventional, but proven approach to significantly reduce central apnea, and concurrently may increase both tidal volume and minute vent, which doesn't seem to be an issue for you. In principle it is simple. You move the vent form the mask, up the tube 12 to 18 inches, and that creates space where your expired air is reserved for the next breath. That increases CO2 just enough to stimulate respiration. Read the wiki and follow links to some other members that have tried EERS. If you decide to try it, you only need a Whisper swivel vent, a few sections of 22 mm x 6" Corr-A-Flex tube, and Macks Silicone Putty (ear plugs) to block your nasal pillow vents.