[Treatment] Need feedback on inconsistent results

[fog.apnea]

Looks to me like you're knocking it out of the park with minimum pressure 7 and maximum 12. Excellent results.






First, there is a lot of information we don't see in the summary statistics that might be interpreted from a Daily Details chart.  Your AHI is great, but we don't see any of the other elements that might suggest respiratory issues, sleep disturbance or fragmented therapy.  Your average hours per night are good assuming you sleep most of that.  Nothing really pops out from the summary to me.  It can take a while to feel refreshed using CPAP, and it does not solve other problems like low testosterone or other common problems related to fatigue.  You happen to live in an area (like here) that has a Lyme's epidemic.  I can tell you from personal experience that if you have it, it can be life-changing, and it's very easy to miss without a blood workup.

Thank you for your feedback!! More info below in blue

First, there is a lot of information we don't see in the summary statistics that might be interpreted from a Daily Details chart.  Your AHI is great, but we don't see any of the other elements that might suggest respiratory issues, sleep disturbance or fragmented therapy.  Your average hours per night are good assuming you sleep most of that.  Nothing really pops out from the summary to me.
If there is anything specific I can provide, so please let me know. I am attaching the detailed info from last night - https://imgur.com/a/5y0gb

It can take a while to feel refreshed using CPAP, and it does not solve other problems like low testosterone or other common problems related to fatigue. 
This is exactly what I like to discover however what puzzles me is that the strange feeling started and has been more consistent in the last 12 days while it wasn't for over a month prior to that.

You happen to live in an area (like here) that has a Lyme's epidemic.  I can tell you from personal experience that if you have it, it can be life-changing, and it's very easy to miss without a blood workup.
My primary care doc tested for Lyme back in Feb and my Neuro also tested as part of the other tests when prescribing CPAP. Both times I tested negative for Lyme.

[fog.apnea]

I noticed that your sleep hours have started to increase. Some times if you sleep longer than your normal pattern that can actually make you feel tired. Depression is one cause of sleeping too much, but there are many others. Just throwing it out there to consider.

Thank you for the reply.

It's very rare that I cannot sleep normally so 7-9 hrs is not uncommon for me and I can extend my sleep at will so usual life activities rarely bother me. I do have usual things and difficulties in life that tend to cause stress at times but nothing serious that incline to depression. Of course not declaring myself free of any underlying problems that I may be not aware OR ignorant of but honestly depression is a far fetched worry for me.

I quit work by choice to take a break (long pending plan) that sort of coincided with starting my therapy so have leisure at my disposal and is the reason for somewhat stretched sleep but your point is well taken. I am willing to try anything to get back the re-freshness that I felt couple weeks back.

[Walla Walla]

The fact that you took a break from work is a big change planned or otherwise. Your probably feeling some stress from changing your routine. You may not think it should be stressful but any change to life's routine can do that. You might just need time to adjust and you'll start feeling better.

[Gary1of2]

Your no. look good. The question that I have arevyou sleeping on your back? That can cause obstructive apena. If thats the case you could try a cervical collar.

[fog.apnea]

The fact that you took a break from work is a big change planned or otherwise. Your probably feeling some stress from changing your routine. You may not think it should be stressful but any change to life's routine can do that. You might just need time to adjust and you'll start feeling better.

Understood but I quit 4 months ago so am trying to focus on the inconsistencies in my results the past 2 weeks compared to 4 weeks prior to it

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Your no. look good. The question that I have arevyou sleeping on your back? That can cause obstructive  apena.  If thats the case you could try a cervical collar.

I sleep 50-50 on back and side. Not sure how to relate your feedback to inconsistency I mentioned in my original post

[Walla Walla]

Just going down the check list. How about exercise? Have you stopped exercising lately? Don't forget just because you quit working four months ago that doesn't mean it could've started affecting you now. Maybe your now bored and you weren't before. Heck you know better than me. :-)

[fog.apnea]

Just going down the check list. How about exercise? Have you stopped exercising lately? Don't forget just because you quit working four months ago that doesn't mean it could've started affecting you now. Maybe your now bored and you weren't before. Heck you know better than me. :-)

I like the way you put it . Trust me really no major changes. The increased grogginess discouraged me to hit the gym badly but I pushed myself to exercise whenever possible so yes I exercised (about 4-5 days a week) same during that 12 day episode and the preceding month

I have a list of things to accomplish that is the reason to quit so not short of things to do that otherwise would make me feel bored.

By the way am on the elliptical now and pausing to respond here :.

[Sleeprider]

Just thought I'd follow up on this post with the details.  Nothing stands out here, and if continuing fatigue is a problem it may not be related to sleep disordered breathing.  Good results don't mean you sleep well, and we can't really judge that with these tools.  On the charts, if you minimize the monthly calendar by clicking on the triangle in the date line, we will see a bit more, but looks good from this altitude. 

EPR is apparently set to 2, and pressure has minimal fluctuations. The leaks consist of brief seal-breaks that should not be too disruptive and honestly, no leaks of any consequence.  Tidal volume, respiration rate, I:E ratio is normal.  This looks like text book optimized treatment and the best outcome we could shoot for in therapy. A+

[fog.apnea]

Just thought I'd follow up on this post with the details.  Nothing stands out here, and if continuing fatigue is a problem it may not be related to sleep disordered breathing.  Good results don't mean you sleep well, and we can't really judge that with these tools.  On the charts, if you minimize the monthly calendar by clicking on the triangle in the date line, we will see a bit more, but looks good from this altitude. 

EPR is apparently set to 2, and pressure has minimal fluctuations. The leaks consist of brief seal-breaks that should not be too disruptive and honestly, no leaks of any consequence.  Tidal volume, respiration rate, I:E ratio is normal.  This looks like text book optimized treatment and the best outcome we could shoot for in therapy.  A+

Sounds apt and appreciate the details and summary. My daily summary looks pretty much same as the last night's after the 1st week. I religiously analyze the data every day.

It feels good to hear feedback from experienced member as confirmation as otherwise would have been more a guess on my part. Thank you Sleeprider.

[fog.apnea]

I noticed that your sleep hours have started to increase. Some times if you sleep longer than your normal pattern that can actually make you feel tired. Depression is one cause of sleeping too much, but there are many others. Just throwing it out there to consider.

Thank you for the reply.

It's very rare that I cannot sleep normally so 7-9 hrs is not uncommon for me and I can extend my sleep at will so usual life activities rarely bother me. I do have usual things and difficulties in life that tend to cause stress at times but nothing serious that incline to depression. Of course not declaring myself free of any underlying problems that I may be not aware OR ignorant of but honestly depression is a far fetched worry for me.

I quit work by choice to take a break (long pending plan)  that sort of coincided with starting my therapy so have leisure at my disposal and is the reason for somewhat stretched sleep but your point is well taken. I am willing to try anything to get back the re-freshness that I felt couple weeks back.

I looked at my daily log more closely and realized this. The sleep/wake times recorded in the SH are when the button on the cpap machine is started/stopped. However I usually take a book to read as soon as I hit the start button and ensure to check the time I want to really close my eyes (I also confirm this in the SH data the following day by looking at the resp rate). So I looked at my actual sleep times even going back couple months prior (that makes it roughly 4 months) to starting the hose therapy and I averaged (took by a week for normalizing the data) consistently between 7.5 to 8.5 hrs of sleep per day. So in short my sleep schedule has been relatively consistent pre and post cpap therapy.