[Treatment] [OSCAR] Still Tired After 1.5 Years of Usage - Any Help Please?

[sowo123]

Hello everyone,

I've been using my CPAP for the past 1.5 years. Apart from a few days of waking up without the hose on my face, I've made it a mission to improve my health and always wear my mask. 

While I've seen some improvements in my day-by-day, I would still say that I feel rather fatigued and tired. 

Does anybody have any advice based on my numbers if there is anything I could change to improve my sleep quality with my CPAP? I'm happy to post more pictures if needed from the OSCAR software.

Thanks kindly!

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picture

[G. Szabo]

Would you mind attaching a few days of your latest daily reports? Please turn the calendar off and ensure the instrument settings are visible on the left side at the bottom.

[sowo123]

This is most recent data from today! I'll send a picture of the instrument data.

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Day prior to this

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CPAP device

[G. Szabo]

A significant portion of your report is still missing. In the WIEW option, turn the daily sidebar ON and the calendar OFF.

BDW, you are running CPAP 6 cm with EPR=3, which makes little sense.

[sowo123]

Oops. Sorry. Here is October 4 (last night data)

           

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            This is Oct 3 data.

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I've found that having it makes it more comfortable to exhale, should I try turning it off and see if that helps (EPR=3)?

[G. Szabo]

It is better, but I still can't see your instrument and AHI details at the top of the left-hand side. You can resize that part so everything shows up. 

I suggest titration your parameters to reduce your flow limits.
With the following setting:
Turn CPAP to APAP
Peressure minimum 7 cm
Pressure maximum 14 cm
EPR=3 , full time 
Standard more, Ramp off.

[sowo123]

        Here is the Oct 4 and Oct 3 data for my AHI.

[G. Szabo]

You are doing ok, but your flow limit on Oct 4 was too high. 
It would be best to run the above suggested settings to see the APAP pressure curve.