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bdh60
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Post subject: Tired and no energy with cpap | Posted: Tue Sep 01, 2020 3:32 pm |
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Joined: Tue Sep 01, 2020 2:39 pm
Posts: 7
PAP Mask: Res Med Airfit F20
PAP Machine: Phillips Resp Dreamstation
Humidifier: Dreamstation Hum Care
Pressure Setting: 8 to 16
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Hi I am new to this site and just trying to figure out why I don't have any energy and feel tired all the time. I have been useing my cpap for approximately 3 years and the only thing that I have noticed is it helps me fall asleep quicker and I am able to sleep about 3 hours before I wake up as where before cpap I would be awake within 1 hour of going to sleep and than continue to be awake every hour the rest of the night. My wife always said I have never seen somebody make a job out of sleeping,I have had two sleep studys done with the first one being a disaster as in the nurse put the mask on me and had the air pressurre turned up high and I felt like I was going to suffocate but did manage to find out I was awake 21 times an hour and the seccond study I was awake 13 times and hour on my side and 65 times an hour on my back. I ws given the dreamstation machine and it was set at 8 to 16 auto and I have been using it that way since I got it.
Anyway I went on youtube the other night and typed in still tired useing cpap and I found out about this site and I have tryed changing my settings and havn't noticed much difference so I am curious as to how to find a good setting to try and how long I should try the pressure or setting until I might notice a difference. Two things to add are I am not very good about going back to the dr. and secondly I am not very good with computers or electronics so I have just left the machine alone and than I decided that I should be trying to get better so I am not so exhausted.
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Pugsy
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Post subject: Re: Tired and no energy with cpap | Posted: Tue Sep 01, 2020 7:25 pm |
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2142
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
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Respirator99
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Post subject: Re: Tired and no energy with cpap | Posted: Tue Sep 01, 2020 9:14 pm |
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Joined: Mon Apr 27, 2020 1:06 am
Posts: 172
Location: Australia
PAP Mask: Resmed Airtouch F20
PAP Machine: Resmed S9 VPAP Adapt
Humidifier: Resmed H5i
Pressure Setting: Min EPAP: 8.0 Max EPAP: 11.0 PS Min: 3.0 PS Max: 8.0
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G'day bdh60. Welcome to the forum.
Just following on from what Pugsy said, it would be good to get information on your baseline condition (ie without the machine). Please post a copy of your sleep study report - the full report with charts and tables, not just the summary. Make sure you erase any personal ID before uploading.
Second, get hold of Oscar and upload a daily page screenshot. The instructions are all in my signature below.
Finally, have you had a general medical check-up lately? There are lots of conditions besides apnea which can cause lethargy and tiredness, including vitamin D deficiency, poor thyroid function, anaemia etc etc.
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bdh60
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Oct 05, 2020 7:16 pm |
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Joined: Tue Sep 01, 2020 2:39 pm
Posts: 7
PAP Mask: Res Med Airfit F20
PAP Machine: Phillips Resp Dreamstation
Humidifier: Dreamstation Hum Care
Pressure Setting: 8 to 16
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I know that it has been a while, but my daughter was able to come home from college and had some time to help me with this process. To follow up with Pugsy's questions: no I do not take any medications of any sort except a vitamin D pill, I sleep at most 6 hours, and I maybe wake up a few times during the night. To answer Respirator99's question: I had a complete physical last November (2019) and everything came back just fine. If someone could look at it and let me know what you find as well as some pointers, that would be great. Thanks.
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Pugsy
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Oct 05, 2020 8:10 pm |
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2142
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
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You need more minimum and maximum pressure.
_________________
I may have to rise but I refuse to shine.
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DeltaBravo3.8
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Oct 05, 2020 8:27 pm |
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 475
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS
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I agree. You can see on the pressure chart your 16 is not high enough as it flat tops frequently, indicating it needs more headroom. The high hypopnea are indicative of not enough air on the low end to address these.
I'd consider 10-20 as a possible edit. It will not hit 20 unless it needs it. And as you're on a Respironics, the low pressure needs set right on top of therapy needs or it misses events, causing therapy to be poor.
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bdh60
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Post subject: Re: Tired and no energy with cpap | Posted: Sat Dec 26, 2020 11:07 am |
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Joined: Tue Sep 01, 2020 2:39 pm
Posts: 7
PAP Mask: Res Med Airfit F20
PAP Machine: Phillips Resp Dreamstation
Humidifier: Dreamstation Hum Care
Pressure Setting: 8 to 16
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It has been a while, but my daughter is home again from college and is helping me out with the computer. I put my last night's sleep scores from my cpap machine and I have increased the air pressure from 11 to 20. I still don't feel like I am waking up well rested. I have been wearing my fitbit at night (I'm not sure if this is really helpful or not toward this) but it has been showing that I am very seldom in REM or deep sleep, it's mostly been light sleep. If someone could please give me some pointers, that would be well appreciated. Attachment:
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 2:54 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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wondering about mask leaks?
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Pugsy
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 3:16 pm |
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2142
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
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Unless the mask leaks are waking a person up....leaks are not an issue with this machine.
The total leak line (top line on the graph) is well below large leak territory and actually since it doesn't move much points to essentially no real excess leaks.
Now compared to a ResMed leak line...yes it looks ugly but it isn't.
We don't need or want screen shots of all those graphs...save yourself some time and work and just do the one screen shot with the usual stuff on the left side and these graphs
Events
Flow rate
Pressure
Leak
don't even need the snore graph because snores are flagged in the Events graph.
I think you need an increase in the minimum pressure again.
Maybe 12 minimum and see what happens.
_________________
I may have to rise but I refuse to shine.
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 3:37 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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Pugsy wrote: Unless the mask leaks are waking a person up....leaks are not an issue with this machine.
The total leak line (top line on the graph) is well below large leak territory and actually since it doesn't move much points to essentially no real excess leaks.
Now compared to a ResMed leak line...yes it looks ugly but it isn't.
We don't need or want screen shots of all those graphs...save yourself some time and work and just do the one screen shot with the usual stuff on the left side and these graphs
Events
Flow rate
Pressure
Leak
don't even need the snore graph because snores are flagged in the Events graph.
I think you need an increase in the minimum pressure again.
Maybe 12 minimum and see what happens. IDK ! On the Christmas chart the leaks look way high to me. And if the machine ramped up it blasted him out, so you're right, the leaks wouldn't wake him up !!
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Pugsy
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:15 pm |
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2142
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
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There were zero large leaks on the Christmas report...now did some minor leaks cause disturbed sleep...don't know.
When evaluating leak graphs or reports people need to understand how the leaks are reported by the various machines.
ResMed users often think that what they see on a Respironics machine leak graph are horrible because if they saw those same numbers on their ResMed machine....it would be horrible.
But on a Respironics machine...entirely normal.
_________________
I may have to rise but I refuse to shine.
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:19 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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I think you need to look again....
It almost topped the scale ! 24 is max, and it's near 30 and above.
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Pugsy
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:22 pm |
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2142
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
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papin wrote: I think you need to look again....
It almost topped the scale ! 24 is max, and it's near 30 and above. Hey Ralph....I think you need to learn what 30 L/min means on a ResMed machine and what it means on a Respironics machine. You need to read more and talk less...but then that was never your strong suit anyway was it. Did you see what machine generated the Christmas report????
_________________
I may have to rise but I refuse to shine.
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:24 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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a leak is a leak at cmh20 period ! Ka.... this is a great leak chart... Ka? Attachment:
screenshot-20201228-183004.png [ 51.76 KiB | Viewed 459 times ]
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Pugsy
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:31 pm |
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2142
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
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papin wrote: a leak is a leak at cmh20 period ! All masks leak....it's called vent rate or intentional leak....look in the mask paperwork and the graph they always show about vent/intentional leak rate Respironics machine include that vent rate in their reporting...ResMed does not. As usual Ralph...you want to argue about crap you don't understand just because you like to argue. Go away...I hear you already got found out on the AB board and got banned over there...that can happen again here real fast. I got one finger on the ban button already.
_________________
I may have to rise but I refuse to shine.
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:33 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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so you assume what? DUH IDK??? maybe it is and maybe it isn't DUH.... maybe we should ask him? GASP!! thast's a novel idea Ralph
You're right though about one thing... all the crap that goes along with bad cpap therapy.... but hey thanks for the multiple chances to seek it out here there and everywhere LOL
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DeltaBravo3.8
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:57 pm |
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 475
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS
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papin wrote: a leak is a leak at cmh20 period ! Ka.... this is a great leak chart... Ka? Attachment: screenshot-20201228-183004.png Did that Auto scale to 120 leak rates Ralph? BTW your charts are interfering/hijacking the OPs thread. Your leak rate is not good evidence.
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 4:59 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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those minimal leaks came from a full face F&P It's well below where it should be. Period.
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DeltaBravo3.8
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 5:04 pm |
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 475
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS
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papin wrote: so you assume what? DUH IDK??? maybe it is and maybe it isn't DUH.... maybe we should ask him? GASP!! thast's a novel idea Ralph
You're right though about one thing... all the crap that goes along with bad cpap therapy.... but hey thanks for the multiple chances to seek it out here there and everywhere LOL Wait Ralph, we've had you wrong the whole time. Well not really. Your complaints are about bad therapy that you still have because you do not listen to advisements given. Nor do you remain respectful for long. As soon as you make up a slight that you supposedly received, you show your evil heart.
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papin
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Post subject: Re: Tired and no energy with cpap | Posted: Mon Dec 28, 2020 5:08 pm |
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Joined: Sun Dec 27, 2020 5:03 pm
Posts: 36
PAP Mask: F&P Simplus
PAP Machine: ResMed aircurve 10 Vauto/Set
Pressure Setting: 14.0 over 11.0
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I assume that not being ready for bed has alot to do with it.... And my Dr. agrees. Sleep aids only help so much.... what can you do. The machine doesn't keep you asleep it only keeps my airway open, which it does, and that's it.
So what advice can you give someone who isn't working and isn't tired to sleep better with SA?
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