Borristhefish

Hello, I started 5 years ago with what I was given. Trying not to break forum rules. I liked the mask. The cushion is soft and you can unplug the hose. I had a new study and a new mask was given. The new mask has magnets to clip the straps. Vs the first mask has me just grabbing the strap to connect it to the plastic part that holds the cushion so new mask goes on quicker and its a really big change in weight and shape, the cushion is or was at first OK. I gave it two months as minor things like waking up and the cushion was out. And waking up and repositioning the cushion to make a seal. I am not new at this so I gave it time. Then decided go back to the old. I realized the first mask was what I prefer the softness and mask fit I had missed. So my answer is are you sleeping well with both masks. Do you have leaks pre new machine? You are being monitored so the data reported reflects the machine. Did the pressure get set higher. Some people need a chin strap to prevent leaks. How old in months is the mask / cushion ? After a while whatever the vender states its time to replace. Did you give your new mask time as in get used to it because my first mask is more comfortable in the cushion which after not using it for a while was obvious after going back. But when I first started day 1 never had a cpap I struggled as the cushion was to small the vender sent one size larger and that made perfect. The new mask. I just don't like the cushion so it effects my sleep. You have the option of trying a new type but give it a while figure out why you don't like any mask. Some cushions are thin and more flexible. Also This makes the assumption that I saw in your question as well machine change? Unless I am mistaken titration levels / machines and masks are compatible so I am thinking that's why on paper so to speak its not an issue per vender. Take there word to be safe but on your end find a mask that does not leak. Something changed did the machine get set right? keep going its your health so take care of it.

Hello, I a cpap user since 2012. I recently had a sleep study and my machine is to be set from 14 down to 9. I have a list of health issues, but the heart failure and low output or low EF of 24% is new since 2012. I know have a internal deffribular. My sp02 was 88% with the pressure of 8. No ahi where recorded but at setting 9 my 02 went to 89% but .6 ahi was introduced. I am perplexed at the results. I think I need supplemental 02. Does anyone know if the rule for medicare which is online. My study states the results where broken down as a report would be, the statement was my 02 was @ 77% for 12 minutes. I can't figure out using the medicare rule as it says with cpap sp02 is 89% or lower AND for 5 minutes or more. What I don't get is do they mean when my 02 was at 89% machine set to 9. I also had to have a drop in 02 for 5 minutes while titrated at 9. Or when tested 9 was the best setting I am at 89% 02 and the study showed me having ca and osa that lasted 12 minutes which is the secondary requirement. My 02 when sitting is 92. But I am around 94% walking around. I'm 48 years old my index is 21. I have had 2 heart attacks and a triple bypass. Now congestive heart failure. I'm sure the thought is ask your doctor. To make it simple I have not seen my pulmonary Dr yet? One of my other drs ordered the study as my insurance changed so me visit was 3 months out or behind. Lucky me lung doctor canceled and now I wait two months but have a study. Found that 02 has to be ordered at time of study. That was 5 months ago. So the odd thing is the Dr who read the study with out seeing me has no idea about heart issue. And he quit the hospital so can't see him. So that's why I wanted a opinion as I don't have copd. My hands are tied with my insurance. My doctors are not willing to go into the details of the study as they want the sleep doctor to do his exam so what I asked above I can't find out. I will take info as opinion as I understand medical advice is to be obtained from a Dr. Thank you Troy.

Hello I have been on nuvigil in the past. Chronic fatigue is the description as to how I felt by 2pm. Work started at 8 am. I found that dosage was important. I was told to take it first thing in the morning. I started with 200mg felt the first week slightly different disoriented but able to function. No real answer as to what is suppose to change. Doctor after two weeks said well how do you feel? I said tired. He said OK and increased me. Then it worked. My doctor advised me that the medicine can make your urine smell really bad. So when I said no change and no urine smell the increase after a week maybe 10 days as this is 2 years ago, suddenly he was right the smell. But then what plain and simple I could focus later in the day the concentration I lost was much better I was still tired but could think and that's the goal. Each person is different I needed the highest dosage but taking double or triple does not make it work better. I changed insurance so I take the provigil which is a competitor. By far it helps it does the same thing but its IMO not the better of the two. Nuvigil and provigil sneak up on you and it is hard to verbalize the reason you feel better. I can tell you that nothing negative as in side effects have been noticed other than the urine smell which honestly is not really bad but an indicator that your body has enough in you to be doing something. I would watch the clock and see what time of day before taking it that you are tired and just done so to speak. After a few weeks of nuvigil see how you feel at the same time of day can you focus? Hope that helps.

I agree from what I have been told that incorrect pressure can cause central apnea's. A central apnea alone is not detected by the cpap machine as a ca event. The combination of an osa and a ca are detected as an ahi. A sleep study can detect them separate. If central apnea events where a concern the Dr who reviewed the study I believe would have discussed different therapy options which uses different pressure for your needs. I have central apnea events but only a few an hour. My osa events are my issue, I did score ahi for mixed, and my last study which was done recently after titration in the lab went down. So pressure is important for all apnea events. The lab for the study for me put a chest strap to detect ca events. You could ask your doctor if you are still concerned about ca after your study was performed, and your mask does not leak as well as your pressure set correctly. If you had none in the lab but your concerned consider the study process titrated you which means the process would detect your concern as you had while sleeping to little and to much pressure as well as your 02 was monitored. No concern of your health should be left or ignored. If the study could not detect a ca then your doing well. If your still not satisfied talk to your doctor. Even a home spo2 to provide you comfort that your o2 is what you expect it to be with cpap

I have insomnia. Have had it as long as I can remember. I have been using my cpap for 5 years and my insomnia still exists. The problem I have is just anxiety. With out enough sleep my anxiety gets worse. I have taken prescription medicine to help me fall a sleep. I have found for me that my cpap comforts me. Why because its one less thing to worry about. I still have nights that I just lay there and keep watching the clock. I will not take my mask off as my 02 will drop to low. I personally listen to music when I can't sleep. I try and avoid music with words as that Connect's me with memories as that triggers stress. I found that their is a group that is instrumental only that plays songs that I like, my mind wonders and that helps most if the time. I also checked my medicines to make sure that one was not stimulating me. Consult a Dr as insomnia is a bothersome issue that a MD can address.