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Hello @SilverStar. Did your sleep study include a CPAP titration study? I am wondering how the pressure of 14 cm was determined. Also, what kind of mask are you wearing? If you are wearing a full face mask, breathing through your mouth is okay. As for wearing CPAP for life, I encourage you to talk to your sleep physician about possible treatment options that might be available to you if you are unable to tolerate CPAP. However, don't give up! I have been on treatment for many years now, and I was also scared of having to wear CPAP for the rest of my life. With time, I adjusted and now cannot imagine sleeping with out it! Good luck, and please continue to post if you have additional questions. We have other members who have shared their experiences with CPAP on the forum. If anyone has any tips for Bahrain, please share them!
Thanks,
Dan
Welcome @WhiteBeard, and very glad to hear you persisted with treatment and have been so successful! Hopefully, your story will help inspire others. Welcome to MyApnea.Org, and please feel free to post on the forum and share any insight you have that might be helpful to other members!
@ReliableSlateGrayRaccoon1728--Hi Jacob. If you do not mind me asking, is there a specific reason you start every night trying to sleep on your back? Sleep in the supine position is not required when using CPAP. Have you tried sleeping on your side to see if your experience improves?
Hi Que. The conversion for torr to mm Hg is almost 1:1. What this actually means is a better question for your physician. Your physician will be able to put this in better context, as he or she will consider your entire sleep study and your medical history. Like your PLM question, there are other factors that may need to be considered outside of a single reading or event. I know this is probably not the most helpful answer, and my apologies for that! But this is also sort of like oxygen desaturations--there is a difference in a single desaturation event to 88% versus a patient spending half of the night at 88%. Thanks, and have a great evening!
Hi Que. Happy to hear my explanations are helpful, and I don't mind the questions at all. Normal CO2 values are generally in the 35 to 45 mm Hg range, and the equipment usually used to measure this in sleep studies can be very sensitive and requires proper calibration. As for the PLM index, normal is usually considered less than 15 events per hour. However, there are other things to consider with limb movements. For example, are they causing discomfort or causing you to arouse from sleep? For some patients, the index may exceed 15 events per hour and not necessarily be causing any problems. Limb movements require a greater level of assessment and communication between patient and physician. All the best for a great week ahead!
Hi Talbert. Inspire therapy is a relatively new treatment for OSA, but it seems quite promising for people who meet the criteria for treatment with the implant. The company's website has some really interesting information, but I understand you are looking for patients with actual experience. It would be great if we have members using the treatment who can post here! There is also a forum topic on "Inspire Therapy" and another called "Implantable Device" that you can browse. Good luck, and let us know how things go.
Pickle--thanks! Had a great weekend, and I hope you did as well.
Hi Nancy. Since treatment devices require a prescription that specifies machine settings, I encourage you to speak with your equipment provider or physician for advice on adjusting pressure settings. Some of the newer machines allow slight pressure adjustments by the patient, while others--like APAP--can automatically adjust within a range of pressures based on your breathing. Depending on the mode of treatment, there might be other settings to consider along with pressure adjustment. Your equipment provider should be able to provide some guidance based on your specific treatment and machine.
Thanks, Dan
Thanks, @Que! Good luck, and keep us posted on how things go with the SleepRate.
Hi @IntelligentSpringGreenStork2803. It sounds like you have had an unfortunate experience with your old CPAP machine. So sorry to hear that! It is not uncommon, after so many years on treatment, for an insurance company to request a new sleep study before paying for a new machine. Over the years, treatment requirements can change, and CPAP pressures often need to be adjusted. Depending on a patient's diagnosis, sometimes the treatment mode might need to change. There are many modes of treatment--CPAP, APAP, BiPAP and ASV are examples. Do you know if you were given an APAP machine that is adjusting between 8 cm and 14 cm? Or were you given a BiPAP machine with pressures of 8 cm (expiratory or EPAP) and 14 cm (inspiratory or IPAP)? As for the WiFi, most insurance providers now require that treatment is monitored for a period of time if they are covering the cost of the machine and supplies. This helps prevent paying for machines that patients are not using. As for adjusting to the new machine, have you attempted to wear it while awake and not when you are ready to sleep? I often recommend that patients try wearing their machine during the day or in the evenings while watching TV or reading. Practicing with the machine in a situation like this can sometimes help you adjust to the way your new treatment feels. It may also help prevent frustration of trying to adjust when you are tired and ready to go to sleep. As for the voltage of the machine, have you discussed your preferences with your home care company and told them about your adventurous nature? It might be possible for them to provide a machine that has the features you want.
Please keep us posted on your progress, and best of luck as you continue to adjust to treatment. Feel free to post any questions or information you think might be helpful to other members of the MyApnea.Org community!
Hi Anthony, You are most welcome. It sounds like you are making progress. Good luck with the medication, and hope your sleepiness improves.
Hi @ImpartialLavenderGoldfinch7002. Welcome to MyApnea.Org! We hope you enjoy the site, participate in surveys, engage in the forum and find support among the sleep community here! Are you currently receiving any treatment for your sleep apnea? If so, and you are concerned about falling asleep with reading and watching t.v., it might be worth a conversation with your physician to make sure your treatment is appropriate.
