In Search of Sleep

Mouth breathing?

Thu, 03 Apr 2008 12:12:08 -0600

Last night was the first I really noticed this. I woke up several times with my mouth open and air rushing out. I have some ideas on the cause. I switched from auto to straight CPAP at my prescribed pressure (12). This is a bit higher than the 90% pressure the machine has reported, so I'm sleeping with a slightly higher pressure than I am used to. Also, I'm starting to have allergy problems (early spring is always bad for me), and I may have been congested. I also felt like the C-Flex didn't provide as much exhalation relief as the A-Flex, but I can only use C-Flex in CPAP mode.

I'm going to try a decongestant before bed tonight to see if that helps. Hopefully I'll get used to the higher pressure quickly, too. If not, I may have to go to a full-face mask or a chin strap.

PSG Report

Wed, 02 Apr 2008 22:38:19 -0600

I received my sleep study report today. A few items of interest:

Moderate obstructive sleep apnea (OSA) with an AHI of 17.6
No REM sleep until the end of the titration at 12 cm H₂O
Central apneas observed during titration until pressure exceeded 9 cm.
Lowest O₂ saturation of 87%

I'm awake!

Mon, 31 Mar 2008 13:40:06 -0600

It's going great! I've been using the CPAP every night for the entire night since I got the machine. Yesterday (Sunday) I felt the best I've felt in a long time! I got a lot done this weekend, and I even was able to spend some time with the kids! :-) I wake up, and I'm not tired. I'm not crabby. I love it! :-D

The CPAP machine shows an average AHI for the past week of about 3. I haven't gotten a copy of my sleep study report, so I don't know where I was before, but 3 is good.

New mask

Mon, 24 Mar 2008 17:48:22 -0600

I've had the Respironics ComfortGel mask for a week now, and I getting more annoyed with it every day. I either get it too tight which causes soreness, or it is loose enough to leak with the slightest head movement. I did finally manage to sleep on my side with it, but it took a lot of adjustments.

I just got back from the DME supplier with a new Fisher & Paykel Opus 360 mask. This is a nasal pillow mask. It is a lot less bulky, and I hope it will work better for me. I'll find out tonight.

Hidden options

Wed, 19 Mar 2008 16:50:29 -0600

CPAP machine manufacturers always hide some settings from the end user. Apparently they think we will start randomly changing our pressure settings! Fortunately, this information is available online, although I'm sure the manufacturers aren't happy about it.

http://www.cpap-supply.com/Articles.asp?ID=130

First night

Tue, 18 Mar 2008 12:53:28 -0600

I used the CPAP last night. I didn't sleep as well as I had hoped. I think the newness of the machine and mask made it harder for me to sleep. Oh well. I still feel more rested today. I don't remember any dreams from last night. It seemed like I didn't dream at all.

The A-Flex feature of the machine (exhalation pressure relief) causes the machine to "breathe" with me. It is quiet, but I can still hear very rhythmic sounds from it that match my breathing. That may take a bit to get used to.

Mask fit doesn't seem quite right, but I'll keep working on it.

I have it!

Mon, 17 Mar 2008 18:30:38 -0600

I have my CPAP machine! The report from the sleep study wasn't ready, so the DME supplier (LMI Home Medical) set me up with an Auto-PAP. I have the Respironics Auto M Series with the ComfortGel mask.

I'm looking forward to some restful sleep tonight.

Pictures from the sleep lab

Thu, 13 Mar 2008 12:35:50 -0600

A couple of photos from the sleep lab: (click the image to view it larger)

My room at the sleep lab

The equipment in the room

After the sleep study

Thu, 13 Mar 2008 11:27:22 -0600

It went well last night. I definitely have sleep apnea, and the CPAP worked great. (It was a split-night study.) I haven't felt this awake in a long time. The sleep tech told me that she could hear my snoring through the door during the first part of the night, but I didn't snore at all with the CPAP mask on. Now I just have to wait for my doctor to get the results so she can write the prescription for the CPAP.

Almost time

Wed, 12 Mar 2008 19:37:51 -0600

I'll be leaving for my sleep study in less than an hour. I'm excited! Hopefully everything will go well.

Sleep Study Tomorrow!

Tue, 11 Mar 2008 11:53:27 -0600

My sleep study is tomorrow! It will be at the sleep lab at Glencoe Regional Health Services (GRHS). This will be a split-night study. The first part of the night will be to diagnose the sleep apnea, and the second part will be the CPAP titration.

World Sleep Day

Mon, 10 Mar 2008 16:44:49 -0600

World Sleep Day is March 14, 2008.

CPAP Comparison Charts

Tue, 04 Mar 2008 13:35:51 -0600

DME Suppliers

Wed, 20 Feb 2008 13:08:12 -0600

Some local Durable Medical Equipment (DME) suppliers that may carry CPAP machines:

LMI Home Medical, 1209 Greeley Ave N, Glencoe, MN 55336 (320)864-6630
Ridgeview Home Medical Equipment, 141 W 1st St, Waconia, MN 55387 (952)442-2283
Health & Care Store at Park Nicollet, 500 Marschall Rd Ste 220, Shakopee, MN 55379 (952)403-2292

ADHD? Maybe it's sleep apnea

Fri, 15 Feb 2008 15:20:51 -0600

This article from MSNBC says that some children with ADHD symptoms may actually be suffering from sleep apnea.

I suspect this is true for adults, too. I have some symptoms of ADHD, but I think they may be caused by the sleep apnea. It will be interesting to see if that improves once I get the sleep apnea treated.