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OK after waiting almost 7 months I finally have my titrate machine for 10 days, when that goes back I get my permanent device.

As expected it took me ages to get off to sleep last night, I had to take 10mg diazepam to get me off, I woke up at half 6 (I'm normally up at about 8.30) and didn't feel as tired as I normally would from having less sleep but I certainly didn't feel any more energetic. Less tired but not energetic.

This afternoon I had a sleep (yep, still tired in the afternoon) but I had so much trouble getting off - I'd start to drift off but then I'd wake up with an intake of breath - a bit like a large sigh - what was that all about?

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You should be getting titrated at a sleep lab by a sleep technician.

Russ Burt said:
eh?? tell me more...
Oh right - I guess they just do things differently here then.
The UK has the same rules for sleep that America has. I believe they just adopted the AASM guidelines. By not giving you a titration study they could be prolonging the success of your treatment
yesb they do i work in a sleep lab and the doctors here would not dream of auto titrating anyone of our patients! NEVER!! so, my answer is yes ....and they should not! Its not best form your health. It's criminal.

Russ Burt said:
Oh right - I guess they just do things differently here then.
Keep in mind that the UK has a socialized medical system. This may be one of the ways in which their system is set up.

Isn't it going to be nice when we get our socialized medical system! Gotta love the "change".


Duane McDade said:
yesb they do i work in a sleep lab and the doctors here would not dream of auto titrating anyone of our patients! NEVER!! so, my answer is yes ....and they should not! Its not best form your health. It's criminal.

Russ Burt said:
Oh right - I guess they just do things differently here then.
I'm sure there are merits and drawbacks to the U.K. system just as there are here in the U.S. I believe Russ is from Wales, which is in the U.K., but is not England. Russ, I've heard something about this thing called "other countries." It's an urban legend over here ;-)

Dan Lyons said:
Keep in mind that the UK has a socialized medical system. This may be one of the ways in which their system is set up.

Isn't it going to be nice when we get our socialized medical system! Gotta love the "change".


Duane McDade said:
yesb they do i work in a sleep lab and the doctors here would not dream of auto titrating anyone of our patients! NEVER!! so, my answer is yes ....and they should not! Its not best form your health. It's criminal.

Russ Burt said:
Oh right - I guess they just do things differently here then.
Sleep debt can take up to 3 weeks to go away. You also have to get used to the machine. I have found most of the issue is desensitizing and that can take a bit of work. Many of my patients end up taking a sleep aid for the first 30-60 days while they are getting used to the machine. You may still be tired due to hang over from the meds, so talk to your doctor about that maybe he can try a different sleep med.
Try turning up the humidifier also it helps with comfort alot. just make sure that the machine is lower then the bed so you do nto have rain out issues.
Please do not hesitate to email me if you need help at areavis@emerymedicalsolutions.com
Hi

I took tablets 2 days ago, I doubt they're still in my system now. Not sure I've actually said I'm not used to the machine, in fact I've state I managed a full night's sleep last night. Oh and I don't have a humidifier.
If the sigh can be connected with central apnea I would definately ask for a lab based titration. CSA always has an underlying cause. You could have heart, or central nervous system problems.
It has taken me about 2 months to figure out the right pressure and mask, pillow issue. It has been a long road but well worth it!! Every night you are not sleeping well you are dying a little each night...keep the faith that this iis the best thing that ever happened to you..when your body adjusts you will feel like a different person. This site is great, log in often and read read read !!! Best of luck to you and your new best friend..your CPAP!!
Poor night's sleep last night, and I even detected one or two snorts as well.

About the 'sighs', is it possible those are the usual apnea incidents I get as pershaps the pressure isn't high enough to counteract them?
Russ, what brand and model APAP are you using? Do you know the pressure settings? It "could" be that the pressure range is set too wide and it is taking the APAP too long to respond w/the pressure you need so you are getting a little less pressure than you need and the sigh draws in that extra breath you need. Just taking a guess. And I'm just a fellow apnean, NOT a sleep or medical professional.

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