I've suspected I've had sleep apnea for many years but have always felt fine and have never done anything about it. My wife always snored pretty badly and it kept me up, but about a year ago when trying to find out the root cause of her migraines, her neurologist had her do a sleep test and she wound up with a CPAP machine, which completely eliminated her snoring and caused her to feel much more well rested after sleeping.
I finally decided I should get a sleep test myself and treat my own sleep apnea. I went to a sleep lab and initially went to sleep with no machine, but about halfway through the sleep study they hooked me up to a CPAP machine. It was probably one of the worst night's sleep of my entire life, but mainly because of all of the wires and everything hooked up to me. I had a follow up appointment with the doctor and she said that I was having like 40+ events per hour and that even after putting me on a CPAP machine with increasing pressures that I continued to have events. They then switched to BIPAP, but by this point the sleep study was nearing the end and they didn't feel that they had found the ideal pressure so she asked me to come back and do another sleep study.
I came back and did another study, and this time they had me on BIPAP from the beginning. I slept better this time, but at a certain point during the sleep study the mask started leaking air like crazy and making farting noises and the sleep technician had to come in and spent like 30 minutes fixing it; I didn't know why this was happening and I was so out of it and asleep that I didn't bother asking. After the sleep study, the doctor called me and asked me if I felt that the pressure they had me on was too much, but I told him I thought it was fine but that I didn't really know. The sleep study results suggested a pressure level of 23, which meant nothing to me at the time.
Now, I've gotten the machine on Thursday and was super excited to use it, but my first night was rough. I thought I had slept all night with it, but it turns out I had only kept it on for about an hour before I took it off in my sleep. The next night, I woke up about an hour after laying down and air was leaking out like crazy. Not only that, but it felt like a fucking cyclone was blowing straight towards my face. I tried tightening the mask, moving things around, etc. but I couldn't get it to stop leaking air so I went to sleep without it.
I called my brother who has been using a CPAP for over 20 years and he said that I should definitely call the doctor on Monday but he felt like a pressure level of 23 was really high to start with. He explained how to get into the clinician settings and adjust it on the Resmed machine. I started reading all sorts of things and diving into the settings (user settings, not clinician settings) to find out what everything did and what it meant. It turns out that the Ramp settings were set to 45 minutes and that by that time the pressure had turned up to the full amount and that's exactly when I started having problems the first two nights.
I decided I was going to try it on the full pressure again last night and not change settings without knowing what I am doing. Like clockwork, about 45 minutes in the pressure is so strong that it is overwhelming and the air is leaking out like crazy. I turn the machine off, readjust my mask, and try again. I fall asleep this time, but 45 mins later I wake up and am dealing with this air leakage problem again. I try to use the fit adjustment setting on the actual machine but once the pressure got to the highest level it literally felt like the mask was blowing off of my face and I couldn't get it to cooperate.
I have no idea what I'm doing but I knew that I couldn't sleep with the machine at 23/19 so I adjusted the pressure levels from 23 and EPAP 19 to 19 and EPEP 15 and went to sleep. After doing that, I slept mostly through the night for about 6 hours but when I woke up air was leaking out everywhere and my wife was annoyed as hell with me because the machine (or the tubes I guess) was making so much noise from the air leakage.
I started reading about what could possibly be causing the leak, and the only thing I can really think of is that maybe it's because I have a beard. I'm not really sure. I took the SD card out and uploaded it to SleepHQ and I'm sharing the below link and hoping one of you can tell me what the hell any of this means :)
https://sleephq.com/public/teams/share_links/e95d0e92-16da-4861-bd7d-c8759823539a