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10 year CPAP user, new system and new mask and 1st time Oscar user
#1
10 year CPAP user, new system and new mask and 1st time Oscar user
Hello to all, and let me thank you in advance for any help or advice that of you may offer.

I've been a CPAP user for 10 or so years with the ResMed s9, just started using my new ResMed a10 apap, yesterday. Don't have insurance or a dr. at the moment, either.  I pretty much plugged in my older numbers into this new machine.  I'm trying to read and understand the graphs, but a little over my head when it comes to what I should do to improve my numbers, or if even my numbers are that bad?  I felt like I slept great.  Only woke up one time in the middle of the night.  I side sleep, mostly.  

I always used the swift fx nasal pillows for years.  My first new type of mask last night, and its the resmed p10.  I love it.  It feels great and comfortable to me.  I felt like it was on pretty good, also.  I never felt any leakage.  I like to turn my CPAP on when I get in bed and watch movies till I get tired, also.  I left it on auto humidification, auto ramp, etc.  I had it on probably an hour before I fell asleep.

If there's any other info I should share, please let me know.  I Haden't been very serious the past few years with my therapy, and I'm trying to get back into the habit of making sure things are set correctly and I can understand them.  I don't have insurance or can afford a dr. at the moment.  Any info or suggestions are greatly appreciated.  I did read about trying to get the charts setup correctly and screenshot info correctly.  I'm using a Mac so not sure I did everything exactly right.

Thanks,
Terry


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#2
RE: 10 year CPAP user, new system and new mask and 1st time Oscar user
As a veteran user, you are accustomed to the machine and your results are good in terms of AHI. Like you, I also went from the Swift FX to the P10 and liked the quieter, lighter mask. It's a natural progression. There is nothing wrong with your current settings and you would be fine to leave them as-is. Your respiratory statistics look very healthy! That said, the residual issues are mainly hypopnea and some RERA and a few OA. That's all obstructive, and it's going to respond better to EPR at 3 instead of 2.

I prefer to see more stable pressures to minimize sleep disruption, so in your case, I would probably set the minimum pressure at 12.0 with EPR 3 and allow a maximum pressure of 15.0. I doubt you will notice much difference other than it will drop the flow limitation a bit, and that may reduce the RERA and H events. You indicate you're using ramp while still awake. I'm fine with that, but most people that have been using the therapy as long as you and I don't bother with ramp. My presse starts at 13/9 and your will start at 11/8 (inhale/exhale) with the settings suggested, and I think they will feel pretty good.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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#3
RE: 10 year CPAP user, new system and new mask and 1st time Oscar user
Thank you for the suggestions.  I'm going to input them for tonight.  Feels so good to have a new system and new mask setup.  I love numbers and seeing what everything means and trying to get them better.  I'm a total geek like that. LOL
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