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AirFit P10
#51
I still like my Opus 360 for ease of putting on. The blue ResMed chin strap has a nice "V" stitched into it to make it easy to put on by feel, too.

When I've got all my gear on I look like I've been partially assimilated by the Borg, and scare the heck out of even myself. In the morning the marks left on my face by all this stuff makes me look like an alien. The one upside to a long commute is that the marks are gone by the time I get to work.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#52
(04-27-2014, 05:45 PM)retired_guy Wrote: I put mine on in the bathroom before I go to bed. Then when I get to bed, I plug the hose from the P10 into the main air hose, turn the machine on, and off I go. I find this the easiest way, and besides, me walking through the house at night with the air hose dangling from my nose scares the crap out of the blasted cats. Almost makes sleep apnea worth it all.

Your poor cats r_g, what they have to put up with, living with you.

I put mine on in bed with the use of a bedside lamp, that way I can see what side is up or down. Usually sort the leaks out if there are any then turn light off.
I appreciate we all have different circumstances though and we have to find a way that suits ourselves best.
Sleep Tight...
Gabby
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#53
Not only do I put it on in the dark, but wearing a sleep mask as well!

Anyway, I took the suggestion to change the pillows for a smaller size, and yes, indeed the whistling dropped to a tolerable level. S was impossible - too small for me and the whistling from the vent went up to supersonic levels, painful even, but M is wearable for me, and the whistling is less than L.

Leaking is a relative thing - there is no leakage at all from the pillows themselves, all leakage measured turns out to be the normal air flow from the vents, which is, of course taken into account in the AHI measurements, so does not effect the overall figures. Steady at 27 for 95% overall leaks. AHI itself is relatively steady, hanging in around 2.5 overall, although I had 1.1 last night. Pressure tops out just below 12, which I attribute to weight loss, since flipping back to see what I averaged before I lost the weight I find I topped out at 16.5 steadily, and that is just with a 10 kilo difference, and a 3 cm difference in neck circumference (I am now a 42 cm neck). If I get my neck down to 40 cm I will let you know if there is a further marked effect on the pressure.

On the whole, I am getting more used to it now, and appreciate the lack of a hose running up over the front of my face to the top strap, and the pull that hose creates as I toss from side to side. Even without modding, the FX is far heavier a mask than the P10, and yes, noisier, not to mention the force of the air venting. So, it looks like I will make this a keeper, and start to scrounge around the hospital for a discarded IV pole to use instead of the rather improvised microphone boom I used for the last two nights (BTW, the hose snapped into the mic holder perfectly - it just looks, well, improvised, and as if I am about to record something in my bed, and while in my youth I was often compared to James Taylor in looks, that is no longer the case (for one thing, I still have all my hair, and he doesn't, and for another, he still has the voice of an angel, and I don't)).
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#54
(04-27-2014, 03:02 AM)Gabby Wrote: ...

.This week I should have a large arriving so am looking forward to see if that feels any better than the medium.
If not it looks like the medium will be the way to go for me.

Herb, how long do you usually get out of the Airfit P10 pillows please?

I haven't worn this long enough to establish a baseline. 87 days in and haven't replaced any of the pillows yet.

I am guessing that I have used the small pillows about 70 nights x 8.5 hours average on the machine.

There might be some slight deterioration in them (subjective suspicion), but my AHI and Leaks remain nominal so it's not a deal yet.

AHI averages are right at 0.5 (less actually but this is what the software claims), and leaks are 0 median and about 7.2 at 95%.


One thing to note: Since my leaks are very low, there is likely less wear on the pillows (they don't flutter or flap for me).

Another is that I move the mask pillows VERY LITTLE all night long. I put them in place and do my best to NEVER FIDDLE with them. No movement equals no abrasion or friction to wear them out.

Neither do I go through a big washing ritual -- most of the time, I just rinse them in hot water, shake off the excess, and put them on a little rack to dry.

BTW, I remain 100% compliant -- no exceptions.


On another subject: I have been missing around here due to having a pretty bad time with what is likely arthritis in my right hip.

My sleep is far more disturbed by this than it ever was due to apnea. Can't sleep, can site, can walk or do much of anything for very long due to the pain increasing rapidly.

Been to a bunch of doctors, and I am starting to worry this may be the way it will be from now on.

I need to go see my Rolfer though -- since he is a near miracle worker.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
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#55
Good to read you again Herb. I have been concerned about your abscence, but decided it was because you didn't get a t-shirt either. Sorry to hear your hip is giving you crap, but I won't accept that "this may be the way it will be from now on." You're Herb for God's sake..... Take a pill or something and make it better.
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#56
There were T-Shirts?

Herb, you are in my territory now, and I should advise you indeed to to seek out manual therapy to alleviate some of the distress, and consider also exercises to strengthen your back and abdomen in order to relieve the pressure - you might want to look into getting a new mattress, too, one that has less firmness around your hips while remaining firm for your back. There are many popular brands, but if you go to a specialist, they can actually adjust the various areas of the mattress for the correct sleep posture you will need.
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#57
Hi Herb, thanks for answering my question.
I was wondering what had happened to you, I had noticed your absence.
Sorry to hear about your pain, nothing worse than constant, chronic pain.
Please could you inform me as to what a 'Rolfer' is?
Sounds intriguing.

Back to Airfit pillows. Great you are getting 70 plus days.
My Medium is still going ok after about 25 days.
Last night I used the Large for the first time and as soon as I popped it in I think I felt like I had found the right one.
Only because I have read before that the airfit pillows are not meant to go right in to nostrils, is this right?
With the Medium they were going right up, whereas the Large, the holes just seemed to go inside and the rest of the pillow sat outside comfortably.
I felt as if I had the right fit.
I shall have a look later and see what my leaks were.
My AHI was 2.
Inside of nose is a little sore but will put some lanolin there tonight.
I feel like I must have an enormous honker to warrant the Large pillows but if I feel the comfort and get the results I guess that is all that matters, hey?

Take good care of yourself and look forward to seeing you back here regularly soon.
Sleep Tight...
Gabby
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#58
From what I understand about fitting, it's the "distance" between the nairs that is the issue, not the size of the pillows they are all the same? The fitting video shows that, am I correct?

One think I still don't understand is this "expected" leak rate. Mine has been under the red line, no problem and the Median is usually about 4-6 but I still have a leak 95% in the teens or 20's, is that the "expected"? The book shows that under 6 pressure it is 24, how does all that factor into the equasion?
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#59
(04-29-2014, 06:41 AM)Marnid2014 Wrote: One think I still don't understand is this "expected" leak rate. Mine has been under the red line, no problem and the Median is usually about 4-6 but I still have a leak 95% in the teens or 20's, is that the "expected"?

What you're talking about here is the unintentional leak rate. It's the amount you're leaking over and above what's expected. As long as it stays under 24 L/min your machine can still deliver enough pressure to keep your airway open. Anything above that and your airway may collapse, just as it would if you weren't using a CPAP machine.

Quote:The book shows that under 6 pressure it is 24, how does all that factor into the equasion?

That's the intentional leak rate. There's no way to use the equation if you've got a ResMed machine, because ResMed machines don't report the intentional leak rate.

Here's the equation:

total leak rate = intentional leak rate + unintentional leak rate.

CPAP machine can measure only the total leak rate. What ResMed machines do is subtract off their best estimate of the intentional leak rate (based on what kind of mask you have) and report only the unintentional leak rate.

Here's an example. Let's say you're using your CPAP machine and it reports to you that the pressure was 6 cm when the unintentional leak rate was 20 L/min. At that pressure the mask has an intentional leak rate of 24 L/min. Thus your total leak rate is 44 L/min.

ResMed wants you to relax and not worry about any of this. It'll take care of the calculations. You just tell it what kind of mask you have and it'll tell you when your unintentional leak rate exceeds 24 L/min by showing you the sad face.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#60
[What Sleepster said about leaks. Resmed machines calculate the leak and show the value AFTER subtracting the expected leak from the mask itself. Machines can keep up with SOME unintentional leak before becoming ineffective. That is the reason for the limit. ]

The pillows are different sizes and not just different widths. It is certainly clear that the holes in the pillows are obviously different sizes, but the pillows themselves vary by size as well.

Gabby: One suggestion that has helped me immensely with avoiding nasal irritation: BE VERY CAREFUL when removing the pillows on waking.

IF you get them fitted just right, they will move very little during the night and almost glue themselves to the inside of your nose. I found that simply pulling the pillows straight out was causing MOST of the irritation. Now I work them a little side to said to get the out without pulling.


My hip is much improved. My orthopedist gave me 'a pill' (diclofenac, another NSAID) which knocked out 70% of the pain.

Went back to the chiropractor/sports therapist this morning feeling better and he was able to get me a lot more mobility now that things weren't so inflamed. (Funny thing is that my usual naproxin NO EFFECT on this new problem.)

Later today I am seeing the Rolfer and he can usually do wonders. Friday I have a cortisone injection scheduled for the hip (ortho does knees etc. in the office but has to send you for a fluoroscope to get deep into the hip joint.)

If things continue to improve I might cancel the cortisone injection though.

Light at the end of the tunnel.

Gabby, rolfing is a particular modality of deep tissue massage. It is typically EXTREMELY deep, and many rolfers are known for causing a LOT of pain, but my guy is the gentlest rolfer anywhere.

http://en.wikipedia.org/wiki/Rolfing
Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
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