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AirFit P10
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DocWils Offline

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Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

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Sex: Male
Location: Switzerland

Post: #61
RE: AirFit P10
herbm,

The reason naproxin (we call them "nappers" here ;-)) isn't helping is that it does something a little different than diclofenac, binding to different receptors, etc. Votaren or Olfen, which are more or less diclofenac, is the med of choice here for your type of pain. It is exactly what I would have prescribed. Get the injection anyway - it will lubricate the joint, lower the inflammation of the bursae and act as a cushion for a while, which will help healing.
04-29-2014 01:57 PM
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herbm Offline

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #62
RE: AirFit P10
Ok, I will factor that into the decision. Thx.

I am 80% better than just 24 hours ago. Not well, but vastly improved.

Now it is mostly just very annoying rather than seriously debilitating and painful.

My Rolfer helped quite a bit.

The only reason that I expected the naproxin to help was that it does help when my knees flair up to their worst.

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."
04-29-2014 06:57 PM
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Gabby Offline

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Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #63
RE: AirFit P10
(04-29-2014 10:14 AM)herbm Wrote:  [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

Herb thanks very much for the tips Re removing pillows from nose.
The Large size is indeed a big pillow but I think it is a better fit, I feel I don't have to worry about little leaks creeping in at the sides as much.
The two nights I have used it my leaks have been 8 and 9 in the 95% so I am happy with that.
I will definitely take on board what you said about removing gently as my nose is very tender since changing to Large.

Glad to hear you are feeling some improvement and hopefully you will not need injection but if the pain is too much, have it, why suffer Oh-jeez any longer than you have to.
Thanks for explanation of Rolfer, I have never heard the word before. I have heard of some of the similar practices and know they can produce excellent results, so good luck to you and your Rolfing.

Sleep Tight...
Gabby
04-30-2014 01:11 AM
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Sandra_ON Offline

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Posts: 39
Joined: Feb 2014

Machine: ResMed S9 with 5i humidifier
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: ResMed 5i
CPAP Pressure: 5/11
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: Eastern Ontario, Canada

Post: #64
RE: AirFit P10
I like the P10 best of the 3 masks I've tried in my 3 1/2 months on CPAP. I started out with the medium as recommended by the RT and I finally got him to give me the large size (he doles them out rather than giving me the set of 3 that comes with the mask). The large size provides me with better air flow. The last two nights my AHI has been 0.0! I, too, have to wear a chinstrap so I put it on first with the P10 over it. Works great! Now if I could just get the aerophagia under better control!
04-30-2014 08:36 AM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #65
RE: AirFit P10
(04-30-2014 01:11 AM)Gabby Wrote:  Glad to hear you are feeling some improvement and hopefully you will not need injection but if the pain is too much, have it, why suffer Oh-jeez any longer than you have to................

Yes. I had a doggie awhile back that was having a lot of pain. I took him to the vet and he got an injection. Now he just sits quietly in his little baggie.
04-30-2014 11:40 AM
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Gabby Offline

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Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #66
RE: AirFit P10
(04-30-2014 11:40 AM)retired_guy Wrote:  
(04-30-2014 01:11 AM)Gabby Wrote:  Glad to hear you are feeling some improvement and hopefully you will not need injection but if the pain is too much, have it, why suffer Oh-jeez any longer than you have to................

Yes. I had a doggie awhile back that was having a lot of pain. I took him to the vet and he got an injection. Now he just sits quietly in his little baggie.

You're a shocker r_g, just as well we all love you x

Sleep Tight...
Gabby
04-30-2014 05:00 PM
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DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #67
RE: AirFit P10
(04-29-2014 06:57 PM)herbm Wrote:  The only reason that I expected the naproxin to help was that it does help when my knees flair up to their worst.

Different problem, actually, and naproxen is the drug of choice for knee inflammation, unless it is of the bursae. What it is doing there is reducing the inflammation along the joint and ligament structure - it is a cox 1 and 2 inhibitor, sort of like a super powerful aspirin, with the same dangers of bleeding, etc.

Diclofenac is a sodium channel blocker and a powerful anti-prostaglandin and in fact far more powerful than naproxen in same levels of dosage, and better tolerated.
04-30-2014 05:13 PM
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herbm Offline

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #68
RE: AirFit P10
DocWils: I would love a little more on the Diclofenac working in the Hip vs. the naproxin in the knee.

I am 80% better but it is pretty obvious that the diclofenac is masking the problem since when the time runs out my pain returns substantially and it disappears largely within an hour of the next dose (might ask doc if I can take 3 instead of 2 daily.)

BACK TO THE P10:

I know it might sound DUMB but that simple trick of taking the darn pillows out CAREFULLY instead of just pulling them out IMMEDIATELY made a large difference for my nose.

Think "jerking the bandaid off vs. pulling it slowly" EXCEPT instead of getting you through the pain quickly, the careful removal of the nasal pillows avoids the irritation almost entirely.

Seriously, I have been advocating "LEAVE THE MASK ALONE", "Don't FIDDLE with it", and if you do this the darn thing will be almost glued in there on waking.

Pull it out carefully with side ways or alternate left-right pressure instead of just pulling it down and out.

My nose knows the difference.

Your nose will thank you.

I think I will go post my "Success Story" (finally) as it has been 90 days with 100% compliance. Smile

I-love-CPAP I-love-CPAP I-love-CPAP I-love-CPAP

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."
(This post was last modified: 05-01-2014 10:11 PM by herbm.)
05-01-2014 10:09 PM
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Gabby Offline

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Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #69
RE: AirFit P10
In the few days I have been gently taking pillows from nose I have definitely noticed difference and my poor old nose has ceased to be sore.
Thank you for that vital tip Herb.
I am also pleased I have changed to the Large pillows as they are a much better fit, mostly from as soon as I put them in I don't have to touch them.
My leaks are consistently lower now, very low, and nice low AHI'S.

I think I have finally found my mask and size of pillows that suit me best.
I have tried the Swift FX, the Swift FX Nano and now the Airfit P10, all in about ten weeks, so I am quite happy with my outcome.

Thanks Herb for guiding me towards the Airfit P10.

Now to see my sleep specialist this coming Monday and hopefully he will have some answers for me regarding my extreme daytime tiredness.

PS. Herb, hope your pain is easing...

Sleep Tight...
Gabby
(This post was last modified: 05-01-2014 10:33 PM by Gabby.)
05-01-2014 10:33 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #70
RE: AirFit P10
(05-01-2014 10:33 PM)Gabby Wrote:  .........I am also pleased I have changed to the Large pillows as they are a much better fit, mostly from as soon as I put them in I don't have to touch them.

I'm pretty sure I am a size medium and 1/2. At least in the right nostril. Either that, or I have a hole in my nose....

Every night I put on the mask, turn on the machine. Solid as a rock.. No leaks. Lay down, solid as a rock. No leaks. Sit very still a minute? Psssssssss... Leak. Right side. Fix it, solid as a rock, no leaks. Wait a minute, psssssssssss.... leak. So replace the pillows, how hard could it be? Solid, wait, pssssssssssssss..... leak.

So the message is clear: the right side of my nose has a hole in it.

Overall my leak numbers aren't too bad, but a psssssssssssssssss in the middle of the night can be deafening.

But, carrying on, tonight I think I'll start with a medium, then at first psssssss go to a large.
05-01-2014 11:02 PM
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