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Almost divorced over CPAP
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trish6hundred Offline

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Posts: 6,446
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #11
RE: Almost divorced over CPAP
Hi SassySW,
WELCOME! to the forum.!
Do you think he would be opened to joining the forum and read some of the many helpful posts here? It would be helpful to him if he were, so he could learn more about his sleep apnea..
I wish you good luck and feel free to ask as many questions as you need.
Hang in there for more suggestions.

trish6hundred
07-20-2015 05:41 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #12
RE: Almost divorced over CPAP
[/quote]
Hi, thanks for the reply. I updated his settings in my profile. We are on the second machine and this one is about two years old I think. I will definitely ask about how he feels before he takes it off. Could there be a chance this is a Central apnea instead of or in addition to an obstructive one?
[/quote]

when did he have his last sleep study? There is a chance that several things are causing the problem. More info is needed to see if we can suggest things for you.

I would start with looking at his last sleep study (hopefully a recent one), ask him what happens before he rips his mask off, etc.
07-20-2015 06:42 PM
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Sleeprider Online
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Posts: 3,359
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #13
RE: Almost divorced over CPAP
(07-20-2015 04:18 PM)SassySW Wrote:  [quote='me50' pid='122855' dateline='1437412500']
[quote='SassySW' pid='122848' dateline='1437410489']
We are on the second machine and this one is about two years old I think. I will definitely ask about how he feels before he takes it off. Could there be a chance this is a Central apnea instead of or in addition to an obstructive one?

On the bottom of the CPAP blower unit (be sure water is out of humidifier), is a number. In recent years, the CPAP Plus would be a Philips Respironics CPAP Plus CFlex model 250 or 260. Neither one produces useful therapy data or detects centrals. In order to have therapy data, you need at least the PRS1 Pro HS460, or PRS1 HS560 Auto. The machine he has is pretty useless for identifying or quantifying his ongoing problems, and gives him no relief from constant pressure. If you can afford it, I'd just go buy an Auto CPAP. I see them new with humidifier for $595 or open box new for less, from Supplier #2 at the top of the forum.

The cheapest CPAP with no data is a common problem when patients don't know any better when equipment is dispensed. The newest auto models can use lower pressure and automatically adjust to meet his needs, and will record respiratory events and other issues that can help explain why there is a problem. Without that data, you're flying blind, and your husband just gets the blame as a non compliant patient.

Be sure to ask him to request copies of his sleep study and prescription. You will need the prescription for replacement supplies or a new CPAP/APAP. If you have good insurance, they might authorize a new machine, but unlikely if the 2-year old unit was purchased through insurance.

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(This post was last modified: 07-20-2015 07:49 PM by Sleeprider.)
07-20-2015 07:46 PM
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quiescence at last Offline

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Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #14
RE: Almost divorced over CPAP
hi. I use a full face mask, too.

the things that annoy me enough take my mask off, besides the often mentioned "feel starved for air" feeling are (in order of frequency and annoyance level):

- nose or facial itching, contact sensitivity
- feeling stuffed up not able to breathe through nose
- inexplicable feeling of discomfort
- mask movement as pressure shifts occur in treatment alerts me
- mask flutter noise
- oily or dirty face that I now recall I chose to ignore now is affecting seal or skin sensitivity
- spouse makes a comment I cannot respond to
- mask strap contact or pressure tightness on head

If you mention some real life examples of typical annoyances, maybe he will become more aware of how his experiences are alike or different. That can become a springboard for conversation of what support you can provide, if any.

When sleep apnea is not treated, the affects continue to plague the patient. Anger is only one of the serious symptoms that continues to drive the quality of his life downward. Believe me, his anger make him frustrated/confused, too. I know this is going to sound silly, but his anger may also be making him angry! He knows he shouldn't be this way. [I speak from first hand knowledge.] He needs to know that nearly all patients notice an incredible reduction of anger, confusion, bewilderment, stress, depression, weakness, and soreness when properly treated [right pressure applied to reduce apnea, and right amount of sleep].

Agree with other posts on getting the best gear to attack this. I hope you already have a better model, and that data is available. If so, you will be able to tell whether spouse is having clear airway apneas (sometimes referred to as central apneas).

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
07-21-2015 06:28 AM
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DeepBreathing Offline
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Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Perth, Western Australia

Post: #15
RE: Almost divorced over CPAP
(07-20-2015 07:46 PM)Sleeprider Wrote:  The machine he has is pretty useless for identifying or quantifying his ongoing problems, and gives him no relief from constant pressure. If you can afford it, I'd just go buy an Auto CPAP. I see them new with humidifier for $595 or open box new for less, from Supplier #2 at the top of the forum.

Let's wait for Sassy to tell us which model it is before racing off to buy a new machine.

DeepBreathing
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07-21-2015 07:26 AM
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Sleeprider Online
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Posts: 3,359
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Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #16
RE: Almost divorced over CPAP
(07-21-2015 07:26 AM)DeepBreathing Wrote:  
(07-20-2015 07:46 PM)Sleeprider Wrote:  The machine he has is pretty useless for identifying or quantifying his ongoing problems, and gives him no relief from constant pressure. If you can afford it, I'd just go buy an Auto CPAP. I see them new with humidifier for $595 or open box new for less, from Supplier #2 at the top of the forum.

Let's wait for Sassy to tell us which model it is before racing off to buy a new machine.

I didn't pull this out of thin air. She added "Remstar Plus" to her profile, and in post #9 said it was updated two years ago. That makes it most likely a HS260 or possibly a 250. I'll stand by what I said. They own a brick.

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07-21-2015 08:10 AM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #17
RE: Almost divorced over CPAP
I think he is using a different software or maybe none at all. If he has a PR machine, he can't use Resmed software. Maybe they should import the data in a program like SleepyHead if the machine he has is data capable (I know nothing about PR machines).
07-21-2015 04:04 PM
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SassySW Offline

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Posts: 4
Joined: Jul 2015

Machine: Phillips Respironics
Mask Type: Full face mask
Mask Make & Model: Remstar Plus
Humidifier: C2
CPAP Pressure: 9.0 cmH2O
CPAP Software: ResScan

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Sex: Male
Location:

Post: #18
RE: Almost divorced over CPAP
Wow, thanks for all of the replies. I checked the bottom and it is a 260P. My husband made an appointment for another sleep study in two weeks. I hope we get some new and useful information. He knows he's changed and it bothers him very much. There have been several emotional meltdowns in the past year over this. Thank you so much for trying to help!
07-21-2015 08:13 PM
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JWR Offline

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Posts: 455
Joined: Sep 2013

Machine: DreamStation DSX700 , PR 760 bipap auto
Mask Type: Nasal mask
Mask Make & Model: Resmed mirage FX
Humidifier: DreamStation DSXH , system one
CPAP Pressure: min EPAP = 17.5max IPAP = 21
CPAP Software: SleepyHead

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Sex: Male
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Post: #19
RE: Almost divorced over CPAP
Quote:Wow, thanks for all of the replies. I checked the bottom and it is a 260P.




The 260 is a non data machine , only compliance info nothing useful to help find out whats going on in his sleep. Hope he finds out what is going on at his new sleep study.

07-21-2015 08:37 PM
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Sleeprider Online
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Advisory Members

Posts: 3,359
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #20
RE: Almost divorced over CPAP
(07-21-2015 08:13 PM)SassySW Wrote:  Wow, thanks for all of the replies. I checked the bottom and it is a 260P. My husband made an appointment for another sleep study in two weeks. I hope we get some new and useful information. He knows he's changed and it bothers him very much. There have been several emotional meltdowns in the past year over this. Thank you so much for trying to help!

Sassy, for people that have had extremely difficult problems adapting to CPAP therapy, a bilevel device like the one I use can make all the difference. It offers enough pressure support during inhale to feel good and prevent apnea, and it offers low pressure during exhale for comfort. An auto CPAP maintains the pressure needed to prevent apnea, and eases off when the pressure is not needed. Both are much better solutions that the fixed pressure, no-data brick he uses now.

We won't know the problems he is having with the current machine, because it won't tell us. I hope the new study turns up some answers, and for heaven's sake, keep in touch so we can coach you if a new machine is authorized.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
07-21-2015 08:50 PM
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