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Any advice before my appointment?
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jessamnda Offline

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Posts: 19
Joined: Jul 2016

Machine: Resmed AirSense 10 Auto
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: ?
CPAP Pressure: 4-20
CPAP Software: Not using software

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Sex: Male
Location: Orange County, CA

Post: #11
RE: Any advice before my appointment?
(07-09-2016 07:29 PM)kwhenrykerr Wrote:  Give her a big hug. My wife would have told me I was fine and raised my life insurance pay out. Dielaughing

I always joke with her that I don't increase my life insurance because I'll be dead within a year!
07-11-2016 11:48 AM
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Sleeprider Online
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Posts: 3,400
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

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Sex: Male
Location: Where they make Respironics

Post: #12
RE: Any advice before my appointment?
Best option for you may be the Resmed Airsense 10 Autoset. It qualifies as a CPAP, but has up to 3 cm exhale pressure relief (EPR). This functions a great deal like BPAP, but at a cost normally covered by insurance with a CPAP prescription. Good luck!

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 07-11-2016 12:20 PM by Sleeprider.)
07-11-2016 12:20 PM
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DariaVader Offline
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Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #13
RE: Any advice before my appointment?
Welcome

With an AHI of > 100, you probably should get that titration study right off the top. I know they say AHI and pressure needs are not synonymous, and I am sure having said this someone will have an example of not the case --- but I have noticed that everyone who has said they have an AHI over 100 does indeed have higher pressure needs. Higher pressure needs + the ability to tolerate pressure support (doesn't cause CA) = Bilevel. The Titration is necessary to make sure the Bilevel does not cause CA. that is my .02

Did you have CA events on the sleepstudy? or is it straight OSA?

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
07-11-2016 12:24 PM
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Dreamuser Offline

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Posts: 2
Joined: Jul 2016

Machine: DreamStation
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: none
CPAP Pressure: 11
CPAP Software: Other Software

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Sex: Undisclosed
Location: USA

Post: #14
RE: Any advice before my appointment?
An Auto machine, or a machine with a good ramp up function may help with your initial problems with exhaling. I had similar problems with a BiPAP machine and had to move back to CPAP to breathe while falling asleep.

Also, if this is your first encounter with insurance provided CPAP machines, you might want to investigate internet supplier pricing in advance. I have ALWAYS found I can buy the exact same model that insurance would have covered directly for a lot less than my insurance co-pay would have been. They must base insurance on some highly inflated list pricing.
07-11-2016 12:37 PM
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jessamnda Offline

Members

Posts: 19
Joined: Jul 2016

Machine: Resmed AirSense 10 Auto
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: ?
CPAP Pressure: 4-20
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Orange County, CA

Post: #15
RE: Any advice before my appointment?
(07-09-2016 09:05 AM)justMongo Wrote:  Best advice before picking up a machine:

"You never have more power than just before you take the machine." -- Mongo 2016

Translation: It's sort of like haggling when buying a car. You have to show them your willing to go elsewhere to get a machine.
An MD will have written a prescription. Get a paper copy of it and your sleep test (polysomnography) before you haggle over machines.

Oh, and stop eating the clam chowder at the Crab Cooker... that will put weight on you. Cool

Anything I can use on this report?


Attached File(s) Thumbnail(s)
   
07-11-2016 12:49 PM
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jessamnda Offline

Members

Posts: 19
Joined: Jul 2016

Machine: Resmed AirSense 10 Auto
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: ?
CPAP Pressure: 4-20
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Orange County, CA

Post: #16
RE: Any advice before my appointment?
(07-11-2016 12:20 PM)Sleeprider Wrote:  Best option for you may be the Resmed Airsense 10 Autoset. It qualifies as a CPAP, but has up to 3 cm exhale pressure relief (EPR). This functions a great deal like BPAP, but at a cost normally covered by insurance with a CPAP prescription. Good luck!
Awesome, that's a great piece of info.

(07-11-2016 12:24 PM)DariaVader Wrote:  Welcome

With an AHI of > 100, you probably should get that titration study right off the top. I know they say AHI and pressure needs are not synonymous, and I am sure having said this someone will have an example of not the case --- but I have noticed that everyone who has said they have an AHI over 100 does indeed have higher pressure needs. Higher pressure needs + the ability to tolerate pressure support (doesn't cause CA) = Bilevel. The Titration is necessary to make sure the Bilevel does not cause CA. that is my .02

Did you have CA events on the sleepstudy? or is it straight OSA?

No central events. Just attached my report in the above post.
(This post was last modified: 07-11-2016 01:24 PM by jessamnda.)
07-11-2016 01:19 PM
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vicmt Offline

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Machine: AirSense 10 for Her
Mask Type: Other
Mask Make & Model: Dreamwear (Phillips Respironics)
Humidifier: unsure (with AirSense)
CPAP Pressure: 11
CPAP Software: Other Software

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Sex: Female
Location: NW US

Post: #17
RE: Any advice before my appointment?
Hello everyone. Have had both sleep studies, with and without CPAP. Waiting through the long strung out process to get the machine .... by the end of July.

I have narrowed down my choices and am ordering an Airsense 10 Auto. My question is their regular version and the version "for Her." I can't get very accurate explanations about the difference. Not interested in pretty flowers, I want to understand why a version for women.

Can anyone tell me?

thank you.
07-11-2016 02:09 PM
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richb Online

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Posts: 543
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #18
RE: Any advice before my appointment?
(07-11-2016 02:09 PM)vicmt Wrote:  Hello everyone. Have had both sleep studies, with and without CPAP. Waiting through the long strung out process to get the machine .... by the end of July.

I have narrowed down my choices and am ordering an Airsense 10 Auto. My question is their regular version and the version "for Her." I can't get very accurate explanations about the difference. Not interested in pretty flowers, I want to understand why a version for women.

Can anyone tell me?

thank you.

Hi vicmt. Welcome to the Forum. The "for her has more settings available. Start a new thread and ask more questions. You will get lots more advice with a new thread.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
07-11-2016 02:24 PM
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DariaVader Offline
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Posts: 1,828
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #19
RE: Any advice before my appointment?
I agree with Sleeprider that the best non-bilevel would be the Resmed Airsense 10 Autoset with it's EPR set to the max of 3 to get close to bilevel, but I still think you will end up with a titration study and the bilevel. It's a SWAG, but so far in my unscientific observation, all the folk whose AHI is > 100, it has been OSA all the way, and has required high pressure to treat. I pay attention to this, because my 34 year old son is one. He has his pressure support set to 6 and that kinda seems typical. Thing is, individuals are not necessarily typical, which is why you should go for the titration. If insurance is not involved, you can just buy one with your Rx, which is good for any PAP device IIRC. Insurance companies like to see you fail CPAP before allowing titration for the Bilevel, but "fail" can just mean you are uncomfortable with your pressure needs. How you pursue the best course depends on a lot of factors, such as insurance coverage and budget and whether or not you would enjoy doing some of the titration work yourself (which I highly recommend for the best therapy)

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
07-11-2016 04:36 PM
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WakeUpTime Offline

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Machine: PR System One BiPAP S60 Auto 760
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: PR S1 w Heated Tube+Hose
CPAP Pressure: Auto / Inhale 11-12.5 / Exh 9
CPAP Software: SleepyHead EncoreBasic

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Sex: Male
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Post: #20
RE: Any advice before my appointment?
I've never understood why they make it so difficult to go BiPAP.

It's like going for your driver's test and being told "you don't really need a car as a bike will probably get you to where you are going". Huh??? Or going for a test for a car and being told that a separate test would be required for a pickup truck or minivan.

I've seen several different sleep specialists. I remember one responded, "YOU HAVE A BIPAP!???". I wanted to yell back "YES I DO!".

Isn't it the goal to get the best, most comfortable, sleep possible given my condition? If anyone can't get a prescription for a BiPAP, take it to another (regular) doctor and ask for the 'upgrade'. If there was something out there that gave me a 10% better sleep, I'd get it. For me, I think I got an 80% more satisfactory sleep with my BiPAP. I didn't "need" it, but my next-day is vastly improved.

Sleep Apnea has given me a terrible memory. Please forgive me if I've repeated myself.
(This post was last modified: 07-11-2016 06:15 PM by WakeUpTime.)
07-11-2016 06:04 PM
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