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COPD, Emphysema and such with Apnea.
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retired_guy Offline

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Machine: ResMed S9 Autoset
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CPAP Software: ResScan SleepyHead

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Post: #31
RE: COPD, Emphysema and such with Apnea.
When I was at EPR 2, which I had done to combat the "hammering" effect you have experienced I was trucking along very nicely, but it seemed like I could feel a little better during the day than I was. The only thing that was a little out of whack was my Flow Limit, which while not awful, was a bit choppy. I decided to increase my pressure by 1 to see what that might do to the Flow Limit, and at the same time I increased my EPR back to 3 instead of 2. The net result is my Flow Limit smoothed out considerably but my exhale pressure was the same as before. So... No hammer, happier Flow Limit, and feel better during the day. Win win win.

I think these little tweaky things are something we'll probably have to do off and on as we rock along.
08-14-2014 07:27 PM
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retired_guy Offline

Preferred Members-2

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: #32
RE: COPD, Emphysema and such with Apnea.
(08-14-2014 03:00 PM)surferdude2 Wrote:  ...........then I suppose I'll need to ask what kind of box would I need then. Perhaps a VPAP?

or maybe two machines. One for each ear.
08-14-2014 07:30 PM
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annbower1125 Offline

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Machine: Remstar Auto A-Flex
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CPAP Software: SleepyHead

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Location: Pinellas Park, Florida USA

Post: #33
RE: COPD, Emphysema and such with Apnea.
what does epr stand for, when I go to the pulmo should I also take any info from the sleep apnea with me?
08-14-2014 07:59 PM
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retired_guy Offline

Preferred Members-2

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: #34
RE: COPD, Emphysema and such with Apnea.
(08-14-2014 07:59 PM)annbower1125 Wrote:  what does epr stand for, when I go to the pulmo should I also take any info from the sleep apnea with me?

Expiration Pressure Relief. It means that if your pressure is set to 12 for example, and the EPR is set to 3, the pressure will be reduced to 9 when you exhale. Since COPD is often a problem of not being able to expel the air, it makes therapy easier.

Yes, take your sleep apnea results with you, and a record of what your settings are. Are you running Sleepyhead, or Rescan? If so, print out the reports so you'll have them.

Also, you might want to take Surfie with you.... We need the break!
08-14-2014 08:05 PM
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annbower1125 Offline

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Posts: 28
Joined: Jul 2014

Machine: Remstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: System One Heated Humidifier
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments: find me on Facebook, Ann Margaret Simmons-Bower

Sex: Female
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Post: #35
RE: COPD, Emphysema and such with Apnea.
oh ok thanks for the info :-)
08-15-2014 10:20 AM
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annbower1125 Offline

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Posts: 28
Joined: Jul 2014

Machine: Remstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: System One Heated Humidifier
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments: find me on Facebook, Ann Margaret Simmons-Bower

Sex: Female
Location: Pinellas Park, Florida USA

Post: #36
RE: COPD, Emphysema and such with Apnea.
I would love to take both of you to the doctors with me, your alls knowledge is amazing. Thanks for all the great advice :-)
08-15-2014 06:52 PM
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Whitewabit Offline

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Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
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CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

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Sex: Undisclosed
Location: Somewhere in the midwest

Post: #37
RE: COPD, Emphysema and such with Apnea.
until last night I wasn't aware that resmed made a machine especially for those of us who have COPD. The machine model is called, "VPAP COPD".

Am wondering why I wasn't assigned that model instead of the Adapt model .. guess would need to address its capabilities before judging since I have mainly Central Apnea's ..

Is any one else aware of this model and what it can do??
10-09-2014 12:39 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: #38
RE: COPD, Emphysema and such with Apnea.
I haven't heard about this until now either Rabbit. Although I'm perfectly happy with my S9 Autoset, I'll send a blast-o-gram to my pulmonist & see what he has to say about it. Just looking at the user guide, you can't really make any conclusions as to why or why not use this machine over the others. Don't know if we can get a clinician's manual for it or not, and it might be difficult perhaps without one.

I'm getting that this machine is for those who have a tendency towards hypercapnia due to copd, or possibly as a result of oxygen therapy.
10-10-2014 12:22 AM
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Whitewabit Offline

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Posts: 158
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Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX, AirFit P10, AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

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Sex: Undisclosed
Location: Somewhere in the midwest

Post: #39
RE: COPD, Emphysema and such with Apnea.
(10-10-2014 12:22 AM)retired_guy Wrote:  I haven't heard about this until now either Rabbit. Although I'm perfectly happy with my S9 Autoset, I'll send a blast-o-gram to my pulmonist & see what he has to say about it. Just looking at the user guide, you can't really make any conclusions as to why or why not use this machine over the others. Don't know if we can get a clinician's manual for it or not, and it might be difficult perhaps without one.

I'm getting that this machine is for those who have a tendency towards hypercapnia due to copd, or possibly as a result of oxygen therapy.

Happened to find it in a search .. Resmed has a line of machines for this it seems .. not sure what/who the proper usage would be for either but interesting that there is something for possible in the far future for some one with COPD.

Not sure if its for just sleeping use either, need to investigate a bit more.

It also seems all the new machines will be Bluetooth capable .
10-10-2014 09:57 AM
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justMongo Offline

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Post: #40
RE: COPD, Emphysema and such with Apnea.
(08-12-2014 03:29 PM)surferdude2 Wrote:  Yep, I even had a echocardiogram with Doppler and my Pulman said it looked OK. Funny thing though, and I'll be taking this up with him, there was a line in the report that stated "abnormal LV relaxation pattern by Doppler consistent with diastolic dysfunction".

That doesn't sound like OK to me. It sounds more like "if you lie down, you may have trouble breathing". Huhsign

Diastolic dysfunction of the LV is not uncommon in us old folks. Normally the left ventricle relaxes between beats and creates a suction to help it fill for the next beat. LV walls get thicker and stiffer with age and lose that suction effect. In the absence of other conditions it's not a big issue.

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.
10-10-2014 10:16 AM
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