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[CPAP] Introduction
#21
RE: Introduction
Is it possible to shop for supplier asking which may be inclined to give Philips over ResMed and vice versa? I've done that here. My first ASV was an intentional choice by me as this is the supplier that the phone call to them by me netted the bit of info they'd supply a ResMed. I shopped there specifically with that in mind.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.






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#22
RE: Introduction
I the UK clinics do tend to specialise on one brand my trust uses Resmed machines, both manufactures show the nightly AHI on screen in the AM. Don’t get me wrong both machines give successful Apnoea treatment we prefer Resmed but Philips is fine as well. From your perspective with your other health conditions you need to work with the health professionals in your local area anthe equipment they provide.


Jason
#23
RE: Introduction
(12-25-2020, 01:21 AM)jaswilliams Wrote: I the UK clinics do tend to specialise on one brand my trust uses Resmed machines, both manufactures show the nightly AHI on screen in the AM. Don’t get me wrong both machines give successful Apnoea treatment we prefer Resmed but Philips is fine as well. From your perspective with your other health conditions you need to work with the health professionals in your local area anthe equipment they provide.


Jason

Thank you for explaining that Jason as I was wondering how to explain our system. We can choose to go for treatment where we like but I am more than happy with The Royal Papworth. It's like a 5 star hotel and it has 5 start staff and equipment etc. Not food, though better than many.
#24
RE: Introduction
My AHI was 1.7 last night over 8hrs, with much waking due to pain. The last couple of hours were decent as the paracetamol/morphine mix finally kicked in. I don't understand why but it is my rib cage that does all the hurting. 

I bought myself a nice new scale as the one I had was messing about more and more. I am not pleased to find out it was under weighing me by 14lbs! Still the new one is super easy to use. I can't believe I didn't ditch the other one a long time ago. It was supposed to be for weighing oneself on carpet but clearly didn't work. The new one on carpet vastly underweighs me.  Anyway, am happy with the new one. I have lost over 100lbs even with this sudden gain!






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#25
RE: Introduction
Hurting ribcage may be PAP therapy exercising and making you breathe a bit deeper than is your normal. I dealt with it when starting PAP.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
#26
RE: Introduction
I forgot to write that I had changed the lower limit of the A-Trial to 10.5.  My average pressure was 12.2 and my 90% pressure was 15.8.

This is why I think I need an APAP. Logical?
#27
RE: Introduction
(12-25-2020, 12:41 PM)SarcasticDave94 Wrote: Hurting ribcage may be PAP therapy exercising and making you breathe a bit deeper than is your normal. I dealt with it when starting PAP.

Hi Dave-I wish it were so. I have slept upright for many years because of it. It is inflammation of the intercostal muscles and joints.

I hate having so many issues. Not so much because of what they are like to live with but it is embarrassing to list yet another issue I have!

However, I understand the reasons today and so do the medics, most of them, so that makes it all much better.

kindest regards






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#28
RE: Introduction
A good AHI again of 2.1.  I took 200mg Ibuprofen before retiring. I awoke about 4 to pee. I awoke again at at about 7.30 and took 1g Paracetamol and 40mg morphine. Got up about 9.20am Feel good. Was not in agony when I awoke and I was able to get up fairly easily. Did not have to fight to wake up nor have to wait for pain meds to kick in. 

   

What is EPAP?
#29
RE: Introduction
EPAP is "exhale (expiratory) positive air pressure", similarly IPAP is "inspiratory positive air pressure". These are bilevel terms that get applied to CPAP (continuous positive air pressure) because of the use of comfort features like C-Flex or EPR (exhale pressure reduction). In the case of Philips, the reduction in pressure is momentary at the beginning of expiration and the pressure returns to the CPAP setting before inspiration begins. For Resmed EPR the pressure reduction of 1 to 3 cm is for the entire expiration cycle and pressure returns to IPAP or the CPAP setting during inspiration. Here is a wiki on A-Flex http://www.apneaboard.com/wiki/index.php/A-Flex Here is a wiki on EPR http://www.apneaboard.com/wiki/index.php...lief_(EPR)

Your last chart shows how you need auto CPAP to adjust pressure when obstruction (snoring) is present. As I have said previously, the Resmed Airsense 10 Autoset is more proactive to increase pressure before events occur rather than respond to the events, and I consider it a superior design for that reason as well as the approach to expiratory pressure relief (EPR).
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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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.
#30
RE: Introduction
In the folly of Dave, I'll put forth a parallel, a maybe OK example regarding CPAP and the therapy given by ResMed or Philips Respironics. When I worked as a parts puller at a local car salvage yard, I had to be equipped with tools to remove the car part in accordance to my order needing fulfilled.

I had to have standard and metric wenches and sockets. Standard ones mostly only fit standard hardware and metric only fit metric. Mostly is the key or highlight. There are a FEW areas they're exchangeable and are more or less equal. Examples are 5/16 and 8 mm hardware can be worked with either the standard or metric variant. And then 1/2 inch or 13 mm the same story. Note one more aspect you must consider, even if either the standard or metric fit and did the job, there's still a best choice because it fit perfect and the other choice fits almost. The light to medium difficult loosening of hardware can be done by either, unless the tasks are more difficult and demands are more exacting. The damaged bolt or screw head needs exact fit tools, and so does the task with difficult or very tight, stuck hardware. Akin to difficult Apnea needs.

Apply that to PAP, both do the designed job, but one fits better and does it better. For most, the ResMed does it better than Respironics. Yes, there's some that Respironics fits better. We at Apnea Board deal out advice that addresses the majority first and then as needed, we deal with the needs of the few. Our answer to address the majority is ResMed, and the Respironics is delegated to address the few.

Coffee
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.






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