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[CPAP] Newbie
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tztom Offline

New Members

Posts: 3
Joined: Jan 2014

Machine: RedMed S9 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed
CPAP Pressure: 14.0
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: US

Post: #1
Newbie
WTF is going here? (see attached report). Maybe i am reading the report wrong but i don't see any significant leaks.

I have the ResMed S9 Elite set on 14.0. Using a Full Face Mask.

This really scares me.


Attached File(s) Thumbnail(s)
   
01-14-2014 07:53 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
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: #2
RE: Newbie
Hi tztom,
WELCOME! to the forum.!
Hang in there and someone will be able to help you interpret your data, soon.
Best of luck to you with your CPAP therapy.

trish6hundred
01-14-2014 08:24 PM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #3
RE: Newbie
Not being flip - but what I saw looks better than mine does on most days.

Could be a bad day. Phlegm in your throat and you were too tired to wake enough to clear your throat? How long have you been on your machine? How long at those settings? How long with that actual mask? Did you forget to fill your water chamber, or change a setting on it?

Change in your meds? Even over the counter? More importantly, how did you feel when you got up, *before* seeing this report?

Apnea and xPAP is about averages, not single sessions.

Honestly, there are many, many reasons for what you see, and most are no big deal. it's when it's every day, every hour you are sleeping that it's time to get scared and freaked. Seeing this would simply tell me to clean my gear, inspect my mask, look in the mirror in the morning (looking for lines, marks, etc), recheck my hose to make sure it's not damaged or getting tangled, and then watch the reports for a week or so. Course, if I had taken Nyquil the night prior - I wouldn't even waste my time.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-15-2014 12:41 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Newbie
If this a typical night, follow up with your sleep doctor
Heaps of flow limitation and cluster of obstructive apneas inside the circle, might mean pressure is not high enough during this period which could include REM sleep or/and rolling on your back. Unlike fixed pressure machine, Auto-PAP can increase pressure when needed in response to flow limitation and obstructive events. on the plus side, leak is well controlled. When I see something like that in my report, usually my nose stuffed up but I use nasal mask, not full face mask
01-15-2014 12:50 AM
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robysue Online
Wiki Editor
Advisory Members

Posts: 1,235
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #5
RE: Newbie
I'm with zonk: Given the timing of the cluster of events and flow limitations, it could very well be REM-related. Or you could have flipped onto your back. Or both.

And if this is typical of what goes on night after night, it's worth reporting it to the sleep doc. It could be that you need a bit more fixed pressure to properly control your OSA during supine REM sleep.

But if this is an atypical night, then it's worth chalking it up to the fact that we all have bad nights now and then and (literally) not losing any sleep worrying about it.
01-15-2014 09:01 AM
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tztom Offline

New Members

Posts: 3
Joined: Jan 2014

Machine: RedMed S9 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed
CPAP Pressure: 14.0
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: US

Post: #6
RE: Newbie
(01-15-2014 12:41 AM)Peter_C Wrote:  Not being flip - but what I saw looks better than mine does on most days.

Could be a bad day. Phlegm in your throat and you were too tired to wake enough to clear your throat? How long have you been on your machine? How long at those settings? How long with that actual mask? Did you forget to fill your water chamber, or change a setting on it?

Change in your meds? Even over the counter? More importantly, how did you feel when you got up, *before* seeing this report?

Apnea and xPAP is about averages, not single sessions.

Honestly, there are many, many reasons for what you see, and most are no big deal. it's when it's every day, every hour you are sleeping that it's time to get scared and freaked. Seeing this would simply tell me to clean my gear, inspect my mask, look in the mirror in the morning (looking for lines, marks, etc), recheck my hose to make sure it's not damaged or getting tangled, and then watch the reports for a week or so. Course, if I had taken Nyquil the night prior - I wouldn't even waste my time.


Been on the machine only for a week. Same mask and same pressure. Humidifier was full and i washed everything out that night.
01-15-2014 01:13 PM
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tztom Offline

New Members

Posts: 3
Joined: Jan 2014

Machine: RedMed S9 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed
CPAP Pressure: 14.0
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: US

Post: #7
RE: Newbie
(01-15-2014 12:50 AM)zonk Wrote:  If this a typical night, follow up with your sleep doctor
Heaps of flow limitation and cluster of obstructive apneas inside the circle, might mean pressure is not high enough during this period which could include REM sleep or/and rolling on your back. Unlike fixed pressure machine, Auto-PAP can increase pressure when needed in response to flow limitation and obstructive events. on the plus side, leak is well controlled. When I see something like that in my report, usually my nose stuffed up but I use nasal mask, not full face mask

Yeah i wish i had found this forum prior to my doctor ordering the cepap. During the sleep study they brought me up to a pressure of 16 during the REM stages. I think i would benefit from an auto machine.

Does anyone know how it works with insurance. Can i return the machine i am renting now and exhcnage if i the Dr prescribes?
01-15-2014 01:26 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #8
RE: Newbie
(01-15-2014 01:26 PM)tztom Wrote:  Does anyone know how it works with insurance. Can i return the machine i am renting now and exhcnage if i the Dr prescribes?
Not absolutely certain but I believe you can return the machine in exchange to AutoSet* within 30 days. Also the doctor can write a new script for the machine and set the range

* Resmed makes two auto machines, S9 AutoSet and S9 Escape Auto. AutoSet is full data capable machine, Escape Auto is not, just slightly better than a brick but nevertheless still a brick
01-15-2014 03:30 PM
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me50 Offline

Advisory Members

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: #9
RE: Newbie
(01-15-2014 03:30 PM)zonk Wrote:  
(01-15-2014 01:26 PM)tztom Wrote:  Does anyone know how it works with insurance. Can i return the machine i am renting now and exhcnage if i the Dr prescribes?
Not absolutely certain but I believe you can return the machine in exchange to AutoSet* within 30 days. Also the doctor can write a new script for the machine and set the range

* Resmed makes two auto machines, S9 AutoSet and S9 Escape Auto. AutoSet is full data capable machine, Escape Auto is not, just slightly better than a brick but nevertheless still a brick

I am returning my auto set that I have been using since September 10, 2013. My doctor faxed a DC order to the DME. Don't let the DME pick what you have up until you get your new machine. What you need to do is contact your sleep doc or prescribing doc as the DME can't provide a new machine without the DC order and/or a new script. Now is the time to change DME's if you aren't happy with the one you have. Hope this helps.
(This post was last modified: 01-15-2014 04:53 PM by me50.)
01-15-2014 04:51 PM
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