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Can it be this easy?
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #11
RE: Can it be this easy?
(05-26-2013 09:07 AM)mchad Wrote:  Ive also got the quattro fx adjusted so its passes the mask leak test (still a little tight, but tolerable) so i'll live with it the few nights i may ever need to use it.

Hi mchad,

When using the Quattro FX, using a RemZzzs mask liner may help reduce leaks. May allow you to reduce tightness and be less uncomfortable. I reuse each liner for about a week. The liners tend to curl during use, and washing gently and drying thoroughly may help to uncurl. Or if liner still clean can just patiently uncurl while carefully putting on mask.

(05-26-2013 09:07 AM)mchad Wrote:  AHI remains under 3, was 2.1 last night, 1.8 the night before.
...
I did go ahead and set the unit to auto set mode three days ago, 10-15 range. The data reports it stays around 10.9 all night, never approaching the cpap 15 I was ordered. I find the lower pressure is much more comfortable. I suppose I should tell my Dr, but I don't want to get reprimanded for changing the settings... Thoughts on that?

What was EPR set to, in your original settings? What is EPR now?

I suggest keeping an eye on how long individual events are lasting.

In your full Sleep Report from your titration study, how long were your longest obstructive events when pressure was lower than 15? (How much EPR was used during titration, if any?)

Sounds like your AHI is good, and when on APAP mode is only a little worse than when your machine was in CPAP mode at 15 cmH2O. Since you have already changed your settings and the machine usually stays around 10.9, I suggest raising the minimum pressure to 11. This will be a little closer to your prescribed settings.

How much pressure is needed is usually dependent on sleep position. Usually worse when sleeping flat on the back and/or when in REM (Rapid Eye Movement) sleep stage. If you have been sleeping only or mostly on side for past 3 days, this may explain why the AutoSet has not been raising pressure much, and you may need max pressure of 15 or higher if you were to be in REM after rolling onto your back.

When you see your doc for your normal follow up appointment (which is usually scheduled for a month or two after start of therapy, I think), I suggest you discuss CPAP versus APAP and ask for new prescription showing your new prescribed pressure range. I would bring my card and bring printouts of any ResScan reports I would like the doctor to comment on.

(05-26-2013 09:07 AM)mchad Wrote:  I also purchased a less expensive devillbiss intellipap auto for use on my boat. I don't want to carry my S9 back and forth. I'll be using it prob 1-2 nights a week, fri and sat, or jutst sat. I think I will still meet compliance requirements for my insurance purchased S9 with 5 or 6 nights of 7+ hours of nightly usage, you think?

Sounds like you would still meet typical compliance standards, but call your insurance company and ask what precisely are compliance standards for your insurance.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 05-26-2013 02:15 PM by vsheline.)
05-26-2013 01:29 PM
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iSnooze Offline
Apnea Board Proofreader
Advisory Members

Posts: 239
Joined: Feb 2012

Machine: Respironics PR System One C-Flex+
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Micro
Humidifier: System One Heated Humidifier
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments: also use a Comfort Gel Full Mask by Respironics

Sex: Female
Location: Indiana

Post: #12
RE: Can it be this easy?
(05-26-2013 09:07 AM)mchad Wrote:  Sleeping like i did 25 years ago in the Corps, after a day of "strenuous activity"... Anyway, I feel great, am sleeping like a rock, and barely move at night.

I think most of us hoseheads will agree that we didn't realize how poorly we were sleeping until our bodies adjusted to cpap therapy. It seems that your you saw improvement sooner than many people do.

Congrats on sleeping like a rock. Enjoy your newly-found energy.
05-26-2013 01:39 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #13
RE: Can it be this easy?
Hi mchad,
Glad you are having such GREAT results with CPAP therapy.
As far as the mask you are using, if the FFM works well for you, thats what counts.

trish6hundred
05-26-2013 02:41 PM
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