(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.
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.