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Continuous problem. Please advise.
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Visitor Offline

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Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #11
RE: Continuous problem. Please advise.
I live outside the US and have Breas software so can check the data.

I am considering switching models, but as it is an expense I'll have to carry, I'm trying to sort out matters with the CPAP I currently use first. Failing that I'll switch. I think the headgear of the P10 is an issue. I can't adjust matters well. I know others are happy with it, but it just doesn't work out for me. So I'll use the Nuance to check if its headgear is any better.

I could increase the pressure as you suggest. I'll try it out with the Nuance if problems persist (higher pressure may cause more leakage and I'd like to have headgear I trust before I try that out). As my mean pressure is 8.5 (equal to min pressure), I wonder if it makes sense to increase pressure?

Not sure if anything on the Breas data is equivalent to the airflow waveforms you mention

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
(This post was last modified: 01-02-2015 06:35 PM by Visitor.)
01-02-2015 06:30 PM
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Crimson Nape Offline

Monitors

Posts: 1,327
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #12
RE: Continuous problem. Please advise.
(01-02-2015 06:30 PM)Visitor Wrote:  I am considering switching models, but as it is an expense I'll have to carry, I'm trying to sort out matters with the CPAP I currently use first. Failing that I'll switch. I think the headgear of the P10 is an issue. I can't adjust matters well. I know others are happy with it, but it just doesn't work out for me. So I'll use the Nuance to check if its headgear is any better.

If you access to Velcro cable wraps that are about the same width as the P10 backstraps, you can cut the lower P10 strap, thread it through the slot in the velcro tiedown, and stitch it down to itself. Now you can tighten the headgear using the velcro strap. Just remember to make sure the "hook" side is down against the headgear fabric when you install it. This will work on both straps but is generally unnecessary to modify both.

Statistics prove that people who have more birthdays live longer.
01-02-2015 06:44 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #13
RE: Continuous problem. Please advise.
Thanks, I tried adjusting the straps through a similar trick, but had problems with that one. Will keep an eye out for velcro cable.

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
01-02-2015 06:54 PM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #14
RE: Continuous problem. Please advise.
(01-02-2015 06:30 PM)Visitor Wrote:  I live outside the US and have Breas software so can check the data.

Not sure if anything on the Breas data is equivalent to the airflow waveforms you mention

Post some screenshots of your data from the Breas software. imgur.com is an easy site to host the pictures on.

(01-02-2015 06:30 PM)Visitor Wrote:  I could increase the pressure as you suggest. I'll try it out with the Nuance if problems persist (higher pressure may cause more leakage and I'd like to have headgear I trust before I try that out). As my mean pressure is 8.5 (equal to min pressure), I wonder if it makes sense to increase pressure?

You could be suffering from some breathing problems in the time the pressure is lower. If you're having flow limitations that don't qualify as apneas, the machine might not see them and adjust the pressure.

BTW, the dry mouth may indicate mouth leaks, which may be a problem even if you don't have a large leak rate. Have you tried a chin strap?

Get the free SleepyHead software here.
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If it's midnight and a DME tells you it's dark outside, go and check it yourself.
01-02-2015 07:00 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #15
RE: Continuous problem. Please advise.
Will post the data as soon as I have a chance. And I'm using a chin strap. But it slips off at times (as does the headgear).

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
01-02-2015 07:29 PM
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Gabby Offline

Preferred Members-2

Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #16
RE: Continuous problem. Please advise.
(01-02-2015 07:29 PM)Visitor Wrote:  Will post the data as soon as I have a chance. And I'm using a chin strap. But it slips off at times (as does the headgear).

Hi Visitor,

I have been reading your story and hope you are able to get sorted.
I have similar problems and I have been using religiously for one year.

Anyway just wanted to say I recently went from the P10 pillows to the Nuance and am loving it.
I seem to sleep so much better and my leaks are well down.
I wish you good success with your Nuance.

PS I have an excellent, very affordable supplier if you are ever interested in updating your equipment.
Just PM me.

Sleep Tight...
Gabby
(This post was last modified: 01-02-2015 07:55 PM by Gabby.)
01-02-2015 07:52 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #17
RE: Continuous problem. Please advise.
Thanks Gabby

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
01-03-2015 04:54 AM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #18
RE: Continuous problem. Please advise.
Strangest thing: dropped the room temperature considerably last night (left the windows open to get fresh air). Woke up refreshed for the first time in a month. The room is regularly aerated at other times, so I'm not sure whether there is a link. Hard to believe it could be the temperature, but heck, I'll try it again. Will post some data when I get the chance.

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
01-04-2015 06:24 AM
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TyroneShoes Offline

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Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #19
RE: Continuous problem. Please advise.
If your treated AHI is near zero, then the XPAP has done its job, and you technically no longer suffer from sleep apnea (when treated, of course). XPAP is not always connected directly to how you feel, just like blood pressure or cardiac issues can often be, among other things.

This opens the possibility that how you feel may be due to other issues. Docs like to hone in on the first logical diagnosis they think something might be, and stop there, brush their hands off, and declare that their work is done. They can get paid at that point, so they consider that the end of the job. It might not be.

A word of advice to them: if you are looking for your car keys and then find them, you can stop, but if you are looking for a diagnosis and find ONE, that does not mean that is the answer; there may be more to the story, and if the "cure" associated with that doesn't do what we think it should, start looking for a better diagnosis.

When you are a hammer, everything begins to look like a nail to you. Drs have to become better at this, and learn to think outside the box.
(This post was last modified: 01-04-2015 12:57 PM by TyroneShoes.)
01-04-2015 12:56 PM
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