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Disappointed
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Clementine Offline

Preferred Members-2

Posts: 208
Joined: Sep 2013

Machine: ResMed VPap Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i--not using currently
CPAP Pressure: Auto -- 8/13.2 PS 3.2
CPAP Software: SleepyHead

Other Comments: Began with machine on 7/7/14.

Sex: Female
Location: eastern Iowa

Post: #11
RE: Disappointed
the pressure is so low that I don't really need the ramp. I set it to 5 min and really I don't even need that. It's amazing how far i have come after starting this whole thing on July 7. Back then, I needed the ramp set to 45 min, and a Xanax to boot. Just a few nights of the Xanax, however, and I've not needed the med since.

repeating my question from above; not sure it was seen:

Last night I slept better/longer, but my AHI was 11. How long do I give this current pressure before I ask the doc for something higher? It seems like --- if the pressure is not correct, one night will tell me that, or just a couple of nights, anyway. No point waiting around for a week or more?
07-30-2014 09:38 AM
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NickDanger Offline

Preferred Members

Posts: 91
Joined: Jun 2014

Machine: Resmed S9 Autopap
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: 5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments: ResMed Chinstrap

Sex: Male
Location:

Post: #12
RE: Disappointed
If it were me, I'd either set the machine to Auto and see where it wanted to go (but my situation isn't as complicated as yours - I use an APAP machine, so there are only a couple of adjustments to make - VPAPs are much more complicated) or make an appointment with the doctor after just a few nights with those AHI's.
07-30-2014 09:53 AM
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justMongo Offline

Monitors

Posts: 3,838
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #13
RE: Disappointed
Will your doctor allow you to run the machine in Auto mode?
The VPAP Auto can run as a fixed S mode Bilevel, or a CPAP, or a Bilevel Auto.
When set to auto, with a wide enough pressure window, it can seek the best pressure to lower your AHI.

I have the same machine. I run in Auto. Last night's AHI was 1.5

A mask is a very personal choice... we all have different faces. I do best with a full face.
My leaks are well controlled even when my machine raises pressure to 20.

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.
07-30-2014 09:55 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #14
RE: Disappointed
Clem, I think I'd go one more night to give the doc a little more data and give your body a little more time to adjust to the current pressure. I would not expect the ahi to come down much if any, but it's a good idea for your body to get used to something before you give it something else to think about.

Then tomorrow, early because it's Friday and the doc probably won't be available much beyond breakfast, call em up and ask to go up another point. You're at 11? (I forgot already) Go to 12.

As a matter of fact call today because tomorrow will probably be a great golf day and you will not be able to reach anyone until Monday. So forget everything I already said, and ask the doc to up the pressure another notch.
07-30-2014 11:08 AM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #15
RE: Disappointed
There is a reason the machine has an auto mode. I would think it is the most appropriate way to determine the proper pressure, especially if things change during the night. Many people change position, right side, back, left side. Many people have different pressure Ned's in different sleep stages, especially REM. In many situations the machine may be a better judge and much more responsive than the doctor. Although the machine seldom thinks it is GOD.

I use an ASV machine a step up from yours. I run it in auto mode, per my sleep study recommendation. After 9 months I am just starting to decipher what the settings mean and why I might want to change them.
I used an S9 Autoset for 3 years and was very comfortable changing my own settings on it.
07-30-2014 11:14 AM
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justMongo Offline

Monitors

Posts: 3,838
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #16
RE: Disappointed
(07-30-2014 11:08 AM)retired_guy Wrote:  ...Then tomorrow, early because it's Friday and the doc probably won't be available much beyond breakfast, call em up and ask to go up another point. You're at 11? (I forgot already)...
Today is Wednesday!

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.
07-30-2014 11:28 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #17
RE: Disappointed
(07-30-2014 11:28 AM)justMongo Wrote:  
(07-30-2014 11:08 AM)retired_guy Wrote:  ...Then tomorrow, early because it's Friday and the doc probably won't be available much beyond breakfast, call em up and ask to go up another point. You're at 11? (I forgot already)...
Today is Wednesday!

You're right! What happened to Tuesday?
07-30-2014 11:30 AM
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Clementine Offline

Preferred Members-2

Posts: 208
Joined: Sep 2013

Machine: ResMed VPap Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i--not using currently
CPAP Pressure: Auto -- 8/13.2 PS 3.2
CPAP Software: SleepyHead

Other Comments: Began with machine on 7/7/14.

Sex: Female
Location: eastern Iowa

Post: #18
RE: Disappointed
LOL. Well, I will give it one more night. I do move around a lot. I just want to get this pressure thing figured out and get the AHIs down where they are supposed to be. And I will ask the doc about the auto mode.
Also going to the DME to try a nasal mask.

ETA: Here's a thought, and maybe it's not a real smart thought---
I don't use the humidifer right now since it is summer and it is somewhat humid --
that wouldn't affect the AHIs, right?
(This post was last modified: 07-30-2014 12:26 PM by Clementine.)
07-30-2014 12:24 PM
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justMongo Offline

Monitors

Posts: 3,838
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #19
RE: Disappointed
(07-30-2014 12:24 PM)Clementine Wrote:  ETA: Here's a thought, and maybe it's not a real smart thought---
I don't use the humidifer right now since it is summer and it is somewhat humid --
that wouldn't affect the AHIs, right?

Shouldn't matter. Humidifier is mostly for comfort. But, just because it's summer in Iowa doesn't mean you shouldn't use it. If you're running AC, then it's pulling humidity out of the air. The slight compression of the air by the VPAP blower heats the air slightly; and that reduces the relative humidity. (Water in air constant -- but, temp increase means it can hold more water.) I wondered in your earlier posts why you were using 3 as your setting. That's where they usually set it at the DME; but, most people run 4 to 6. I run at 5.

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.
(This post was last modified: 07-30-2014 01:04 PM by justMongo.)
07-30-2014 01:03 PM
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Clementine Offline

Preferred Members-2

Posts: 208
Joined: Sep 2013

Machine: ResMed VPap Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i--not using currently
CPAP Pressure: Auto -- 8/13.2 PS 3.2
CPAP Software: SleepyHead

Other Comments: Began with machine on 7/7/14.

Sex: Female
Location: eastern Iowa

Post: #20
RE: Disappointed
3 is what was set at the DME. I haven't messed with it. I'm a "hot mama" and don't need any additional warm anything right now. Warm air just isn't good. Maybe this winter it will be better.

I guess my thought was that humidified air would reduce the number of OAs? maybe slightly...
07-30-2014 02:05 PM
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