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[Equipment] Decreasing effectiveness?
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wordfreek Offline

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Posts: 4
Joined: Jun 2013

Machine: REspironics M Series BiPAP Auto with Bi-flex
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: unsure
CPAP Pressure: unsure
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #1
Decreasing effectiveness?
Hi, I'm new here, and wondering if others have had an experience similar to the one I'm having now. I've had a BiPap for about 4 years now. Until recently it made all the difference in the quality of my sleep and my life, but in the past couple of months I've been jerking awake at night and slogging groggily through the days the way I used to before I was diagnosed and started using BiPap. First thought was "leaking mask." Got a new one, no improvement. Now my 3 thoughts are: a) has my apnea gotten markedly worse? b) is my machine growing old and dying? or c) has something happened to lower the settings? (I'm awaiting an email from Admin with instructions about how to read my machine's settings.) A fourth possibility: Shortly before I started noticing this problem, I was aware of having inadvertently pressed the "Bi-Flex" button instead of the off-button. (This is easy to do, especially in the middle of the night - the two buttons are identical & right next to one.) I realize I have no idea what that Bi-Flex does. Could pushing it change the pressure in any way or cause other problems? Thanks for any insights or thoughts on this!
06-08-2013 09:57 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: Decreasing effectiveness?
Hi wordfreek,
WELCOME! to the forum.!
Hang in there for answers to your questions and best of luck.

trish6hundred
06-08-2013 10:12 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: #3
RE: Decreasing effectiveness?
The manual for your machine is available by direct download ... see section two (Respironics BiPAP Auto M Series)
http://www.apneaboard.com/adjust-cpap-pr...tup-manual

BiPAP Auto M Series with Bi-Flex
http://bipapautomseries.respironics.com/
06-08-2013 10:28 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #4
RE: Decreasing effectiveness?
(06-08-2013 09:57 PM)wordfreek Wrote:  I realize I have no idea what that Bi-Flex does. Could pushing it change the pressure in any way or cause other problems?

Bi-Flex lowers the pressure when you exhale. It's not likely that this setting would make much of a difference, but it is possible. I guess you don't know what it was set at before? If you could find out from whoever supplied the machine it may help.

At the very least I would recommend that you learn a bit more about your machine. Find out what pressures it's set at, and see if you can get some software, such as SleepyHead, and take a look at your data.

Can you check with your doctor or equipment supplier and see if they can take a look at your data and see if there have been any changes in the effectiveness of your therapy?

For example, if you've had an increase in your AHI that might explain your symptoms. Or if your mask has started leaking for some reason. A quick look at your data would answer these questions.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
06-08-2013 10:35 PM
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wordfreek Offline

Members

Posts: 4
Joined: Jun 2013

Machine: REspironics M Series BiPAP Auto with Bi-flex
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: unsure
CPAP Pressure: unsure
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #5
RE: Decreasing effectiveness?
Quote:Bi-Flex lowers the pressure when you exhale. It's not likely that this setting would make much of a difference, but it is possible. I guess you don't know what it was set at before? ...

... Find out what pressures it's set at, and see if you can get some software, such as SleepyHead, and take a look at your data.

Can you check with your doctor or equipment supplier and see if they can take a look at your data and see if there have been any changes in the effectiveness of your therapy?

For example, if you've had an increase in your AHI that might explain your symptoms. Or if your mask has started leaking for some reason. A quick look at your data would answer these questions.

Thanks, this is very helpful. My problem is that I would now have to pay out of pocket and can't afford to; prior to this year, I had decent medical insurance and was able to regularly see the doctor who prescribed the BiPap, who kept tabs on my readings (although he was uninterested in explaining anything to me and was - as has been mentioned by others on this board - more focused on monitoring compliance than on anything else). I do have information about what the settings are supposed to be, but am not clear which of those numbers would pertain to the Bi-Flex and don't know (yet) how to find out what my current settings are. (Working on figuring that out- bless this forum!)

Checking with the equipment supplier is a excellent idea. They're a long drive from where I live, so I normally just get my replacement supplies sent in the mail, but I could see about going down there. And I'll look into Sleepyhead. I didn't even know there was such a thing.
06-08-2013 11:24 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: #6
RE: Decreasing effectiveness?
SleepyHead does not support M series machines, you need Encore Pro software and smart card reader to copy data from smart card to your computer. your machines display AHI and leak data on the screen
(This post was last modified: 06-08-2013 11:42 PM by zonk.)
06-08-2013 11:41 PM
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wordfreek Offline

Members

Posts: 4
Joined: Jun 2013

Machine: REspironics M Series BiPAP Auto with Bi-flex
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: unsure
CPAP Pressure: unsure
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #7
RE: Decreasing effectiveness?
(06-08-2013 11:41 PM)zonk Wrote:  SleepyHead does not support M series machines, you need Encore Pro software and smart card reader to copy data from smart card to your computer. your machines display AHI and leak data on the screen

Alas, I'm a Mac user and it appears that Encore Pro is only compatible with Windows. But good to know about the AHI and leak-data display. I'll work at figuring out how to view that.
06-09-2013 12:25 AM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #8
RE: Decreasing effectiveness?
wordfreek, welcome, just another thought, you could mail your simcard to them and get them to mail it straight back to you.
The CPAP's store the data in there memory anyway and then update the cards when they are inserted back in the machine.
06-09-2013 02:09 AM
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DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #9
RE: Decreasing effectiveness?
Firstly, yes machines DO lose pressure when they age, which is why normally there are checked once a year and replaced every five to seven years,, but three years is usually not enough time for that. Secondly, Bi-Pap shouldn't be enough to make a difference. Since you cannot read out your data (well, Mac is no hindrance, there is software to allow you to run windows programs in a Mac) you must look at the display read out each day for your AHI and note it for reference to see if there is a trend. However, out of pocket or not, your description of your problem sounds like you need to see a professional, one way or another.

If you have gained weight or are indulging in habits that precipitate apnoea events (drinking, drugs, smoking, certain medications, etc), any of these could cause a set back and worsen your condition, requiring a re evaluation of your therapy method. Sometimes the problem can be quite simple (sleeping on your back can cause a worsening of the apnoea symptoms for some people, mask or not) or drinking mucous producing products (milk, etc) before bed time (or at any time). So you need to look at all the different factors that could be involved. But if "environmental" factors are not the cause, then get thee back to thine doctor.
06-09-2013 04:09 AM
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wordfreek Offline

Members

Posts: 4
Joined: Jun 2013

Machine: REspironics M Series BiPAP Auto with Bi-flex
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: unsure
CPAP Pressure: unsure
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #10
RE: Decreasing effectiveness?
(06-09-2013 02:09 AM)Tez62 Wrote:  wordfreek, welcome, just another thought, you could mail your simcard to them and get them to mail it straight back to you.
The CPAP's store the data in there memory anyway and then update the cards when they are inserted back in the machine.

Wow, smart machines. i'll check into doing it that way. Saves time and gas and aggravation. Thanks for the tip.
06-09-2013 10:22 AM
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