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[Equipment] New Cpap user question
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Annahms33 Offline

Members

Posts: 5
Joined: Apr 2016

Machine: ResMed AirSense 10
Mask Type: Nasal mask
Mask Make & Model: Mirage FX for her
Humidifier: None
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Illinois, USA

Post: #1
New Cpap user question
So I was recently diagnosed with OSA and received my machine and mask from Lincare. I started to have some troubles with my nasal pillows. When the pressure gets really high they pop off and blow air out of all different areas near the pillows and I can't keep it on my face. I told her I think the strap is too big and the pillows are also too big even though I have them in small. They do not adjust and I have a very small head. I called the lady that got me set up and she said she would look into it. That was Wednesday last week and I still have not heard back from her. I am going to call again tomorrow to follow up, but I was wondering if they would let me get a different mask, since I have never used them before and don't know what to expect, I am thinking that the nasal mask would be better for me. I am almost willing to pay the extra because I want something that works.
04-18-2016 03:38 AM
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pupcamper Offline

Advisory Members

Posts: 402
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #2
RE: New Cpap user question
Hello, Annahms33. Welcome to the board.

Finding the right mask can be a challenge. Another challenge is getting the mask adjusted well enough to minimize leaks. Normally you are allowed to try different masks until you find one that works for you. I think most DMEs allow up to thirty days for you to find the right mask. I was lucky in that the DME I work with was willing to do whatever it took to find a mask I was comfortable with, regardless of how long it took. Don't give up on your provider and pay for another mask. Call them everyday until they resolve your problem.

The AirFit P10 is the premiere mask right now, although it is not for everyone. An extra small pillow is available for the P10. Have you tried to go up one size pillow? I know it sounds counter intuitive, but some times a larger pillow will resolve leak issues.

The P10 is adjusted by moving the top and lower strap to different positions. Someone else will have to advise you on that as I am not familiar enough with adjusting it to advise you.

Hang in there. Sleep apnea treatment can be a trial and error process that can take time, but you will get there. There are a lot of knowledgeable people on the board who are willing to help you get there

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
04-18-2016 06:11 AM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #3
RE: New Cpap user question
When I tried that mask I had to route the strap up and over my ears, like glasses, and then pull it down on the back of my head. Made it tighter. I now use the Amara View, some like it some don't, not because of mouth breathing, but because it fits and is comfortable.

Waiting a week is too long, IMHO, be nice but call them back. They may just be hoping that you will get used to the mask you have.
04-18-2016 11:16 AM
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robysue Offline
Wiki Editor
Advisory Members

Posts: 1,245
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #4
RE: New Cpap user question
Annahms33,

The P10's headgear can be quite difficult to "adjust" since it is a one-size-fits most design. In principle you tighten or loosen the P10 headgear by adjusting how far apart the split straps in the back of the headgear are. But they can move around alot while you are sleeping.

You might be better off using the slightly older and slightly more bulky Resmed Swift FX nasal pillows mask that has a fully adjustable headgear.

Questions about SleepyHead?
See my Guide to SleepyHead
04-18-2016 11:58 AM
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trish6hundred Offline

Advisory Members

Posts: 6,452
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: #5
RE: New Cpap user question
Hi Annahms33,
WELCOME! to the forum.!
The mask is the most difficult part of this whole thing, so don't be shy about asking to try as many mask 'till you find one that works.
Hang in there for more responses to your post and much success to you with your CPAP therapy and finding a mask that works well.

trish6hundred
04-18-2016 02:24 PM
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pupcamper Offline

Advisory Members

Posts: 402
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #6
RE: New Cpap user question
If you can't get the AirFit P10 or the Swift FX work, the Nuance Pro pillow works well for me.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
04-18-2016 03:39 PM
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Annahms33 Offline

Members

Posts: 5
Joined: Apr 2016

Machine: ResMed AirSense 10
Mask Type: Nasal mask
Mask Make & Model: Mirage FX for her
Humidifier: None
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Illinois, USA

Post: #7
RE: New Cpap user question
Thanks for all the responses! I have tried to "adjust" the strap but no matter the way I wore it, it kept popping of during the night and I would have to hold it in place at times. I called Lincare, my insurance (BCBS) and my doctor to see what I can do. My insurance said it is a medical necessity and if that means I need a different mask then they will cover it. The RT at my doctors office said they will call and encourage Lincare to work on getting the right mask for me. I have an appointment in the morning so I will hopefully have some kind of progress. Again thanks for all the advice!
04-18-2016 07:35 PM
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kowlooner Offline

Preferred Members

Posts: 31
Joined: Apr 2016

Machine: PR Remstar Auto 560
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Advance, Aloha (backup)
Humidifier: Remstar
CPAP Pressure: 13
CPAP Software: SleepyHead

Other Comments: Started CPAP in May 2016. Should have done this 10 or 15 years ago.

Sex: Male
Location: Hong Kong

Post: #8
RE: New Cpap user question
I’d like to piggyback off this question. I’m in the process of getting a machine and mask and could really do with some advice.

My first question also has to do with nasal pillows, specifically whether they’re suitable or not. My pressure setting should be 13 cm, and I’m wondering if this is too much for nasal pillows. I saw something that said they’re better suited to pressures below 10 cm. Does anybody out there have experience with nasal pillows and higher pressures?

Second has to do with the brand. I’m looking at the Fisher & Paykel Icon, and therefore also at the F&P nasal pillows and / or nasal mask. The mask seemed reasonably comfortable when I tried it on at the supplier’s office, but I didn’t try the pillow at that time. Has anybody had good experiences (or bad experiences) with Fisher & Paykel equipment?

Just FYI, I don’t live in the US so the stuff about DMEs and insurance and all don’t apply. Machines and equipment here are more than double the US online prices, but since I’m new to this I’d prefer to go through the local distributor here at first in order to get the settings and all right. Probably later for replacement parts I’d order from the US if possible.

Thanks in advance!
04-19-2016 05:39 AM
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Annahms33 Offline

Members

Posts: 5
Joined: Apr 2016

Machine: ResMed AirSense 10
Mask Type: Nasal mask
Mask Make & Model: Mirage FX for her
Humidifier: None
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Illinois, USA

Post: #9
Thumbsup RE: New Cpap user question
I was able to get a different nasal mask to try and it is also nice because it does not feel like I am suffocating. I did not feel like I could exhale very well with the nasal pillows and at least with the nasal mask my nose does not feel blocked. I am looking forward to a better night sleep and to see how this works for me!

Thanks
04-19-2016 11:28 AM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #10
RE: New Cpap user question
There was a thread here recently about how to cut one of the two pieces of the P10 strap and sew in a piece of velcro so you can more easily adjust the strap. I should have my P10 this week and I plan to try that if I have difficulty adjusting it.

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
04-19-2016 12:08 PM
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