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First night
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Dgsr Offline

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Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #11
RE: First night
(02-04-2014 06:18 PM)retired_guy Wrote:  but on the surface it seems to me that if you take in 18 and put out 14, you're going to hyperventilate.

I'm not entirely sure myself. It seems to work similar to a CPAP with EPR. It's forcing 18 up my nose when I inhale, and senses when I begin to exhale, and brings the pressure down lower(14). I assume a VPAP/BiPAP just allows a larger swing between pressures. Which is also why I don't understand the recommendation of a VPAP, only to set a 4 point difference.
02-04-2014 08:38 PM
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Dgsr Offline

Preferred Members

Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #12
RE: First night
(02-04-2014 05:20 PM)zonk Wrote:  whats the leak?

I can't really trust the daily report, because I was doing mask fitting and learning last night, so it's through the roof.

When I was looking at the screen while wearing it, and adjusting my mask, I was usually under 5. I saw as high as 10-11 at times.

Hopefully I'll have a better idea after tonight.
02-04-2014 09:30 PM
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Dgsr Offline

Preferred Members

Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #13
RE: First night
Well, I made it 2.9 hours last night. I estimate 2 hours of that to be solid sleep, which is better than my first night. Once I woke up, I just couldn't go back to sleep with it on. I guess I'm less tolerant in the middle of the night, because it sure felt like I tried to go back to sleep for more than another hour.

Also my leak and AHI information were probably a lot closer to accurate this time, since the machine wasn't on during mask testing/fitting and just being turned on randomly.

My AHI was 2.7, and my leak was 7L/min.

My mask was tight as all get out. I know less leak is better, but I've read on various threads about the acceptable number for ResMed is under 24L/min. Should I consider loosening up a little bit and accepting a little more leak in exchange for comfort?
02-05-2014 10:50 AM
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retired_guy Offline

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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: First night
(02-05-2014 10:50 AM)Dgsr Wrote:  Well, I made it 2.9 hours last night. I estimate 2 hours of that to be solid sleep, which is better than my first night. Once I woke up, I just couldn't go back to sleep with it on. I guess I'm less tolerant in the middle of the night, because it sure felt like I tried to go back to sleep for more than another hour.

Also my leak and AHI information were probably a lot closer to accurate this time, since the machine wasn't on during mask testing/fitting and just being turned on randomly.

My AHI was 2.7, and my leak was 7L/min.

My mask was tight as all get out. I know less leak is better, but I've read on various threads about the acceptable number for ResMed is under 24L/min. Should I consider loosening up a little bit and accepting a little more leak in exchange for comfort?

I'm thinking a couple of things Dgsr.... Yes it sounds like your mask is too tight. There is a great thread out here somewhere about how to adjust the mask, and it makes the point that you put it on gently and allow the mask to make the seal it was engineered to do. You may or may not get more leaks that way when you toss and turn in the night, but you will most certainly will be happier to wear the thing.

The other thing is you sound a bit like me when I started using a mask. I fought it every step of the way. When you said "I made it 2.9 hours" that reminded me of how I felt "oh good, I tolerated the stupid thing for 3 hours this time... Far better than the 15 minutes earlier." That sort of stuff.

Once I "surrendered" to the mask and machine and allowed them to have their way with me I was much happier. Then, working on mask fit until it was more comfortable I finally achieved the nirvana point when the mask and I became one. Not always, but at least some times.
02-05-2014 01:54 PM
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zonk Offline

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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: #15
RE: First night
(02-05-2014 10:50 AM)Dgsr Wrote:  Should I consider loosening up a little bit and accepting a little more leak in exchange for comfort?
I would do just that. comfort is essential, mask that hurt wont be on your face for long before removing it. my leak number is higher than yours, does not bother me at all as long as not disrupting my sleep or goes near my eyes which is a no no. leak number on the screen is 95th percentile ... leak was at or below this number for 95% of the time. good mask fit indicate 70th percentile leak is less than 24 L/m
02-05-2014 02:11 PM
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Dgsr Offline

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Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #16
RE: First night
Thanks for the info!

I'll try to do some searching on mask fitment. I tried following the video from ResMed, but it only resulted in air shooting into my left eye.
02-05-2014 02:39 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: #17
RE: First night
(02-05-2014 02:39 PM)Dgsr Wrote:  Thanks for the info!

I'll try to do some searching on mask fitment. I tried following the video from ResMed, but it only resulted in air shooting into my left eye.
personally I prefer masks with the forehead dial like the original quattro and my mask, might looks bulky for some but the forehead dial allows you to fix leak into the eyes

here is quattro air review http://www.apneaboard.com/forums/Thread-Quattro-Air-full-face-mask
02-05-2014 03:01 PM
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Dgsr Offline

Preferred Members

Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #18
RE: First night
(02-05-2014 03:01 PM)zonk Wrote:  personally I prefer masks with the forehead dial like the original quattro and my mask, might looks bulky for some but the forehead dial allows you to fix leak into the eyes

I wanted the original quattro, but my DME would have had to order it. They said if they ordered it, I couldn't return it. So I went ahead and tried the air, since I have two weeks to return it.

I'm going to ask my Dr. for a list of the rest of the local DME's in the area and do some calling around to compare what they carry and their return policy. Not sure if this is standard, but they might not be my DME for long.
02-05-2014 04:15 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #19
RE: First night
(02-05-2014 04:15 PM)Dgsr Wrote:  
(02-05-2014 03:01 PM)zonk Wrote:  personally I prefer masks with the forehead dial like the original quattro and my mask, might looks bulky for some but the forehead dial allows you to fix leak into the eyes

I wanted the original quattro, but my DME would have had to order it. They said if they ordered it, I couldn't return it. So I went ahead and tried the air, since I have two weeks to return it.

I'm going to ask my Dr. for a list of the rest of the local DME's in the area and do some calling around to compare what they carry and their return policy. Not sure if this is standard, but they might not be my DME for long.

My new DME brought me 11 masks to try. My old DME (Apria) will let you look at the masks but they won't let you try them on, at least in my state that is how they do it. They have a few different masks on dummy heads to look at and that is it.

This is why I like my new DME. the manager drove from his office and met me at the sleep lab where I was having my titration in a few weeks to let me try them on. They were all brand new in the original package and unopened.
02-05-2014 09:14 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #20
RE: First night
I don't like this business of not allowing the client to pick out what ever mask they want.
With the profits the DME's are rolling in they could let you try them ALL on and throw them away afterwards.
The revolving door they have going on with the health insurance companies would cause you to break out in a rash
if you could see their cash flow. They really make their money in "machine rentals' where they buy the machine
and rent it to you at $800 a month (billed to insurance) for a good part of the year then some will even bill YOU for a major fraction of the purchase price (if you keep up with compliance) after pocketing all that rent money.
DO not be fooled, they are still just picking your pocket inidirectly with the insurance company acting as middle man.

I am not making this up. There is a link you can search google for "The True Cost of Health Care" by David Belk, MD
You will be astounded.
*end rant*

Good luck with your therapy, Dgsr
Stay with it and live long enough to be a constant problem for your DME!

Sleep-well

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
02-05-2014 09:49 PM
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