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Getting used to it - need tips and tricks (would like to avoid Lunesta)
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shewhorn Offline

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Posts: 79
Joined: Feb 2016

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: F&P Eson & ResMed AirFit F10
Humidifier: Integrated
CPAP Pressure: 4 - 19
CPAP Software: SleepyHead

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Sex: Undisclosed
Location:

Post: #11
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
Here's the last 3 days... note I've been experimenting with settings so they're a little different on each day. My original prescription was CPAP at 5.5 if I remember correctly. My most recent prescription is APAP at 5-15 (last night I set the machine to APAP, 6-13 (I've never seen the pressure go past 9 over the past 43 days).

Interestingly enough my diagnosis is OSA on the most recent study and OSA with a smudge of Central on the studies from 5 years ago but the machine is almost exclusively identifying "Clear Airway" events. Central is more in line with what I experience (if I'm understanding things correctly). I always notice these events while I'm falling asleep where I exhale, and never inhale again. It happens while I'm still somewhat conscious-ish and then I end up taking a deep gasping breath.
(This post was last modified: 02-18-2016 01:35 PM by shewhorn.)
02-18-2016 01:28 PM
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shewhorn Offline

Preferred Members

Posts: 79
Joined: Feb 2016

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: F&P Eson & ResMed AirFit F10
Humidifier: Integrated
CPAP Pressure: 4 - 19
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #12
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
Ahhh... I see... 512kB limit, thus the tiny pic:

[Image: r0xegj.jpg]
[Image: 343reaf.jpg]
[Image: mu4nm.jpg]
02-18-2016 01:34 PM
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Sleeprider Online
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Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #13
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
(02-18-2016 01:28 PM)shewhorn Wrote:  Here's the last 3 days... note I've been experimenting with settings so they're a little different on each day. My original prescription was CPAP at 5.5 if I remember correctly. My most recent prescription is APAP at 5-15 (last night I set the machine to APAP, 6-13 (I've never seen the pressure go past 9 over the past 43 days).

Interestingly enough my diagnosis is OSA on the most recent study and OSA with a smudge of Central on the studies from 5 years ago but the machine is almost exclusively identifying "Clear Airway" events. Central is more in line with what I experience (if I'm understanding things correctly). I always notice these events while I'm falling asleep where I exhale, and never inhale again. It happens while I'm still somewhat conscious-ish and then I end up taking a deep gasping breath.

Central events during sleep transition are very common, and with as fragmented as your sleep has been this makes perfect sense. They may not be real apnea at all, and would not be scored in a test unless your EEG indicated sleep.

Your charts indicate you're very well treated at the current pressures, so I don't see too much to do with machine settings. The focus needs to be on comfort and adapting to the therapy to get some consistency and quality sleep.

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02-18-2016 02:41 PM
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shewhorn Offline

Preferred Members

Posts: 79
Joined: Feb 2016

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: F&P Eson & ResMed AirFit F10
Humidifier: Integrated
CPAP Pressure: 4 - 19
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #14
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
Thanks, SL! Hopefully I'll get closer to better comfort at tomorrow's appointment for a new mask fitting.
02-18-2016 02:48 PM
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PoolQ Online

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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: #15
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
"I always notice these events while I'm falling asleep where I exhale, and never inhale again. It happens while I'm still somewhat conscious-ish and then I end up taking a deep gasping breath"

This was me exactly, along with the centrals. Turns out I had COPD on top of sleep apnea. Any reason to think you might also have COPD? Ex-smoker? dusty environment? I would exhale and just sit there with no reason to inhale, quite comfortable and then a big breath. This was anytime I laid down, before sleep.
02-18-2016 03:07 PM
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trish6hundred Offline

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Posts: 6,453
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: #16
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
Hi shehorn,
I just recently switch to the Fisher & Paykle Simplus full-face mask, and so far it has worked well for me, you might ask to try that one at your next mask fitting, good luck to you.

trish6hundred
02-18-2016 03:48 PM
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shewhorn Offline

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Posts: 79
Joined: Feb 2016

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: F&P Eson & ResMed AirFit F10
Humidifier: Integrated
CPAP Pressure: 4 - 19
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #17
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
(02-18-2016 03:07 PM)PoolQ Wrote:  Any reason to think you might also have COPD? Ex-smoker? dusty environment?

Never smoked, wood floors most of my life (low dust).... that and I see my allergist once a month. Asthma since I was 4.
02-18-2016 10:59 PM
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shewhorn Offline

Preferred Members

Posts: 79
Joined: Feb 2016

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: F&P Eson & ResMed AirFit F10
Humidifier: Integrated
CPAP Pressure: 4 - 19
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #18
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
Tried the F&S Simplus, it leaked. Tried everything else they had... ended up with the Airfit F10 again... BUT... a medium instead of a small. So, it's possible they fit me incorrectly at the sleep study so we'll see if I do better with the new mask. I did try some nasal masks and the Respironics DreamWear was absolutely brilliant. Unfortunately my nose is either stuffed, swollen, or otherwise blocked most of the time but I figure... on the rare occasions that it's clear, I might get one. Also... the new machine is the Airsense. It has one feature that may make a significant comfort difference for me and that is having a humidity sensor which automatically controls humidity and the ability to override it giving me independent control over the humidity and tube temp. One thing that really bugs me about the S9 is that if you want more humidity, you have to dial up the time. I DO want more humidity (duh... New England in winter) but I really don't like breathing hot air (I'm already full of hot air as it is Wink ).

We'll see how it goes with the new machine. Thanks for the input everyone.
02-19-2016 12:57 PM
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WakeUpTime Offline

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Posts: 156
Joined: Jan 2014

Machine: PR System One BiPAP S60 Auto 760
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: PR S1 w Heated Tube+Hose
CPAP Pressure: Auto / Inhale 11-12.5 / Exh 9
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location:

Post: #19
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
I see your 95% inhale pressure is around 8. Went you put the mask back in in the middle of the night, the air pressure spikes up on your machine. I'm not the most qualified one on this board, that's for sure. Lately, I've had better results with keeping a consistent inhale pressure throughout the night, rather than letting the machine perform it's regulating practices. The steady pressure might also minimize leaks during the night, as well as comfort. Since most of your AHI is made up of centrals, you seem to get the pressure you need to be the obstructives. If your constant pressure was 7, I'd wonder what kind of night you'd have for several days. (One day isn't enough for a good test, as there could be many factors at work for just one night.)

I've been taking a middle-of-the-night subliminal sleeping pill with my CPAP for 2 years now. I do vary the dose depending on when I wake up. If I make it to 4am, I also go no-pill every now and then. I have no troubles sleeping with CPAP. Now, with a cold, the humidifier and warm air helps a lot.

Sleep Apnea has given me a terrible memory. Please forgive me if I've repeated myself.
(This post was last modified: 02-19-2016 02:13 PM by WakeUpTime.)
02-19-2016 02:09 PM
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shewhorn Offline

Preferred Members

Posts: 79
Joined: Feb 2016

Machine: ResMed AirCurve 10 ASV
Mask Type: Full face mask
Mask Make & Model: F&P Eson & ResMed AirFit F10
Humidifier: Integrated
CPAP Pressure: 4 - 19
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #20
RE: Getting used to it - need tips and tricks (would like to avoid Lunesta)
Thanks WakeUpTime,

I'll give that a try... for now the prescription settings (APAP 5-15) are pretty much what I've run for the last few nights (6-13 but it never goes much above 9). I'm not going to futz with the new machine while I'm on the trial period because... BCBS is comprised of fork-tongued... no wait, I like snakes and that would be an insult to snakes... anyhow, I wouldn't put it past them to deny payment if the settings were changed even if the data indicated compliance and efficacy of treatment. Hopefully by the time the trial is over though... I'll have 70 to 80 days under my belt trying to get used to this thing and I'll have adapted to it, but if I'm still struggling, I'll change the settings and give that a try.
(This post was last modified: 02-19-2016 04:27 PM by shewhorn.)
02-19-2016 04:26 PM
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