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HI! - new user reporting in (FP/Resmed/Philips info)
#1
HI! - new user reporting in (FP/Resmed/Philips info)
Hey,

2-3 days lurking I figured it was time to join up and share my experience.

I was diagnosed with Mild-Moderate OSA back in 2009 and had a dental splint made to help with it, it did, but it didn't solve the issue and created its own issues. Fast forward to the last month and I had a car accident (thankfully no one was hurt) but one of the factors was likely to be tiredness. I got in to see a sleep specialist quickly and he popped me straight on an APAP machine, then I did a sleep study, and am currently trialing different machines. I started trialing about 2 weeks ago.

After the sleep study I was prescribed a rated pressure of 6cm H2O, though my sleep specialist suggested 7 might be a better figure. 

I'm lucky in that I tried the dreamwear nasal pillow and it fits/works comfortably without any dramas. 

Regarding gear
First I tried the F&P Sleepstyle Auto, both on Auto and CPAP (6) with humidifer at 4/8. It's a nice machine but is very pricey here in Australia (2k-2.5k) and seems unavailable overseas. Very quiet, but no sleepyhead support so data from it is pretty limited without big brother watching. (yeah I care about this). Extremely quiet machine, reasonably comfortable. AHI varied from 0.5-1.7 while on this machine. Very small footprint/box

Second machine I tried was the Respironics (Philips) dreamstation Auto, humidifer at 2/5. I was very hopeful for this machine, as it was the least expensive. I hated this machine.  The test machine had about 1600 hours on it. It was noisy on inhale (sounded like a phone vibrating) and I had a terrible night sleep - AHI 3.7, setting was Auto 6-10CM. Despite my script being 6 - it Autoed to about 7. Tried different exhale relief settings all didn't make significant difference 

Third machine, Resmed Airsense S10 Autoset, Auto to 6-15, Humidifier Auto, . Nearly as quiet as the F&P machine, my partner couldn't even tell it was on. Best night of sleep to date despite drinking alcohol the night before. AHI 0.38, 95% pressure 8.8. 

My specialist suggests an Auto machine is complete overkill, and the "fact" that Autos sense the event after the event starts rather than preventing it in the first place, but being a tinkerer, I prefer having all options available.  

Currently definitely leaning towards buying the S10 Auto (with a Toshiba wireless card), but I thought my experiences may be helpful for others deciding on a machine.

Note I would post data, but can't until my postcount goes up, so will when it does.
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#2
RE: HI! - new user reporting in (FP/Resmed/Philips info)
Good story. I'll take exception to your specialist's statement that Auto is overkill because they sense the event after it occurs. The machines are very good at detecting apnea and hypopnea precursors like flow limitations, snores, volume changes and responding with increased pressure ahead of the event. Some are better than others, and your Airsense 10 is probably one of the fastest in responding with auto pressure. Also, our pressure needs are not static for sleep stage, position or many other factors, including health, congestion etc. It's fine to be an Auto CPAP curmudgeon, just don't impose it on innocent patients.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
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Mask Primer
How To Deal With Equipment Supplier


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.
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#3
RE: HI! - new user reporting in (FP/Resmed/Philips info)
(11-25-2017, 11:41 PM)Sleeprider Wrote: I'll take exception to your specialist's statement that Auto is overkill because they sense the event after it occurs.  The machines are very good at detecting apnea and hypopnea precursors like flow limitations, snores, volume changes and responding with increased pressure ahead of the event.

I guess what he's saying is that those precursors don't happen when set to a constant pressure which is high enough. Despite his opinion, I disagree with him after having done research about it. My theory is that you can't know ahead of time what the top end pressure is on a night by night basis, so "auto" means you will have fewer events which are not contained by the therapy
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#4
RE: HI! - new user reporting in (FP/Resmed/Philips info)
G'day Keljian. Welcome to Apnea Board.

It certainly sounds like you've done your homework, which is good to see. Unfortunately many people are bamboozled by the experience and end up with a totally inappropriate machine. I'm with SleepRider that I think your doctor has it wrong about auto machines. This reflects an outdated mode of thinking which is still very prevalent in the sleep industry.

Have you considered purchasing a machine on-line from the United States? You can achieve a pretty significant cost saving, though it does mean you won't get local warranty support and will possibly get a negative reaction from your doctor / clinic. However simple obstructive apnea is really not much more than a plumbing problem which any reasonably intelligent person can be taught to manage with the help of a support group like Apnea Board.
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#5
RE: HI! - new user reporting in (FP/Resmed/Philips info)
Hey DB,

Yep, I'm looking quite seriously at buying the S10 on Amazon, I'm a Digital Marketer/eCommerce manager by trade and am no stranger to buying stuff online. That said, I've only had one night with the S10, and have fine tuned a few settings today.  (Min pressure 6.6, up 10%, EPR down from 3 to 2, ramp off) - Min pressure up/EPR down because I want to reduce the the CA overall, ramp off cause well, I can handle the pressure without drama, doesn't seem to affect the sleep though so I'm not too fussed.

I'm open to suggestions though.

Data in the pic below.  Note I got up at 3:40am to go to the bathroom, and I had alcohol in the evening before the sleep. I do eventually want to hit 0.0...

https://imgur.com/a/j6I9h

Re a negative reaction from the specialist - he suggested I could get a machine significantly cheaper online than locally, and has given me free reign to tinker with settings - so no issue there.
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#6
RE: HI! - new user reporting in (FP/Resmed/Philips info)
Provided tonight's sleep is half as good as last night's, I'll order the device tomorrow
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#7
RE: HI! - new user reporting in (FP/Resmed/Philips info)
I've edited your post to make the link clickable.

That's an outstanding result for a newbie. Aiming for zero apneas isn't realistic as even "normal" people get a few during the night. The main aim now is to ensure you're totally comfortable and that your sleep is refreshing. You've got the numbers under control (based on one night) so now it's a question of "how do you feel?"

Your doctor sounds pretty enlightened, despite his earlier comment about auto machines.
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#8
RE: HI! - new user reporting in (FP/Resmed/Philips info)
Sounds like the ResMed Autosense10 Auto is the machine that worked best for you.
I would still go for the Auto machine even if the doctor says it is overkill.
If you have to pay for it or make up the difference do that.
First machine sounded as if you were reasonable happy with, so it's up to you.
However, if it is not available elsewhere, I would go for the one that is.
Good luck with your treatment.  Do let us know how you get on.   Smile
I am NOT a doctor.  I try to help, but do not take what I say as medical advice.


Every journey, however large or small starts with the first step.

Sleep-well
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#9
RE: HI! - new user reporting in (FP/Resmed/Philips info)
Well day 2 data is in, still outstanding results from the s10 so I've ordered it. 

(results below)
https://imgur.com/8yGx3lf

Pressures seem higher than I expected but that's what it is. 

The mask is giving me a little irritation in the morning when I wake up, which goes away an hour or so after I wake up, but I'll sort that with the strap etc.

Seems sleepyhead misreports the temperature stats and the humidifier (Auto) not that it's a big deal. 

Will be getting the hypoallergenic filters and the toshiba wireless sd card for the data (cause it's a hassle to pull it out every few days)
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#10
RE: HI! - new user reporting in (FP/Resmed/Philips info)
(11-26-2017, 03:58 PM)Keljian Wrote: Well day 2 data is in, still outstanding results from the s10 so I've ordered it. 

(results below)
https://imgur.com/8yGx3lf

Pressures seem higher than I expected but that's what it is. 

The mask is giving me a little irritation in the morning when I wake up, which goes away an hour or so after I wake up, but I'll sort that with the strap etc.

Seems sleepyhead misreports the temperature stats and the humidifier (Auto) not that it's a big deal. 

Will be getting the hypoallergenic filters and the toshiba wireless sd card for the data (cause it's a hassle to pull it out every few days to get the data)

Your pressure averages just over 7-cm with excursions to the mid-8 range.  What the titration does not consider is the effect of that 2-cm exhale pressure relief (EPR). So if obstructive apnea was mostly controlled in a range of 6-7 cm, guess what?  That is exactly where you are.  At these low pressures, it is likely that if you reduced EPR to 1, your median and 95% pressure might drop a bit.  Your results are great and no need to do anything, assuming this is comfortable. 

If you get a chance to try the Airfit P10 pillows mask, you will have arrived.  Bigwink
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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