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Hello, 1st time on the board to post. Have previously accessed the manuals.
#1
Hello, 1st time on the board to post. Have previously accessed the manuals.
Hi,  I need help in dialing in the optimals for my current lung status. It is different now than it was 1 month ago.
Been using a Dreamstation BiPap Pro DSX600H11. Mfg 11/2015.
With the mated humidifier DSXHCP.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Ok, the machine has met my basic needs for
OSA, IPF pulm fibrosis (dx since using this machine! 5 yrs). Restrictive airways disease, Reactive Airways/Asthma (all suddenly wildly exacerbated).
****I spent 18 days in COVID ICU Isolation,
Only home 6 days now. My respiratory machinery needs were absolutely dropped through the cracks, despite my loudest vocalisations of protest that “having a cpap machine at home” no more meets safe discharge guidleines than sending me home on 1 E-Tank, while I am using 8-10L/M.
****OK, just looking for some more exerienced guide with my machine: I have come back from the dead. I want to eliminate any roadblocks. -***I often feel that I am at war with my BiPaP, especially when I finally sleep. I have tweaked my I/E settings to now:15/9.  Prehosp I was good at20/10.  I dont know about the auto adjust features on the fly, or how to make this work for me so I wont have to go back in hosp.
I hate Ramp! I need the flow and IP as soon as its on. Heat is on 2 and 2 for tubing. Machine works fine. I just need to TRY to find optimals for now. I often feel air hunger. Anxiety is addressed. What about auto-titrate flow? Was that just on a previous machine?
What’s so PRO about this one?
Help! Thank you! God bless you!
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#2
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
Welcome to the funny farm of Apnea.

First pointer I have is, let's get you to download OSCAR to your PC so we can see therapy data.

Second, be aware your Respironics DreamStation, if series 1, is under recall. You may need to check with your doctor about getting it replaced.

Third, tell us more on your Respiratory disease. This will be a big monkey wrench in some to most Apnea machines not working well for you. This may place your therapy needs to ventilator or nearly so status necessity.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
Hi, How will OSCAR help with getting better dialed in now, to hopefully eliminate any unnecessary increased WOB .
Oscar all new to me.
I am aware of the recall. I am signed up with that. I’m nearly 5 yrs into the life of my dreamstation.
I have an appt nxt Thursday with my pulmonary guy. Its so long btwn now and then….. need to keep breathing as effortlessly with this machine as possible.
    Today Im on oximizer cannula at 10L/M.
Doing better off bipap. But need get dialed in.  Wassup with Flex? Biflex? And Flex choice of 1, 2, 3 ???  What does that represent for me today?  Thanksa
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#4
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
How will OSCAR help? We can see your data and then know what settings will need adjusted to address the issues in your therapy. We can't do well driving blind.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
Hi and welcome - as Dave said, please install OSCAR and let us see what's happening with your data so that we can help you find the best settings for you.


See my comparison of Viatom/Wellue and CMS50F oximeters here.

Not a doctor, definitely not your doctor, all advice is given as-is and represents simply my own understanding as a fellow patient and OSCAR user.
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#6
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
Does Oscar require a compuker to run?
I only use an iPhone.
It seems rather odd to run a program somehow detecting my machine settings, 
and plop it out who knows where, for who knows what to see.  For that I am not a zealot.  
I may have solved my trouble, maybe, by having perused an online manual for my machine.  I believe I distilled down the few tweakable adjustments to make to ensure better transaction between this machine & me. In BiPap mode, Flex 1,2,3. (#3) seems to be the best choice for releasing airway pressure, (IPaP #15)before the end of expiratory phase when my setting of 
(EPaP #9)  kicks in for effective PEEP.

Since coming home after the ICU stay due to the China Biowarfare which WTP unwittingly paid for (‘nuther topic) my previously crappy lungs are minimally functioning. I do NOT feel that my 5yr old Respironics Dreamstation BiPaP Pro with matching heater and heated tubing meets my current minimal safe needs. Before the China Flu I was at about 40% by PFT. With a few PFTs in that range. 
Dx: IPF x about5 yrs. just as long as the respironics machine has been off gassing into my lungs ?. Odd, no? 
I have restrictive airways disease, adult onset asthma, OSA and what has become, extremely reactive airways. It seems unless I’m very well medicated for pain and anxiety, that I tend to now buck or fight the vent to the point It wakes me up struggling to breathe. I actually do better for many hours at a time on an oximizer cannula @10L.

I like the machine for its normal use. I use it 16-18/hrs per day. Awake, asleep, just watching TV in bed.  My pulmonary guy encourages use of BiPaP as an adjunct for me.


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#7
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
Sorry but OSCAR requires a PC or laptop.
Can you provide some m more clues. Please. What types of events are you having.

What data did you have to reduce your PS from 10 to 6?

How was the original 20/10 determined? Doctor prescribed or you determined the settings?

A general comment, very few user find flex of 3 in effective or uncomfortable.
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#8
RE: Hello, 1st time on the board to post. Have previously accessed the manuals.
Also, OSCAR doesn't put your data out anywhere, it just allows you (personally) to access the data that is already being gathered by your machine and then you can post a snapshot of what's going on as an image for us to help you with. But if you don't use a computer of any variety, then no, you can't download it, which limits us a little in what we can suggest.


See my comparison of Viatom/Wellue and CMS50F oximeters here.

Not a doctor, definitely not your doctor, all advice is given as-is and represents simply my own understanding as a fellow patient and OSCAR user.
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