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I have no clue and need guidance.
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not2shygrrl Offline

New Members

Posts: 2
Joined: Feb 2015

Machine: resmed auto S9
Mask Type: Nasal mask
Mask Make & Model: respironics wisp
Humidifier: H5i
CPAP Pressure: 16
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: rural Pennsylvania

Post: #1
I have no clue and need guidance.
I am brand darn new to Cpap...Autopap, Bipap and are they one in all or very different? Do I understand correctly that cpap can be auto also?

I did a home study, due to the doctor at the sleep study facility not submitting the correct codes or what not. My insurance which is mediocre at best said HOME STUDY. So I did it with no complaints really, back in October. Needless to say I am dealing with this issue of sleep apnea thru my pcp, who has left the practice and I am now seeing a new pcp at the same practice. UGH. He is the issue, after going to Apria for my machine I left without one by my choice. After reading here in the past few weeks while waiting to be fitted, I wanted an auto pap machine. What my doc is scripting for is a cpap with a setting at 16 forced air pressure. Holy crap! I am being blown away and cant even exhale at that pressure. When I tested it was an apap machine as determined by the test where I hooked up wires and that breathing meter, hence the apap was sent to me for 4 nights. I felt like OK, this I can do and tolerate with no issues. I slept great!
Went to pick up my machine and testing it out at 16 is not something I expected to do. I cant even imagine after Novasom the testing at home place told me I had mild apnea, that my forced air number would be 16 as determined by the doc, and not apap but cpap.

I am so pissed, it is now going on 5 weeks after my visit to get to this point and I am not, I repeat not accepting that machine at 16 blow me outta bed pressure. I understand there are ways to deal with that in the privacy of my home and internet. And likely will look into you-tube Smile

Really what I am trying to figure out ( other than going to a new doctors office ) is this forced air setting at 16 constant an average number? I kinda feel that is pretty harsh. I know everyone is different, but after hearing from the testing people I have mild apnea I wanna strangle my doc. Delayed but again.......any advice in addition to what I have stated here? thanks!
I do not have my testing results as Novasom sent me a release form via email, I do not have a printer. My docs office didn't have both results when I saw him 5 weeks ago and I had to call Novasom to re send them via fax to the doc. I can't believe this is so complicated to get through. I feel it all started with that goofy doc at the sleep facility when I went there for a consult. I wish I could start all over again from day one and make this smoother! In the meantime, I am tired, getting grumpy and I don't drink coffee! Unsure
02-04-2015 01:04 AM
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truckerdad57 Offline

Preferred Members

Posts: 36
Joined: May 2012

Machine: tester - lots
Mask Type: Nasal pillows
Mask Make & Model: tester lots
Humidifier: ResMed S-9 climateline
CPAP Pressure: APAP 15-17
CPAP Software: SleepyHead

Other Comments: Truck driver active on issues with apnea and DOT medical exams.

Sex: Male
Location: Batavia, Il

Post: #2
RE: I have no clue and need guidance.
I can feel your pain.

If you really need to use an Apap you need to get the prescribing physician to write the prescription for pap specifically for Apap and the range.

What your pressure is and the severity of your sleep apnea are not really connected. I'm somewhat confused about how they determined your pressure. If you can post more maybe someone else can offer you a little more about this.

Bipap are more sophisticated machines generally used for central apnea. You probably don't need one.

Yes it's complicated sometimes but keep posting.

(Just a truck driver with sleep apnea )
02-04-2015 02:13 AM
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saltydawg2 Offline

Preferred Members

Posts: 92
Joined: Sep 2014

Machine: Resmed S9 autoset
Mask Type: Full face mask
Mask Make & Model: F/P Flexi-fit 431
Humidifier: h5i
CPAP Pressure: 11.8 min-14 max
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: North Carolina

Post: #3
RE: I have no clue and need guidance.
16 is a lot to get used to, right off the bat. Dealing with the mask, by the way, is a pretty good one for me, and the strangeness of it all is a lot. In the land of cpap, from what I can understand, an auto can be used as a cpap, but a cpap cannot be used as an auto. With an auto, pressure will go up to where it needs to go to stop the apnea, but no more. 16 might not be needed all the time. If your unit is not an auto; can't speak to that brand/model, but you really should lobby to get one. The ability to track what is going on is important, so the software available should be downloaded as well. More info will come your way soon.
02-04-2015 05:27 AM
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BigEars Offline

Preferred Members

Posts: 30
Joined: Jan 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: none
CPAP Pressure: The machine decides
CPAP Software: SleepyHead

Other Comments: Ex Olympic Snorer

Sex: Male
Location: Scotland

Post: #4
RE: I have no clue and need guidance.
Maybe set with the right ramp time 16 would be ok. I've moved from CPAP at 10.8 to an APAP and for al lot of the night it's putting out 15+.

Don't get hung up on numbers.
02-04-2015 06:52 AM
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justMongo Offline

Monitors

Posts: 3,840
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #5
RE: I have no clue and need guidance.
A bilevel machine is not for centrals. It is used when higher pressures are required to give a wider range of expiratory pressure relief.
Most insurers make you fail on straight CPAP before they will give you a bilevel. BTW -- bilevels can be auto; as mine is.

Apria has a poor reputation -- one of profit before patient care. If you want an auto, your doc needs to write for a specific machine with the magic words "dispense as written." not2shygrrl: You were right to walk away without a machine. Dealing with Apria is like dealing with a used car dealer -- you have to be willing to walk away. There are also specific machine codes used for billing purposes. I don't know them; but others on this forum do know them. There is probably a guide somewhere.

Running an auto pap with a range of say 10 to 16 would let you be at 10 for most of the night, then rise to as high as 16 when required to quash obstructive apneas.

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.
02-04-2015 07:15 AM
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me50 Offline

Advisory Members

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: #6
RE: I have no clue and need guidance.
(02-04-2015 02:13 AM)truckerdad57 Wrote:  I can feel your pain.

If you really need to use an Apap you need to get the prescribing physician to write the prescription for pap specifically for Apap and the range.

What your pressure is and the severity of your sleep apnea are not really connected. I'm somewhat confused about how they determined your pressure. If you can post more maybe someone else can offer you a little more about this.

Bipap are more sophisticated machines generally used for central apnea. You probably don't need one.

Yes it's complicated sometimes but keep posting.

a BiPAP machine like the one I have is not for central apnea as a matter of fact it will not help with someone that has central apnea are you thinking about the ASV that treats central apnea
(This post was last modified: 02-04-2015 07:51 AM by me50.)
02-04-2015 07:48 AM
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me50 Offline

Advisory Members

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: #7
RE: I have no clue and need guidance.
(02-04-2015 02:13 AM)truckerdad57 Wrote:  I can feel your pain.

If you really need to use an Apap you need to get the prescribing physician to write the prescription for pap specifically for Apap and the range.

What your pressure is and the severity of your sleep apnea are not really connected. I'm somewhat confused about how they determined your pressure. If you can post more maybe someone else can offer you a little more about this.

Bipap are more sophisticated machines generally used for central apnea. You probably don't need one.

Yes it's complicated sometimes but keep posting.

a BiPAP machine like the one I have is not for central apnea as a matter of fact it will not help with someone that has central apnea are you thinking about the ASV but treat central apnea
02-04-2015 07:55 AM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #8
RE: I have no clue and need guidance.
(02-04-2015 01:04 AM)not2shygrrl Wrote:  I am brand darn new to Cpap.

Welcome to the board.

You've made it over the biggest hurdle by getting an excellent, data capable CPAP machine.

Like many of us, you may just have to play along with the doctor and manage your therapy yourself. If you do decide to change your pressure, be careful. If nothing else, you can make your therapy ineffective.

As a start, get the free SleepyHead program and check your own results.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
02-04-2015 12:04 PM
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not2shygrrl Offline

New Members

Posts: 2
Joined: Feb 2015

Machine: resmed auto S9
Mask Type: Nasal mask
Mask Make & Model: respironics wisp
Humidifier: H5i
CPAP Pressure: 16
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: rural Pennsylvania

Post: #9
RE: I have no clue and need guidance.
thanks everyone for your replies of support and suggestions! I think I need to calm down tho! Between life being so crazy right now, and having to fight my pcp for almost 6 weeks now and I am still not using a machine. I will change my pcp, I just wish when these docs are not well versed with cpap issues they admittedly should refer me to someone who is. I was hoping by now that using a machine would at least have given me good rest/sleep and all the rest of life happening would be somewhat less stressful. SO I will see this through, lawdy!

I want to thank the peep(s) who have designed this apnea board for people to find on the web! Prior to going for my machine I was in here lurking and reading.....and those of you that have been here a while likely remember how it was in the beginning for yourselves. Its emotional, scary and takes time to adjust to the reality that it is a need, medically. Anyhow, I am thankful to have this place to come to and read, or ask questions.
02-04-2015 12:18 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,312
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: #10
RE: I have no clue and need guidance.
According to your profile, your machine is Philips Respironics 60 Series Auto DS560. Great. If you want to put it into auto mode that is easy. Just turn the control knob to setup and press the control knob and ramp button until the machine beeps. Then got to setup and scroll to mode and change from CPAP to Auto, then set minimum pressure (probably 8.0) and maximum pressure (20 is fine). Done.

See how it works out and report back. Download Sleepyhead and make sure everything is working. You can always add more minimum pressure to extinguish hypopneas and obstructive apneas. Good luck.

______________________________________________
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02-04-2015 12:21 PM
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