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Just Diagnosed - Starting Treatment
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Sleeprider Online
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Posts: 3,331
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: #11
RE: Just Diagnosed - Starting Treatment
Mixing brands of masks and machines is not a problem. At this point you don't need to be concerned with that.

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09-08-2016 09:46 AM
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Sleepster Offline
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Posts: 4,989
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #12
RE: Just Diagnosed - Starting Treatment
(09-07-2016 09:31 PM)SleepySleeps Wrote:  Apneaway, thanks. I forgot about the feature that the machines have predefined settings for masks from their same company.

That is purely a marketing strategy. I wouldn't let it affect my purchase choices. There is absolutely no therapeutic advantage to having the manufacturer of your mask match the manufacturer of your machine. None.

Sleepster
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09-08-2016 07:05 PM
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SleepySleeps Offline

Members

Posts: 18
Joined: Sep 2016

Machine: Resmed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: Simplus
Humidifier: Integrated set to Auto
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Southeast, United States

Post: #13
RE: Just Diagnosed - Starting Treatment
I ended up getting my machine today. A ResMed AirSense 10 AutoSet, with a F10 mask.

I am cautiously hopeful that my first night tonight will go well, and I will feel good tomorrow.

Off to update my profile now.
09-08-2016 07:12 PM
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Maskup Sleepwell Offline

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Posts: 55
Joined: Aug 2016

Machine: Respironics Dreamstation Auto BiPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10 FFM
Humidifier: Dreamstation Heated Humidifier
CPAP Pressure: EP 16-20 IP 17.5-20 PS 1.5-4.0
CPAP Software: SleepyHead EncorePro

Other Comments: Untreated AHI 48.0 - Treated AHI 1.1 (30 day average)

Sex: Male
Location: Santa Clarita, California

Post: #14
RE: Just Diagnosed - Starting Treatment
1. I had 77 hyponeas at one point. Is there anything different from obstructive apnea, as far as treatment is concerned?

With an APAP, nope. BiPAPs can be tweaked to address the hypopnea component.

2. Is my intended machine and mask choices good, or should I be considering something else initially? My DME has 30 day trial periods. Thankfully my insurance will cover 100%.

Dreamstation has worked well for me for about a year. Have also had good luck with Respironics System 1 for several years in the past.

3. Would a new pillow or mattress assist? If so, does anyone have any specific recommendations?

I got one years back but ended up tossing it. At the time I was using a FFM with a forehead piece which didn't work well for me sleeping on my side. I should actually try one again now that I have been using FFMs without the forehead piece anymore. Might work better. Have gotten use to putting my hand between my face and my regular pillow to get the mask off the pillow if need be. Firmer pillows in general seem to work better as you don't sink as far into them.

4. During the study my oxygen desaturation only dropped to 85%. Is it worth investing in an oxygen monitor? I was eyeing a CMS 50F, based on previous forum posts here.

Not needed unless you're curious. Thats about where my SPO2 dropped to as well with a 48 AHI. xPAP with a good AHI will fix low SPO2.

5. I have also been unofficially diagnosed with low testosterone. Is there any concern with treating Low T and sleep apnea at the same time?

I'll leave this one to others as I no nothing about Low T and OSA.

Hope this helps.
09-08-2016 07:23 PM
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SleepySleeps Offline

Members

Posts: 18
Joined: Sep 2016

Machine: Resmed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: Simplus
Humidifier: Integrated set to Auto
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Southeast, United States

Post: #15
RE: Just Diagnosed - Starting Treatment
So, I had my first night on CPAP. While I cannot say that I feel ready to run a marathon, I do have a minor headache this morning, but I definitely feel a little better than my "best" days so far. And WAY better than my "bad" days.

I definitely think that I am going to take to CPAP therapy like white on rice.

A couple of questions:
1. My eyes look bloodshot this morning, what might cause this, and how do I fix it? This was not a problem yesterday, but was after my sleep study as well.
2. The mask seemed to "clamp" on my nose, but I was able to adjust it upwards a micro amount and it relieved most of the pain. I don't know if this is enough reason to go up in mask size? Things felt fine while sitting up straight, this was when I laid down on my side.

My AHI was 52 in my sleep study, reduced down to 13 once they put the mask on me. Per sleepyhead, my AHI for the night was 1.8! Although, it appears as though I had an hour where I hit 5 AHI, which I understand to be "treated", but room for improvement.

Sleepyhead did a report a big mask leak, but when I looked at the graphs, this was right after turning the machine on. I am fairly sure I broke the mask seal to move it at that time, so I don't think that is anything to worry about.

If anyone notices anything that I should consider changing, please let me know.

Thanks!

[Image: PYNndpU.png?1]
(This post was last modified: 09-09-2016 05:57 AM by SleepySleeps.)
09-09-2016 05:55 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,331
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: #16
RE: Just Diagnosed - Starting Treatment
Your first night looks very successful. The summary statistics is not as useful to us as the daily details with the left statistics panel properly setup. This link is to an article that describes how to organize your data for use on the forum. https://sleep.tnet.com/resources/sleepyhead/shorganize

Also, if you run short of attachment space on the forum, hosting images on a site like Imgur can be a very good option. This explains how to do it. https://sleep.tnet.com/reference/tips/imgur

Mask comfort issues are perhaps the biggest challenge facing new users. You can relieve pressure on the bridge of the nose using mask liners, available from many suppliers. They cushion the mask, provide an absorbant surface and prevent skin irritation. Full face masks are known to irritate the bridge of the nose, and the F10 does so more than masks that have a forehead support pad, but in return the mask is less bulky. Nasal pillows of course are the most minimal of masks, and do not clamp on any part of your face. I hope you get the chance to try them in the future, assuming you can control mouth leaks.

Your first night featured pressure mostly in the low to mid-range of your settings. That's perfect. You seem to be using the EPR feature and it is working well for you. Your AHI results are exceptional for a first night. Don't get discouraged if they fluctuate or increase.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
09-09-2016 08:58 AM
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SleepySleeps Offline

Members

Posts: 18
Joined: Sep 2016

Machine: Resmed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: Simplus
Humidifier: Integrated set to Auto
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Southeast, United States

Post: #17
RE: Just Diagnosed - Starting Treatment
Sleeprider, I will definitely look into the mask liners.

I had a lot of issues with the nasal mask at my sleep study, and my doctor wrote the prescription as a full face mask without asking me. So, my DME says that can only issue a full face mask.

My DME was recommending the F10, in that it would still allow me to use my glasses. While I can survive without them, it is slightly more comfortable. Although, I am still not able to wear my glasses with the mask, my glasses push into my nose too much while wearing the mask. Although, would liners possibly help?

Here is another screenshot from sleepyhead, hopefully this is more useful.

[Image: JAYougr.png]

Thanks for everyones help.
09-09-2016 10:33 AM
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Maskup Sleepwell Offline

Preferred Members

Posts: 55
Joined: Aug 2016

Machine: Respironics Dreamstation Auto BiPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10 FFM
Humidifier: Dreamstation Heated Humidifier
CPAP Pressure: EP 16-20 IP 17.5-20 PS 1.5-4.0
CPAP Software: SleepyHead EncorePro

Other Comments: Untreated AHI 48.0 - Treated AHI 1.1 (30 day average)

Sex: Male
Location: Santa Clarita, California

Post: #18
RE: Just Diagnosed - Starting Treatment
Well that is a very successful first night!

I had many an issue with the bridge of my nose early on with FFMs ... I have found it works better if I tighten the bottom of the mask as tight as I can tolerate, then only tighten the top of the mask only to the point where it doesn't leak and not much more.

Hope that helps ...
09-09-2016 12:01 PM
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SleepySleeps Offline

Members

Posts: 18
Joined: Sep 2016

Machine: Resmed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: Simplus
Humidifier: Integrated set to Auto
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Southeast, United States

Post: #19
RE: Just Diagnosed - Starting Treatment
(09-09-2016 12:01 PM)Maskup Sleepwell Wrote:  Well that is a very successful first night!

I had many an issue with the bridge of my nose early on with FFMs ... I have found it works better if I tighten the bottom of the mask as tight as I can tolerate, then only tighten the top of the mask only to the point where it doesn't leak and not much more.

Hope that helps ...

I will definitely try this. I did to some extent, but, I may not have done it enough. Thanks!
09-09-2016 12:07 PM
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chill Online

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Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #20
RE: Just Diagnosed - Starting Treatment
With a FFM, the bottom straps are mostly for adjusting tightness to stop leakage and the top mostly for adjusting position. But after a certain pressure the top straps play more of a role in controlling leaks, at least on my face with a Simplus FFM. I have an F10 (I have a mask collection problem :sHa_biggrin5Smile but I have not used it yet so I have no mask specific advice. If your supplier will let you trial different masks, I will suggesting trying the F&P Simplus and the Respironics Amara View as potential alternatives. Not every mask works well with every face, sometime you need to push to get the one that is right for you.

As for the bloodshot eyes. Was there air leaking out of the top of the mask and blowing into your eyes? I've woken with one or both eyes bloodshot and this might be the cause. It could also just be the mask being too tight near the eyes (that is just a guess), or the mask shifting out of place when you are deeply asleep and pressing on your eyelids.
09-09-2016 12:15 PM
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