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Just diagnosed -- need to select a CPAP
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AndyB Online

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Posts: 72
Joined: May 2015

Machine: ResMed AirSense 10 Autoset with RERA
Mask Type: Full face mask
Mask Make & Model: F&P Simplus, ResMed AirFit F10; PR Amara View
Humidifier: ResMed integrated heated
CPAP Pressure: 10.4-13.0
CPAP Software: SleepyHead

Other Comments: Diagnosed May 2015; EPR @ 1cmH2O; Ramp off; ResMed Climateline heated hose

Sex: Male
Location: SE Wisconsin

Post: #1
Just diagnosed -- need to select a CPAP
Hi folks, a newbie here -- I had a sleep study done last week and was told I have OSA. The report hasn't been completed yet, so I don't have any details at this time, but I've been obsessively reading posts here and elsewhere in advance of a meeting next week with my primary care physician, at which time i expect him to prescribe a CPAP. Lots and lots of incredibly helpful posts here, for which I am very grateful.

My main question at this time is what machine I should attempt to get my doctor to specifically prescribe for me (I'm on Medicare and have supplemental insurance that will cover the 20% of cost that Medicare doesn't cover).I understand that the more specific the prescription (right down to model number and desired optional items), the better my chances of getting a late model, sophisticated machine rather than a low-end unsophisticated machine.

From what I've read, the two machines that I think will be best for me (admittedly without having the sleep study details available yet) are the (1) ResMed AirSense 10 Autoset, and (2) Fisher Paykel Icon Plus Auto. Both seem to get excellent reviews here.

I'd be grateful for any advice, suggestions and/or comments anyone may have.

Thanks,
AndyB
05-26-2015 02:50 PM
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AlanE Offline

Advisory Members

Posts: 1,491
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #2
RE: Just diagnosed -- need to select a CPAP
Welcome

I'm biased. I like the A10. I can't speak about the Fisher. I assume either one should be good. Chief complaint about the A10 is the inhale noise. It doesn't bother me though.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
05-26-2015 03:03 PM
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krelvin Offline

Advisory Members

Posts: 155
Joined: Jul 2014

Machine: Resmed S9 VPAP Auto BiLevel
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: S9 Series H5i Heated Humidifier with Climate Control
CPAP Pressure: 10.6cm - 18cm - PS 4cm
CPAP Software: ResScan SleepyHead

Other Comments: FlashAir WiFi SDcard with SleepMaster/FlashPAP - Weather Nut

Sex: Male
Location: Mesa AZ

Post: #3
RE: Just diagnosed -- need to select a CPAP
Depends on your purchasing options.

Either way on Resmed Airsense auto or or the Philips Resprionics DS560. Both are quite popular and have lots of support.

Lean towards the PR if you do camping or need battery power, more options. If money is an issue even an S9 Autoset is a very good machine. The S9 uses less power than the Airsens models but the PR is still a better option for battery use.

The Icon plus would be down the list as a third place option.

Current Settings PS 4.0 over 10.6-18.0 (cmH2O) BiLevel Auto
TNET Sleep Resource Pages
CPAP Machine Database
(This post was last modified: 05-26-2015 03:14 PM by krelvin.)
05-26-2015 03:12 PM
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trish6hundred Offline

Advisory Members

Posts: 6,436
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: #4
RE: Just diagnosed -- need to select a CPAP
Hi AndyB,
WELCOME! to the forum.!
Check out the following link: http://www.apneaboard.com/wiki/index.php...ne_Choices .
This is really a good guide on which machines to buy and which ones to avoid.
Hang in there for more responses to your post and much success to you as you start your CPAP journey.

trish6hundred
05-26-2015 03:18 PM
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trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #5
RE: Just diagnosed -- need to select a CPAP
Welcome to the club!
Ditto on krelvin's comment. I love my A10, but it is a 24V system, which can be a pain when on battery power.

Also if you had a diagnosis only study, then your titration study is yet to come. You can see if the DME you go to will give you a trial or loaner machine for you to get used to being a hosehead. Results are more accurate if you can sleep through the night and not freaked out by all the mask, hose and pressure things happening to you. Not to mention the electrodes again.

Regardless, you can always wander in to a DME and start to look at masks (I can hear R-G shouting P10 in the background) before you get the results.
Might as well download Sleepyhead and start to understand it too.

In the meantime, sleep on your side and/or raise the head of your bed a bit. You are in this for the long haul. No need to rush into purchase decisions though.
05-26-2015 08:31 PM
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OMyMyOHellYes Online

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #6
RE: Just diagnosed -- need to select a CPAP
Double edged sword when asking for a script for a specific model machine: in a few years it will be considered "obsolete" (meaning the manufacturer has put out a new machine he can charge more for, maybe with a few new bells & whistles). If you need a new one, then you will be SOL and will have to go back and get a new script from the doctor.

I think it MUCH better to just specify features in the script like auto PAP appliance with full efficacy data reporting features, in addition to basic compliance reporting, active humidification system, tubes, masks (to patient's comfort and treatment necessity), cushions, chin strap, filters and other supplies. Along with his pressure setting direction.

You don't have to take what a DME throws at you just because the script wasn't specific enough to spell out exactly what you need. If it's a turd, just say so and insist on the model you want. That approach gives you maximum flexibility even though it may require "negotiating" with the DME - but remember in that negotiation, you hold all the aces and wild cards too. They don't get paid if they don't deliver a machine to you that you will accept. And there's always the trump card to take your business down the road.

It can be intimidating, but you an just tell them you want the "Vapooware Turbo Auto Titratero machine with the heated hose option" if that is what you will use. And when they pull out the Fartronic Base Blowerator 7 Brick, just say "that ain't the Vapooware Turbo Auto Titratero with the hot hose. How long will it take to get that one in? Really? That long? Or you can't get i through "your supplier"? Thanks for your time.

OMMOHY

OMMOHY
(This post was last modified: 05-26-2015 10:09 PM by OMyMyOHellYes.)
05-26-2015 10:02 PM
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AndyB Online

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Posts: 72
Joined: May 2015

Machine: ResMed AirSense 10 Autoset with RERA
Mask Type: Full face mask
Mask Make & Model: F&P Simplus, ResMed AirFit F10; PR Amara View
Humidifier: ResMed integrated heated
CPAP Pressure: 10.4-13.0
CPAP Software: SleepyHead

Other Comments: Diagnosed May 2015; EPR @ 1cmH2O; Ramp off; ResMed Climateline heated hose

Sex: Male
Location: SE Wisconsin

Post: #7
RE: Just diagnosed -- need to select a CPAP
Great suggestions everyone -- thank you very much. This forum is incredibly helpful.

And, I think I will pass on the Fartronic Blowerator . . .
05-26-2015 11:00 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #8
RE: Just diagnosed -- need to select a CPAP
PR 560 auto with heated hose.

Battery friendly, longest warranty, wife and i have one each. My 2 cents
05-27-2015 01:07 AM
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2PAPs Offline

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Posts: 58
Joined: May 2015

Machine: PR System One 750p
Mask Type: Full face mask
Mask Make & Model: ResMed Ultra Mirage
Humidifier: PR System ONe
CPAP Pressure: 8-20
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location: California

Post: #9
RE: Just diagnosed -- need to select a CPAP
When you get your Rx, keep the original and send the DME a copy. Also, if possible, have the doctor write "Lifetime" or "99 months" on it. You might want to deal with another DME, get a second machine, or get another machine if yours breaks.
(This post was last modified: 05-27-2015 05:11 AM by 2PAPs.)
05-27-2015 04:50 AM
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