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Low AHI isn't the full story - or How do I control these leaks?
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #21
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-03-2014 11:27 AM)Dgsr Wrote:  What really brought it all together for me though, was the pad-a-cheek anti-leak strap. It wraps around the mask and your head and allows you to put just a little more pressure on the front of the mask in just the right spot. I found this almost impossible using the 4 points of the headgear alone.

Thanks for the suggestion. However the Pad-a-cheek site says in big red letters:

DO NOT USE THIS ON THE QUATTRO AIR
or any other masks with vents that could be covered.


Huh

DeepBreathing
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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.
03-04-2014 12:05 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #22
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-03-2014 01:19 AM)JJJ Wrote:  
(03-02-2014 10:49 PM)DeepBreathing Wrote:  It works out about the same - the cost of one cushion plus freight is around the same cost as a cushion here - around $80. I presume if I buy a couple at once then the freight cost is defrayed over the whole lot, so that makes it a bit more economic.

I bought two cushions for my Wisp on US Amazon for $22, including shipping to my US address. That is less than my Medicare co-pay if I bought them from my DME.

The Wisp is a different animal from the Air. I searched Amazon and couldn't find Air cushions at any price. On-line dealers are charging around $50 plus $30 international postage. I've found an Ebay dealer who can do me two cushions with postage for $90 - I think that's the way I will go.

DeepBreathing
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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.
03-04-2014 12:10 AM
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Dgsr Offline

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Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #23
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-04-2014 12:05 AM)DeepBreathing Wrote:  
DO NOT USE THIS ON THE QUATTRO AIR
or any other masks with vents that could be covered.

woops! Oh-jeez
03-04-2014 07:26 AM
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mfrey Offline

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Posts: 2
Joined: Mar 2014

Machine: ResMed VPapS
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: ResMed H5i
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments: I am a computer novice. Overwhelming.

Sex: Female
Location: Syracuse, New York

Post: #24
RE: Low AHI isn't the full story - or How do I control these leaks?
What I get from reading the posts is that this cpap game is HIGHLY individual. Same problems mostly, but trial and error solutions. My tech did say "be creative", soooo try and try again I guess. What else can you do when someone says "You stop breathing 72 times a night. Take this mask and 'nighty night'."
Leaks----Using the Swift fx for her mask, I was doing great with the small pillow. Then, I began having too many leaks and got a new small pillow. No help. Dug out the very small never used pillow that came with the mask. That stopped the leaks for now.
Where can you get masks on trial? I have a very large stash of masks that weren't right, at considerable expense.
My nasal congestion improved considerably with the ResMed 9 and the Climate line set high at 85. I use the ResMed Liberty when the allergy congestion is bad. It's the only full face mask that doesn't leak air into my eyes.
04-09-2014 09:44 AM
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trish6hundred Offline

Advisory Members

Posts: 6,449
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: #25
RE: Low AHI isn't the full story - or How do I control these leaks?
Hi mfrey,
WELCOME! to the forum.!
You are right, there can be a lot of trial and error, for sure and the mask is the most difficult part of the whole thing.
Hang in there for suggestions and best of luck to you with your CPAP therapy.

trish6hundred
04-10-2014 09:30 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #26
RE: Low AHI isn't the full story - or How do I control these leaks?
(04-09-2014 09:44 AM)mfrey Wrote:  Where can you get masks on trial? I have a very large stash of masks that weren't right, at considerable expense.

G'day mfrey, welcome to the forum. I got my gear here in Australia through Cardio Respiratory Sleep. They're attached to Cardio Vascular Services and Cardio... you get the idea.

Anyhow the deal is you do the sleep study with them which is nil out of pocket if you have private insurance. You then get a machine for four weeks for $360 which is deducted from the purchase price of a machine if you decide to buy one. During the four weeks you have a weekly appointment with a therapist who actually looks at your data and listens to what you tell them. During this period you can also have as many different masks as you need to find something that suits.

In my case the four weeks blew out to seven because we couldn't get the apnea under control until I went onto the VPAP Adapt. There was no extra cost for those three weeks (though I think my therapist was getting a hard time from her manager).

I like this system - it doesn't rely on a single night titration study and it gives you time to experiment with settings and adjust to them.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
04-11-2014 05:27 AM
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Gabby Offline

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Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #27
RE: Low AHI isn't the full story - or How do I control these leaks?
(04-09-2014 09:44 AM)mfrey Wrote:  What I get from reading the posts is that this cpap game is HIGHLY individual. Same problems mostly, but trial and error solutions. My tech did say "be creative", soooo try and try again I guess. What else can you do when someone says "You stop breathing 72 times a night. Take this mask and 'nighty night'."
Leaks----Using the Swift fx for her mask, I was doing great with the small pillow. Then, I began having too many leaks and got a new small pillow. No help. Dug out the very small never used pillow that came with the mask. That stopped the leaks for now.
Where can you get masks on trial? I have a very large stash of masks that weren't right, at considerable expense.
My nasal congestion improved considerably with the ResMed 9 and the Climate line set high at 85. I use the ResMed Liberty when the allergy congestion is bad. It's the only full face mask that doesn't leak air into my eyes.
Hi and welcome, I am not sure how they do it in your country but from reading on the forum here most people seem to have Isurance companies and they are able to trial so many free masks a month, they have a DME.
Do you have private health Isurance?
I know in Australia the masks are about $260.00 Australian and more. They are so expensive. I am very lucky and have a U.S. supplier where I buy mine for mostly $50.00 U.S. But I am unable to trial them. It makes it very hard.
I try and do my homework first and work out which ones I think I will like and what will suit. I read all the reviews and what people say on here about their masks. Then I just buy and hope for the best. I haven't done too bad so far.

I hope someone will come on and guide you in the right direction.

Sleep Tight...
Gabby
04-12-2014 05:28 AM
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readyforsleep Offline

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Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #28
RE: Low AHI isn't the full story - or How do I control these leaks?
I have been using a great supplier in the US who has 30 day trials on quite
a few of their masks. I have tried the Fit Face, PF 10, Airfit F10 and now F&P
Simplus. I'm thinking the Simplus is the winner. Of course I am
paying for the mask out of pocket, but with my high deductible
insurance I would be paying for it also (but at a higher price)
Send me a private message if you want to know the supplier

2010 sleep study 63 AHI, 2014 3.0
05-06-2014 03:15 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #29
RE: Low AHI isn't the full story - or How do I control these leaks?
Low AHI isn't the full story ... but its important part of the story, there is no diagnoses of OSA without AHI

The most important don,t stress about AHI much, the machine not designed to know whether you,re asleep or awake. Events scored while awake or during high leaks are meaningless but nevertheless the machine score them and that inflate AHI numbers somewhat. The usefulness of the data is for long term trend and don,t jump into conclusion based on one single night

[Image: turtleandrabbit.gif]
Moral of the story Coffee
(This post was last modified: 05-06-2014 09:12 PM by zonk.)
05-06-2014 05:42 PM
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goodonya Offline

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Posts: 79
Joined: Dec 2013

Machine: S9 Vpap Adapt
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: yes shut off with water in it
CPAP Pressure: Mode ASVAuto
CPAP Software: Not using software

Other Comments: No longer know the new sleep study instead of a break out of percentage OSA and CSA simply says OSA

Sex: Male
Location:

Post: #30
RE: Low AHI isn't the full story - or How do I control these leaks?
Hi, I just got out of my new sleep study the other day. The study used a Philips Respironics machine. I have learned once again another expensive lesson. Call the various sleep clinics first and find which one uses Resmed machinery for their sleep studies. The Respironics algorithm must work for some people but for me it is all my nightmares at once and has cost me many thousands of dollars finally taking me completely out of action.
The new sleep machine I have the Resmed Vpap Adapt, is so smooth and responds so well to my breathing changes it is like the sun coming out from behind a black cloud of evil.
Anyway my mask situation with the best being the Mirage Quattro has not really been that satisfactory. The nice lady conducting the study was frustrated as well. I have been using a medium. In the normal sizing I fall between a medium and large. She finally hauled out a secret weapon. The Mirage Quattro in Small. All the leaks went away.
I am right now looking at ordering up a size Small Mirage Quattro.
05-07-2014 05:25 PM
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