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My husband finally got his new machine
#1
My husband finally got his new machine
My husband's been on Cpap for years, and for a while it was working wonderfully.  

However for the last year and a half he's had more and more mornings where he's waking up feeling fuzzy brained again.  He went back to his doctor, and they did an at home test, and announced that he was fine and needed no changes.

Then I got diagnosed, started doing research, and found this forum and Sleepyhead.  

However when I attempted to look at his data we discovered that his Resmed S9 Elite was corrupting the SD cards.  I was able to load some summary data for a few days, and a couple days worth of full data, into SH, but that was it.  I did notice however, that while his AHI was always under 5, he had a few days, here and there, with AHI's in the 3-4 range.  But wasn't able to get full data for those days.  The few days I was able to get data for were all good days.

This past week he has finally managed to get his new machine, a ResMed Airsense 10 Autoset.  However his DME just set it to the same settings as his old machine.  I've loaded up the few days worth of data he has on this machine so far, and I'm looking for input on what I should be setting his machine for, to take advantage of the auto features.  Of course the few days so far have been good days, but hopefully you all will have ideas!  His mask is the ResMed Swift FX.

               
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#2
RE: My husband finally got his new machine
Ruth,

Try 6-10 EPR 2 That brackets the fixed 8 by 2. as soon as the ramp ends (you may want to see if turning the ramp off works for him) EPR 2 will have him start at EPAP 4 IPAP 6 with EPR2.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
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#3
RE: My husband finally got his new machine
Thanks!
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#4
RE: My husband finally got his new machine
And be sure to set the write protect thing on the SD card before you put it in a Windows computer.  Windows writes some weird indexing file to removable memory that screws up the card for use in an S9.  S10's can handle it, S9's can't.  Be sure to set it back before you put it back in the machine, too.
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#5
RE: My husband finally got his new machine
yup, that at least wasn't the original problem, but I've been write protecting them SD cards anyway.
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#6
RE: My husband finally got his new machine
I get perfect scores on 8-10 EPR 3, but i feel awful, I get perfect scores on 12-17 and feel much better, anything in between CA's in the 30-40.

I can't imagine him being on baby pressures of 4-8 solves anything but his ahi. Before I was diagnosed i had to sleep close to an open window,even in winter, i suspect your husbands therapy works exactly like that, it gives him a sense of getting air and also keeps him from rebreathing some CO2 that he exhales. Unless medically contraindicated, he could benefit more from higher pressures.

For me to get from doctors 8-10 to my 12-17, each night I raised epap by 1 until I couldn't tolerate anymore, then settled in the middle of that, I did this during the day and kept the settings overnight. fast forward 2-3 weeks and I ended up with 12-15 EPR 3.

When I moved to VAuto I fine tuned it the same way. Now its either 10-15 or 12-17, depending whether it's full face mask or pillows. Trigger and cycle for comfort, and TiControl, well that's another story.
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#7
RE: My husband finally got his new machine
I won't be surprised at all if he needs to go higher, but This gives us a starting spot. For what its worth he says he feels better this morning, though I've not checked his data yet.
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#8
RE: My husband finally got his new machine
Ok, so here's his data from last night.  Kinda looks like he's hitting that top pressure several times, should I increase it a step?

   
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#9
RE: My husband finally got his new machine
The numbers are great. Based on that I wouldn't change anything.

How does he feel? This is FAR more important. Anything with the CPAP or Mask bothering him?
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
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#10
RE: My husband finally got his new machine
He's been waking up fuzzy, and even a bit headachy recently, but says he feels much more normal today. He says night before last the mask felt "odd" (couldn't get him to define that) and he swapped it out for a new one he had in a drawer for last night after I responded that he had a higher leak % that night. It is a nasal only mask, and he does have periodic issues with mouth breathing, but also has a full beard/mustache and is reluctant to switch to a full face mask. I've been debating talking him into trying a chin strap.
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