I picked up a new Airsense 10 autoset a couple of days ago and had some questions. Actually I have quite a few questions but I'll start with the basics.
I was dx'd in 1998 with OSA and prescribed a cpap. After 4 weeks of trying I could not obtain compliance and my doctor gave me an ancient bipap trade-in that was sitting on his shelf to take home and try. It was love at first sight and I still have that behemoth as a backup to my backup.
Since that day I have been compliant on a bipap with the vast majority of those years using a respironics bipap plus M-series and nasal pillows with custom conjo headgear. Outside of the frustrating heated humidifier that has 5 dial positions but only two real levels (off and too warm) this machine has served me well. It's spent a fair amount of time traveling and used in 12volt situations.
Recently I've been feeling like I should have a new sleep study and see if my pressures need adjusting as it has been many years since the last study.
So, I had an appointment with my sleep doctor (same fellow as in 1998) and he informed me that there would be no sleep study and went into a mini rant about how sleep studies are out-dated and usually not needed with the new auto type machines and user available data. (he is a bit eccentric and likes to talk)
As a long time user I have no compliance requirements and he prescribed me an Airsense 10 autoset cpap with 8-20 pressure.
Off to the DME I go to pick up the machine. Met with a nice fellow who seemed pretty knowledgeable but I did leave there with some uneasiness.
1) The first Airsense unit he brought out to give me was broken right out of the box. The round dial would stick down when pushed and did not release. He retrieved another new machine that worked.
2) He informed me that this was the latest version of the airsense, only four months old in fact. Can you tell me what is different on this latest version vs previous versions?
3) When I told him my previous machine of many years was a bipap he reacted with surprise and a little alarm. He asked me why I was getting this cpap instead of the bipap. I told him that’s what I thought the doctor had prescribed and he looked up the prescription and verified that the doctor was very specific on what machine was required. Is it normal to go from a bipap machine to a cpap machine with these autosense type machines?
4) He then told me the machine would automatically beam my data to my doctors own website. When pressed on this issue he said the unit contained a cellular modem and transmitted my patient data to the doctors website. Typically I’m not a tin foil person but I find myself a little uneasy about this ‘feature’. What is the “doctors own website” exactly? I don’t mind bringing the data into the office on a card as the office is real close but I don’t see any way of turning the transmitting off other than to put the machine into airplane mode. The problem with this is the machine continually harangues me to turn airplane mode off.
5) I tried the machine last night and it didn’t work. I was told all I had to do is turn it on and the magic would happen. I have the type of mask set properly and did a mask fit test and that was fine. One of the most frustrating things was the blasted screen would only stay light for a few seconds. Absolutely maddening. How do I program this thing to stay on so I can see it? I called the DME guy but off course he is gone for the weekend already. The machine will turn on by the pressure just sits there and stays at 4. I’m sure this probably just user error and I’m wondering if you all could shed some light on this? I did try laying there with the mask on but I simply could not breathe. This is in stark contrast to my bipap that senses the beginning of the inhalation process and the exhalation process and adjust the pressure accordingly. What am I doing wrong?
Thanks for reading all this and any light you can shed on the subject would be appreciated.