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New User: CPAP vs Auto-PAP
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lmoretti Offline

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Posts: 75
Joined: May 2015

Machine: PR System One 60 with AFlex
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: PR
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
New User: CPAP vs Auto-PAP
I was just titrated this week, and I have a pressure setting of 9.

From talking with the tech at the sleep clinic (Doctor? It'll be a month if you want to talk to them) my prescription is for a straight CPAP, not an Auto-PAP, with humidifier. I've got to talk to my insurance and supply house to figure out what I can get covered.

Should I be pushing for an APAP, or should I just use the CPAP and monitor my AHI on a regular basis and complain if it's high?
05-22-2015 12:28 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,746
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: New User: CPAP vs Auto-PAP
An Apap machine can be used in Cpap mode if that's necessary, but will allow for re-titration or other modifications as conditions change in the future. By specifing just Cpap, he has created a situation where the DME can give you a junk machine that does not do anything more creative than pump air.

So yes. Call the doc and ask for a written prescription specifying a fully data capable Autoset machine.
05-22-2015 12:40 PM
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Adoniscmj Offline

Advisory Members

Posts: 172
Joined: May 2015

Machine: Resmed AirSense10 Autoset for her
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Integrated
CPAP Pressure: 6 to 9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Everett, Washington

Post: #3
RE: New User: CPAP vs Auto-PAP
I would push for a humidifier at least, and also an auto machine as well. The auto machines are capable of being set for a strait pressure as well as auto. I have a Resmed AirSence10 Auto set and I really like this machine as it is fully data capable so you can monitor you progress to treatment. I would ask your doctor to change the scrip. After all you have to live with this machine for probably the next 5 years or until your insurance pays for a new one. Also you and your insurance pays for it so you should get what you want. I did.
05-22-2015 12:47 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,889
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: #4
RE: New User: CPAP vs Auto-PAP
The problem with the titration studies, is they represent just one unusual night that is used to find the most effective pressure to stop events. That pressure can, and does change with changes in weight, health and other factors. Even a simple cold. The CPAP pressure is usually the 90th percentile pressure (the pressure you were at or below 90 % of the time while being effectively treated.) Having an APAP that is set based on the titration means you get the most effective treatment, and flexibility to
have the pressure change as needed. It also lets you sleep at lower pressures that are adequate 90% of the time.

Some people do great on CPAP, but others are more comfortable and do better on auto CPAP. You only get one machine, and an APAP is a CPAP with more flexibility. Which one should you have?

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05-22-2015 01:23 PM
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lmoretti Offline

Preferred Members

Posts: 75
Joined: May 2015

Machine: PR System One 60 with AFlex
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: PR
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #5
RE: New User: CPAP vs Auto-PAP
So just got off the phone with the Respiratory Therapist at the Medical Supply House: They exclusively use the PR System One Auto w/ Humidifier, which is the exact machine I was looking at requesting.

I'll just have to watch what settings they're using, and talk to the therapist about using a range instead of a fixed pressure.
05-22-2015 02:18 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,746
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #6
RE: New User: CPAP vs Auto-PAP
Good job. It's a good machine for you. The pressure details can be worked out later as you see what your needs are.
05-22-2015 02:29 PM
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OpalRose Offline

Monitors

Posts: 3,332
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: New User: CPAP vs Auto-PAP
Imoretti,
I went through the same thing. My Doctor wrote a script for a CPAP, but thanks to "lurking" about here, I knew what to ask for and called my doc and asked for an Auto CPAP. The only thing you may want to call back and make sure you are getting a humidifier with heated hose, or they will just give you a regular humidifier. It makes a difference on your comfort level.
Don't worry if they don't have the pressure set correctly, just come back here and someone will guide you. Good luck.

How to Organize and Post ScreenShots
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(This post was last modified: 05-22-2015 03:02 PM by OpalRose.)
05-22-2015 03:01 PM
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Mosquitobait Offline

Advisory Members

Posts: 818
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Respironics Dreamwear
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12.6
CPAP Software: SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #8
RE: New User: CPAP vs Auto-PAP
(05-22-2015 12:28 PM)lmoretti Wrote:  I was just titrated this week, and I have a pressure setting of 9.

From talking with the tech at the sleep clinic (Doctor? It'll be a month if you want to talk to them) my prescription is for a straight CPAP, not an Auto-PAP, with humidifier. I've got to talk to my insurance and supply house to figure out what I can get covered.

Should I be pushing for an APAP, or should I just use the CPAP and monitor my AHI on a regular basis and complain if it's high?

If you are in the US, INSIST upon an auto-pap with humidifier. Why should make do with old technology? An Apap will do both cpap and apap and when/if your needs change, you can switch out to an apap. In addition, the apap gives you more information so that you can assist in your therapy. Also, don't forget to get a copy of the script. Not all masks and options are likely available at your DME and you might want to buy a different mask from an online place. When you see the doctor, it's easy enough for him/her to print it out and sign it. If your doc asks why, just say that you might become unhappy with your DME and switch someplace else - you wouldn't have to bother the doc for another prescription for supplies.
(This post was last modified: 05-22-2015 03:37 PM by Mosquitobait.)
05-22-2015 03:34 PM
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zonk Offline

Advisory Members

Posts: 7,947
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: #9
RE: New User: CPAP vs Auto-PAP
(05-22-2015 02:18 PM)lmoretti Wrote:  So just got off the phone with the Respiratory Therapist at the Medical Supply House: They exclusively use the PR System One Auto w/ Humidifier, which is the exact machine I was looking at requesting.

I'll just have to watch what settings they're using, and talk to the therapist about using a range instead of a fixed pressure.
Sound good and maybe they're good on their words but might be a good idea for the doctor to specify the exact machine on the prescription so they're bound legally to dispense the machine of your choice, many people get duped (keep a copy for yourself, never know when you need it)

The prescription should say something like this: PR System One Auto w/ heated tube humidifier model # 560, heated tube, pressure range 7-11, mask of choice, etc .... and "dispense as written"

Find out about replacement schedule here is a wiki guide but check with your insurance
http://www.apneaboard.com/wiki/index.php...6_Medicare
05-22-2015 05:22 PM
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trish6hundred Offline

Advisory Members

Posts: 6,642
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: #10
RE: New User: CPAP vs Auto-PAP
Hi lmoretti,
WELCOME! to the forum.!
It's great to hear that you will be getting an APAP machine.
Much success to you as you start your CPAP journey.

trish6hundred
05-22-2015 09:02 PM
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