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New guy on the block
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STL Mark Offline

Preferred Members

Posts: 44
Joined: Jul 2013

Machine: Resmed S9 VPAP Adapt 36037
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Resmed H5i
CPAP Pressure: Original Titration: 18 cm H2O
CPAP Software: ResScan SleepyHead

Other Comments: Mode: ASVAuto, Min EPAP: 4, Max EPAP: 15, Min PS: 3, Max PS: 15, Ramp: Off

Sex: Male
Location: Saint Louis, MO USA

Post: #1
New guy on the block
Hello to all members. I have been one of those lurkers for quite awhile now. I thought I would register and make the customary first post. I started CPAP therapy in 2010 after knowing for 20+ years I had a problem. I did a great deal of research prior to my first sleep study and lurked on the old apnea board forum and other forums.

In the Saint Louis area most doctors prefer to prescribe Respironics machines. I had decided my goal was to get a Resmed S9 Autoset that had just came out. Finding a sleep lab that would be accepting of someone wanting an Autoset was quite a problem at the time. I heard from one place that people generally don't continue with therapy after they get those machines because we don't see many of them again. I found a lot of humor in that statement after the research I had done on auto-titrating machines. Sleep study finally occurred and got my paper prescription and located a small family owned DME firm that would see that I got the machine I wanted and not a brick.

I started with a S9 Autoset in May of 2010. Doctor said to use it in CPAP mode at 18. They didn't even set it up to collect data. I was lucky that I adapted to the machine easily. They about had to kick me out of the sleep lab and were able to do the full study in one night. After getting the machine on me I wanted to stay there with the thing attached to my face. It was the best sleep I ever got. Compliance was not an issue and the machine was mine after 30 days. I quickly switched it to APAP mode and a 16/20 setting with an EPR of 3. It worked great and my AHI was always below 4.

After about 18 months I upgraded through self pay to a S9 VPAP Auto and I used it for about 18 months before upgrading it to a S9 VPAP Adapt in the past month. The S9 Adapt in ASVAuto mode is a wonderful machine for me and it is a luxury to have it. I could never justify to have the insurance company buy me such a machine but with my contacts I had developed it was quite affordable.

History:
  • 2010-05 - S9 Autoset Mode: CPAP 18
  • 2010-06 - S9 Autoset 16/20 EPR 3
  • 2011-12 - S9 VPAP Auto Mode: VAuto Max IPAP: 20 Min EPAP: 12 PS: 5.0
  • 2012-12 - S9 VPAP Auto Mode: VAuto Max IPAP: 16 Min EPAP: 11 PS: 4.0
  • 2013-07 - S9 VPAP Adapt Mode: ASVAuto Min EPAP: 4, Max EPAP: 15, Min PS: 3, Max PS: 15

I look forward to being more active on your forum.
(This post was last modified: 08-16-2013 05:38 PM by STL Mark.)
08-16-2013 05:35 PM
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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: #2
RE: New guy on the block
Hi STL Mark,
WELCOME! to the forum.!
Wow, it sounds like you have adjusted well and it's good to hear that you have taken control of your sleep apnea.
I don't live too far from St. Louis, about 70 miles west.
CONTINUED SUCCESS.!

trish6hundred
08-16-2013 05:55 PM
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RonWessels Offline

Preferred Members-2

Posts: 465
Joined: Jun 2013

Machine: REMstar Auto AFlex DS560TS
Mask Type: Nasal mask
Mask Make & Model: ComfortGel Blue
Humidifier: REMstar Heated Tube DS6T
CPAP Pressure: 11 - 20
CPAP Software: SleepyHead

Other Comments: CMS50F Pulse Oximeter

Sex: Male
Location: Ontario, Canada

Post: #3
RE: New guy on the block
Hi Mark. I'm curious why you went from the S9 VPAP Auto to the S9 VPAP Adapt. Did you realize you needed the auto servo feature, and if so how?
08-16-2013 06:07 PM
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zonk Offline

Advisory Members

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: #4
RE: New guy on the block
Welcome
08-16-2013 06:14 PM
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STL Mark Offline

Preferred Members

Posts: 44
Joined: Jul 2013

Machine: Resmed S9 VPAP Adapt 36037
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Resmed H5i
CPAP Pressure: Original Titration: 18 cm H2O
CPAP Software: ResScan SleepyHead

Other Comments: Mode: ASVAuto, Min EPAP: 4, Max EPAP: 15, Min PS: 3, Max PS: 15, Ramp: Off

Sex: Male
Location: Saint Louis, MO USA

Post: #5
RE: New guy on the block
(08-16-2013 06:07 PM)RonWessels Wrote:  Hi Mark. I'm curious why you went from the S9 VPAP Auto to the S9 VPAP Adapt. Did you realize you needed the auto servo feature, and if so how?
I had done some reading about the ASVAuto mode of the S9 VPAP Adapt and it seemed to be effective against CA and OA. My OA was effectively treated with my S9 VPAP Auto but I still had between a 2 and 3 AHI due to CA. While not a major concern I wondered how much I could lower that.

I was also very interested in the process of the ASV machines adapting to the required therapy on every breath. I noted that even with the VPAP auto I needed to keep the settings in the general area of my 95% pressure. I had the opportunity arise to buy the machine and decided to try it for a few nights. The first night on the S9 VPAP Adapt was magical. I used the default settings with my only changes being turning ramp to off, setting mode to ASVAuto, and changing sleep quality to on. It was like I was wearing the mask without the hose attached. Each inhale had a mildly existent pressure where it was barely noticeable each exhale seemed to have no resistance. I slept almost 12 hours the first night and usually wake after 7. The first night I had my first 0.0 AHI. I have since had nights at 0.2 and 0.4 in addition to many at 0.0. The machine makes it very easy for me to be compliant. I believe that if I had not been through the other two machines I may not have appreciated this one as much. But for me, it is a keeper.
(This post was last modified: 08-16-2013 06:50 PM by STL Mark.)
08-16-2013 06:48 PM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #6
RE: New guy on the block
(08-16-2013 06:48 PM)STL Mark Wrote:  The first night on the S9 VPAP Adapt was magical. I used the default settings with my only changes being turning ramp to off, setting mode to ASVAuto, and changing sleep quality to on. It was like I was wearing the mask without the hose attached. Each inhale had a mildly existent pressure where it was barely noticeable each exhale seemed to have no resistance.

Hi STL Mark, welcome to the Forum!

Thanks for sharing your story.

Have you tried increasing the Minimum PS to 4 to see if it will get rid of the slight resistance during inhale? Also, increasing the Minimum EPAP may help, if your machine is actually spending any time that low.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 08-17-2013 06:50 PM by vsheline.)
08-17-2013 06:42 PM
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