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New machine+mask=me excited
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distantdreamer Offline

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Posts: 13
Joined: Mar 2015

Machine: AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 for Her
Humidifier: HumidAir humidifier
CPAP Pressure: 6-12
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Female
Location:

Post: #11
RE: New machine+mask=me excited
(03-27-2015 09:53 AM)retired_guy Wrote:  I'm more inclined to think it's a pillows issue. What size are you using? If medium or less, go up one size and see how that does. Also, are you using EPR? You might try reducing that by one as well if you are. Finally, hearing yourself breath can sometimes be preferable to not hearing yourself breath, although I've been told that in those circumstances one doesn't actually care anymore.

I am using small pillows, which is what I used at the study. I will try the medium and see how that goes. My EPR is at 2 (old machine was at 3). How does that work...the higher the EPR the easier to exhale?

I do in fact enjoy breathing and would much rather hear myself than the alternative but I would also like to sleep through it Smile
03-27-2015 11:23 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
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: #12
RE: New machine+mask=me excited
Yes, I believe the medium pillow may help you quite a lot. I use the large, although by all rights I should use a medium. But it's easier for me to breath with a large. I tried a small once. Might as well have been breathing through a brick wall.

The higher the EPR, the easier to breath. What it does is subtract from the inhale pressure to create the exhale pressure. So, if your machine is perking along at 7, and you have an EPR of 3, you get an exhale pressure of 4 (which is the lowest it can go incidentally). At 2, you get an exhale pressure of 5.

I would try the other pillow tonight, and maybe for a couple of nights before you tweak the EPR. I'm running on 3, but some people have trouble adjusting to that much pressure relief. Some even prefer it turned off.

Everyone is different. Except me of course. I'm not different, I'm the same.
03-27-2015 11:29 AM
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distantdreamer Offline

Members

Posts: 13
Joined: Mar 2015

Machine: AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 for Her
Humidifier: HumidAir humidifier
CPAP Pressure: 6-12
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Female
Location:

Post: #13
RE: New machine+mask=me excited
Thank you! I will try your suggestions for sure.
Aside from the whole hearing myself breathing I am liking having a machine that I can see visually how everything is doing.
03-27-2015 12:41 PM
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DariaVader Offline
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Monitors

Posts: 1,824
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #14
RE: New machine+mask=me excited
(03-27-2015 11:29 AM)retired_guy Wrote:  Yes, I believe the medium pillow may help you quite a lot. I use the large, although by all rights I should use a medium. But it's easier for me to breath with a large. I tried a small once. Might as well have been breathing through a brick wall.

The higher the EPR, the easier to breath. What it does is subtract from the inhale pressure to create the exhale pressure. So, if your machine is perking along at 7, and you have an EPR of 3, you get an exhale pressure of 4 (which is the lowest it can go incidentally). At 2, you get an exhale pressure of 5.

I would try the other pillow tonight, and maybe for a couple of nights before you tweak the EPR. I'm running on 3, but some people have trouble adjusting to that much pressure relief. Some even prefer it turned off.

Everyone is different. Except me of course. I'm not different, I'm the same.

I'm the same as you, RG... I moved my EPR from 2 to 3 and am really loving that setting; but then I am different after-all... since I use the extra-smalls on my p-10. I *can* use the small, but it doesn't seal as well since it won't fit up the nostril, just sits on the outside, but it *is* slightly easier to breathe through it. We have dinky noses in my family... My father wears a small, even (p10 also) and trades back and forth between small and med still trying to figure out which one suits best.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
03-27-2015 01:00 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: #15
RE: New machine+mask=me excited
Hi distantdreamer,
It's great to hear that you are enjoying your new machine.
Another thing you could do to quell the noise of your own breath is to get a whitenoise generator and see if that will help.
Much success to you on your CPAP journey.

trish6hundred
03-27-2015 07:29 PM
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OpalRose Offline

Monitors

Posts: 3,180
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: #16
RE: New machine+mask=me excited
distantdreamer,
I go back and forth between the size small and extra small pillow. Both work for me, but it is a bit easier to breath with the small. As far as the EPR, which is called A FLEX on my machine, I use the setting of 3. So with my pressure starting at 9, I get a pressure exhale relief setting of 6.
As far as hearing yourself breath, I don't like it either! So I run a fan and a humidifier in my bedroom at night. It is just enough white noise, that I don't hear myself breathing.
OpalRose

OpalRose
03-27-2015 08:28 PM
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Elizabeth25 Offline

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Posts: 10
Joined: Nov 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: H51
CPAP Pressure: 10-15
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #17
RE: New machine+mask=me excited
I have just experienced this P10 pillow issue. When I got my mask the DME was deciding between small and medium, and then picked small. I used that size for 4 months. Recently I decided to give the large ones a try just for the heck of it. Interestingly the leak rate is similar to the medium ones but the AHI is about 3/4ths of a point lower for the last 10 days. Although they feel big, someone the way the large fills up with air makes a better seal. I was not expecting that outcome.
E25
03-27-2015 09:02 PM
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OpalRose Offline

Monitors

Posts: 3,180
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: #18
RE: New machine+mask=me excited
(03-27-2015 09:02 PM)Elizabeth25 Wrote:  I have just experienced this P10 pillow issue. When I got my mask the DME was deciding between small and medium, and then picked small. I used that size for 4 months. Recently I decided to give the large ones a try just for the heck of it. Interestingly the leak rate is similar to the medium ones but the AHI is about 3/4ths of a point lower for the last 10 days. Although they feel big, someone the way the large fills up with air makes a better seal. I was not expecting that outcome.
E25


That's why it is hit or miss with those pillows sizes. I was told to use extra small by my DME! But the size small works better. I think il will try the medium to see if there is a difference. It's a good thing the P10 mask comes with all sizes! Smile
OpalRose

OpalRose
03-28-2015 09:03 PM
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distantdreamer Offline

Members

Posts: 13
Joined: Mar 2015

Machine: AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 for Her
Humidifier: HumidAir humidifier
CPAP Pressure: 6-12
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Female
Location:

Post: #19
RE: New machine+mask=me excited
So... I haven't experimented with the different pillow size just yet, but I did adjust my EPR from 2 to 1 and that seems to have helped with the hearing myself breathing the last two nights. I will be trying out the medium pillows in the near future.

The RT obviously can change the settings remotely if given instruction from the Dr, but can she see when I make changes or can she only see compliance info?
03-30-2015 01:36 AM
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