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New member - hello
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Dagmar Offline

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Posts: 97
Joined: Jul 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Wisp by Respironics
Humidifier: Resmed
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Michigan

Post: #1
New member - hello
Hi everyone,
I've been checking out the board now for a little over a week and am expecting to have a CPAP machine of my own here in a few weeks. I had a titration last week and see my doctor on Monday. I already have the study results - I wanted to see them before my appointment. I am a former Respiratory Therapist so some of the study results make sense to me but certainly not all. The board has been very helpful in educating me, thank you! One thing I do regret already is not having been referred to an actual sleep doctor. I'm going to try and change that.

The DME company I plan on using provides ResMed Airsense 10 Autoset machines even with a plain CPAP order. My machine will be set for me in CPAP mode with a pressure of 10. But, I plan on changing it to Auto shortly after I get it. I didn't feel that my sleep study was very good due to me having a lot of trouble sleeping and I spent very little time in a supine position during the sleep study. I suspect I will need a pressure higher then 10 when I'm sleeping on my back.

In the past I've set patients up on CPAP and BiPAP but had not expected me to be wearing one. But, my work has mostly been in the hospital so I'm not sure how DME's handle fitting and providing masks.

I'd like to start out with a nasal mask I think, I didn't like the FFM. But, I will also need to start with a chin strap. Can someone tell me what the mask fitting experience is like and how many masks they were able to try before being 'stuck' with one or two?

Also, I understand from reading the board that often people manage to wean themselves off the chin strap - I'm hoping to do that as I certainly think it adds another layer of things I don't want Smile

Thanks!

David
07-18-2015 04:50 PM
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GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #2
RE: New member - hello
Welcome to the forum and hope you will enjoy the company Smile I can't say I ever had a "mask-fitting". I do remember that when I had my sleep study, the technician asked me if I thought I would like a full face mask or a nasal mask. Since I knew nothing about masks for the cpap machine but I did know that I am claustrophic, she fitted me with a nasal pillow mask. I feel as though I've been really lucky because I liked the first mask I ever had and have stayed with that style ever since, only upgrading when newer models came along.

With your experience in the field, at least you won't be surprised as much as some of the rest of us were. I wish you the best and hope you are soon feeling more rested from better sleep.
07-18-2015 05:06 PM
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Dagmar Offline

Preferred Members

Posts: 97
Joined: Jul 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Wisp by Respironics
Humidifier: Resmed
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Michigan

Post: #3
RE: New member - hello
(07-18-2015 05:06 PM)GrammaBear Wrote:  With your experience in the field, at least you won't be surprised as much as some of the rest of us were. I wish you the best and hope you are soon feeling more rested from better sleep.

Thank you for your nice welcome! I'm afraid I might have a lot to be surprised about however, it's much different being on other side of the mask!
07-18-2015 05:11 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #4
RE: New member - hello
Welcome

Initially I didn't get any kind of fitting to speak of and no choice on what mask they gave me. I had trouble with the mask they gave me from the very beginning and all they did was keep changing the cushion size. Nobody ever told me about a chin strap. I got tired of them and fired them.

Then, I needed another sleep study because I was also having trouble adapting to my cpap auto. I decided to clean house and I went to have a sleep study at another hospital. The head tech met me at the hospital about 2 weeks before my sleep study and he brought a whole lot of masks with him still in the original package. It is fortunate for me that he understood SA as he has it too. I tried as many as I wanted to and since we met at the sleep center, he would hook them up to the machine and I would lay down to get a feel for them.

I chose the wisp nasal mask and he gave me a top of the line chin strap which I no longer need on a nightly basis. My sleep study was the best I ever had as far as sleep studies go. The only issue I had is that when the leads came off of my head at the end of the study, it made my head bleed.

Well, that and the family of dead roaches in the bathroom due to a recent extermination.

I have used the wisp nasal mask since and have not had any issues with it. I am not very good about washing my cushion each day and I still don't have trouble with it. YMMV.
(This post was last modified: 07-18-2015 06:30 PM by me50.)
07-18-2015 05:26 PM
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AlanE Offline

Advisory Members

Posts: 1,491
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #5
RE: New member - hello
Dagmar - Welcome



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
07-18-2015 05:28 PM
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OpalRose Offline

Monitors

Posts: 3,163
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: #6
RE: New member - hello
Dagmar,
Welcome to Apnea Board!
Had to chuckle at your statement about it being different on the other side of the mask! I always wished my Sleep Specialist actually had Sleep Apnea.
I know that sounds terrible, but there might be more understanding if he actually went to bed every night hooked up to a machine.

My DME put a full face mask, a nasal mask and a nasal pillow mask in front of me and asked me which one I wanted. I told them I'm claustrophobic, so she gave me the nasal pillow mask. That was my fitting!

I also feel lucky because I adapted to the mask right away and eight months later still using a nasal pillow mask.

Good luck and keep us posted.

OpalRose
(This post was last modified: 07-20-2015 04:11 PM by OpalRose.)
07-18-2015 05:29 PM
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PaytonA Offline
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Monitors

Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #7
RE: New member - hello
(07-18-2015 04:50 PM)Dagmar Wrote:  In the past I've set patients up on CPAP and BiPAP but had not expected me to be wearing one. But, my work has mostly been in the hospital so I'm not sure how DME's handle fitting and providing masks.

The answer to that question is that, in general, they do not handle it well. The RT brought out the mask that he had chosen for me and had me try it on. Looked at it and said that will work. That was my fitting and that was done by the RT supervisor who also said that he was a hose head.

Best regards,

PaytonA
07-18-2015 05:39 PM
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kaiasgram Offline

Advisory Members

Posts: 241
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #8
RE: New member - hello
Hi David,

Some DMEs do a decent job of helping new patients with mask fit. Others not so much. And to be honest even with the most accommodating DMEs it's rather like buying a new pair of shoes -- might feel good in the store but later... you know how the rest of the story goes.

If the DME is set up for this you might try some of the masks with a machine set to your prescribed pressure, and if possible lying down. What fits well when you're awake and sitting in a chair may be a poor fit when you're asleep, lying down, and actually using the machine.

Most folks have to do some trial and error to find the mask that ultimately works best for them. Generally the DME will show/offer you a few masks but likely only a small sample of all the masks out there. If you end up having difficulty finding the right mask for you, you can check out the full array of models on a good internet DME website.
07-18-2015 05:41 PM
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Kakkles Offline

Preferred Members

Posts: 43
Joined: Jul 2015

Machine: Resmed A10 For Her
Mask Type: Nasal pillows
Mask Make & Model: AIrfit P10
Humidifier: A10 Humidifier
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Western Canada

Post: #9
RE: New member - hello
I just got my trial machine and mask about 5 days ago. I never got to choose my mask, the Resp Tech just looked at me and grabbed a PR Wisp Nasal Mask and said this is the one for you. I was hoping to try the Nasal pillows as I am claustrophobic. But I really took well to Wisp Nasal mask. It fits perfect I have hardly any leaks, only when turning on the pillow. The head gear is nice and easy to use. Its quite comfortable.

I thought I was a mouth breather as my mouth was always dry when I woke up, so I was sure I would be breathing out of my mouth with the nasal mask. But I have been able to keep my mouth closed throughout the night with no chin strap. I was a bit surprised! (pleasantly)

I am going to ask for nasal pillows just to try and then see out of the two which I prefer. I will not be disappointed if I have to stay with the Nasal Mask.

Good luck in your tx!
07-18-2015 05:44 PM
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kaiasgram Offline

Advisory Members

Posts: 241
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #10
RE: New member - hello
(07-18-2015 05:39 PM)PaytonA Wrote:  The RT brought out the mask that he had chosen for me and had me try it on. Looked at it and said that will work. That was my fitting...

ROTFL -- That was my "mask fitting" session too! (are you a kp patient by any chance?)
07-18-2015 05:47 PM
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