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New to forum..help needed
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bjzman100 Offline

Members

Posts: 5
Joined: Nov 2015

Machine: Resmed 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: wisp
Humidifier: built in
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
New to forum..help needed
I have been on a Resmed 10 with humidifier, wisp nasal mask, thinline hose since June this year. I at 45 AHI, so severe Apnea. they set my range to 6-10, EPR to 2, no ramp. I was doing good up until late August. I started to have nights sweats, headaches, daytime sleepiness, having to take naps and nightmares again like the symptoms before I started treatment. I am 37 and in decent health. The machine states that I have .1-.5 apneas. Went to dr and of course he said the machine show u are fine. So roughly 3 months now of fighting with this. Sleep is just a battle. I have changed my auto range to 9-14 since I was at the max every night at 10 back in mid October& that seemed to help but still have the mentioned symptoms above. I have been in the clinical setting and found the EPR settings. I have used the device every night since I got it in June.
I need some advice as where to start since my DR is treating the machine not the patient. Thanks,
Brian
11-22-2015 11:38 PM
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kaiasgram Offline

Advisory Members

Posts: 242
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: #2
RE: New to forum..help needed
Welcome. Can you post a SleepyHead screenshot of one of your recent nights when you had a bad night? I'm wondering if we might see some things that aren't part of the AHI but could be contributing to the problems you're having. Below is a sample of a SleepyHead report with the graphs we want to see: Event flags, flow rate, pressure, flow limit, leak and snore. Also include the info on the left (don't really need the calendar).

[Image: sample_zps188430d8.jpg]
(This post was last modified: 11-23-2015 12:09 AM by kaiasgram.)
11-22-2015 11:50 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
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: #3
RE: New to forum..help needed
Hi bjzman100,
WELCOME! to the forum.!
Hang in there for more suggestions and answers to your questions and much success to you with your CPAP therapy.
P.S. It might be time to go doc shopping if the one you are seeing now is only concerned about the machine, rather than the patient using the machine.
Good luck to you with this situation.

trish6hundred
11-23-2015 12:09 AM
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DumfriesDik Offline

Preferred Members

Posts: 71
Joined: Nov 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Respironics Nuance
Humidifier: none
CPAP Pressure: auto 4 - 20
CPAP Software: SleepyHead

Other Comments: 2010 - 2015 S8 Escape; 2015 - Date S9 Autoset

Sex: Male
Location: SW Scotland

Post: #4
RE: New to forum..help needed
Hi bjzman100! Out of interest, I run hot and sometimes enjoy a siesta.

I am no expert, but is your machine not capable of changing the pressure between 4 and 20? I wonder why they have set it so low? Again, this is new to me, but it looks like an increase in the upper pressure might be in order? My average pressure is around 9.

See what those with more experience have to say . . .
11-23-2015 01:14 AM
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kaiasgram Offline

Advisory Members

Posts: 242
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: #5
RE: New to forum..help needed
(11-23-2015 01:14 AM)DumfriesDik Wrote:  Hi bjzman100! Out of interest, I run hot and sometimes enjoy a siesta.

I am no expert, but is your machine not capable of changing the pressure between 4 and 20? I wonder why they have set it so low? Again, this is new to me, but it looks like an increase in the upper pressure might be in order? My average pressure is around 9.

See what those with more experience have to say . . .

Increasing the max pressure may not be warranted. First we need to see where the pressure has been going with the 9-14 settings. That's why I'm asking for a SleepyHead screenshot. If flow limitations and snores are causing the pressure line to bump along the max setting of 14, then an increase in max pressure would make sense. Otherwise, it might not be a good idea to increase max pressure.
11-23-2015 03:12 AM
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bjzman100 Offline

Members

Posts: 5
Joined: Nov 2015

Machine: Resmed 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: wisp
Humidifier: built in
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #6
RE: New to forum..help needed
(11-23-2015 03:12 AM)kaiasgram Wrote:  
(11-23-2015 01:14 AM)DumfriesDik Wrote:  Hi bjzman100! Out of interest, I run hot and sometimes enjoy a siesta.

I am no expert, but is your machine not capable of changing the pressure between 4 and 20? I wonder why they have set it so low? Again, this is new to me, but it looks like an increase in the upper pressure might be in order? My average pressure is around 9.

See what those with more experience have to say . . .

Increasing the max pressure may not be warranted. First we need to see where the pressure has been going with the 9-14 settings. That's why I'm asking for a SleepyHead screenshot. If flow limitations and snores are causing the pressure line to bump along the max setting of 14, then an increase in max pressure would make sense. Otherwise, it might not be a good idea to increase max pressure.

So for the past month since changing average pressure 11.8. When I check the machine for the past week, it is 13.2. I do not have any software to use. I will look at getting sleepyhead so I can post results.
11-23-2015 07:13 AM
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cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #7
RE: New to forum..help needed
Hi bjzman100 and welcome to ApneaBoard! Glad you found us!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-23-2015 07:25 AM
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bjzman100 Offline

Members

Posts: 5
Joined: Nov 2015

Machine: Resmed 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: wisp
Humidifier: built in
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #8
RE: New to forum..help needed
This is from Saturday. I changed the EPR setting from 2 to 1 after the post last night.


Attached File(s) Thumbnail(s)
   
11-23-2015 07:36 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #9
RE: New to forum..help needed
(11-22-2015 11:38 PM)bjzman100 Wrote:  I was doing good up until late August.

Anything significant happen in your life at that time?

Quote:The machine states that I have .1-.5 apneas.

That is awesome!

Quote:I have changed my auto range to 9-14 since I was at the max every night at 10 back in mid October& that seemed to help but still have the mentioned symptoms above.

What is your AHI since you made that change? Please change your profile to indicate that you have the ResMed A10 Autoset, if that is what you have.

I think it's time you look into finding a different doctor. For example, you could be experiencing flow limitations that are causing you to waken, but those don't show up in your AHI. They can be treated with higher pressure, but you want to be careful doing that because it could raise your CA index.

Do you see anything in SH that could account for the change in late August?

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-23-2015 08:36 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #10
RE: New to forum..help needed
(11-23-2015 07:36 AM)bjzman100 Wrote:  This is from Saturday. I changed the EPR setting from 2 to 1 after the post last night.

What were the values of the three indices that add up to the AHI?

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-23-2015 08:45 AM
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