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New to this , need help please!
#1
Question 
Just got my CPAP machine. Resmed with nasal pillows. I cannot get used to this!!! The issue is the exhalation part. Any suggestions????
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#2
Hi antcyd and welcome to forum
I don,t use nasal pillows
What S9 do you use? check S9 setup link to access LCD data
http://www.apneaboard.com/resmed-s9-cpap-setup







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#3
Hi, antcyd. Does your resmed have "EPR" written below the button? If so, you can set the exhalation pressure to make things easier on you. Did you look at the data on the link that zonk gave you?
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 OPINIONS ONLY AND NOT NECESSARILY STATEMENTS OF FACT.
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#4
(04-22-2012, 07:19 PM)antcyd Wrote: Just got my CPAP machine. Resmed with nasal pillows. I cannot get used to this!!! The issue is the exhalation part. Any suggestions????

Don't panic. Almost everyone has trouble getting used to exhaling against that pressure. One thing you might try is wearing the mask, with the machine on, while you are resting in bed reading, watching TV, or listening to music.

Usually people find that the things that bother them about CPAP therapy at first don't bother them anymore once they get used to it.

If you still can't stand it, call your doctor or medical equipment supplier and explain what's going on. They may suggest setting you up with a different mask, lowering your pressure, or even putting you on a BiPAP instead of a CPAP.

Here's the thing. It's very normal for beginning patients to make changes to their therapy. Even the insurance companies allow for changes in the type of machine or the mask. The important thing is that you stay in communication with your doctor and/or your medical equipment (DME) supplier. They will work with you to make the necessary adjustments to your therapy. They know that patient compliance is the number one obstacle to CPAP therapy, and so they will work with you to make any changes they can to get you to be compliant with the therapy.
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.
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#5
(04-22-2012, 07:19 PM)antcyd Wrote: Just got my CPAP machine. Resmed with nasal pillows. I cannot get used to this!!! The issue is the exhalation part. Any suggestions????
Do you mean the mask exhaust vent holes airflow or breathing out against the pressure

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#6
(04-22-2012, 10:51 PM)zonk Wrote:
(04-22-2012, 07:19 PM)antcyd Wrote: Just got my CPAP machine. Resmed with nasal pillows. I cannot get used to this!!! The issue is the exhalation part. Any suggestions????
Do you mean the mask exhaust vent holes airflow or breathing out against the pressure

Breathing out against the pressure, I feel like its a huge effort therefore making it hard(impossible) for me to fall asleep. Should I be using a mask instead of the pillows? Med supply store just came out with this machine that had pillows, said it was the only one that was covered under my insurance and the doctor ordered nasal pillows but I could change to a mask in 3 months if I wanted to, how do you know what to use?
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#7
(04-23-2012, 08:18 AM)antcyd Wrote:
(04-22-2012, 10:51 PM)zonk Wrote:
(04-22-2012, 07:19 PM)antcyd Wrote: Just got my CPAP machine. Resmed with nasal pillows. I cannot get used to this!!! The issue is the exhalation part. Any suggestions????
Do you mean the mask exhaust vent holes airflow or breathing out against the pressure

Breathing out against the pressure, I feel like its a huge effort therefore making it hard(impossible) for me to fall asleep. Should I be using a mask instead of the pillows? Med supply store just came out with this machine that had pillows, said it was the only one that was covered under my insurance and the doctor ordered nasal pillows but I could change to a mask in 3 months if I wanted to, how do you know what to use?

you need to call your doctor this morning to tell him everything you've said here and see what he thinks. tell him you are not using it at all because you can't blow against the pressure that is just too high. say that you've given up so he has to think outside of his comfort box. suggest to him that you may need an automatic machine so the pressures can start lower and that the dme is not allowing you to try another mask.
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#8
Another thing to try is the ramp feature. It will slowly increase pressure over a period of time to allow you to go to sleep. It will typically reach full pressure after you are asleep. Most people seem to tolerate the CPAP fairly well once they are asleep. Also check into EPR which was mentioned earlier. EPR reduces the pressure during exhale making it easier to breath.
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#9
Hope you had better success last night.
How long (an actual time) have you had and have been attempting to utilize your new CPAP.. I does take some folks a long time to adjust.
Don't panic ....is good suggestion. Don;t rush to judgement that its not going to work. It will work.

Even with baby steps we can still reach our goal of good therapy.
Did you not get an instruction booklet with your machine. Read through it and learn about the EPR features and give them a trial. Give each change you make several nights to help you succeed.
The ramp feature should also help greatly..start it at a pressure of 4 and let it work itself up to your pressure of 10.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
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#10
Ok, found the book. I have an ResMed Swift FX for her. I see nothing about EPR in the book or on the machine. Am I missing it???
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