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Newbie's used unit arrived. Need some advice.
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AlanE Offline

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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

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Sex: Male
Location: Southwest Florida

Post: #21
RE: Newbie's used unit arrived. Need some advice.
Can't view that attachment for some reason. Is the time set right on the machine?



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
05-27-2015 09:46 AM
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retired_guy Offline

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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: #22
RE: Newbie's used unit arrived. Need some advice.
You're numbers look good Mosquie. I do think you might benefit from increasing your minimum pressure to 5 (maybe even 6, but wait a few days for that). That will allow better air flow, a tighter overall range, and I think more comfort. Your exhale pressure will still be at 4 because with EPR on that's as low as it will go. But your overall therapy numbers look right on.

As to the nosie soreness? Is it pressure, as in the masks are too tight? Or is it from rubbing a little? The rubbing stuff -and in a way the pressure stuff can be helped with the use of a little smidgeon of HPA Lanolin cream applied to each nostril when you mask up. You get that stuff in the "Baby" department at your local pharmacy type store. If the problem is pressure that might allow you to loosen the straps just enough to resolve the problem. If it's abrasive, it'll stop that silliness.
05-27-2015 11:16 AM
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Mosquitobait Offline

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Posts: 749
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #23
RE: Newbie's used unit arrived. Need some advice.
(05-27-2015 11:16 AM)retired_guy Wrote:  You're numbers look good Mosquie. I do think you might benefit from increasing your minimum pressure to 5 (maybe even 6, but wait a few days for that). That will allow better air flow, a tighter overall range, and I think more comfort. Your exhale pressure will still be at 4 because with EPR on that's as low as it will go. But your overall therapy numbers look right on.

As to the nosie soreness? Is it pressure, as in the masks are too tight? Or is it from rubbing a little? The rubbing stuff -and in a way the pressure stuff can be helped with the use of a little smidgeon of HPA Lanolin cream applied to each nostril when you mask up. You get that stuff in the "Baby" department at your local pharmacy type store. If the problem is pressure that might allow you to loosen the straps just enough to resolve the problem. If it's abrasive, it'll stop that silliness.

I'm confused. I have my minimum pressure already set to 6. Are you looking at Mask pressure which I think is a different value and I don't know what that means . I will try some of that cream tonight to see if that doesn't help.

(05-27-2015 09:46 AM)AlanE Wrote:  Can't view that attachment for some reason. Is the time set right on the machine?

Don't know why you can't get attachment to work. The time on the machine is correct but the top graph is a different timescale from the rest of the graphs . This was to leave out the nap time. Unfortunately I woke up very early this morning , consequently I'm tired now and it's only noon .
(This post was last modified: 05-27-2015 12:07 PM by Mosquitobait.)
05-27-2015 12:04 PM
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retired_guy Offline

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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: #24
RE: Newbie's used unit arrived. Need some advice.
(05-27-2015 12:04 PM)Mosquitobait Wrote:  I'm confused. I have my minimum pressure already set to 6. Are you looking at Mask pressure which I think is a different value and I don't know what that means . I will try some of that cream tonight to see if that doesn't help.

Your attachment indicated your minimum pressure was 4.3. I think that could be raised a bit. Perhaps you're still using "ramp," and that's what is causing the lower min pressure (less than 6.) Just double check and see what would be causing the minimum to be that low. Then yes, if you're already used to 6, then set it to that. If it's because ramp is on, turn it off.
05-27-2015 12:37 PM
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Sleeprider Online
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Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
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Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #25
RE: Newbie's used unit arrived. Need some advice.
I agree that raising minimum pressure to 5 or 6 would be beneficial. The concern about raising pressure in the eyes is not something I can comment on. Studies have related increases in interocular pressure with CPAP therapy. If you have vision loss related to interocular pressure, you need to consult with your ophthalmologist, so he can monitor any changes. An increase in minimum pressure should not have any effect because you don't actually spend any appreciable time at the minimum pressure, and it would seem logical that the concern is peak pressure and its affect. This is a unique problem I have not heard of before, and your concerns may be valid. I'd look into it.

http://www.ncbi.nlm.nih.gov/pubmed/18326715

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05-27-2015 03:40 PM
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
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Post: #26
RE: Newbie's used unit arrived. Need some advice.
(05-27-2015 12:37 PM)retired_guy Wrote:  
(05-27-2015 12:04 PM)Mosquitobait Wrote:  I'm confused. I have my minimum pressure already set to 6. Are you looking at Mask pressure which I think is a different value and I don't know what that means . I will try some of that cream tonight to see if that doesn't help.

Your attachment indicated your minimum pressure was 4.3. I think that could be raised a bit. Perhaps you're still using "ramp," and that's what is causing the lower min pressure (less than 6.) Just double check and see what would be causing the minimum to be that low. Then yes, if you're already used to 6, then set it to that. If it's because ramp is on, turn it off.

It looks to me like Mosquitobait has the minimum pressure set to 6 with an EPR of 2 and maybe there is a ramp going on too.

Best Regards,

PaytonA
05-27-2015 05:04 PM
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Mosquitobait Offline

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Posts: 749
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #27
RE: Newbie's used unit arrived. Need some advice.
Here's the update. I saw the physicians assistant instead of the doctor to go over the titration and settings. I'm not the only one to go out and buy a used machine, but she was surprised how knowledgeable I was (thanks everybody!). Thanks

Anyway, even though the doctor ordered a straight pressure of 11, she looked at my data and I'm getting better results with the auto than I would with the straight, so we're going with 8-12 (was set at 6.4-12.2). Plus, I get the Airsense For Her, which is the machine I wanted given the RERAs.:grin: How long it takes to get the machine? - well, I figure a month (Medicare/Lincare). Dielaughing She also told me not to count on the bradycardia to improve despite the cpap. I was bummed, but I can just hope it doesn't worsen. Don't really want a pacemaker if I can avoid it.

I really like the Swift FX, but I'm having some trouble now with the pillows sortof collapsing on one side. I'm not sure if I was sleeping on my side or my back when it happens, but I am waking up as a result. I'm going to try the smaller pillows (I'm using medium now), but perhaps someone else has had this problem and has a better solution? I have found that the back headstrap tends to drift up and I've tried to use my hair (which is cut short) to anchor it. I suspect this may be the cause, but no idea how to fix that. Here's my current chart. Yes, these are not big leaks, but I had almost no leaks until the past 2 days. Up until now, I have had very good luck with the mediums. Just one night I woke up with a bit of a sore nose, but my leaks have been brief.
06-04-2015 04:14 PM
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Sleeprider Online
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Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #28
RE: Newbie's used unit arrived. Need some advice.
Mosquitobait, that is excellent!

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06-04-2015 07:03 PM
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retired_guy Offline

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Posts: 2,744
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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: #29
RE: Newbie's used unit arrived. Need some advice.
Nothing left to do here............ OP has graduated with honors.
06-05-2015 12:31 AM
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AlanE Offline

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Posts: 1,499
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: #30
RE: Newbie's used unit arrived. Need some advice.
Jealous of those numbers Smile Good going!



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
06-05-2015 07:50 AM
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