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Newby with strange problem
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SteveC Offline

Members

Posts: 6
Joined: Jun 2012

Machine: Resmed S9 Autoset / Easy Breathe
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: H5I
CPAP Pressure: 6-20
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #1
Newby with strange problem
Folks,

I'm after a bit of advice please,

Home based sleep study showed mild OSA, 14 events per hour (Epworth score was 17 as I recall)
Rented a machine for 4 weeks, (Resmed S9 and H5I humidifier) AHI reduced to <5 after 3 weeks, I felt great.
Bought a machine, the clinician set it up the same as the rental, but now can't get AHI below around 7. Nasal mask.
Had that machine now for 6 weeks.
Clinician says he is not worried and says settings are OK, however I am now feeling worse than with the rental. Constantly tired. Leak is less than 12 ltrs / min, pressure is 6-20, max pressure around 9, APAP mode.

I have the rescan s/w although not sure how to post the graphs from it to the board.

Steve
07-01-2012 04:57 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Newby with strange problem
Hi Steve, welcome to the forum - If the clinician is not a doc than may suggest to find a sleep medicine doc. Your leak at 12 L/min is quite good but do you find yourself adjusting the mask during the night and not sleeping right through or mouth breathing?
07-01-2012 06:22 AM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #3
RE: Newby with strange problem
Welcome, Steve.

We need to know the model of your machine. ResMed S9 isn't enough info. It should say Escape, Elite, Escape Auto, or AutoSet next to the power button. Please put that in your profile.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
07-01-2012 06:41 AM
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zimlich Offline

Preferred Members-2

Posts: 392
Joined: Feb 2012

Machine: Respironics PR System One BiPap Auto SV Advanced
Mask Type: Nasal mask
Mask Make & Model: ResMed gel Nasal Mask
Humidifier: System One
CPAP Pressure: 8-20 ASV, 8 EPAP,PS 12
CPAP Software: Not using software

Other Comments: I use the Quattro FFM when necessary

Sex: Female
Location: Norfolk, VA

Post: #4
RE: Newby with strange problem
I would narrow my auto range and make the bottom number- the epap - your original CPAP prescription, and the higher about 4 above the lower number. Good luck. Sometimes we have an initial period where everything is fine, then the sleep debt comes due and we feel worse.
07-01-2012 07:55 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,989
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: #5
RE: Newby with strange problem
(07-01-2012 04:57 AM)SteveC Wrote:  Rented a machine for 4 weeks, (Resmed S9 and H5I humidifier) AHI reduced to <5 after 3 weeks, I felt great.

Find out what the pressure was set at on that machine, and set this machine to that same pressure.

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.
07-01-2012 10:30 AM
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Dreamcatcher Offline

Members-b

Posts: 899
Joined: Mar 2012

Machine: Resmed Autoset Spirit II with Quattro F/F & FX Masks
Mask Type: Full face mask
Mask Make & Model:
Humidifier: H4i
CPAP Pressure: 10 - 18 cmH20 (auto range)
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location:

Post: #6
RE: Newby with strange problem
Some machines give different readings to other older models but it wont explain why you feel worse, see your doc as soon as you can and explain it to him.

DC
07-01-2012 12:04 PM
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PaulaO2 Offline
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Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #7
RE: Newby with strange problem
To post the graph as an attachment: (best option)
http://www.apneaboard.com/forums/Thread-How-to-Attachments

To post it as an image:
http://www.apneaboard.com/forums/Thread-...13#pid3213

My suggestion is the same as zimlich's. Narrow down that huge gap in the pressure. Set the bottom number as what your pressure should be and the top number 4-5 points higher.

What was the first machine? Was it also an autoPAP?

Make sure you have the Autoset, not the Escape Auto. If you have that one, take it back.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
07-01-2012 12:17 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #8
RE: Newby with strange problem
Hi SteveC, Unfortunately, I can't help you with your question but I would like to take this opportunity to say Welcome! to the forum. The best of luck to you on solving this problem.

trish6hundred
07-01-2012 01:10 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #9
RE: Newby with strange problem
The detective in me tell that Steve using S9 Autoset bc he uses an auto machine that report leak. (whats the breakdown of AHI?)
Narrowing the range is desirable but really should make no difference bc the leak is decent and pressure is not running away. The max pressure is 9 and the auto range is 6-20
Ohwell need some more lots-o-coffee
(This post was last modified: 07-01-2012 03:03 PM by zonk.)
07-01-2012 02:44 PM
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SteveC Offline

Members

Posts: 6
Joined: Jun 2012

Machine: Resmed S9 Autoset / Easy Breathe
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: H5I
CPAP Pressure: 6-20
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #10
RE: Newby with strange problem
(07-01-2012 06:22 AM)zonk Wrote:  Hi Steve, welcome to the forum - If the clinician is not a doc than may suggest to find a sleep medicine doc. Your leak at 12 L/min is quite good but do you find yourself adjusting the mask during the night and not sleeping right through or mouth breathing?

Leak last night went down to 8, I don't think I'm mouth breathing and I do not adjust during the night. I do wake up sometimes, that is normaly due to needing to go to the bathroom or the wife rolling on to me!

I did switch to a smaller nasal mask last night, I'm trying two sizes, medium and large. The smaller one tends to cause itchiness but has worekd well before.
07-01-2012 11:05 PM
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