Wow, lots of great replies. Thanks to you all. I have a question regarding the fixed CPAPs. If I get it from a DME do they generally "lock" the pressure setting so that only they can change it (and I can't?) or should I be able to change it. They wanted to sell me the fixed CPAP machines since my prescription had a fixed pressure listed. I don't put too much stock on that listed pressure since it was given during one poor night of sleep with an APAP (S9 Autoset), so I think I would prefer to get an APAP for more flexibility if it's needed.
If I did buy used/online, how would you guys recommend going about getting the right mask? It seems that if I go with a DME, they give me some sort of "comfort guarantee" in that if a mask doesn't work well for me, I can get it changed. If I was to just look at a list of them online, I wouldn't know where to start.
(05-06-2015 03:37 PM)zonk Wrote: Been there, done that, I would get PRS1 Auto 560 from Supplier #2
"Suppliers List" link is at the top of the page
I was keeping an eye out on that site. Are you in Canada? And if so did you have to pay brokerage fees and duties?
(05-06-2015 08:04 PM)archangle Wrote: Here in the US, you can often find good auto CPAP machines for $300 on Craigslist. I don't know how it is in Canada.
A number of people have gotten machines from US online CPAP sellers. Most of them won't ship outside the US, due to anti-competition restrictions from the manufacturers. Some people have had success with reshippers, or having the machine delivered to a friend in the US. I think some Canadians have also found it was worth their time to drive across the border and buy from a Craigslist buyer if they are close to the border.
There's a lot of info in my signature line at the bottom of the this post about which CPAP machines are good and which are bad.
There's a ton of used CPAPs on craigslist locally. I found an S9 Autoset with humidifier for $450 which is supposedly like new in condition. I'm a bit wary of going this route though since I don't really know the history of the machine and don't have any recourse if it stops working suddenly after purchase.
There's lots of good info in your sig. Will be reading that tomorrow.
(05-06-2015 08:36 PM)TyroneShoes Wrote: I agree with the doc, but it seems like an APAP, or automatic CPAP, would be able to continue to titrate pressure and give a better result than a bricked CPAP.
Were it me, I would get that, set it to straight 9 for two weeks, and then loosen up the high and low ends and see what happens. And what I mean by that is that I would parse the data using SleepyHead every day, and if I had questions I would come here for answers.
So I would get an APAP that works with SH and reports RDI, and other than the tweaks I have mentioned, follow the Dr's orders.
If it turns out to help, it will still be the best investment you can make in your health. If it turns out not to work, you can unload it on Craig's or Ebay and recoup much of the investment.
So it appears that UARS is a kissing cousin to SA, with the distinction being that arousal sensitivity is higher.
I am also not clear on how it is "clear that I do not have sleep apnea". Do you have any data supporting that? an AHI, even from a one-night titration?
It seems that UARS arouses one before a blockage or partial blockage can be long enough to be considered an apnea, and if that will not desat you the way a longer, real apnea will, it still arouses you, which can have some of the same symptoms and dire consequences of SA. Otherwise, UARS is pretty close to SA, and could be considered "stealth SA" because apneas are not flagged.
That sounds like a really good approach for me to take with an APAP instead of CPAP. I may well follow that.
Yes, when I said that I don't have sleep apnea, I meant it in the technical sense that my AHI is 0 (as seen during my at-home screening test and my titration). From what I understand, UARS is on the same spectrum though but restriction in the airways causes arousals, disturbing sleep.
(05-06-2015 08:42 PM)AshSF Wrote: As Zonk said, get a PRS1 60 series auto machine model No 560xx or561xx in international markets. This machine reports RERAs as well which is a better proxy for UARS.
In Resmed land, an "Airsense 10 Autoset for Her" model also reports RERAs.
Any other machine will give you less information and make it harder for you to diagnose or tweak therapy settings.
That's a great point regarding reporting RERAs. I would definitely prefer a machine that reports that, as just looking at AHI seems to be useless for me (it's at 0). Does the regular Airsense 10 Autoset not report them? I wonder why they chose to add the extra functionality to the "For Her" model.