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Off to law school, and scared as hell...
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jdireton Offline

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Posts: 149
Joined: Feb 2012

Machine: Resmed S9 Elite
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Resmed H5i
CPAP Pressure: 12
CPAP Software: ResScan

Other Comments: ClimateLine Hose

Sex: Male
Location: Florida

Post: #11
RE: Off to law school, and scared as hell...
Nem,

I understand having limited funds in grad school. I can also tell you that I used to fall asleep in class, be "fuzzy" a lot, etc. and I'm sure that didn't help my studies.

When you get settled, check with some local Durable Medical Equipment (DME) providers about renting an APAP. APAP's are no substitute for a full sleep study, but it could help you optimize the set pressure for the CPAP you already have. You should be able to do this if you already have a CPAP prescription.

Not a great route but it could help you at limited cost. As stated repeatedly above, a setpoint of 4 cmH2O is the lowest therapeutical setpoint. Most people will likely need higher pressure for optimal treatment.

Keep us up to date with your progress. We'll help any way we can!
08-27-2012 08:28 AM
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mjbearit Offline

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Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #12
RE: Off to law school, and scared as hell...
Hey Nem, good to see you made it to school and all appears well. When and if you start looking around for that APAP, take a look at Supplier #2 on our supplier list:
http://www.apneaboard.com/forums/Thread-CPAP-Supplier-List
Secondwind does an excellent job with offering gently used machines with low hours on them for a great price. Many of us have used them as an alternative to doing the insurance route or because we could not get help from our insurance! Just a thought since I know that starving students have limited disposable income!

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
08-27-2012 09:37 AM
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Nemutai Offline

Members

Posts: 8
Joined: Aug 2012

Machine: Philips system one
Mask Type: Full face mask
Mask Make & Model:
Humidifier: Philips System One
CPAP Pressure: 4
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #13
RE: Off to law school, and scared as hell...
jdirection and mjbearit: Thanks very much! I'll check those guys out ASAP.

Also, I tried sleeping with the pressure of 5 last night with the humidity set at 2 in the full face mask. Woke up full of drool yet again... I guess I'm going to have to switch back to a nose pillow.
I was able to sleep about 4 hours last night with the mask on, and I have an AHI reading of 4, with a large leak percentage of 8
08-27-2012 07:55 PM
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PaulaO2 Offline
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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: #14
RE: Off to law school, and scared as hell...
If you use the nasal pillows, you will probably need a chin strap.

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.
08-27-2012 08:02 PM
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Nemutai Offline

Members

Posts: 8
Joined: Aug 2012

Machine: Philips system one
Mask Type: Full face mask
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Humidifier: Philips System One
CPAP Pressure: 4
CPAP Software: Not using software

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Sex: Male
Location:

Post: #15
RE: Off to law school, and scared as hell...
(08-27-2012 08:02 PM)PaulaO2 Wrote:  If you use the nasal pillows, you will probably need a chin strap.

Is a chin strap dangerous, considering I have a deviated septum which causes breathing through my nose to be very difficult at times. What if my nose gets clogged up and I can't open my mouth Confused
08-27-2012 08:34 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: #16
RE: Off to law school, and scared as hell...
A chin strap won't lock your mouth closed. It is quite easy to open it. If you have trouble breathing through your nose, nasal pillows won't work. You'll be opening your mouth, leaking air, and the CPAP at that point is basically useless.

Many people find that the air from the xPAP actually keeps their noses clear at night. Nasal rinses also help with congestion.

Try using an ace bandage. Sit up with the mask and machine on, wrap from the top of your head to your chin and back up again. Play with the stretch of the bandage until you have it to where you are comfortable and you trust it.

I had a chin strap for a short while and all it was just a 2-3" wide by I guess 1' long with Velcro on the end. Go to some of the online suppliers and take a look at the chinstraps.

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.
08-27-2012 09:15 PM
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Nemutai Offline

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Posts: 8
Joined: Aug 2012

Machine: Philips system one
Mask Type: Full face mask
Mask Make & Model:
Humidifier: Philips System One
CPAP Pressure: 4
CPAP Software: Not using software

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Sex: Male
Location:

Post: #17
RE: Off to law school, and scared as hell...
(08-27-2012 09:15 PM)PaulaO2 Wrote:  A chin strap won't lock your mouth closed. It is quite easy to open it. If you have trouble breathing through your nose, nasal pillows won't work. You'll be opening your mouth, leaking air, and the CPAP at that point is basically useless.

Many people find that the air from the xPAP actually keeps their noses clear at night. Nasal rinses also help with congestion.

Try using an ace bandage. Sit up with the mask and machine on, wrap from the top of your head to your chin and back up again. Play with the stretch of the bandage until you have it to where you are comfortable and you trust it.

I had a chin strap for a short while and all it was just a 2-3" wide by I guess 1' long with Velcro on the end. Go to some of the online suppliers and take a look at the chinstraps.

Will do Smile Thanks very much!!!!
08-27-2012 09:37 PM
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dakota Offline

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Posts: 14
Joined: Aug 2012

Machine: None
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Other Comments: I am a registered sleep technologist

Sex: Male
Location: Ann Arbor, MI

Post: #18
RE: Off to law school, and scared as hell...
A pressure of 4 is very low. I have only had a 6YO on that pressure. I would try a 5 or a 6 in pressure and an adjustable ruby tiara chinstrap.

If you can, try a nasal mask (Zest, Activa LT, Ultra Mirage II, Micro Mirage) instead of a nasal pillow. Sometimes the nasal mask eases the pressure enough to make you mouth vent a lot less.

Also, your doctor sounds like a super jerkface and I'd suggest maybe finding a new one.
08-28-2012 08:29 AM
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Sleepster Offline
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Machine: ResMed AirCurve10 VAuto
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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: #19
RE: Off to law school, and scared as hell...
Chinstraps just keep the mouth closed when the jaw muscles are relaxed. The mouth still opens with the slightest muscular effort. You can talk, drink, and probably even eat with one on.

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.
08-28-2012 08:32 PM
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Nemutai Offline

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Posts: 8
Joined: Aug 2012

Machine: Philips system one
Mask Type: Full face mask
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CPAP Software: Not using software

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Sex: Male
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Post: #20
RE: Off to law school, and scared as hell...
(08-28-2012 08:29 AM)dakota Wrote:  A pressure of 4 is very low. I have only had a 6YO on that pressure. I would try a 5 or a 6 in pressure and an adjustable ruby tiara chinstrap.

If you can, try a nasal mask (Zest, Activa LT, Ultra Mirage II, Micro Mirage) instead of a nasal pillow. Sometimes the nasal mask eases the pressure enough to make you mouth vent a lot less.

Also, your doctor sounds like a super jerkface and I'd suggest maybe finding a new one.

Doctor was an absolute idiot....
I'll look into the nasal mask, although I think the nasal pillow with chinstrap combo might be the way to go

(08-28-2012 08:32 PM)Sleepster Wrote:  Chinstraps just keep the mouth closed when the jaw muscles are relaxed. The mouth still opens with the slightest muscular effort. You can talk, drink, and probably even eat with one on.


That is very reassuring to hear.
Time to find another nasal pillow. Anyone have any recommendations on a good affordable one, as it appears my school does not cover them....
08-30-2012 01:09 PM
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