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[Pressure] New Member Questions on pressure, other settings
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Bruno2 Offline

Preferred Members

Posts: 22
Joined: Mar 2014

Machine: Remstar Plus M Series
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: Remstar
CPAP Pressure: None
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
New Member Questions on pressure, other settings
I am new to the board. My name is Brandon. I have had sleep apnea all of my life, but have just recently been diagnosed. My case is severe and was told that I wake up 52 times per hour on the average during my sleep study.

I was going to have pay close to $400 with my insurance to lease a machine for 10 months. I bought a brand new one on Craigslist never used in the box for $100 cash. The unit is a Remstar Plus M series. I just ordered a mask and hose from Amazon. I toss and turn as well as have a lot of trouble breathing through my nose so I bought a full face mask. The mask is the Resmed Quattro FX. I bought the large size. I dont know if I need the large, but during the sleep study the mask they had me use felt like it was squishing my face into it as if it were too small.

My mask and other paraphernalia I ordered through Amazon and havent received it yet.

So this is what I want to know from you guys that have experience:
How do I know what pressure setting I need?
Is there a place I should start like the lowest setting and work up?
How will I know when I reach that optimum point?
Is my unit a self adjusting unit?
What do I need to know about the humidifier?

Thank you in advance to everyone that is willing to help!
(This post was last modified: 03-19-2014 10:07 PM by Bruno2.)
03-19-2014 10:04 PM
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retired_guy Offline

Preferred Members-2

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: #2
RE: New Member??
Hey Brandon,

Dude, you got some learnin' to do! It's great that you are willing to spend the effort doing it.

I copied this from somewhere just to get you started:

How to access the setup menu:

Respironics REMstar M Series (CPAP or BiPAP): Unplug the power cord from the back of the CPAP machine, then hold down both the left and right arrow keys while simultaneously plugging in the power supply. Once the device beeps twice, release the buttons. After you hear the two beeps, you'll see the word setup in the lower right corner of the LCD screen. When you select setup you'll be in the clinician's mode where you can adjust every feature of the CPAP machine, including the pressure setting.

When you had your sleep study they should have come up with a prescription for you that would give you their recommended pressure settings. If not, can you call them and discuss it?

More later, better help than I on this machine is on it's way!!!
03-19-2014 10:26 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,064
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: #3
RE: New Member??
Your first problem is the machine you just bought. If I remember correctly, the RemStar Plus machines are what we refer to as "bricks", meaning they collect no data other than compliance data (hours used each night).

If you had a mask during the sleep study, then they did the titration part of it. Obtain the results from that and it should tell you what pressures were optimum for you. Or ask the supplier for a copy of the prescription for the machine they were going to rent you and it should be on there.

With no data, you won't know if you are getting adequate treatment other than how you feel. You could get an oximeter to wear and combine how you feel with what the O2 saturation was each night.

Or, you could save up some money and go to Supplier #2 in our Supplier's List (link at the top of every page) and buy a used or open box machine. Keep the RemStar as a backup. The hose and mask will work with any machine. You will find the Respironics to be cheaper overall. Here's a good place to start on machine's to look for:
http://www.apneaboard.com/wiki/index.php...ne_Choices

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.
03-19-2014 10:35 PM
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Bruno2 Offline

Preferred Members

Posts: 22
Joined: Mar 2014

Machine: Remstar Plus M Series
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: Remstar
CPAP Pressure: None
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #4
RE: New Member??
Thanks retired guy!
OK, I need to call my sleep Dr. tomorrow then. I didnt know thats how it works. I was supposed to go to some medical equipment provider they use and get the machine and such. They wanted to lease me a machine for $1,200.00 for 10 months and I was supposed to pay close to $400.00 out of pocket with my insurance. On top of that I had to take off work to make the appt. I am working on a great paying time and material job currently. Taking off to make the appt would have just added an additional expense to the already railroad price gouge they were trying to get . When I looked at machines online I didnt even see any new ones that cost as much as they wanted for a 10 month lease.

The rest of the equipment should be here in a couple days and I cant wait to get started!
03-19-2014 10:36 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: #5
RE: New Member??
Hi Bruno2,
WELCOME! to the forum.!
I notice in your profile, you don't have your pressure listed.
Since you wer recently diagnosed with OSA, you did have a sleep study to find that out, yes?
It would help us if you knew your pressure that they arived at, when you had your study or titration.
Do stic around for more answers to your questions and best of luck to you.

trish6hundred
03-19-2014 10:37 PM
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Bruno2 Offline

Preferred Members

Posts: 22
Joined: Mar 2014

Machine: Remstar Plus M Series
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: Remstar
CPAP Pressure: None
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #6
RE: New Member??
(03-19-2014 10:37 PM)trish6hundred Wrote:  Hi Bruno2,
WELCOME! to the forum.!
I notice in your profile, you don't have your pressure listed.
Since you wer recently diagnosed with OSA, you did have a sleep study to find that out, yes?
It would help us if you knew your pressure that they arived at, when you had your study or titration.
Do stic around for more answers to your questions and best of luck to you.

I am going to find the pressure info out tomorrow hopefully.

I plan to stick around Trish!
03-19-2014 10:40 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: #7
RE: New Member??
(03-19-2014 10:40 PM)Bruno2 Wrote:  
(03-19-2014 10:37 PM)trish6hundred Wrote:  Hi Bruno2,
WELCOME! to the forum.!
I notice in your profile, you don't have your pressure listed.
Since you wer recently diagnosed with OSA, you did have a sleep study to find that out, yes?
It would help us if you knew your pressure that they arived at, when you had your study or titration.
Do stic around for more answers to your questions and best of luck to you.

I am going to find the pressure info out tomorrow hopefully.

I plan to stick around Trish!
Knowing your pressure will be very helpful to you and to everyone here. Keep us posted.

trish6hundred
03-19-2014 10:48 PM
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Doc J Offline

Preferred Members-2

Posts: 199
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: resMed H5i Dumped and dry daily
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

Other Comments: Knowledge is King and this is the place to find it! Thanks everyone.

Sex: Male
Location: Central Nebraska

Post: #8
RE: New Member??
You can pull it off but you should have found a auto cpap machine with reporting functions, I got mine off CL but it was $350. You really got to do your home work and the best I've found is right here on this forum. I also have nasal problems but you will find that the pressure will inflate your nasal passages and you just might be able to use a nasal pillows that requires much less force on your face. Everyone is different so there is trial and error. I hear you on the prices they charge the insurance and your share is nuts. Good luck and keep us posted and read on.
Doc J
03-19-2014 11:13 PM
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Bruno2 Offline

Preferred Members

Posts: 22
Joined: Mar 2014

Machine: Remstar Plus M Series
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: Remstar
CPAP Pressure: None
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #9
RE: New Member??
I have been combing through the posts in this forum already. There seems to be a lot of knowledge and experience here. Also there seems to be a lot of members willing to help somebody out.
03-19-2014 11:21 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #10
RE: New Member??
(03-19-2014 10:36 PM)Bruno2 Wrote:  Thanks retired guy!
OK, I need to call my sleep Dr. tomorrow then. I didnt know thats how it works. I was supposed to go to some medical equipment provider they use and get the machine and such. They wanted to lease me a machine for $1,200.00 for 10 months and I was supposed to pay close to $400.00 out of pocket with my insurance. On top of that I had to take off work to make the appt. I am working on a great paying time and material job currently. Taking off to make the appt would have just added an additional expense to the already railroad price gouge they were trying to get . When I looked at machines online I didnt even see any new ones that cost as much as they wanted for a 10 month lease.

The rest of the equipment should be here in a couple days and I cant wait to get started!

who told you that you would have to pay $400 for 10 months?

see, with most insurance companies, there is a contracted price or an allowed amount that the insurance company will pay a DME/supplier. So, if your insurance company requires you to pay 20%, it will be of the allowed amount.

For example, my insurance company will allow $110.50 per month for a vpap and I pay $22.10 per month and I have to pay this for 13 months I have been told. That is $287.30 so I would think you would pay less if you are only responsible for 20% for 10 months. It will be a lot less than that if you don't need a vpap. When I had my cpap, I only paid around $8 per month. YMMV
(This post was last modified: 03-19-2014 11:31 PM by me50.)
03-19-2014 11:27 PM
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