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Question that i dont know if anyone can help
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cookie810 Offline

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Posts: 28
Joined: Jan 2015

Machine: resmed AirSense 10 CPAP
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit N10
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: Not using software

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Sex: Female
Location:

Post: #1
Question that i dont know if anyone can help
So all has been going very well- I had my 30 day check up, where I brought my cpap and all was good-my numbers were all good- great in fact-
so I did mention to her that the only issue I had was that I felt like I wasn't getting enough air at the beginning, so I turned the ramp down to zero-
So she said great and she then adjusted something so that I get a bigger push of air-she said I would like it-
I don't know what she did- but I do not like it- I could not even wear the mask last night-
It felt like a ton of air pushing down my throat- so much that when I took the mask off, I still couldn't talk right-,it felt like my throat was wide open--
Can anyone understand what the heck happened and what she did and how can I fix it
02-14-2015 10:41 AM
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Sleeprider Offline
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Posts: 3,317
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: #2
RE: Question that i dont know if anyone can help
You may need to access your clinical settings and review them. Alternatively post the sleepyhead data so we can see the settings. Most likely your minimum pressure setting was increased.

Do you have the clinical manual for your machine? Request it here.

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(This post was last modified: 02-14-2015 10:55 AM by Sleeprider.)
02-14-2015 10:53 AM
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cookie810 Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: resmed AirSense 10 CPAP
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit N10
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #3
RE: Question that i dont know if anyone can help
hmm, I don't use sleepy head software--
I will have to look for the manual-
I just don't get why, if everything was great, she messed with my settings lol
02-14-2015 10:58 AM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,317
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: #4
RE: Question that i dont know if anyone can help
Chances are, the minimum pressure setting was set closer to your theraputic setting. It may have been as low as 4.0 cm which is the default where your ramp begins.

Let's do this in the meantime so you can get back on the machine. Go back in and turn ramp back on, but limit it to just a minute or two. That will ease the pressure on, rather than blasting you all at once. Many of us learn to tolerate the instant on pressure, but it can be a shock for someone just starting out.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
02-14-2015 11:22 AM
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me50 Offline

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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: #5
RE: Question that i dont know if anyone can help
(02-14-2015 10:58 AM)cookie810 Wrote:  hmm, I don't use sleepy head software--
I will have to look for the manual-
I just don't get why, if everything was great, she messed with my settings lol

I agree that she probably did increase your pressure but I can't say that for sure. Most DME's say they cannot change your pressure without a script from your doctor.

To really find out what happened, you can download SLEEPYHEAD which is no cost to you and it will show what your settings were and what they are now. OR you can call and ask what changes she made when you were in for your 30 day appointment.

Using the software will help you see how your therapy is doing and see if you need to make changes, are having high leaks and if those leaks are associated with an event, etc. etc. There is a lot that you can get from SLEEPYHEAD.

You may have to get ResScan since I am not sure if SLEEPYHEAD works with your machine. I am sure someone else can help you on that issue.

I highly recommend that you use some software to watch how things are going, especially in the beginning of your therapy.
(This post was last modified: 02-14-2015 11:25 AM by me50.)
02-14-2015 11:23 AM
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cookie810 Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: resmed AirSense 10 CPAP
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit N10
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #6
RE: Question that i dont know if anyone can help
It will feel like starting all over again- I will try that- but right now my ramp is set for 5 min- that is what it was last night- and I was choking on air- that cant be good- I will have to sleep without it till Monday, so then they can fix what they did-
It was all so good-why oh why did she touch it-argh
02-14-2015 11:24 AM
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justMongo Offline

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Posts: 3,840
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #7
RE: Question that i dont know if anyone can help
(02-14-2015 10:58 AM)cookie810 Wrote:  I just don't get why, if everything was great, she messed with my settings lol

Because that's what they do. If you have been tracking with software, you would be able to know what change was made. Likely it was a pressure setting.

Many people in these jobs are unskilled and untrained. About 50% failed at a job that required them asking, "Would you like fries with that?" /sarc

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.
02-14-2015 11:24 AM
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cookie810 Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: resmed AirSense 10 CPAP
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit N10
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #8
RE: Question that i dont know if anyone can help
the airres website gives me all the basic info I need- I know there is a sd card in my machine but I am not that savvy
when I had my check up yesterday, she said for the month, I used it every night, there were no leaks, my episodes averaged about 1.3 per night- so everything was good
(This post was last modified: 02-14-2015 11:26 AM by cookie810.)
02-14-2015 11:25 AM
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OMyMyOHellYes Offline

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Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #9
RE: Question that i dont know if anyone can help
Now all they have to ask is "do you have your insurance card?"
02-14-2015 11:29 AM
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archangle Offline
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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: #10
RE: Question that i dont know if anyone can help
(02-14-2015 11:25 AM)cookie810 Wrote:  the airres website gives me all the basic info I need- I know there is a sd card in my machine but I am not that savvy

Well, obviously it doesn't tell you what you need, since you don't know what changed in your settings.

SleepyHead will tell you what your pressure settings are. If she didn't erase your SD card when she worked on the machine, it will still tell you what changed.

Lock your SD card before you put it into the computer and unlock it before you put it back into the machine, and you can't do any harm. I think the A10 CPAP machines aren't as picky about the SD card as the S9 machines were anyway.

Get the "testing" version of SleepyHead for your A10 machine. It's at

http://www.sleepfiles.com/SH/index.html?TestingVersions

If you can't figure out whether you need the 64 bit version or 32 bit, the 32 bit version will probably work for you.

She may have turned off EPR. You can probably turn that back up without going into the clinician's menu. EPR reduces the pressure on exhale.

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.
02-14-2015 12:00 PM
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