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Quick help please --S9 VPAP Adapt or Respironics auto Bi SV?
#41
(09-14-2014, 01:22 PM)vsheline Wrote: ...Don't waste the 30-day trial on the S9 Adapt by failing to prevent the sleep position which causes these events.

Not sure I understand what you mean by that?

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#42
(09-14-2014, 01:28 PM)jcarerra Wrote:
(09-14-2014, 01:22 PM)vsheline Wrote: ...Don't waste the 30-day trial on the S9 Adapt by failing to prevent the sleep position which causes these events.

Not sure I understand what you mean by that?

Clearly a pressure of 25, which is the highest pressure any ASV machine can put out, will at least sometimes be insufficient to prevent these clusters of obstructive apneas.

If nothing different is done, these clusters are likely to continue at least occasionally throughout the trials with both ASV machines.

If you avoid the sleep position which is the likely cause of these obstructive apnea clusters, you would be able to see if the S9 Adapt would do fine in handling everything else, and how the therapy the machine delivers feels to you, and how you feel during the day with the S9 Adapt when your AHI is zero every night.

The S9 VPAP ST-A and PRS1 BiPAP AVAPS "ventilator" machines can put out 30 cm H2O and may be able to force Flow to occur during these events, but very high pressure tends to cause Aerophagia and possibly other serious health issues in the eye or inner ear.
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#43
Well, for two nights I have used a rolled up sock inside another 'long sock,' tied around a stretch belt, and positioned on the center of my back...

and no clusters!

Machine still shows a few times going to 25 cmh2o, but way less than when cluster was happening.

Maybe, maybe, we have something here.

Also, I must say the S9 Adapt SV is very usable/tolerable. I don't really even notice when it goes to the high pressures. To me it is WAAAAY easier on self than the S9 Elite CPAP I had when EPR was turned on. That felt quite abrupt on the pressure changes.
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#44
(09-16-2014, 05:01 PM)jcarerra Wrote: Well, for two nights I have used a rolled up sock inside another 'long sock,' tied around a stretch belt, and positioned on the center of my back...

and no clusters!

Machine still shows a few times going to 25 cmh2o, but way less than when cluster was happening.

Maybe, maybe, we have something here.

Also, I must say the S9 Adapt SV is very usable/tolerable. I don't really even notice when it goes to the high pressures. To me it is WAAAAY easier to use than the S9 Elite CPAP I had when EPR was turned on. That felt quite abrupt on the pressure changes.

Awesome, happy you are on the right path. That's what everyone here wants to see for sure.
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
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#45
(09-16-2014, 05:01 PM)jcarerra Wrote: Machine still shows a few times going to 25 cmh2o, but way less than when cluster was happening.

Whenever we swallow we create a short but completely obstructive condition. Lasts less than 10 seconds, however, so these are not scored as "events" for purpose of calculating AHI. But the ASV machine will have reacted nearly immediately in an attempt to keep us breathing our normal amount of air. To a degree, I think this may happen also when we change sleep positions.

(09-16-2014, 05:01 PM)jcarerra Wrote: Also, I must say the S9 Adapt SV is very usable/tolerable.

I've heard that many patients have a great deal of trouble getting used to an ASV machine increasing Pressure Support so quickly and seemingly with a mind of its own. But you seem to be adapting well to the Adapt.

Take care,
--- Vaughn
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#46
(09-10-2014, 03:09 PM)jcarerra Wrote: Just talked to staffer at sleep doc office. Idiot. Says doc does not have ability to read S9 cards (I knew that) and Resmed machines are "better." Huh?

Your doctor is an idiot. The S9 software is enormously better than Respironics software.

Did they actually say "ResMed" machines are better, or Respironics?

(09-10-2014, 08:32 PM)Galactus Wrote: I found this for you, I do not know the accuracy or have anything else to say, I just thought it might help you. I have the PRS1 BiPap.

I get the impression that quote is about the Auto CPAP algorithm, not the ASV algorithms. I'm not sure it's that relevant for ASV comparisons.
Get the free SleepyHead software here.
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If it's midnight and a DME tells you it's dark outside, go and check it yourself.
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#47
(09-10-2014, 03:09 PM)jcarerra Wrote: Just talked to staffer at sleep doc office. Idiot. Says doc does not have ability to read S9 cards (I knew that) and Resmed machines are "better." Huh?
(09-17-2014, 12:44 AM)archangle Wrote: Your doctor is an idiot. The S9 software is enormously better than Respironics software.
Did they actually say "ResMed" machines are better, or Respironics?

^^ Seems contradictory...(it was a staffer, not the doc)

Staffer said Resmed (=S9) was better.
You say S9 software is better than Respironics software

Those comport with each other--doesn't lead to "idiot"
(though I do agree with that for other reasons).
--------------
I do find the machine's pressure feed to me to be "soft." When I had the Elite, the transitions felt abrupt and sudden--very "noticeable." With the Adapt, you know it is happening of course, but it just seems MUCH smoother.

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#48
I have checked with all 3 in network sleep docs in my insurance plan. Non of them can read the data off the SD card, regardless of brand.
They did not even know what a report looked like, they asked me how many pages it would be.

How can they hold themselves out as sleep specialists?
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#49
Just so this is up to date...

I am now up to 11 nights straight with ZERO clusters like I was having before.
This is with using the rolled sock in a sock tied onto belt keeping the "ball" (sock) in middle of back to prevent back-sleeping.

My net results with the sock and the Adapt SV is typically a very few OAs and a very few hypops each night. The SV machine seems to be able to stop follow-on apneas when sleeping on side preventing me from the hard-core blockages--leaving ones that the SV can cope with.

Very satisfied...except with arm and shoulder discomfort. I have restricted range of motion of shoulder, so end up sleeping kind of 'on" my shoulder and arm. But I can live with that. Literally.
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#50
(09-24-2014, 01:01 PM)jcarerra Wrote: Very satisfied...except with arm and shoulder discomfort. I have restricted range of motion of shoulder, so end up sleeping kind of 'on" my shoulder and arm.

That is great news.

Regarding side sleeping, I would never be able to tolerate it if I were not using a foam mattress topper.

If you already use one, perhaps a thicker/deeper one would help?

Take care,
--- Vaughn
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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