Post Reply 
Should user change own settings
Author Message
JayTea26wy Offline

Members

Posts: 4
Joined: Jun 2016

Machine: Dream station
Mask Type: Full face mask
Mask Make & Model: Amera
Humidifier: Unsure
CPAP Pressure: Unsure
CPAP Software: Other Software

Other Comments:

Sex: Male
Location: United States

Post: #1
Should user change own settings
I've been reading posts on this forum. I'm so glad I'm here! I noticed some folks are changing things like pressure, ramp time, humidifier settings, etc.
My home care provider set my Dreamstation machine per doctors specification.
Does that mean that I should not attempt to make any setting changes myself?
06-16-2016 02:55 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DWaldman Offline

Preferred Members

Posts: 57
Joined: Sep 2015

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: InnoMed Aloha
Humidifier: Hi5
CPAP Pressure: 9-17
CPAP Software: SleepyHead

Other Comments: We rescue dogs... I am going to need LOTS of filters....

Sex: Male
Location: Atascadero Ca

Post: #2
RE: Should user change own settings
Depends. Ramp time and humidifier settings are for your comfort, and you should feel free to adjust them to your liking. Same with exhale relief settings. Pressure settings are set to the range or fixed pressure your Dr. recommended.
Many of us here monitor or own therapy using data collected by the machine and read in a software program like Sleepyhead. With the help of the clinicians manual for our machine, we access the menus that allow us to set fixed pressure for CPAP or a range of pressures for APAP. Most DR.s do not take a lot of time to help patients get the best from their therapy, so many people remain uncomfortable, or the therapy isn't as effective as it could be.
Now, do you want to dive in and learn what you will need to know to set your own pressure settings? Or are you more comfortable trying to get your DR. and med supplier set you up with your treatment. It's a choice, and only you can answer if you feel comfortable taking charge of your treatment.
I did it right from the start, and never looked back.
06-16-2016 03:48 PM
Find all posts by this user Post Reply Quote this message in a reply
chill Online

Advisory Members

Posts: 842
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #3
RE: Should user change own settings
My attitude is that it is ME not my doctor strapped to this mask all night. And I am going to learn and do everything that I can to make this work better for me. I have a lot more time to devote to that than my doctor does.

I can't see how you would cause anything other than a poor night's sleep mis-adjusting a standard CPAP machine. I am not sure about the higher pressure BiPAP and ASV machines.
06-16-2016 03:53 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Mosquitobait Offline

Advisory Members

Posts: 743
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #4
RE: Should user change own settings
FWIW, your home care provider or DME can only change settings with a doctor's order because law states this. The owner of a machine can do what they choose to do because....they own the machine.
06-16-2016 04:04 PM
Find all posts by this user Post Reply Quote this message in a reply
trish6hundred Offline

Advisory Members

Posts: 6,424
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: Should user change own settings
Hi JayTea26wy,
WELCOMME! to the forum.!
Good luck to you with your CPAP therapy and hang in there for more answers to your question.

trish6hundred
06-16-2016 05:45 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,815
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #6
RE: Should user change own settings
what MosquitoBait said.... plus

You should not change settings unless you first collect data and learn to understand something about that data. However, if you do that - then you will be in a better position than your doc to say what the settings should be as 90% of them never look at the data.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
06-16-2016 05:51 PM
Find all posts by this user Post Reply Quote this message in a reply
Sn00zeAlarm Offline

Preferred Members

Posts: 72
Joined: May 2015

Machine: Resmed A10 autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Builtin
CPAP Pressure: 5-7
CPAP Software: SleepyHead

Other Comments: Heated hose

Sex: Male
Location: Florida US

Post: #7
RE: Should user change own settings
So do not change it yourself until the insurance payments stop? I think for Medicare that is 13 months. The paperwork says Medicare is *renting* the machine for me, not making time payments toward ownership. I am not clear that I would ever actually own this specific machine. Where is that spelled out?
06-16-2016 06:09 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,155
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #8
RE: Should user change own settings
You should not be changing your pressure settings until you have analized your data by using software. You should download SleepyHead software and look at your data for a week or so, and keep track of your AHI and the breakdown of that number. You can study the graphs to see what apnea events you are having and the pressures needed. If you don't feel well, or the numbers are too high, then its time to take a closer look.

Now I'm not talking about EPR, FLEX, or Humidifer settings. These are for your comfort and you should change them as needed.

Medicare Compliance:
Medicare pays rent to the DME for 13 months, provided you have met compliance during the first 90 days.

Must use CPAP a minimum of 4 hours a day, 70% of the time, for 30 consecutive days within the first 90-day period.
Must also have a face to face Doctor Appointment after the first 31 days, but before the 90-day period is up.

Once the 13 months has ended, you own the machine.


You can find this information on the Medicare.gov website.

Now as far as not changing pressure, this is usually a scare tatic from providers and DME's. It has nothing to do with compliance and insurance paying. Insurance (Medicare) only looks at Compliance (hours used), not pressure settings.

OpalRose
(This post was last modified: 06-16-2016 07:38 PM by OpalRose.)
06-16-2016 07:18 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Dream Station Ramp and Pressure Settings knowoneuno 14 215 Today 11:34 AM
Last Post: knowoneuno
  [Pressure] How to change pressure - Respironics Solo slgoltz 5 19,939 11-30-2016 06:32 PM
Last Post: randx2
  New User Problem with BiPAP AVAPS - Part 1 jmayer180 35 1,231 11-27-2016 09:50 AM
Last Post: jmayer180
  Dream Station Settings Autumnseer 15 449 11-26-2016 07:01 AM
Last Post: Weird Tolkienish Figure
  New User! SKClay 3 233 11-21-2016 08:52 PM
Last Post: trish6hundred
Question Change Humidity Level Seasonally txpap 9 487 11-21-2016 06:58 PM
Last Post: Sleepster
  new user wants advice Gazz 3 219 11-19-2016 11:06 AM
Last Post: trish6hundred

Forum Jump:

Who's Online (Complete List)