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Switched from APAP to CPAP
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linn Offline

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Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #1
Gross Switched from APAP to CPAP
I've been switched from an APAP to a CPAP.

The APAP was MUCH more comfortable for me - is this common?

Is an APAP a lot more expensive?
11-18-2015 04:33 PM
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cate1898 Offline

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Posts: 781
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #2
RE: Switched from APAP to CPAP
It's not a question of money. Doctors cannot prescribe an Auto CPAP without the patient's sleep lab results exhibiting certain criteria.

This is cut and pasted from an Ontario ADP document:

335.01 Auto-Titrating Positive Airway Pressure Systems (APAP)
Individuals requiring APAP systems must meet the Medical Eligibility Criteria
for a positive airway pressures system (see 335) and the Medical Eligibility
Criteria outlined below.
The individual must have polysomnographically documented OSAS where
there is a change in pressure of a minimum of 4 cmH2O on a prescribed fixed
CPAP level of 10 cmH2O or more; and the change must occur between REM
vs. NREM sleep or supine vs. sleeping on their side.

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-18-2015 04:36 PM
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linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #3
RE: Switched from APAP to CPAP
(11-18-2015 04:36 PM)cate1898 Wrote:  It's not a question of money. Doctors cannot prescribe an Auto CPAP without the patient's sleep lab results exhibiting certain criteria.

This is cut and pasted from an Ontario ADP document:

335.01 Auto-Titrating Positive Airway Pressure Systems (APAP)
Individuals requiring APAP systems must meet the Medical Eligibility Criteria
for a positive airway pressures system (see 335) and the Medical Eligibility
Criteria outlined below.
The individual must have polysomnographically documented OSAS where
there is a change in pressure of a minimum of 4 cmH2O on a prescribed fixed
CPAP level of 10 cmH2O or more; and the change must occur between REM
vs. NREM sleep or supine vs. sleeping on their side.

What if I were to pay for the whole thing myself? I understand that ADP won't cover it.
11-18-2015 04:45 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Switched from APAP to CPAP
(11-18-2015 04:45 PM)linn Wrote:  What if I were to pay for the whole thing myself? I understand that ADP won't cover it.
I cannot see a problem there but you'll need a script

In Australia, APAP much more expensive than fixed CPAP but in US, only few dollars is the price difference
As for "The APAP was MUCH more comfortable for me - is this common?"
I can vouch for that, I've being using AutoSet on Auto since started treatment 5 years ago and never looked back Smile
11-18-2015 04:59 PM
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DariaVader Offline
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Posts: 1,819
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: #5
RE: Switched from APAP to CPAP
what pressure did they stick you with? I think that when apnea is obliterated at lower pressure, apap is *much* less likely to make a big difference... I personally cant imagine straight cpap for myself... but i would certainly meet the criteria Canada uses

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
11-18-2015 05:09 PM
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linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #6
RE: Switched from APAP to CPAP
(11-18-2015 04:59 PM)zonk Wrote:  
(11-18-2015 04:45 PM)linn Wrote:  What if I were to pay for the whole thing myself? I understand that ADP won't cover it.
I cannot see a problem there but you'll need a script

In Australia, APAP much more expensive than fixed CPAP but in US, only few dollars is the price difference
As for "The APAP was MUCH more comfortable for me - is this common?"
I can vouch for that, I've being using AutoSet on Auto since started treatment 5 years ago and never looked back Smile

Thanks
11-18-2015 05:19 PM
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linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #7
RE: Switched from APAP to CPAP
(11-18-2015 05:09 PM)DariaVader Wrote:  what pressure did they stick you with? I think that when apnea is obliterated at lower pressure, apap is *much* less likely to make a big difference... I personally cant imagine straight cpap for myself... but i would certainly meet the criteria Canada uses

7.6 pressure with a ramp at the beginning. I feel like I'm racing to get to sleep before the pressure goes up Oh-jeez

They have me using the same machine, but they turned off the auto features. They set it up for me and I'm not allowed to change it yet.

I found the automatic settings much more comfortable.
11-18-2015 05:24 PM
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DariaVader Offline
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Monitors

Posts: 1,819
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: #8
RE: Switched from APAP to CPAP
I hope you can get them to see sense. You Canadian apnea patients all need to band together and start a petition or something - raise some awareness on how much more cost effective the APAP is.

Your pressure is lowish - so they probably expect you will get used to it soonish. I don't feel like I am getting sufficient air if I am below 7, and prefer to begin at 8, but at first 6 felt like a windstorm!!!

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
11-18-2015 05:42 PM
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linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #9
RE: Switched from APAP to CPAP
(11-18-2015 05:42 PM)DariaVader Wrote:  I hope you can get them to see sense. You Canadian apnea patients all need to band together and start a petition or something - raise some awareness on how much more cost effective the APAP is.

Your pressure is lowish - so they probably expect you will get used to it soonish. I don't feel like I am getting sufficient air if I am below 7, and prefer to begin at 8, but at first 6 felt like a windstorm!!!

My pressure may change - I'm still in the trial period. My pressure may be low, but it sure helps me to sleep much better. I'm not on the verge of passing out anymore.

If I can't get an APAP, I will try my best to adapt to CPAP. It's only been a week and I can't sleep without it now! I'm so grateful for this technology.

Now, if I could only get a big spike in energy and clean my whole apartment Oh-jeez
11-18-2015 05:59 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
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: #10
RE: Switched from APAP to CPAP
if you do, pass it on... Big Grin

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
11-18-2015 06:17 PM
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