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Two Long Weeks
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Mosquitobait Offline

Advisory Members

Posts: 746
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: #11
RE: Two Long Weeks
Don't concern yourself with what the DME will think. They can't make adjustments ANYWAY without doctor approval. YOU however, can and I agree. You want your starting pressure to be closer to your average pressure so it doesn't have to rise so much. I started off at 6 minimum (because I could breathe at that) and now I'm up to 9 as my 95% is at 11.5. Far fewer hypopneas and virtually no RERAs as a result.
10-05-2016 04:54 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,340
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: #12
RE: Two Long Weeks
An alternative on your Dreamstation Auto is to turn on the Opti-Start feature. This will make your starting pressure equal to the 90% pressure of the previous 30 hours of therapy. It will do that without you changing any settings other than to turn on the Opti-Start.

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10-06-2016 01:20 PM
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BadGoodDeb Offline

Advisory Members

Posts: 210
Joined: Apr 2015

Machine: ResMed Airsense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 for Her
Humidifier: no
CPAP Pressure: 8 (testing 7.8-10)
CPAP Software: SleepyHead

Other Comments: New to AirSense 10 and AirFit P10, but 4 years on prev unit

Sex: Female
Location: Chicago outskirts (Aurora, IL)

Post: #13
RE: Two Long Weeks
Hi! I agree that having the starting pressure higher will help against "sensation of suffocation. " I'm not familiar with your mask brand, but with nasal pillows in general: going to a larger size of pillows will also let more air through. That too can help with "suffocation" feelings.

My DME merely looked at me, and guessed that I "am probably a Small". 30 minutes into trying to get to sleep, I was feeling suffocated, and tried the next larger size, Medium. Much more air came through! (I was already a seasoned 8 year cpap user, but not this brand.) Since then I've gone yet another size larger, so as to get more air into me. The nasal pillows don't *have* to fit into the nose (as somebody's sig points out) -- the Large size pillows fits mostly *under* my nose; just a little bit *in*. The air pressure & the head strap keeps it in place.

Don't be afraid to ask for a larger size, especially during your 30 day adjustment period, when I believe they will let you try several things.
(This post was last modified: 10-06-2016 04:53 PM by BadGoodDeb.)
10-06-2016 04:52 PM
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EnigmaGrey Offline

Preferred Members

Posts: 23
Joined: Oct 2016

Machine: Respironics DSX500T11
Mask Type: Nasal pillows
Mask Make & Model: Respironics Nuance Gel
Humidifier: DSXH
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #14
RE: Two Long Weeks
One day isn't enough to draw conclusions from, but it seems like changing the pressure to 8 was the right call.

AHI of 0.24 for 8 hours of sleep. My sleep was still heavily fragmented, but not so much that I felt the need to get up and turn off the machine.

Thanks everyone.
(This post was last modified: 10-07-2016 07:49 AM by EnigmaGrey.)
10-07-2016 07:47 AM
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EnigmaGrey Offline

Preferred Members

Posts: 23
Joined: Oct 2016

Machine: Respironics DSX500T11
Mask Type: Nasal pillows
Mask Make & Model: Respironics Nuance Gel
Humidifier: DSXH
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #15
RE: Two Long Weeks
Asked for a copy of my results and it looks like I got a bit wrong in the original post:

Hyponpeas lasted a mean 18s and a max of 39 seconds.
AHI in supline was 59.7
AHI in non-supline was 11.13
AHI overall is 18.7

spO2 at bedtime @ 97%
moderate-severe snoring
spO2 average @ 95%
sp02 minimum @ 83%

Overall quite an improvement, going from that to an AHI of 2. May pick up a pulse ox just to see if that also has improved. No wonder marathon sleep sessions of 10-12 hours never worked . . . might have even been going through this as a teen -- no wonder attendance and sleep were such an issue. Sad

@BadGoodDeb Got a large nasal pillow from the tech despite her instance that I "looked like a medium." I'm guessing it'll be a better fit just from dry-fitting it, but testing it out will have to wait. The one I was given smells distressingly of tobacco -- I had assumed they'd be new. Big Grin Ordered a mask online with fitting kit to try out the online vendors rather than deal with that . . .
(This post was last modified: 10-07-2016 04:18 PM by EnigmaGrey.)
10-07-2016 04:04 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,007
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #16
RE: Two Long Weeks
Wow, will you still use that vendor?
10-09-2016 11:33 PM
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BadGoodDeb Offline

Advisory Members

Posts: 210
Joined: Apr 2015

Machine: ResMed Airsense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 for Her
Humidifier: no
CPAP Pressure: 8 (testing 7.8-10)
CPAP Software: SleepyHead

Other Comments: New to AirSense 10 and AirFit P10, but 4 years on prev unit

Sex: Female
Location: Chicago outskirts (Aurora, IL)

Post: #17
RE: Two Long Weeks
Wow, yes!! They certainly should be new masks! IMHO. (Though I wonder what the supplier is expected to DO with the cost of several masks you try out and reject, if you have a 30 day return period .... )
10-10-2016 01:08 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,340
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: #18
RE: Two Long Weeks
Quote:@BadGoodDeb Got a large nasal pillow from the tech despite her instance that I "looked like a medium." I'm guessing it'll be a better fit just from dry-fitting it, but testing it out will have to wait. The one I was given smells distressingly of tobacco -- I had assumed they'd be new. Big Grin Ordered a mask online with fitting kit to try out the online vendors rather than deal with that . . .

You need a different DME, but I would start by calling their office and speaking to a manager. It is unacceptable for them to deliver a used nasal cushion, especially that smells of tobacco. This could be cause to complain to your State Attorney General's Consumer Affairs office.[/quote]

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10-10-2016 02:56 PM
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EnigmaGrey Offline

Preferred Members

Posts: 23
Joined: Oct 2016

Machine: Respironics DSX500T11
Mask Type: Nasal pillows
Mask Make & Model: Respironics Nuance Gel
Humidifier: DSXH
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #19
RE: Two Long Weeks
Well no way to know for sure -- for all I know it's a manufacturing defect or smell imparted from the plastics, but it was rather disturbing when the other nose piece did not have such an odor. To me, it comes across as stale tobacco and I won't be using it.

But yeah, won't be going back to them once I return the trial machine. Already thrown a few darts at the board and am trying two of the online suppliers and just, hopefully, won't get scammed. Supplier #20 has been quick to ship the replacement mask I ordered, but I'm waiting on confirmation the cpap machine itself from a different retailer in Ontario, as their price was lower, they're closer to my current location, and they're on ADP's list of approved vendors -- ordered Friday evening and Monday was a holiday, though.

I'm happy with the Dreamstation and the interface it provides to adjust my own treatment. If I need interpretation in the future, and my doctor can't provide it, I'll just pay the fee for an appointment elsewhere.

AHI remains at 0.4-0.5 with a 90% pressure of 8.5 . Wink
(This post was last modified: 10-11-2016 09:28 AM by EnigmaGrey.)
10-11-2016 09:20 AM
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EnigmaGrey Offline

Preferred Members

Posts: 23
Joined: Oct 2016

Machine: Respironics DSX500T11
Mask Type: Nasal pillows
Mask Make & Model: Respironics Nuance Gel
Humidifier: DSXH
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #20
RE: Two Long Weeks
Ah, there's the confirmation e-mail from their in-house RPN. We're all good, probably.
10-11-2016 09:45 AM
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