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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #11
RE: Update
(04-15-2015 11:14 AM)Scared Wrote:  Thank you very much, is it that bad!!!!


The numbers are not great, but the good news is they're mostly gone now that you are being treated. So that was then, and now we have the "new you." Good job Lynn.

(04-15-2015 11:17 AM)Scared Wrote:  Thanks, i will be glad when he comes nxt week to reset the machine and do the readings, my throat is so sore, but it could be my cold. x

The humidifier will help you a lot. Also you want to try to make sure you are not breathing through your mouth. Once your cold is gone, that should be of help to you too.
04-15-2015 11:25 AM
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Scared Offline

Preferred Members

Posts: 38
Joined: Apr 2015

Machine: philips Respironics Remstar Auto A-Flex System one
Mask Type: Full face mask
Mask Make & Model: F & P simplus Meduim
Humidifier: None
CPAP Pressure: 9.4
CPAP Software: Not using software

Other Comments: Diabetic Type 2 high bood pressure, Diverticulitis, Arthritis

Sex: Female
Location: French Alps

Post: #12
RE: Update
(04-15-2015 09:33 AM)Sleeprider Wrote:  I recommend you push to get the humidifier as soon as possible. Your machine was dispensed at the full range default settings. You will want to make changes so the machine is more responsive to your needs and better treats your severe apnea.

The clinical menu for your machine is accessed by following these directions http://www.apneaboard.com/pr-system-one-...tructions.

The first thing you may want to do is to change the ramp minimum pressure and time. If you feel it takes too much effort to breath when beginning the night on CPAP it is because the pressure is too low. Increase the minimum pressure until you are comfortable. Turn off ramp, or decrease the time in ramp. By default it lasts 45 minutes, and everytime you shut down the machine it restarts. You are not being treated when the machine is in ramp mode.

You can request a clinical manual by sending an email to Respironics PR System One REMstar Auto with A-flex, with Setup Manual in the subject line, and put "Respironics PR System One REMstar Auto with A-flex" in the body of the email.

Good luck and keep us posted of your progress.
Hello, thank you so much for your advice, the man that came with the machine set the machine for me and is coming back on Tuesday to reset it, but I will ask him to turn of ramp, will he know what that means? thank you so much fir the help, Lynn x
04-15-2015 11:26 AM
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trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #13
RE: Update
The ramp is a feature that slowly increases the pressure while you fall asleep. I don't like it and leave it off.
I do like EPR, which reduces the pressure during your exhale. My DME explained it like breathing with your head out the car window: easy to breathe in, hard to breathe out, so EPR temporarily reduces the pressure to make it easier. Mine is set for 3 (reduces by 3 cmH2o)
04-15-2015 08:57 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,390
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: #14
RE: Update
Ramp is usually accessible to the patient in the patient setup menu. Sometimes it is locked, but if you turn the dial to setup and see if ramp is there, you can choose on or off and the time it lasts without accessing the clinical menu. Ramp is a comfort setting, not therapeutic. So you can make changes without harming your therapy.

______________________________________________
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04-15-2015 09:34 PM
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Scared Offline

Preferred Members

Posts: 38
Joined: Apr 2015

Machine: philips Respironics Remstar Auto A-Flex System one
Mask Type: Full face mask
Mask Make & Model: F & P simplus Meduim
Humidifier: None
CPAP Pressure: 9.4
CPAP Software: Not using software

Other Comments: Diabetic Type 2 high bood pressure, Diverticulitis, Arthritis

Sex: Female
Location: French Alps

Post: #15
RE: Update
(04-15-2015 08:57 PM)trailrider Wrote:  The ramp is a feature that slowly increases the pressure while you fall asleep. I don't like it and leave it off.
I do like EPR, which reduces the pressure during your exhale. My DME explained it like breathing with your head out the car window: easy to breathe in, hard to breathe out, so EPR temporarily reduces the pressure to make it easier. Mine is set for 3 (reduces by 3 cmH2o)

I think I will ask him to turn it off when he comes on Tuesday, I tried the humidifier last night, dont know what I think yet, but still had a dry mouth and throat this morning and it was set on 3 and I turned it up to 4. Thank you very much
04-17-2015 09:11 AM
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Scared Offline

Preferred Members

Posts: 38
Joined: Apr 2015

Machine: philips Respironics Remstar Auto A-Flex System one
Mask Type: Full face mask
Mask Make & Model: F & P simplus Meduim
Humidifier: None
CPAP Pressure: 9.4
CPAP Software: Not using software

Other Comments: Diabetic Type 2 high bood pressure, Diverticulitis, Arthritis

Sex: Female
Location: French Alps

Post: #16
RE: Update
(04-15-2015 09:34 PM)Sleeprider Wrote:  Ramp is usually accessible to the patient in the patient setup menu. Sometimes it is locked, but if you turn the dial to setup and see if ramp is there, you can choose on or off and the time it lasts without accessing the clinical menu. Ramp is a comfort setting, not therapeutic. So you can make changes without harming your therapy.
Hi thank you for the info, I will ask him to do it when he comes, tried the humidifier fir the first time last night, my mouth and throat are still dry, I think.i need a strap to stop my mouth opening, it was set on three and I moved it to 4, the machine seems quite with that on. See what to night brings.

(04-15-2015 08:57 PM)trailrider Wrote:  The ramp is a feature that slowly increases the pressure while you fall asleep. I don't like it and leave it off.
I do like EPR, which reduces the pressure during your exhale. My DME explained it like breathing with your head out the car window: easy to breathe in, hard to breathe out, so EPR temporarily reduces the pressure to make it easier. Mine is set for 3 (reduces by 3 cmH2o)

I know I am blonde but was is EPR please, thank you for you advice.
(This post was last modified: 04-17-2015 09:17 AM by Scared.)
04-17-2015 09:15 AM
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worn_out_in_lebanon Offline

Advisory Members

Posts: 271
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #17
RE: Update
(04-17-2015 09:15 AM)Scared Wrote:  I know I am blonde but was is EPR please, thank you for you advice.

From resmed site:

What is EPR?
EPR™ (expiratory pressure relief) is an effective alternative to standard Continuous Positive Airway Pressure (CPAP) therapy. It offers a more natural breathing experience, enabling reliable and predictable therapy control while delivering a higher level of comfort. EPR is a special inclusion only available on some of our newer flow generators.

How does EPR work?
When you breathe out (exhale), the flow generator device detects the beginning of exhalation and reduces motor speed to drop treatment pressure.
_____________________________

For example, if your pressure is set to 10, and epr is set to 2, when you inhale you get the full 10, and when you exhale it drops back to 8 (10 - 2) to make it easier for you to exhale.
04-17-2015 09:46 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #18
RE: Update
(04-17-2015 09:46 AM)worn_out_in_lebanon Wrote:  
(04-17-2015 09:15 AM)Scared Wrote:  I know I am blonde but was is EPR please, thank you for you advice.

From resmed site:

What is EPR?
EPR™ (expiratory pressure relief) is an effective alternative to standard Continuous Positive Airway Pressure (CPAP) therapy. It offers a more natural breathing experience, enabling reliable and predictable therapy control while delivering a higher level of comfort. EPR is a special inclusion only available on some of our newer flow generators.

How does EPR work?
When you breathe out (exhale), the flow generator device detects the beginning of exhalation and reduces motor speed to drop treatment pressure.
_____________________________

For example, if your pressure is set to 10, and epr is set to 2, when you inhale you get the full 10, and when you exhale it drops back to 8 (10 - 2) to make it easier for you to exhale.

Coulda just said that. Now I get it. Geezzzz, all these big words.
04-17-2015 10:22 AM
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Scared Offline

Preferred Members

Posts: 38
Joined: Apr 2015

Machine: philips Respironics Remstar Auto A-Flex System one
Mask Type: Full face mask
Mask Make & Model: F & P simplus Meduim
Humidifier: None
CPAP Pressure: 9.4
CPAP Software: Not using software

Other Comments: Diabetic Type 2 high bood pressure, Diverticulitis, Arthritis

Sex: Female
Location: French Alps

Post: #19
RE: Update
(04-17-2015 09:46 AM)worn_out_in_lebanon Wrote:  
(04-17-2015 09:15 AM)Scared Wrote:  I know I am blonde but was is EPR please, thank you for you advice.

From resmed site:

What is EPR?
EPR™ (expiratory pressure relief) is an effective alternative to standard Continuous Positive Airway Pressure (CPAP) therapy. It offers a more natural breathing experience, enabling reliable and predictable therapy control while delivering a higher level of comfort. EPR is a special inclusion only available on some of our newer flow generators.

How does EPR work?
When you breathe out (exhale), the flow generator device detects the beginning of exhalation and reduces motor speed to drop treatment pressure.
_____________________________

For example, if your pressure is set to 10, and epr is set to 2, when you inhale you get the full 10, and when you exhale it drops back to 8 (10 - 2) to make it easier for you to exhale.

Can I have that on my machine, gosh, this is all so difficult knowing what is the best for me, just want to cure my really dry mouth and throat. thank you for letting me know, just found out what cpap is.... thanks
04-17-2015 11:05 AM
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worn_out_in_lebanon Offline

Advisory Members

Posts: 271
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #20
RE: Update
(04-17-2015 11:05 AM)Scared Wrote:  Can I have that on my machine, gosh, this is all so difficult knowing what is the best for me, just want to cure my really dry mouth and throat. thank you for letting me know, just found out what cpap is.... thanks

Resmed offers it, called EPR. Some other manufacturers call it aflex, cflex, etc. I'm only familiar with the Resmed.

It is a little overwhelming at first. Before you know it, you'll have it all down pat.

EPR probably won't help dry mouth/throat. Humidifier will help with that though.
04-17-2015 12:21 PM
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