Post Reply 
Using APAP for Almost a Year with No Improvement!
Author Message
yenrac Offline

Members

Posts: 7
Joined: Feb 2015

Machine: PR System One REMStar 60 Series Auto CPAP Machine
Mask Type: Nasal mask
Mask Make & Model: ResMedAirFit N10
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: 8-12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #11
RE: Using APAP for Almost a Year with No Improvement!
Thanks again. I wish I had known about the SleepyHead software months ago so I could start to be a participant in my own care. I will increase pressures tonight!
02-22-2015 08:22 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
TyroneShoes Offline

Preferred Members-2

Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #12
RE: Using APAP for Almost a Year with No Improvement!
Please give us an update after a few nights.
02-22-2015 08:24 PM
Find all posts by this user Post Reply Quote this message in a reply
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: #13
RE: Using APAP for Almost a Year with No Improvement!
I'll take a guess at this.... I think your mask is too tight and I think your sleeping position is not optimal, and your "large leaks" are too large, which is probably because your mask is too tight. You could have other things going on of course, but for openers simple things that can be done are:

1. Go to a pillows mask, and if you need it to keep the leakage down, a chinstrap to encourage your mouth to stay shut.

2. Make sure you sleep on your side, or, if you cannot do that because of other issues, make sure the head of your bed is well elevated.

I'm not sure if all your symptoms are caused by apnea, but this would be a good place to start.
02-22-2015 08:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
yenrac Offline

Members

Posts: 7
Joined: Feb 2015

Machine: PR System One REMStar 60 Series Auto CPAP Machine
Mask Type: Nasal mask
Mask Make & Model: ResMedAirFit N10
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: 8-12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #14
RE: Using APAP for Almost a Year with No Improvement!
I did not know that a pillows mask is better for leakage. I have one that I never used that I can try. I think I sleep on my side but will try to be more aware of this.
02-22-2015 08:54 PM
Find all posts by this user Post Reply Quote this message in a reply
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: #15
RE: Using APAP for Almost a Year with No Improvement!
(02-22-2015 08:07 PM)yenrac Wrote:  I did not know that a pillows mask is better for leakage. I have one that I never used that I can try. I think I sleep on my side but will try to be more aware of this.

It's not so much that it's better for controlling leakage, it's just that the nasal mask, if applied too tightly, can cause leaks --- and nasty headaches.

But I do think you'll enjoy the pillows mask better than the nasal mask.
02-22-2015 09:00 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,318
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: #16
RE: Using APAP for Almost a Year with No Improvement!
(02-22-2015 08:54 PM)yenrac Wrote:  I did not know that a pillows mask is better for leakage. I have one that I never used that I can try. I think I sleep on my side but will try to be more aware of this.

In 2008 I started with a nasal mask. I fairly quickly moved the Mirage LT, then the FX and recently to the Airfit P10. Each was an improvement, but I never missed that nasal mask. The newest nasal mask has a quiet air diffuser that doesn't blow on my wife, or me. It is lower profile and allows me to sleep in any position without excessive leaks. It's not perfect, but hey, we've been dealt this positive air pressure gig. Good call by retired_guy

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
02-22-2015 09:12 PM
Find all posts by this user Post Reply Quote this message in a reply
yenrac Offline

Members

Posts: 7
Joined: Feb 2015

Machine: PR System One REMStar 60 Series Auto CPAP Machine
Mask Type: Nasal mask
Mask Make & Model: ResMedAirFit N10
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: 8-12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #17
RE: Using APAP for Almost a Year with No Improvement!
I had the Mirage FX also and like the fit. Recently the supplier switched me over to the AirFit N10. I will check into it. Thanks
02-22-2015 09:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,318
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: Using APAP for Almost a Year with No Improvement!
Airfit P10 is the shizzle! Really nice mask. If it's been less than 30 days ask for a swap.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
02-22-2015 09:35 PM
Find all posts by this user Post Reply Quote this message in a reply
quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #19
RE: Using APAP for Almost a Year with No Improvement!
I'm glad you are taking an active control over your treatment. it is and probably was sub-optimal. You have noted that there are many events that can be improved by raising the min pressure. That upper pressure was reached several times during the sample night, so agree also that bumping that up a bit is the way to go. If you have any problems with starting at 10, you may want to turn ON ramp at your past minimum of 8, for 5 minutes. But only until you have gotten used to the 10 cmH2O, unless you like it.

From your respiration, it does look like you are dreaming, routinely. This is a good sign.

I agree with others, also, that if you can do well with two sleeps you ought to go for it. Once you get the really good sleep, you can transition back into one session.

a historical clip of my journey is below. you'll see we do vary quite a bit as we gain control... and check out my sessions, I took breaks a lot of those nights.

good luck

QAL

[Image: kINNRAM.png]

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
02-23-2015 12:21 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #20
RE: Using APAP for Almost a Year with No Improvement!
This may not help the OP but I have a question concerning the pressure graph on the sample night. According to the scale on the Y axis, the machine was at 0 cm/H2O for a significant part of the night. I have not seen that before. How does that work?

Best Regards,

PaytonA
02-24-2015 12:24 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
  [Treatment] One Year in and still have tired days Sleepyv 17 471 12-01-2016 02:58 AM
Last Post: kwhenrykerr
  Medicare Advantage Coverage for APAP Evie 3 180 11-30-2016 08:22 PM
Last Post: Mike1953
  cpap and apap not effictive Ezil71 109 3,078 11-05-2016 11:19 AM
Last Post: sonicboom
  Unable to clear throat while on APAP NorthernGuy 5 304 10-17-2016 08:18 PM
Last Post: Sleeprider
  Apap I_will_never_sleep_again 2 275 10-14-2016 02:58 PM
Last Post: trish6hundred
  Full Mask improvement (progress) jxyzobrien 3 267 09-29-2016 01:18 PM
Last Post: trish6hundred
  Travel to Australia with Apap. Newbee2016 10 529 09-24-2016 12:06 PM
Last Post: SharonN

Forum Jump:

Who's Online (Complete List)