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What was This?
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GTOdude Offline

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Posts: 94
Joined: Dec 2015

Machine: RemStar Auto APAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFIT P10
Humidifier: Unsure
CPAP Pressure: 7-14
CPAP Software: SleepyHead EncoreBasic

Other Comments: Other Dx: cabg x3 '94. Hypothyroid '15 and other maladies.

Sex: Male
Location: Central Valley, Left Coast

Post: #1
What was This?
Well I finished my first week on CPAP with a bang. I looked at AH this morning and found a little area where I looked like I died. lol. Really tho, looks to me like I had a really large leak. I couldn't use a FFM so Until I can get this P10 changed out (really hurts my nostrils) and try a Dreamwear, I use medical paper tape and tape my mouth shut. Looks like I blew it off, found it when I got up.

I also had a lot of events at first cuz I had the mask on while I was getting set up ie taping, moving blankets, getting my SPo2 on and so forth. Then I slept for 3.5 hours, woke and fell back asleep for 2.5. Got up, took off the mask and slept another hour and woke after having a really bad dream!

So that was it. Is this how SH interprets a big leak? The P10 really doesnt work that well for me cuz I cant get it comfy on my nostrils. I wake up leaking at times and if I tighten it up more, it hurts.

Mark
12-19-2015 10:46 AM
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Sleeprider Online
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Advisory Members

Posts: 3,309
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: #2
RE: What was This?
A couple tips on the P10 you may already know:
Straps close together at the crown of your head = tighter
Straps spread apart = looser
Large pillows are better than smaller for irritation. You want the seal at the nares.

The P10 works best when not overly tight. You should be able to lift it away from your nose and comfortably set it in place and get a comfortable seal. If it is mashing your nose, you're doing it wrong.

You seem to have had a displacement leak at 00:45, but the leak at 01:00 looks like a mouth leak. Everything else is acceptable except 03:15, so it's not that bad for a new user in the first week. You're doing better, and irritation should start to wane.

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12-19-2015 11:10 AM
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GTOdude Offline

Preferred Members

Posts: 94
Joined: Dec 2015

Machine: RemStar Auto APAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFIT P10
Humidifier: Unsure
CPAP Pressure: 7-14
CPAP Software: SleepyHead EncoreBasic

Other Comments: Other Dx: cabg x3 '94. Hypothyroid '15 and other maladies.

Sex: Male
Location: Central Valley, Left Coast

Post: #3
RE: What was This?
(12-19-2015 11:10 AM)Sleeprider Wrote:  A couple tips on the P10 you may already know:
Straps close together at the crown of your head = tighter
Straps spread apart = looser
Large pillows are better than smaller for irritation. You want the seal at the nares.

The P10 works best when not overly tight. You should be able to lift it away from your nose and comfortably set it in place and get a comfortable seal. If it is mashing your nose, you're doing it wrong.

You seem to have had a displacement leak at 00:45, but the leak at 01:00 looks like a mouth leak. Everything else is acceptable except 03:15, so it's not that bad for a new user in the first week. You're doing better, and irritation should start to wane.
Thank you for your help! I do know about the tightening of the mask issues. Also am using medium pillows. I have two probs actually. One is I am a side sleeper and that tends to make the mask move and secondly is that they are not comfy when tightened and hurt the inside of my nose. I tried putting a touch of a cream on the rims of my nostrils and slightly lube the pillows but that didnt work. I did pull and replace many times and as soon as they seat they hurt.

Thank you for your help. I feel like im fighting a war!

Mark
12-19-2015 11:34 AM
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sonicboom Offline

Advisory Members

Posts: 471
Joined: May 2015

Machine: Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10, Dreamwear
Humidifier: Integrated
CPAP Pressure: 4.6-7.6
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Washington

Post: #4
RE: What was This?
You might want to try the Ayr nasal gel to soothe and protect your nostrils.

Coffee
12-19-2015 11:47 AM
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GTOdude Offline

Preferred Members

Posts: 94
Joined: Dec 2015

Machine: RemStar Auto APAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFIT P10
Humidifier: Unsure
CPAP Pressure: 7-14
CPAP Software: SleepyHead EncoreBasic

Other Comments: Other Dx: cabg x3 '94. Hypothyroid '15 and other maladies.

Sex: Male
Location: Central Valley, Left Coast

Post: #5
RE: What was This?
(12-19-2015 11:47 AM)sonicboom Wrote:  You might want to try the Ayr nasal gel to soothe and protect your nostrils.
Hmmm. Never heard of that. Maybe my DME has it. Ill look Monday. Thanks for the idea.

Mark
12-19-2015 11:50 AM
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sonicboom Offline

Advisory Members

Posts: 471
Joined: May 2015

Machine: Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10, Dreamwear
Humidifier: Integrated
CPAP Pressure: 4.6-7.6
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Washington

Post: #6
RE: What was This?
You bet. You can get it at your local drug store.

Coffee
12-19-2015 11:55 AM
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OpalRose Offline

Monitors

Posts: 3,159
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: #7
RE: What was This?
GTOdude,
I use Ayr nasal gel. You can buy almost anywhere. Google it. Don't buy from DME unless you want to be robbed. Smile

Nasal pillows shouldn't be placed too far into your nostrils. They should seat more on the outside with just a bit on the inside. I had to move to a larger size to accomplish this.

Also, and I think this applies to any mask, but if you lay on your side, you can't really smush your nose into the pillow. Any mask will displace doing that. Learn to sleep at the edge of your pillow, with mask hanging off side.

OpalRose
12-19-2015 12:05 PM
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justMongo Offline

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Posts: 3,839
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #8
RE: What was This?
(12-19-2015 11:10 AM)Sleeprider Wrote:  You seem to have had a displacement leak at 00:45, but the leak at 01:00 looks like a mouth leak. Everything else is acceptable except 03:15, so it's not that bad for a new user in the first week. You're doing better, and irritation should start to wane.

Agreed. It's really a rather good night overall.
Often, the mask is the most difficult part of the process. That too can be mastered.

Mark: You may be fighting a war; but you are a winner.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
12-19-2015 12:31 PM
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GTOdude Offline

Preferred Members

Posts: 94
Joined: Dec 2015

Machine: RemStar Auto APAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFIT P10
Humidifier: Unsure
CPAP Pressure: 7-14
CPAP Software: SleepyHead EncoreBasic

Other Comments: Other Dx: cabg x3 '94. Hypothyroid '15 and other maladies.

Sex: Male
Location: Central Valley, Left Coast

Post: #9
RE: What was This?
(12-19-2015 12:05 PM)OpalRose Wrote:  GTOdude,
I use Ayr nasal gel. You can buy almost anywhere. Google it. Don't buy from DME unless you want to be robbed. Smile

Nasal pillows shouldn't be placed too far into your nostrils. They should seat more on the outside with just a bit on the inside. I had to move to a larger size to accomplish this.

Also, and I think this applies to any mask, but if you lay on your side, you can't really smush your nose into the pillow. Any mask will displace doing that. Learn to sleep at the edge of your pillow, with mask hanging off side.
Yeah I googled it and it appears its at our local Walgreen's. I'll look for it there. Yeah I do sleep on the edge like that or with my head tilted slightly upward. It seemed last night that I woke up with the pressure leaking out the sides and a sore nose.

Last night I used a smaller dose of Ambien to get to sleep and when I woke up I was able to fall back asleep without head rushes so I may be conquering the anxiety. Sat in the recliner watching the tv with my Bride for a couple hours with the mask on and im getting accustomed to it. I think I am winning a few battles. My oximeter showed I did not desat below 90-91% last night and during my study I went as low as 84%.

Now just have to get past the nose mask issues..

Mark
12-19-2015 12:38 PM
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Napmeister Offline

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Posts: 74
Joined: Jan 2015

Machine: Resmed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 Pillow mask
Humidifier: H5i
CPAP Pressure: testing 10.2 cm
CPAP Software: ResScan SleepyHead

Other Comments: Windows 8.1 64 bit

Sex: Male
Location:

Post: #10
RE: What was This?
As others mentioned, your nostrils will toughen up and you can use the gel if you need it. The initial 2-3 weeks are the worst .... patience is key.

Your patience will pay off because the right size pillow will be wonderful, you'll no longer need a FFM. I like to have a little slack in the hose near my face so it doesn't tug as much and cause a leak with slight movement. Then again, I fall asleep fast (couple of minutes) and the mask stays in place with the slack. Hard for you to believe that you will love this machine and mask in time, but trust us, we haven't failed you .... yet :-)

One week is not enough to get acclimated. Your losing some battles but you will win the war with patience, you need to see this:
http://www.apneaboard.com/forums/Thread-Hang-in-there-it-gets-better
(This post was last modified: 12-19-2015 05:05 PM by Napmeister.)
12-19-2015 04:59 PM
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