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Why would straight CPAP be preferred over auto?
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Riven Offline

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Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
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CPAP Pressure: 8
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Ontario, Canada

Post: #31
RE: Why would straight CPAP be preferred over auto?
I took a look at my device setting in ResScan and found it was still set to my old S8 II machine. However, it still shows RERAs in the summaries and detailed graphs. I changed it to AirSense 10 Auto(AMER) and it appears to have no impact on the results.

The most interesting thing I noticed was that in the device options there is an additional choice for "AirSense 10 AutoSet(AMER) with RERA". I selected that option and again it had no impact on the results. It would seem that both RS and SH automatically pick up what ever data is available regardless of what the device setting is.

Could this additional choice indicate that ResMed is admitting there are two versions of the Charcoal Unisex AutoSet. One that reports RERAs and one that doesn't? Or, is it just a duplicate option to the AutoSet for Her?

BTW, I sent an e-mail to ResMed regarding the RERA reporting issue and their response was to talk with the vendor that sold me the unit. I replied with a request to escalate my inquiry to the next level and am now waiting for a response from a real person.
(This post was last modified: 05-29-2015 08:14 AM by Riven.)
05-29-2015 08:13 AM
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Riven Offline

Preferred Members

Posts: 23
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed
CPAP Pressure: 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #32
RE: Why would straight CPAP be preferred over auto?
Joanster:

I see you live in Ontario and understand the problem of trying to justify an Auto CPAP with the Ontario Assisted Devices Program. I recently decided to go with an Auto CPAP even though I knew I would not qualify for the ADP funding. I was fortunate enough to have a private insurance plan that would pay 80% of the cost, but making it work took over two months of phone calls, e-mails and letters.

To make it work I needed:
- A prescription from my doctor for an Auto CPAP.
- A letter from my doctor stating that I did not meet the ADP qualifications for an Auto CPAP.
- A letter from the ADP that they had refused to fund my purchase. (They needed the doctor's letter to determine I was ineligible.)

With that information I was able to get pre approval from my insurance company to proceed with the purchase.

However, in your case you seem very close to meeting the ADP requirements for a Auto CPAP. I hope your Doctor can come through to get you up to that magic 4cm of pressure difference in order to justify the better device.
05-29-2015 08:55 AM
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308hjute Offline

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Posts: 8
Joined: Mar 2015

Machine: AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: ResMed HumidAir
CPAP Pressure: 14
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Sydney, Australia

Post: #33
RE: Why would straight CPAP be preferred over auto?
The machine that I had rented from my local supplier was an Autoset model # 37065. The machine I purchased from the USA is again an Autoset, but model # 37028. The rental showed RERA events while the new one doesn't.

Perhaps there are rental / trial machines out there running the "For Her" firmware and the DMEs simply set them based on the patient's prescription? Dont-know
05-29-2015 06:53 PM
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GWild Offline

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Joined: May 2014

Machine: RemStar Sys1 560P
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CPAP Pressure: 8 - 20 auto / 8.9 avg
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Sex: Undisclosed
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Post: #34
RE: Why would straight CPAP be preferred over auto?
I believe that some docs will prescribe CPAP as the lowest cost solution for insurance cost reasons. Could be other reasons, but a simple one is easy to understand: money.
05-29-2015 11:22 PM
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Mosquitobait Offline

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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: #35
RE: Why would straight CPAP be preferred over auto?
Update: ultimately, never found out why straight pressure was preferred. In any case, the PA said that my numbers are better than the titration, so we'll stick with an auto with a tighter range. There wasn't even any issue over my choice of machine. The Sleep Center only stocks a couple of brands, but isn't particular about what anybody gets. I have to say though - they were good on followup. They get the results from the modem and if there's a problem, they call up the patient right away and discuss how to fix it so that they are successful with their cpap therapy.
06-05-2015 03:06 PM
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tedburnsIII Offline

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Posts: 196
Joined: Mar 2015

Machine: 3B RESmart APAP
Mask Type: Nasal mask
Mask Make & Model: Wisp nasal; ResMed FX nasal
Humidifier: came with unit-I vary it, currently set at '3', '5' is max
CPAP Pressure: 10 cm CPAP
CPAP Software: Other Software

Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

Sex: Male
Location: San Diego

Post: #36
RE: Why would straight CPAP be preferred over auto?
Unfortunately, I have gained little from this thread. I expected to read posts directly related to the subject of the thread...NOT! It appears most posts are not related to the subject matter of this thread and I find that frustrating.
(This post was last modified: 06-05-2015 05:22 PM by tedburnsIII.)
06-05-2015 05:21 PM
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krelvin Offline

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Machine: Resmed S9 VPAP Auto BiLevel
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Humidifier: S9 Series H5i Heated Humidifier with Climate Control
CPAP Pressure: 10.6cm - 18cm - PS 4cm
CPAP Software: ResScan SleepyHead

Other Comments: FlashAir WiFi SDcard with SleepMaster/FlashPAP - Weather Nut

Sex: Male
Location: Mesa AZ

Post: #37
RE: Why would straight CPAP be preferred over auto?
(06-05-2015 03:06 PM)Mosquitobait Wrote:  Update: ultimately, never found out why straight pressure was preferred. In any case, the PA said that my numbers are better than the titration, so we'll stick with an auto with a tighter range. There wasn't even any issue over my choice of machine. The Sleep Center only stocks a couple of brands, but isn't particular about what anybody gets. I have to say though - they were good on followup. They get the results from the modem and if there's a problem, they call up the patient right away and discuss how to fix it so that they are successful with their cpap therapy.
The modem only provide compliance info...

Compliance != Therapy

I would not expect them to pay attention beyond compliance. Which is basically +4 hours usage 70% of the time and perhaps an AHI below 5. If that is what you are actually getting, you are certainly not getting therapy for OSA.

You need to pay attention to the Therapy you are getting beyond the compliance to make sure you are getting the benefits to deal with the OSA.

Current Settings PS 4.0 over 10.6-18.0 (cmH2O) BiLevel Auto
TNET Sleep Resource Pages
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06-05-2015 05:27 PM
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krelvin Offline

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Posts: 155
Joined: Jul 2014

Machine: Resmed S9 VPAP Auto BiLevel
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: S9 Series H5i Heated Humidifier with Climate Control
CPAP Pressure: 10.6cm - 18cm - PS 4cm
CPAP Software: ResScan SleepyHead

Other Comments: FlashAir WiFi SDcard with SleepMaster/FlashPAP - Weather Nut

Sex: Male
Location: Mesa AZ

Post: #38
RE: Why would straight CPAP be preferred over auto?
(06-05-2015 05:21 PM)tedburnsIII Wrote:  Unfortunately, I have gained little from this thread. I expected to read posts directly related to the subject of the thread...NOT! It appears most posts are not related to the subject matter of this thread and I find that frustrating.
Perhaps because the Dr couldn't justify what they were saying in the first place??

Perhaps start your own thread if you have questions that were not being answered. The OP's gotten what they needed.

Current Settings PS 4.0 over 10.6-18.0 (cmH2O) BiLevel Auto
TNET Sleep Resource Pages
CPAP Machine Database
06-05-2015 05:29 PM
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Mosquitobait Offline

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Posts: 746
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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: #39
RE: Why would straight CPAP be preferred over auto?
(06-05-2015 05:27 PM)krelvin Wrote:  The modem only provide compliance info...

Compliance != Therapy

I would not expect them to pay attention beyond compliance. Which is basically +4 hours usage 70% of the time and perhaps an AHI below 5. If that is what you are actually getting, you are certainly not getting therapy for OSA.

You need to pay attention to the Therapy you are getting beyond the compliance to make sure you are getting the benefits to deal with the OSA.

I get what you are saying, but I was just impressed that they did followup! Most people never hear from their DME and simply struggle. At least these folks were trying to help someone be compliant. Not my DME however.

Reading the titration report explains one thing. Apparently the doc was focused simply on increasing oxygenation with the fewest events. My original study indicated that my oxygen level was in the low 80s often, my average being 85% (due to bradycardia). The reason why the PA was fine with the switch to an auto was because my oxygen level during titration was 91% whether at 8, 9, 10 or 11. However, my AHI was much lower on my Resmed S9 data card than at any time during the titration. Too-funny So, I'm glad I already had the data. Gives me confidence that I'm taking myself in the right direction.
06-05-2015 10:12 PM
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AlanE Offline

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Location: Southwest Florida

Post: #40
RE: Why would straight CPAP be preferred over auto?
(06-05-2015 05:29 PM)krelvin Wrote:  
(06-05-2015 05:21 PM)tedburnsIII Wrote:  Unfortunately, I have gained little from this thread. I expected to read posts directly related to the subject of the thread...NOT! It appears most posts are not related to the subject matter of this thread and I find that frustrating.
Perhaps because the Dr couldn't justify what they were saying in the first place??

Perhaps start your own thread if you have questions that were not being answered. The OP's gotten what they needed.

I agree with starting your own thread. It's not fair to complain that you didn't get your questions answered when you haven't asked any.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
06-06-2015 06:03 AM
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