(10-05-2014, 12:42 PM)wrangler Wrote: . . .
So I did some research on the internet and finally ended up buying a resmed autoset with humidifier and a quattro fx mask for under $1000 shipped. After watching some you tube videos on set up etc I got comfortable as what to. Mind you the frustration with researching an area I knew nothing I kept my fortitude directed. So I used it last night and did pretty well. After three hours the thing was blowing so hard I was sure it was coming out my butt. Iturned it off, wen to the bathroom, restarted it again and went another three hours when the wind storm started again. So I got up, went to the bathroom, started it up and slept for another 2 1/2 hours until I woke up with a farting noise coming from the side of my nose (leak) So here are the results:
Time 8+ hours.
Any feedback? Remember, I know nothing about all this stuff
Oh yea, I have a full long beard so I sure that makes some sense out of the leakage.
First, welcome to the forum. You have found a VERY good place to learn about this condition and treatment.
Second, you have a GREAT machine, one that delivers excellent therapy, and has full data capability, so that you can monitor your therapy, and adjust as needed. This is critical for you, as you don't have a Sleep study, or a Sleep Dr to help get started.
1) Download and install the free Sleepyhead software and start checking your data regularly. This is critical for you since you have no one else to monitor your thereapy and suggest what changes might work better. I download daily for now. Be aware that the S9 Autoset only keeps 7 days worth of the hi-res graph data on your SD card, and starts overwriting on the 8th day. This means you must download and examine your data at least weekly, or you will lose some data. Sleepyhead runs on Windows, Mac, and Linux. As an alternative, the ResScan software from ResMed is also available thru this forum, but only runs on Windows.
2) Request the Clinician's Manual for your machine. There is a procedure on this forum to make this request.
3) Buy some spare SD cards. This will insure that you will continue to be able to get the data from your S9 even if the SD cards become unavailable. I bought several 2GB standard SD cards so I have some extras, and I alternate between the ResMed original and one spare.
4) You have listed your pressure range as 4 to 20 cmH2O. Many people have found such a wide range to be uncomfortable. Some have suggested that is better to narrow the range somewhat to begin with, then adjust from there as needed. Often people have reported that they find a starting pressure of 4 leaves them feeling as though they can't get enough air, and a lower limit of 6 or 8 is more comfortable for them.
5) In the beginning, pay attention primarily to the leaks. Your S9 Autoset reports what is called "Unintentional Leak", that is leak above the designed vent rate for your mask. The S9 can compensate for unintentional leak rates up to 24 liters/minute. Leak rates above that will affect the machine's ability to deliver proper therapy, and to distinguish types of apneas.
6) For many CPAP patients, the severity of the condition is worse when sleeping on their backs (supine). Until you are monitoring your data, it may be prudent to attempt to avoid back-sleeping. There are numerous threads on this forum that address avoiding supine position, from wedging pillows behind your back, to wearing a backpack stuffed with lumpy, uncomfortable objects. Avoiding back-sleeping often limits the pressure the machine must use to counter obstructive apneas, which helps the leak issue. If I allow myself to sleep supine, my pressure cranks up into the 19 - 20 range, and the leaks can be severe. Avoiding supine position, my max pressure is rarely over 14, and the leaks are usually minimal.
7) Don't be surprised if it takes several tries to find the right mask. It is not uncommon to try half a dozen masks or more to find the right one. This is often simpler if you have a copy of your PAP prescription. Many of the online suppliers (see the link at the top of every page) have a mask trial program, where you can order a mask and return it for a full refund within (usually) 30 days. Most of these will need a fax or email of your prescription.
8) Keep reading this forum. Even threads that initially don't seem to apply to any issue you have, often contain some nugget of information that proves useful.
For your 1st night, all the results you reported are great, except for the leaks. My guess is that once you conquer the leak issue you will adapt well to CPAP therapy.
Hope these thoughts are helpful. Good luck on your journey.