Data check? Sleepyhead interpretation

[Roman Hokie]

I'd love to get some feedback as to how my first night with the new machine. Considering I got over 8 hours of sleep and I don't believe in my alarm clock - I get up the time between 5 and 6am (when I NEED to get up) when I wake up on my own. I don't interrupt a sleep cycle.

Any feedback would be appreciated. I'm using my Wordpress Media Library from my blog to host my data. It's the only online storage I have.

[Pugsy]

Can you look here for examples of the reporting format that we like to see?
viewtopic/t103468/Need-help-with-screen-shots.html
You've included some graphs that really aren't helpful and omitted the information on the left side of the detailed reports that could be useful.
You can hide the calendar and the pie chart so that all the statistics and the AHI bar graphs are easily seen on the left side.

But I bet that data on the left side is pretty unremarkable given what the events graph and leak graph here are showing...pretty boring report.

[LSAT]

You had 1 event for the night...how do you think you did?

[Roman Hokie]

That's a normal night for me. I felt dead on my rear with the reduction in pressure. I'd love to up the pressure a bit. Can I do that on my own? (I fear not).

You had 1 event for the night...how do you think you did?

[Pugsy]

Can you up the pressure? Sure you can...it's easy to do. Have you seen the manual for the AirSense 10 machines? It explains how to get to the setup menu where changes are made.
https://sleep.tnet.com/home/files/resme ... -guide.pdf
Now do you need to? Not based on what is shown here but you may be used to more pressure from the old machine. Have you compared the settings to make sure they are exactly the same...like minimum pressure and any EPR settings?
They didn't make any huge changes to the algorithm so if the settings are the same then it should feel the same but if you changed something ...like the mask then the perception of the pressure feeling could feel different.

Is the P10 a new mask for you? It can sometimes make it feel like the pressure isn't so great and even make a person feel like they are suffocating a bit. If new to the P10 you might try the next size larger if available and find that it seems to let more air move.

Do you feel like the new machine isn't putting out enough air?

[Roman Hokie]

Thanks, Pugsy. I haven't seen the manual yet. I remember the manual to the ResMed S9 didn't offer the option to get to the "clinician settings" menu. So, this helps.

The old was at 14cm and the new range is 10-15, so I might not need to make changes. I know I felt like I was gasping (not like I was without therapy) for air.

And the old was the Elite (single setting). The EPR I had at 3. Much easier to exhale, but the inhale is the problem. Not the exhale. Surprisingly enough.

The P10 is a new mask for me. I had the climateline hose for both with the same diameter, so no change there. As I have the large pillows, I'll give them a try tonight. Thank you for the suggestion. And I'll set up the graphics better for the SleepyHead report. Thanks for the suggestion on that as well!

Can you up the pressure? Sure you can...it's easy to do. Have you seen the manual for the AirSense 10 machines? It explains how to get to the setup menu where changes are made.
https://sleep.tnet.com/home/files/resme ... -guide.pdf
Now do you need to? Not based on what is shown here but you may be used to more pressure from the old machine. Have you compared the settings to make sure they are exactly the same...like minimum pressure and any EPR settings?
They didn't make any huge changes to the algorithm so if the settings are the same then it should feel the same but if you changed something ...like the mask then the perception of the pressure feeling could feel different.

Is the P10 a new mask for you? It can sometimes make it feel like the pressure isn't so great and even make a person feel like they are suffocating a bit. If new to the P10 you might try the next size larger if available and find that it seems to let more air move.

Do you feel like the new machine isn't putting out enough air?

[Roman Hokie]

Looking for something more like this, Pugsy?

[palerider]

Thanks, Pugsy. I haven't seen the manual yet. I remember the manual to the ResMed S9 didn't offer the option to get to the "clinician settings" menu. So, this helps.

the user manual doesn't, the clinician manual does.

[Roman Hokie]

Ah, yes. The link that Pugsy posted is the clinical manual. I should have tried the same controls to get into the clinical settings as the S9. They're the same, after all.

I'm a bit angry at my DME (who actually works with my new Sleep doc, that's a good thing). He told me that the SmartStart wasn't an option. I AM disappointed in that the pre-heat option isn't available...

Thanks, Pugsy. I haven't seen the manual yet. I remember the manual to the ResMed S9 didn't offer the option to get to the "clinician settings" menu. So, this helps.

the user manual doesn't, the clinician manual does.

[Pugsy]

Yes, that new format for the reports is much easier for me to look at and it is like I expected...boring. Which is good.

I thought that you could still preheat on these new AirSense machines....but I haven't actually seen the new AirSense...maybe someone with that machine could confirm it one way or the other.

I didn't realize you had been using 14 cm and changed to 10 minimum...my bad for not reading thoroughly.
What you are experiencing is common...you are used to more air and the 10 cm isn't quite so powerful.
I had the same feeling when I tried a minimum of 13 cm for about a week and since the AHI or how I felt didn't change I just dropped it to the 10 cm I had been using and it was definitely uncomfortable for a few days but I adjusted quickly enough to the "new" "old" pressure and I only used the 13 for a week. I can only imagine how someone who has used 14 for years would feel with a sudden drop to 10. If it continues to be too uncomfortable you might consider starting out at 14 and at about 1 week intervals reduce the pressure downward slowly (like 0.5 cm at a time) until you get down to that 10 cm minimum if that is what you want to do.
That way the adjustment downward will be more gradual and less likely to create the inhale difficulties you are experiencing. When I had it happen to me I felt like I was suffocating for a short while...I knew I wasn't but it sure felt like it.

Hopefully someone who actually uses the AirSense can help with the pre heat question because I thought for sure the AirSense machines still did that but I could be wrong and just dreamed I read about it.

[Pugsy]

Apparently there is a warm up feature available on the AirSense machine but you have to scroll through the menu to find it....

http://www.apneaboard.com/forums/Thread ... irsense-10

Run Warmup is what I see being reported is the option to select

The Airsense 10

When you switch on the Airsense 10, on the home screen you will see only 2 large simple icons of My Options and Sleep Report. Underneath the icons, lies a wealth of information. When you push the dial knob at the icons, you will see the following sub-menus:

HOME

MY OPTIONS

Ramp Time (Auto, 0-45 mins)
Climate Control (Auto, Manual)
Pressure Relief (On, Off)
Smart Start (On, Off)
Mask (Pillows, FullFace, Nasal)
Run Mask Fit (To test your face mask fit)
Run Warm Up (To test your humidifier warm up)
Airplane Mode (On, Off)
About (Device info, CX NUMBER, Humidifier info, Internal Modem info)

[palerider]

I'm a bit angry at my DME (who actually works with my new Sleep doc, that's a good thing). He told me that the SmartStart wasn't an option. I AM disappointed in that the pre-heat option isn't available...

based on reports from members here, your average DME isn't the sharpest tool in the shed.

[Roman Hokie]

My old DMEs (American HomePatient and then Upstate Homecare) didn't do anything except keep me supplied. But, with the new machine, gotta get things going my way again. The fact that I had my appt with my sleep specialist last Wednesday and got my machine this Wednesday with the insurance prior authorization was pretty impressive. The new DME has done everything I've asked, too. He told me I get new nasal pillows and new air filters monthly. 1 of each per month. I told him that I had always gotten 2 per month and please check with the insurance company. Next day, he called me to confirm I was correct and he would be ordering me 2 each per.

As for the SmartStart, I got that set up. I liked the warming on the S9 because I could do it with only the dial - without having to go into the Settings each night. Oh, well.

Thank you, folks. I like the boring reports.

[palerider]

He told me I get new nasal pillows and new air filters monthly. 1 of each per month. I told him that I had always gotten 2 per month and please check with the insurance company. Next day, he called me to confirm I was correct and he would be ordering me 2 each per.

what a huge waste, I'm still using the pillow on my p10 that I started with, a year and a half ago.

resmed recommends a 6 month replacement interval on the filters unless you live in a dusty environment.

I suppose, though, you could just pass out spare nasal pillows to needy forum members, instead of filling the landfill with perfectly good ones.

[Pugsy]

I pretty much need to change the filter on my machines monthly because of where I live and the old house thing.
They get really nasty looking by about 30 days into use....and I think everyone who knows me will know that it takes a lot for me to call something nasty.
Talking about the white disposable filters though.
When I used the Respronics filters I did use both their black foam and the white fine filter but the black foam filter I just washed each time I changed the white filter.
So with either the ResMed or the Respironics brands I try to change the white filters monthly.
But then I am out in the country and dust is everywhere and the house is old and drafty and just generally dusty (think old furnace ducts too).

The ResMed people must not know about places like mine....no way would I go 6 months between filter changes.
It's also why I buy the filters in bulk to get the cost down.
I can buy 12 online for what 2 cost at my DME. Not to mention the annoyance and gas usage of driving to the DME and trying to make sure I get there when they are open.