Getting set up with my CPAP machine

1.5.1 ACCESSING PROVIDER MODE
Prescribed therapy settings can only be set using the provider mode screens. To access provider
mode, hold down the left and right arrow buttons ( )simultaneously while applying power to
the device. The device beeps twice to indicate that it is in provider mode.
To exit provider mode, press the Start/Stop ( ) button.
Important! Provider mode unlocks additional settings not available to the
patient. To prevent patients from tampering with the settings, do not
reveal the directions to access the provider mode screens.

1.5.1.1 REMSTAR PRO M SERIES PROVIDER MODE SETTINGS
For the REMstar Pro M Series device, you can modify the following settings in provider mode:
• CPAP pressure setting
• C-Flex setting
• Ramp time setting
• Ramp starting pressure
• Mask disconnect alert (enable/disable)
• Auto-Off setting (enable/disable)
• Show AHI/System leak (enable/disable)
• Patient reminder
Additionally, you can view the following data from provider mode:
• Therapy usage hours
• Number of sessions (greater than four hours)
• System leak
• Apnea/Hypopnea index
• Blower hours

1.5.1.2 REMSTAR AUTO M SERIES PROVIDER MODE SETTINGS
For the REMstar Auto M Series device, you can modify the following settings in provider mode:
• Therapy mode setting
• Auto maximum pressure setting (Auto-CPAP therapy only; not available in CPAP therapy)
• Auto minimum pressure setting (Auto-CPAP therapy only; not available in CPAP therapy)
• CPAP pressure setting
• C-Flex setting
• Ramp time setting
• Ramp starting pressure
• Mask disconnect alert (enable/disable)
• Auto-Off setting (enable/disable)
• Split Night Time setting (Auto-CPAP therapy only; not available in CPAP therapy)
• Show AHI/System leak (enable/disable)
• Patient reminder
Additionally, you can view the following data from provider mode:
• Therapy usage hours
• Number of sessions (greater than four hours)
• 90% therapy pressure averages (Auto-CPAP therapy only; not available in CPAP therapy)
• System leak
• Apnea/Hypopnea index
• Blower hours

4.2 CHANGING AND VIEWING SETTINGS IN PROVIDER MODE
Accessing provider mode unlocks additional settings that cannot be modified while in user mode.
To access provider mode:
1. Plug the AC power cord into the power supply and an electrical outlet, as described in Chapter
3.
2. Hold down both the left and right buttons while simultaneously plugging the power
supply into the device. Once the device beeps twice, it is in provider mode and you can
release the buttons.
You can view and modify prescription settings using the Provider Setup screens and view data
about device usage on the Provider Data screens.
To navigate the display screens:
• Use the button to navigate to the next screen and the button to navigate to the previous
screen.
• Use the + and — buttons to adjust the settings on the Setup screens.

The REMstar Pro M Series Provider Setup screens are described below.
Data Setup +
1. Provider Mode Standby Screen
The Standby screen appears when you first enter provider
mode. You can access both the Setup screens and the Data
screens from this menu.
To access the Provider Setup screens, press the + button.
Note: You can access the Data screens (described later in
this chapter), by pressing the buttons.
Note: The symbol at the top of the screen indicates that
you are in provider mode.
Once inside the Setup menu, press the or buttons to
cycle through the screens.
CPAP
Therapy Mode 2. Therapy Mode Screen
This screen displays the therapy mode setting, which will
always be CPAP for the Remstar Pro M Series device. With
CPAP therapy, there is one level of output pressure for both
the inspiratory and expiratory breathing phases.
15.0 cmH2O
CPAP Pressure
3. Therapy Pressure Setting Screen
This screen displays the current CPAP pressure setting. The
initial default setting is 10 cm H2O. Use the + button to
increase the setting and use the – button to decrease the
setting by 0.5 cm H2O increments. You can adjust the setting
from 4 cm H2O to 20 cm H2O.
off 1 2 3
C-Flex Setting
4. C-Flex Setting Screen
You can modify the C-Flex setting on this screen. Use the +
and – buttons to increase or decrease the setting by 1. An
arrow appears above the selected setting.
• Off disables (locks) the C-Flex setting and prevents the
patient from using C-Flex.
• 1 sets C-Flex to a default of 1.
• 2 sets C-Flex to a default of 2.
• 3 sets C-Flex to a default of 3.
Note: The patient also has access to this setting, if C-Flex
is enabled.

Will this help? I don't have any photos.

I suggest you copy every word of that, print it and keep it where you'll always see it to refer to, whether or not you figure out any part of it today. Make sure you have it all right there for the future (with this machine anyhow).

Enchanter - the job of the DME is to provide you with the cpap machine prescribed by the doctor and to work with you to find a mask that works for you and to show you how to use both. Some DMEs will have you go to their office for this procedure while others will come to your home. In either case, this will be extremely valuable for you and they will actually physically show you how to set up and use everything. Most importantly, they will answer any and all questions you have about the mask and machine. They will let you try different kinds and styles of masks so that you can find one that is both comfortable and doesn't leak much.

I would advise getting in touch with your sleep doctor to ensure that you will get an automatic, data-capable machine. Your doctor should be agreeable to this since you were so difficult to diagnose and titrate. In the best case, ask the doctor to write the specific machine that you want on the prescription and get a hard copy of it for your records. In my case, my prescription says: "ResMed AirSense 10 AutoSet for Her APAP" so that is what they will have to give me.

You may need someone in your family to help you with these things, but it's very important. To make the most of therapy, everyone needs to find the best mask for our individual face and the ability to look at our data and see how we are doing and make adjustments as necessary.

RobySue has some excellent advice here: http://adventures-in-hosehead-land.blog ... -with.html and she also links to this great DME article: https://maskarrayed.wordpress.com/what- ... me-part-i/

This is a critical stage in the process. If you just sit back and let things happen then you are likely to end up with a dumb machine and have less effective therapy that you can not monitor well. The choice is yours.

yaconsult wrote:Enchanter - the job of the DME is to provide you with the cpap machine prescribed by the doctor and to work with you to find a mask that works for you and to show you how to use both.

Clearly you have not been following Enchanter...

The machine he has was given to him, not from a DME but from a fellow forum member. Most of what you are talking about is related to working with a DME which is not relevant in the case.

He doesn't have any test results yet for any of his tests, and just completed a test this past week. So he has not talked to the DR yet.

I hate to say it, but when I went out to the gym, I noticed I was so tired. I didn't have the crushing head sensation, but a very very tired sensation. So at this point, I'm starting to have my doubts. I have read about how some people do well the first night, then can't hold up.

I'm not surprised you're tired. You didn't get much sleep last night. Also, you have hardly even begun to experience good and sustained CPAP therapy. Very few of us have had one-night miracles. So don't fret. Once you've had a couple weeks or more on a well-fitted mask with a machine that is properly set based on your lab titration test, then you'll have a MUCH better idea how good it is. Have faith, young man. You're on the path to success.

Enchanter! You did great all things considered! Your headaches almost went away (compared to what they were)!

Many people have NO relief at all for ages and you had immediate results! Stop the pessimism, we can't take any more!

Julie wrote:Enchanter! You did great all things considered! Your headaches almost went away (compared to what they were)!

Many people have NO relief at all for ages and you had immediate results! Stop the pessimism, we can't take any more!

Head went from crushing to tired. And if I don't get good sleep like Robysue said, then oxygen won't help all the way cuz you still need ample sleep.

Enchanter wrote:Head went from crushing to tired. And if I don't get good sleep like Robysue said, then oxygen won't help all the way cuz you still need ample sleep.

STOP with the word OXYGEN. You don't breath OXYGEN you breath AIR which contains many different elements in it. Typically a mixture of:

Argon
Carbon Dioxide
Helium
Hydrogen
Krypton
Neon
Nitrogen
Oxygen
Xenon
and of course Water Vapor

There is more Nitrogen in Air than Oxygen. If you breath straight Oxygen you will DIE.

The key to CPAP therapy is to USE IT. When you use it while sleeping, it opens up your airway so you get enough AIR.

Few will start off with it just working right off. Most have to deal with Mask issues, pressure differences, sleeping positions, other non-OSA issues and have to work at it. Many take weeks or months to get adjusted to it and start seeing benefits.

Instead of posting your woes... try using your machine more. You can use it during the day while taking a nap.

Less than 7 hours of SLEEP is normally detrimental to most. So if you didn't get 7 hour ON CPAP, you need to get more.

I think the CPAP caused me to wake up too early, to be honest. I went to bed late and woke up early. Somehow CPAP made me sleep LESS.

Enchanter wrote:I think the CPAP caused me to wake up too early, to be honest. I went to bed late and woke up early. Somehow CPAP made me sleep LESS.

Normal for someone just starting out. If you wake up, get up for a bit and then go back to bed.

Enchanter wrote:I think the CPAP caused me to wake up too early, to be honest. I went to bed late and woke up early. Somehow CPAP made me sleep LESS.

Try to take a nap. Or even better, put the mask and machine on and watch some TV. That mask won't obstruct your view. Baby steps are okay Enchanter! You don't remember them but we all started walking that way.

has anybody, in the rush to 'help', stopped to consider the incredible improbability of being able to successfully handle the clinician menu by someone who can't even put a mask together with multiple manuals and videos? this is why there are hidden menus, and dumbed down displays on cpaps.

we need to be talking to his mommy.

palerider wrote:has anybody, in the rush to 'help', stopped to consider the incredible improbability of being able to successfully handle the clinician menu by someone who can't even put a mask together with multiple manuals and videos? this is why there are hidden menus, and dumbed down displays on cpaps.

we need to be talking to his mommy.

Oh stop....... it! Talking to his "mommy"... that was sweet. I was taught as a kid that certain thoughts about certain people can stay right there in your head.

My hope is that that is where his doctor and DME will come in. Different machine, different trials of masks, etc., with many teachable moments.

Krelvin wrote:

yaconsult wrote:Enchanter - the job of the DME is to provide you with the cpap machine prescribed by the doctor and to work with you to find a mask that works for you and to show you how to use both.

Clearly you have not been following Enchanter...

The machine he has was given to him, not from a DME but from a fellow forum member. Most of what you are talking about is related to working with a DME which is not relevant in the case.

He doesn't have any test results yet for any of his tests, and just completed a test this past week. So he has not talked to the DR yet.

OH, but I have! I'm talking about his getting a permanent machine now that he has had a titration done. He's having lots of issues with the machine and mask that were sent to him - cpap is brand new to him, after all.

Now that the titration study is finished, he should push them to get his official machine and DME support asap. Why? Because they will set up the machine and mask and show him how to use it. And they can answer any and all questions he has about it.