Follow Up

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
fat1
Posts: 4
Joined: Wed Jan 04, 2017 5:02 pm

Follow Up

Post by fat1 » Sun Jan 15, 2017 11:46 am

Hello, just wanted to say thank you to everyone and provide a follow up with the first few days results from my recent upgrade. I had posted an earlier thread about updating my 10 year old equipment and taking the therapy a little more seriously. I had several problems to investigate/resolve and that thread can be located here for anyone else with similar scenario viewtopic.php?f=1&t=114940

I ended up getting a new dreamstation dx500t11 ($409 best price between this and Airsense 10) along with several mask types/brands/configurations (Nuance pro, Swift FX Nano, Amara View and Simplus FFM). I also ordered a cpap comfort cover and bought a samsung gear S3 to track sleep (along with other things). I purchased a couple mouth guards to try and started using the built in humidifer again.

I learned I am a mouth breather, even struggling while awake to consistently breathe through my nose. I believe this is the result of adenoids surgery to repair hearing loss as a child. I learned I prefer a FFM with all things being equal, probably institutionalized about it at this point but nasal masks make me feel congested like I'm trying to blow my nose but I can't, also gave me puffy eyes. I cannot sleep with mouth guards in but I would really like to, seems it would help any grinding of teeth too. I just learned, in general, to pay more attention to certain aspects of my self and my habits from forums like this pointing out things you may not consider on their own merit.

I am still trying different things and verifying a few others. I haven't tried the Amara yet as I am still waiting for the cushion. Healthcare is out of control, it's ridiculous that you have to skirt policy by purchasing individual components rather than complete items without an "updated" prescription...for a condition that has no cure...to get a machine that will help you help yourself. This makes it more cost effective to go completely out of pocket and just avoid the healthcare system altogether, applying office visits and consultation costs to more equipment.

so the for TL/DR:
My current preferred setup is DX500T11, APAP 8.0-12.0 (may narrow this to 9.0-11.0?) A-flex 3, Humidity 3, Mask Type 0, F&P Simplus with comfort care cover. The machine reports 1.8 AHI for the last 3 nights but sleepyhead disagrees on one of those nights. I'm starting to wake up feeling better but not sure how these charts stack up or how to grade my current status. Also, not really sure how good I can get:

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I would also like to give a shout out to these covers (Are links allowed? I am not affiliated, just a legit customer). They eliminated all of my leaks, allowed me to loosen the headgear/mask overall and eliminated the need for bandages on my nose bridge. Worth the cost for the pair:
https://www.amazon.com/gp/product/B01MT ... =UTF8&th=1

The Gear S3 has also confirmed the efficiency of my sleep rating it 95% on average. I find having the additional input of the devices charts to coincide with these charts to be useful but probably not worth the cost on its own. The other features of the device made it a "nice to have"

So again, thank you all. Feel free to opine on anything here: equipment, configuration, charts or otherwise. Thank you

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OkyDoky
Posts: 2870
Joined: Mon Aug 25, 2014 5:18 pm

Re: Follow Up

Post by OkyDoky » Sun Jan 15, 2017 2:17 pm

Thanks for the good follow up. Your screen shots look good. I am guessing the 2 large leak times in the first shot were breaks where you didn't turn the machine off.
If I did anything I would increase the minimum a little and see if that helps prevent some of the Hypopneas. I would keep the maximum at 12.
The AHI is only a part of the story, how you feel is important. Many users are happy with a 3 or below. Nights can vary quite a bit so you have to look at trends. My AHI has been running less than 1 for sometime now but I will still occasionally get the off night.
A journal helps some to track their improvement. At some point you will notice the small things have really added up to feeling better and being more productive.
ResMed Aircurve 10 VAUTO EPAP 11 IPAP 15 / P10 pillows mask / Sleepyhead Software / Back up & travel machine Respironics 760

linuxman
Posts: 235
Joined: Sun Jan 08, 2017 12:03 pm
Location: Indiana

Re: Follow Up

Post by linuxman » Sun Jan 15, 2017 7:06 pm

Looks pretty good. I wish my leak rate looked like that! I do have a set of comfort covers coming to experiment with, so I'm encouraged by your results with them.

_________________
Machine: DreamStation Auto CPAP Machine
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Sleepyhead software

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OkyDoky
Posts: 2870
Joined: Mon Aug 25, 2014 5:18 pm

Re: Follow Up

Post by OkyDoky » Sun Jan 15, 2017 7:17 pm

Next time check out http://padacheek.com/ The owner is a forum member who uses cpap. And her prices are better.
ResMed Aircurve 10 VAUTO EPAP 11 IPAP 15 / P10 pillows mask / Sleepyhead Software / Back up & travel machine Respironics 760

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Sheriff Buford
Posts: 4082
Joined: Mon Aug 09, 2010 8:01 am
Location: Kingwood, Texas

Re: Follow Up

Post by Sheriff Buford » Sun Jan 15, 2017 7:27 pm

Fat: looks good! Best wishes to you!
Sheriff