SURPRISE - Sleep Study qualified me for a BiPap

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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StuUnderPressure
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SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Wed Aug 16, 2017 2:47 pm

My initial Sleep Study was 19 years ago

Sleep Doctor has been trying to get me to agree to a 2nd Sleep Study for approximately 3 years - most recently in the last year with their opinion that I might need a BiPap (based on my yearly visits).

"My" opinion was I would never qualify for a BiPap - but figured that all of the data a Sleep Study records might show something I could actually use.

So, I relented & had a 1 night Sleep Study on 8-1-17 (1/2 of the night on CPAP & the 2nd 1/2 of the night on BiPap).

Sleeping in strange places / beds has never bothered me before - but that night it took me 3 - 4 hours to fall asleep.
But, even with that delay, they recorded enough to make a recommendation.

Just got the results by telephone today (8-16-17).
Sleep Doctor will dictate his written report which I should get in a couple of days.
I have also already requested & will receive all of the raw data.

Some question about whether they can get me the "digital video" of my Sleep Study because of how their brand new software records it.
I plan to pursue that with someone more knowledgeable & will bring an empty USB Flash Drive in case they have to download a file for me.
Now, whether I need specific software to be able to access that file is yet unknown.

Sleep Doctor told me by telephone that I did extremely better & slept much more deeply on the BiPap then I did on the CPAP & wants to Rx a BiPap.
I told him I wanted him to specify a ResMed Auto & he readily agreed to that.
He even agreed to not write the Rx for a couple of days so I can give him an exact model to specify on the Rx.

I must admit that since I was pretty sure I would not qualify for a BiPap, I am not totally prepared.

So, I did some very quick research on the ResMed AirCurve Models: 10 VAuto,10 S, 10 ST, 10 ASV, 10 ST-A

I was surprised to see that ResMed refers to the 10 VAuto as an "APAP" machine, but shows that VAuto, S, & CPAP modes are available on it - while T & ST are not available.

Would very much appreciate answers to the Questions below from those of you who use or are familiar with those ResMed Models.

Is 10 VAuto what I need or should I consider 10 S or 10 ST?

What is the most current software on each model?
Since the software can be automatically / periodically updated, I assume having the most current software when I buy it is not as important as it used to be.

Quick Guide as to how I can access & verify the following on the machine before I leave the DME with it:
Current Software
Total Hours
Run Hours

Please feel free to provide any other information / suggestions you deem appropriate.

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Pugsy
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by Pugsy » Wed Aug 16, 2017 2:55 pm

Get the AirCurve 10 VAuto....and yes it is pretty much a glorified apap with greater flexibility in pressure support and pressure maximums.

The ST and T models are fixed pressure machines that has a timed back up rate...think breathe for you in case you had centrals which I assume you do not. Specialty machines for people with lung issues needing targeted volume assistance or back up breathing if centrals occur.

Have no idea about the software versions as in which is the latest.

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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Wed Aug 16, 2017 2:58 pm

Thank You Pugsy for the quick reply.

I do not have Centrals.

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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Wed Aug 16, 2017 3:11 pm

Pugsy - I see you use the 10 S

Any reason why you chose it over the 10 VAuto?

Since the 10 VAuto does S, I guess I would have the best of both worlds.

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Pugsy
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by Pugsy » Wed Aug 16, 2017 3:22 pm

I have the AirCurve 10 ST....I use it in S mode which is essentially just plain fixed bilevel. Right now EPAP 8 and IPAP 12.
I don't need the timed backup stuff either.

The reason I got this one...wanted to try the AirCurve model and this one I stole for $100. It was used and the lady wanted it out of the house since it belonged to her husband who had passed away. I would have preferred the VAuto or ASV but those are very rare and when found cost a lot more than $100. It had 40 hours too many for secondwind to want it...she said she would be happy with $100 and I told her I would take it.

While I prefer auto adjusting pressures I have been able to be quite successful with fixed bilevel S mode. Just too a little bit more fine tuning of the settings.
Only down side to it...it lumps centrals and obstructive apneas in the "Apnea" basket so I get the "unknown apnea" thing.
It's the way ResMed does all the machines designed to treat centrals like the ST or ASV even in S mode.
Not a big deal when the AHI is often less than 1 to 2.0. Who cares what they are.

Now the VAuto...it will separate centrals and obstructives for you in all the modes it offers.
It will do all you want it to do and more and do it very well.

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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Wed Aug 16, 2017 3:56 pm

Pugsy wrote:I have the AirCurve 10 ST....I use it in S mode which is essentially just plain fixed bilevel. Right now EPAP 8 and IPAP 12.

While I prefer auto adjusting pressures I have been able to be quite successful with fixed bilevel S mode. Just too a little bit more fine tuning of the settings.

Only down side to it...it lumps centrals and obstructive apneas in the "Apnea" basket so I get the "unknown apnea" thing.
It's the way ResMed does all the machines designed to treat centrals like the ST or ASV even in S mode.
Not a big deal when the AHI is often less than 1 to 2.0. Who cares what they are.

Now the VAuto...it will separate centrals and obstructives for you in all the modes it offers.
It will do all you want it to do and more and do it very well.
When I told the Sleep Doctor I wanted an Auto, he said he did not have a problem with writing the Rx that way but that "he did not think an Auto was any better".

So, I guess if I had not specified my desire for an Auto, I would have gotten the S.

As I have always believed - it is easier to change the prescriber's mind before they do something stupid.

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Last edited by StuUnderPressure on Wed Aug 16, 2017 3:59 pm, edited 1 time in total.
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ChicagoGranny
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by ChicagoGranny » Wed Aug 16, 2017 3:58 pm

What pressures were prescribed?
StuUnderPressure wrote:(1/2 of the night on CPAP & the 2nd 1/2 of the night on BiPap).

Sleeping in strange places / beds has never bothered me before - but that night it took me 3 - 4 hours to fall asleep.
If it took you hours to fall asleep, how did they divide the night up between CPAP and BiPAP?

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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Wed Aug 16, 2017 4:08 pm

ChicagoGranny wrote:What pressures were prescribed?
He mentioned 10 - 20, but those are not BiPap pressures
I will refine once I get accustomed to the BiPap
I currently use 13 - 20 on my S9 AutoSet
StuUnderPressure wrote:(1/2 of the night on CPAP & the 2nd 1/2 of the night on BiPap).

Sleeping in strange places / beds has never bothered me before - but that night it took me 3 - 4 hours to fall asleep.
ChicagoGranny wrote:If it took you hours to fall asleep, how did they divide the night up between CPAP and BiPAP?
Will not know for sure until I get the written report & the raw data.

Sleep Study Tech told me she had been told by Sleep Doctor to switch to BiPap when I reached 14
So, I ASS-U-ME it really was not 1/2 & 1/2
Testing me on BiPap apparently was really a priority for the Sleep Doctor

When I asked why the consultation was by telephone instead of in person, the Sleep Doctor said they do it that way "for the patient's convenience".
MeThinks they do it that way so they can pass off some crap on a trusting newbie.

Sleep Doctor said once I gave him a specific Model, he would fax the Rx to the DME I chose (again for "my convenience").
I told the Sleep Doctor, "I" would pick up my Rx & then decide which DME to bring it to.
That way, if anything on the Rx is not to my liking, I will get it changed immediately.

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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Wed Aug 16, 2017 5:18 pm

Pugsy wrote:Have no idea about the software versions as in which is the latest.
Do you run yours in Airplane mode?

Are you just not interested in getting updates to the software?
Or, do your privacy concerns override any desire for getting software updates?

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Pugsy
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by Pugsy » Wed Aug 16, 2017 5:37 pm

Yes, I just use airplane mode. Funny I don't get the nag screen either that others have complained about.
Not so much for privacy stuff because there's nothing personal that gets transmitted...if it even still active.... and I don't really care about software version stuff.
Like what is it going to do differently???
So far the only issue ever fixed with an over the air update was something with the heated hose and humidifier and that was a long time ago.

They aren't going to upgrade the machine to do anything it doesn't currently do over the air and they don't publicize any bugs in their software that might need fixing.
I don't worry about stuff like that when I don't have any control over it anyway. It is just not something high on my priority list.

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Thu Aug 17, 2017 9:17 am

Pugsy wrote:
So far the only issue ever fixed with an over the air update was something with the heated hose and humidifier and that was a long time ago.

They aren't going to upgrade the machine to do anything it doesn't currently do over the air and they don't publicize any bugs in their software that might need fixing.
I don't worry about stuff like that when I don't have any control over it anyway. It is just not something high on my priority list.
I guess if anything important was ever updated, one could turn off Airplane Mode at that time & get all of the updates you had missed up to that point (including the important one)???

So, I will probably not stress over making sure I get the most current versions in my new BiPap.
And, if there is anything I do really want, I am hoping it will get updated over the air.

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StuUnderPressure
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Thu Aug 17, 2017 9:21 am

But, I would still like to verify there are -0- hours on the machine before I leave the DME.

Anyone know what the magic sequence of buttons pushed will allow me to see both the Total Hours & the Run Hours on the ResMed AirCurve 10 VAuto?

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Pugsy
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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by Pugsy » Thu Aug 17, 2017 9:25 am

Getting to the ultra secret area is the same on all AirSense/AirCurve models.
I don't have the AirCurve manual handy but I have this one
https://sleep.tnet.com/home/files/resme ... -guide.pdf
Total hours is under Settings ...the "About"...which is also where the software version is if I remember right.

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
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If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.

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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Thu Aug 17, 2017 11:07 am

I got my hands on the Clinician Manual for the ResMed AirCurve 10 VAuto (dated 2016-08)

If I am reading this correctly, the "Used Hrs" is shown on the "Sleep Report" screen (as with the S9 AutoSet, I assume you would change the "Period" to 1 Year to show the YTD Used Hrs & cannot go beyond 1 year)?

The "Run Hours" is shown on the "About" Screen which seems to be on the "Settings" screen?

As Pugsy noted, the software information also seems to be on that "About" screen.

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Re: SURPRISE - Sleep Study qualified me for a BiPap

Post by StuUnderPressure » Thu Aug 24, 2017 12:21 pm

See this Topic for the Results of my Sleep Study

viewtopic/t156314/Results-of-Current-Sleep-Study.html

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