Sleepyhead and APAP to CPAP advice

Hi All,

First of all a huge thank you to these forums and those of you who have been sharing advice, information and your experiences. I have benifitted so much.

I am currently on a loaner machine in Auto mode while they titrate to find the pressure setting and convert to CPAP mode.

Configuration:

• Two Weeks of usage
  ResMed Autosense 10 For Her
  Airfit N20 Nasal
  Mode: APAP (7 - 14 cm)

Tonight it's being converted to:

• Mode: CPAP (13 cm)

What I'm wondering is should I continue to use the same SleepyHead profile?

Will the change from APAP and range (7-14) to CPAP and continuous (13) screwup the statistics and reporting?

Any advantages/disadvantages of continuing the same profile or staring a new one?

For what it's worth here is my last Sleepyhead output, if anyone has any comments, I'd appreciate it.

You can continue to use the same profile. Won't mess up anything and Sleepyhead won't care.
It will just show a change of prescription on the main overview summary page down at the bottom.

As for the switch to 13 cm fixed...IMHO...more than you need. Like using an atomic bomb to kill a fly.

Unless the variations in pressure causing problems...I would continue with current settings if it were me.

Thank you for the reply.

And I agree with you about the keeping the same settings, here is what I learned through discussion with my Clinical Consultant.

In Ontario, Canada, OHIP (our universal healthcare provider) will pay for 75% of the xPAP machine provided we have a sleep study and a valid prescription. Any private insurance we have can then pay for the differance.

To qualify for the OHIP 75% coverage, the clinical technicians must follow the initial prescription which is for CPAP and not APAP. All though the titration and tuning period can change the prescription. ie from CPAP to APAP.

Initially, the plan was for me to get a ResMed AirSense 10 Elite for my replacement machine, however I insisted that it be ResMed AirSense Auto so as to keep my options open in the future to switch back to APAP.

The AirSense 10 Auto still qualifies for the 75% insurance coverage because it is being set to CPAP mode which adheres to the prescription.

Gottcha.

I understand. Once they are done doing whatever they do and are out of your hair you can then go in and do whatever you want to do.
At least you were able to get an apap capable from them. Some years ago it was one of those "no way in hell" things unless you got God himself involved and even then it was an uphill battle.

Dog Slobber wrote: ↑

Fri Feb 23, 2018 3:04 pm

Will the change from APAP and range (7-14) to CPAP and continuous (13) screwup the statistics and reporting?

No.

Dog Slobber wrote: ↑

Fri Feb 23, 2018 3:04 pm

Any advantages/disadvantages of continuing the same profile or staring a new one?

If you keep the same one, you can more easily look back and compare the apap sleep to the cpap sleep and decide whether you want to go back to apap, which is working, (though I'd raise the minimum some).

Pugsy wrote: ↑

Fri Feb 23, 2018 3:14 pm

As for the switch to 13 cm fixed...IMHO...more than you need. Like using an atomic bomb to kill a fly.

Must be going to doctor A....

I think the key here is that Dogslobber is on a loaner machine. He has yet to buy his own machine. When he gets it, he will start a new profile all over in Sleepyhead because as far as I know, the software will not allow him to merge the old with the new.

I'm in pretty much the same situation as Dogslobber and the similarities are so remarkable that I'll bet he's using the same Hamilton sleep Doctor / DME that I am. I'm in the process of replacing my old apap with a new one. Before giving me the requisite Rx to buy a new one, the sleep doctor put me on a 30 day trial with a Resmed Autoset for Her at pressure 7.6 to 15 (same pressure as my old apap) and two weeks into the trial, I've been switched to straight CPAP. They wanted me to trial a straight pressure of 13 and as Pugsy said, that pressure is way higher than needed. I suggested 10 cm and received no push back on that front. That's the straight cpap pressure that I'm using for now and I may reduce it to 9 later this week.

For the record, I'm finding the Resmed Autoset to be MUCH more aggressive than my old PR System One. Pressures seem much higher and my leak rate has ballooned with it, even with the same pressure settings as my old apap and same mask. My AHI hasn't changed at all with the Autoset so I'm judging that it hasn't improved my therapy in any way. While there are things about the Autoset that I like, I found the therapy provided by my old Respironics System One was much more comfortable. When the time comes to lay my money on the table, I may decide to buy a Dreamstation rather than the Autoset. We'll see how that goes over the next 10 days.

Hose_Head wrote: ↑

Fri Feb 23, 2018 10:47 pm

He has yet to buy his own machine. When he gets it, he will start a new profile all over in Sleepyhead because as far as I know, the software will not allow him to merge the old with the new.

There is no need to start a new profile with a new/different machine using SleepyHead.
SleepyHead doesn't care one bit how many different machines are under one profile.
So far I have 4 different machines under one user profile in SleepyHead the latest version and on another computer that I didn't bring the old data forward to this new computer I have 6 different machines under one user profile.

SleepyHead will merge everything just fine.
The different machines just show up at the very bottom of the main statistics pages along with any prescription changes that might be done with just one machine.

Hose_Head wrote: ↑

Fri Feb 23, 2018 10:47 pm

I think the key here is that Dogslobber is on a loaner machine. He has yet to buy his own machine. When he gets it, he will start a new profile all over in Sleepyhead because as far as I know, the software will not allow him to merge the old with the new.

Really? Even after two people who *know* said that he could just keep using the same profile, and even recommended it?

palerider wrote: ↑

Fri Feb 23, 2018 11:23 pm

Hose_Head wrote: ↑

Fri Feb 23, 2018 10:47 pm

I think the key here is that Dogslobber is on a loaner machine. He has yet to buy his own machine. When he gets it, he will start a new profile all over in Sleepyhead because as far as I know, the software will not allow him to merge the old with the new.

Really? Even after two people who *know* said that he could just keep using the same profile, and even recommended it?

Yea, really!

You and Pugsy both replied before I did and responded to the question that was asked by the OP which was about a change in pressure on his current loaner machine. My response was about what would happen when he changes machines. I also qualified it with an "... as far as I know" because I was of the opinion that sleepyhead would not merge the data from different machines. Pugsy has since replied regarding that opinion.

I'm fallible. Apparently you are too!

Hose_Head wrote: ↑

Sat Feb 24, 2018 1:57 am

palerider wrote: ↑

Fri Feb 23, 2018 11:23 pm

Hose_Head wrote: ↑

Fri Feb 23, 2018 10:47 pm

I think the key here is that Dogslobber is on a loaner machine. He has yet to buy his own machine. When he gets it, he will start a new profile all over in Sleepyhead because as far as I know, the software will not allow him to merge the old with the new.

Really? Even after two people who *know* said that he could just keep using the same profile, and even recommended it?

Yea, really!

You and Pugsy both replied before I did and responded to the question that was asked by the OP which was about a change in pressure on his current loaner machine. My response was about what would happen when he changes machines. I also qualified it with an "... as far as I know" because I was of the opinion that sleepyhead would not merge the data from different machines. Pugsy has since replied regarding that opinion.

I'm fallible. Apparently you are too!

The OP stated he was changing from an APAP to a CPAP (even though he plans to have an apap in cpap mode eventually), he asked if that would screw up the statistics and reporting... the answer is "no".

He further asked if it was advantageous to start a new profile, and I replied that I recommended he kept the same profile when he changed machines.

I'm sorry you missed that clear point.

palerider wrote: ↑

Sat Feb 24, 2018 2:04 am

Hose_Head wrote: ↑

Sat Feb 24, 2018 1:57 am

palerider wrote: ↑

Fri Feb 23, 2018 11:23 pm

Hose_Head wrote: ↑

Fri Feb 23, 2018 10:47 pm

I think the key here is that Dogslobber is on a loaner machine. He has yet to buy his own machine. When he gets it, he will start a new profile all over in Sleepyhead because as far as I know, the software will not allow him to merge the old with the new.

Really? Even after two people who *know* said that he could just keep using the same profile, and even recommended it?

Yea, really!

You and Pugsy both replied before I did and responded to the question that was asked by the OP which was about a change in pressure on his current loaner machine. My response was about what would happen when he changes machines. I also qualified it with an "... as far as I know" because I was of the opinion that sleepyhead would not merge the data from different machines. Pugsy has since replied regarding that opinion.

I'm fallible. Apparently you are too!

The OP stated he was changing from an APAP to a CPAP (even though he plans to have an apap in cpap mode eventually), he asked if that would screw up the statistics and reporting... the answer is "no".

He further asked if it was advantageous to start a new profile, and I replied that I recommended he kept the same profile when he changed machines.

I'm sorry you missed that clear point.

Come on PaleRider. I know you to be an intelligent person. If you read the OP's post carefully, you'll see that he was referring to a change of mode of his loaner apap, from auto to cpap mode. He never mentioned a change of machines, nor did you in your first reply to his post. My post was the first one to mention what will happen when he changes machines.

I'm done with this pissing match. You get the last word.

Hose_Head wrote: ↑

Sat Feb 24, 2018 2:26 am

Come on PaleRider. I know you to be an intelligent person. If you read the OP's post carefully, you'll see that he was referring to a change of mode of his loaner apap, from auto to cpap mode. He never mentioned a change of machines, nor did you in your first reply to his post.

Let me help you here:

Dog Slobber wrote: ↑

Fri Feb 23, 2018 3:04 pm

I am currently on a loaner machine in Auto mode while they titrate to find the pressure setting and convert to CPAP mode.

Dog Slobber wrote: ↑

Fri Feb 23, 2018 3:30 pm

Initially, the plan was for me to get a ResMed AirSense 10 Elite for my replacement machine, however I insisted that it be ResMed AirSense Auto so as to keep my options open in the future to switch back to APAP.

Being intelligent people, both Pugsy and I were able to understan that "loaner machine" and "replacement machine" indicated quite clearly that the OP would be changing machines.

The OP knew he was changing machines, Pugsy knew he was changing machines, I knew he was changing machines... Do you get it now?