Help with machine

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
humdinger1

Help with machine

Post by humdinger1 » Tue Nov 23, 2010 7:34 pm

Can anyone guide me on changing the pressure on my remstar pro c-flex + ??
Any assistance would be greatly appreciated. I am starting to look like a raccoon.
Humdinger1

humdinger 1

Re: Help with machine

Post by humdinger 1 » Tue Nov 23, 2010 7:46 pm

Does anyone else even have this machine? Can I monkey with it? Is that possible? I want this to work. I think it can help me. Humdinger1

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Help with machine

Post by jules » Tue Nov 23, 2010 7:49 pm

is this the latest model? The PR 1?

if would help if you posted with your forum log in and maybe someone will pm you the information if you verify your correct machine - Remstar Pro isn't specific enough as that name has been used for machines in several difference series going back many years

humdinger1

Re: Help with machine

Post by humdinger1 » Tue Nov 23, 2010 8:20 pm

Thanks for a reply jules. I was beginning to think nobody gave a flying flip. Like my physician. The machine I have just says it is a Phillips REMstar Pro C-Flex +
That is all it says. The manuel does have a section for accessing the provider mode screens however the manuel also says the system can be "locked". It also says "remove this guide before giving the device to the patient. Guess he forgot to do that. I still dont understand why I have this machine which is a c-pap when I was told I have central sleep apnea. Why not the bi-pap? I seriously feel like I am suffocating at 11. ramping from 4-6 i can handle. I can not exhale through my nose at 11. I am about to throw the whole contraption out the window. Or maybe at the physicians window. Well that is a bit extreme. Thanks ruth

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Help with machine

Post by jules » Tue Nov 23, 2010 8:30 pm

I have seen posts on how to access the menu on that machine - it is called the PR1 - the P for Phillips is new with this series

did you get a copy of your sleep study?

humdinger1

Re: Help with machine

Post by humdinger1 » Tue Nov 23, 2010 8:32 pm

I did it!! I did it!!
I am so proud of myself. Thank you jules. Your simple reply went farther than you can ever imagine. humdinger1

humdinger1

Re: Help with machine

Post by humdinger1 » Tue Nov 23, 2010 8:39 pm

I have two copies of sleep studies. One prior to and one with using a c-pap. Since finding this site last night I have discovered neither the site or my physician is accredited sleep facility or a certified sleep disorder physician. Nice huh? I am also a nurse. Perhaps he doesnt like having nurses as patients. Both studies are totally different. The "impression" guess that is their word for diagnosis, on the first one was snoring. The "impression" on the second one (using the machine, but actually really not sleeping much at all that night, was Obstructive sleep apnea. However there were no osa's reported. There were12 central sleep apnea episodes on the second study(none on the first) but he still diagnoses OSA. Does this sound like he even knows what he was reading/writing?

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Help with machine

Post by jules » Tue Nov 23, 2010 8:43 pm

centrals can be induced with cpap and having only 12 over a period of many hours isn't alarming

were there hypoapneas reported on the first one or just snores? the first night is to determine the diagnosis the second to determine the machine and pressure needs

did they say OSA on the first report?

humdinger1

Re: Help with machine

Post by humdinger1 » Tue Nov 23, 2010 8:56 pm

The first report had 51 resp events of which 14 were obstructive apneas and 36 were hypopneas sesulting in an apnea hyponea index of 7.7 per hour to 1.4 during rem sleep. There were 1235 snoring episodes. Hypopnea index increased to 10.9 in supine position. Average sat was 93.6% with a minimum of saturation of 86.6%. Saturation was below 90% 3.4 minutres or 0.9 % Restorative sleep or slow wave was 4.8% guess that is why I look and feel so bad. I read that slow wave should be around 28%?? Onset to rem in second study was markely delayed. sleep efficiency was signficantly decreased. Thanks again for responding to me. Ruth

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Help with machine

Post by jules » Tue Nov 23, 2010 9:00 pm

so mild OSA was probably the diagnosis and there were no centrals that first night (at least based on the report)

CPAP is probably the correct treatment

humdinger1

Re: Help with machine

Post by humdinger1 » Tue Nov 23, 2010 9:03 pm

that sounds all very correct. but why does a c-pap induce centrals. which is what you said earlier. why would i want to be inducing central sleep apnea? i did see the script that he wrote for the second study. It said C-pap, Very systemic.
what the heck did he mean by that? Very systemic?

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Help with machine

Post by jules » Tue Nov 23, 2010 9:11 pm

do you have other health problems that can be related to or draw from having OSA? high blood pressure, diabetes, obesity, heart problems are the most common ones

we get centrals sometimes when we fall asleep - there are some ppl who have pressure induced centrals with certain pressures (usually higher ones but not always) - some ppl well have centrals during titration with pressure changes too

your pro machine is data capable - the software is encore pro or encore viewer (viewer is the one for patients) - you need a version 2.x for either and a windows operating system with certain requirements - check the exact versions with others - I am back in the dark ages using an older machine where I can use a version 1.x

as much as you can change the pressure, I wouldn't suggest doing it without having the software to have some idea on what is the effect of making changes

humdinger1

Re: Help with machine

Post by humdinger1 » Tue Nov 23, 2010 9:28 pm

you lost me on the software issue.
had thyroid removed ten years ago. parathryoids partially damaged as well. pretty much a walking endocrine struggle. like pushing a whale up a narrow river, always trying to tweak the dosage of thyroid meds. adrenal fatigue as well and on HC for that.
i do know that the setting of 11 was intolerable. if i can tolerate a lower pressure and gradually get used to the device then i will build back up. but not using it seemed like a complete waste of time and money. i thank you again for all of your responses tonight. you seem very knowledgeable.