Fitness Seeker wrote:2. When you put on this mask do u have to loosen the silicone strap?
Fitness Seeker wrote:3. When you awake are you supposed to have marks on your face that stay for 1 hour?
Fitness Seeker wrote:Still trying to figure out what's wrong w/ me and the machine b4 I consider "other treatment options".
I have an XS Swift FX for her nasal pillows. My Qs:
1. Is the proper way to wear it is to have the silicone strap above the head like a headband and the velcro straps going horizontal completely horizontal? This is how i try to have it but it doesn't stablize. When i lie down the silicone strap keeps shifting and i constantly have to move it back onto my head. The velco strap seems too long. (I have an XS) and i can't tighten it; otherwise they straps will overlap and they won't stay in place anymore.
I think you are wearing the top strap too tight. I can easily get two fingers underneath that top strap (and that strap is also on top of a PadaCheek frame pad as well. I'd suggest NOT tightening it once it is on your head. This is a mask that should be worn really loose.2. When you put on this mask do u have to loosen the silicone strap? B/c i need to do this and then once it's on i tighten it. (otherwise i'd have leaks).
NO! NO! NO! If the marks left by this mask are lasting an hour, you've got the mask WAY, WAY, WAY too tight. The mask should be sort of snug, but you should be able to get a finger under the straps on your cheeks without too much trouble.3. When you awake are you supposed to have marks on your face that stay for 1 hour?
The DME will NOT adjust the pressure without a prescription change from the MD. As to how to tell if the pressure is too much? Well the authorized way is to document (as in a log) just how much certain pressure-related things are bothering you and bring the list in and talk at length to the doc or PA that sees you. And ask whether they'd authorize a week or two of autotitration to see where your 90% or 95% pressure level settles in.Other Qs:
1. How do we know if the pressure is too much for us? (I'm trying to find the source of my intolerance). Can the DMEs adjust the pressure or do we need an MD's approval?
Some people claim the S9 AutoSet with EPR turned on acts like a bi-level. As someone who used that machine (unsucessfully) for 3 1/2 months before being switched over to a PR System One BiPAP, I'd say the S9 Autoset never felt like a bi-level to me. Others mileage can and does vary. There have been several (long) threads where I've tried to explain why the S9 Autoset did not feel like a true bi-level to me and where others have adamantly maintained that the only difference between an S9 AutoSet with EPR and a true bi-level is that EPR is limited to a 3cm reduction in pressure at the beginning of the exhale. The thread with the most detailed information about the differences between how the pressure is reduced on exhale and increased on inhale on the various machine is at: viewtopic.php?f=1&t=58773&st=0&sk=t&sd=a& . The interesting stuff starts on page 2 and the graphs in -SWS's posts are particularly useful in explaining the differences in how the S9 AutoSet with EPR, the S8 VPAP (bi-level), and the PR System One BiPAP each transition the pressure both from inhale to exhale and from exhale to inhale.2. Does the apap have a bi-level capacity?
It's true that bi-levels are often used to treat other forms of apnea (not always sucessfully), but two rather common reasons for being put on a bi-level have nothing to do with the "severity" of the patient's apnea. First, many people are put on bi-level simply because their titrated pressure is very high (as in over 15 or 16) and the bi-level is often much more comfortable. Second, some folks do end up on bi-level because they are intolerant of straight cpap or apap even after some real effort has been made to make the therapy more tolerable. Take my own case for example: After 2 weeks of straight CPAP at 9cm, the PA authorized a week of autotitration which showed my 95% pressure level was around 7.8 or so and that I was much more comfortable with APAP than CPAP. But while switching to APAP running 4--8cm eliminated the air-in-eyes problem and somewhat helped the aerophagia, it did not bring the aerophagia down to truly tolerable levels. And I continued to crash and burn in terms of daytime symptoms. In other words, I was not responding to treatment (positively) even though my AHI was now well below 5. At the end of 7 or 8 miserable weeks, I was again in the PA's office (in another semi-emergency meeting) talking about the horrible aerophagia, the continuing crash and burn, and the insomnia monster that was growing large and fat. That was when she suggested a possible switch to bi-level and we scheduled the first bi-level titration. The long version of the story can be found here: viewtopic.php?f=1&t=57491&p=541093&I was recommended by someone to get a bi-level but when I emailed the MD they said they don't "rescore" the sleep studies and that they the other machines are for "more severe apnea".
Or baby blue. The DARK BLUE strap is the Swift FX (for Him?)Pugsy wrote:Did you get the Swift FX for Her or the regular one? The "for her" headgear is slightly smaller. The back velcro strap is hot pink in the "for Her" mask.
robysue wrote: Pugsy wrote:Did you get the Swift FX for Her or the regular one? The "for her" headgear is slightly smaller. The back velcro strap is hot pink in the "for Her" mask.
Or baby blue. The DARK BLUE strap is the Swift FX (for Him?)
|Machine: S9 AutoSet™ CPAP Machine|
|Mask: Swift™ FX For Her Nasal Pillow CPAP Mask with Headgear|
|Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control|
|Additional Comments: Clear by Pur-Sleep to keep nose open at night, Cozy Hose-Boss by Pur-Sleep|
When my DME sold me the Swift FX for her, both the baby blue and hot pink backstraps were in the sealed bag containing the mask and all its parts.Pugsy wrote:robysue wrote: Pugsy wrote:Did you get the Swift FX for Her or the regular one? The "for her" headgear is slightly smaller. The back velcro strap is hot pink in the "for Her" mask.
Or baby blue. The DARK BLUE strap is the Swift FX (for Him?)
Baby blue? Cool. My new one is hot pink. My other one was the dark blue (him). I am still (him) using it as it seems to be just fine. The back velcro strap touches but is snug enough to work.
Thanks pugsy, I'll have to remember this tip.BTW my barrel cozy velcro (soft part) finally gave up the ghost the other night. I was given extra velcro for my wrist splint. I glued a tiny sliver of soft (whichever it is called) part of the velcro over the tired part and it works great.
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