Need for supplemental oxygen ?!

[ajack]

Compared to your awake level, your asleep o2 level is suppose to be lower in sleep stages through the night

I agree this is true. Do you think spo2 of 98 while sleeping is harmful, though?

Since getting my cpap a few months ago i have become obsessed with quality sleep. My life has changed for the better

98% isn't harmful, but as you agreed, when you are asleep it's suppose to drop from your awake state and some different sleep stages has different o2/co2 levels. AFAIK 88 is the flag level. titration tries to get it above 90%. I would think about 92 would be around the min norm in the population. based on normal level altitude.

I did google a bit. 94-98% is the target in an awake state for o2 titration for normal subjects. Depending what's wrong some shouldn't be over 92%
https://www.aci.health.nsw.gov.au/__dat ... herapy.pdf

 88-92% for all patients with or at risk or hypercapnic respiratory failure
 94-98% for all other patients
 Special considerations for some poisons e.g. carbon monoxide, paraquat, bleomycin

[Goofproof]

If they give you an oxygen concentrater, be aware they are rather noisy. If you are a light sleeper, it may be advisable to put the machine in a different room and use a long oxygen tube to run into the bedroom. When I was using oxygen at night, I kept the machine next to the bed, but neither my wife or I are light sleepers, so the noise did not bother us. I was put on oxygen at night until I could get tested and start treatment for my sleep apnea.

Another concern is heat output, they take a good amount of electric, that's turned to heat! A second reason to move it to another room. A third reason, where does it get it's O2 from, the room the compressor is in, if you keep it in the bedroom, it's pulling O2 from the bedroom to add to your mask. Kind of like pushing water up hill. By taking it from another room, you get more O2 in the bedroom. Jim

[mirakaja]

Thank you to everyone for all your responses. Many of you advised to talk to my sleep doctor first. I see him Thursday. I have been a member here on your forum for three months, and while I have posted little, I have read lots. You do provide a lot of valuable information, and I thank you for that. As a newbie, everything about this whole CPAP experience is overwhelming – now to have to consider oxygen is just another layer. I do not have sleepyhead software yet. My machine does have a slot for a card but it didn't come with the machine – I clearly remember the woman at the medical supply place said they no longer provide them. I'm a little reluctant to try sleepyhead as I am not very tech savvy and not sure how to operate it or read it all! Thank you all again for your input.

[Pugsy]

My machine does have a slot for a card but it didn't come with the machine – I clearly remember the woman at the medical supply place said they no longer provide them.

The machines do come from the factory with a SD card in that slot.
Your supplier just removed it so they could sell it and make extra money.

You do have data available on the machine's LCD screen...are you aware of that?
It's not as complete or detailed as SleepyHead's reporting but it has some of the basics on the screen.
If you can't see it on the LCD screen there is a setting in the clinical setup menu that needs to be changes.
Essentials needs to be changed from "usage" to "Plus".
Explained in the manual.
https://sleep.tnet.com/home/files/resme ... -guide.pdf

[Goofproof]

Thank you to everyone for all your responses. Many of you advised to talk to my sleep doctor first. I see him Thursday. I have been a member here on your forum for three months, and while I have posted little, I have read lots. You do provide a lot of valuable information, and I thank you for that. As a newbie, everything about this whole CPAP experience is overwhelming – now to have to consider oxygen is just another layer. I do not have sleepyhead software yet. My machine does have a slot for a card but it didn't come with the machine – I clearly remember the woman at the medical supply place said they no longer provide them. I'm a little reluctant to try sleepyhead as I am not very tech savvy and not sure how to operate it or read it all! Thank you all again for your input.

That would mean in DME Speak, they stole your card, or they sold you a used machine for NEW. Jim

[mirakaja]

Thank you, Pugsy. I do have the basic info I can read on my screen each morning. And as to Jim's response, how would I know if my machine was not new?

[Okie bipap]

subtract your usage hours from the total and see how much it had been used before you got it

This would not work in this person's case. He/she is using a Resmed Air Sense 10 auto for her. That machine runs for 30 to 60 minutes at low speed after being shutting off in order to dry out the hose.

[bwexler]

When you see your sleep Doctor insist on receiving a complete copy of all your sleep test results and your O2 study.
You may not understand them all today, but in the future they may become very useful and enlightening.
You should also get your own hard copy of your prescription. If you choose to change DMEs or doctors in the future, it can become difficult and expensive to replace.
It is also helpful to prepare a written list of questions to hand your doctor and a copy for yourself to be sure all your questions get answered.
Don't forget the important follow up questions, why? And what if I don't?

[sleepshock]

Here we go. New at this. Recently went to sleep lab based on cardiologist recommendation. Seems I have pulmonary hypertension --or not enough oxygen pumped from from heart to lungs. So seeing pulmonologist on Monday. No idea what to expect. Just know from sleep tech, night oxygen levels are 80, and that I need oxygen at night. Have reviewed many of the contraptions used to deliever oxygen. Yikes scary. Help anyone??? Anyone with pulmonary hypertension?

[Pugsy]

how would I know if my machine was not new

Compare total therapy hours to run hours on the machine.
Therapy hours can be reset but run/machine hours cannot.
The only fly in the ointment is the fact that ResMed machines do that cool down period after you turn it off..30 to 60 minutes and that time gets included in the run hours but not in therapy hours. So you run hours won't necessarily match the therapy hours but it should be reasonably close.
Roughly add about 1/2 hour per night to your therapy hours and it should be fairly close. If off by several hundred or more then there is a good chance it was used by someone prior to your getting it.

Example....if the run hours show 500 and you have used the machine roughly 7 hours a night for 60 nights...that's approx 420 hours therapy and another 30 or 60 hours due to cool down period would be about right for 2 months.
If your run hours showed 800 or then there's about 300 hours unaccounted for that usually means someone else used it.

Of course the longer you use the machine the greater the difference between the therapy and run hours.

Most likely your equipment supplier just stole the SD card but it wouldn't be impossible for it to have been used a little or a lot by someone else and the DME won't think that we have sense enough to check the run hours. I have seen people here report that they were told the machine was brand new and they go check the machine and it had over 2,000 hours on it. Obviously a bold face lie.

[mirakaja]

Where do I go to find these therapy hours and machine run hours?

[Pugsy]

Page 15 of the manual
https://sleep.tnet.com/home/files/resme ... -guide.pdf

See where it says "About" with the arrow...highlight the About and push the rounds knob to expand the "About" and run hours is in there with the software version and some other stuff.

[Cpapian]

[quote="mirakaja" My machine does have a slot for a card but it didn't come with the machine – I clearly remember the woman at the medical supply place said they no longer provide them. I'm a little reluctant to try sleepyhead as I am not very tech savvy and not sure how to operate it or read it all! Thank you all again for your input.[/quote]

That's nice that Pugsy supplied the clinicians manual where it clearly states that the SD card is included. Show that to your DME and politely request they correct the omission.

If you would like to use SleepyHead but are afraid to do so ....... I put it off for a while, but when I did, I just took one step a day. I was pleasantly surprised how easy it was. And understanding there information..... members here will help you. If you want a hand getting SleepyHead installed, I would be happy to walk you through it. Only if you want to.

[Okie bipap]

My machine does have a slot for a card but it didn't come with the machine – I clearly remember the woman at the medical supply place said they no longer provide them.

When the DME delivered my wife's machine to the house, the SD card was in the box with the machine. The card was not installed in the machine, but was in what Resmed calls an "SD card protective folder". When you open the folder, the card is in a plastic protective sleeve that is attached to the folder. He had just received the machine that day, and brought it to the house as soon as he picked it up at FedEx.

[poppi2]

My 'For Her' ran for roughly 30 minutes after I shut it off. I say 'roughly', because I'm not sure of the exact shutdown time. It was definitely not an hour.