Seeking recommendation

[mild6]

Dear all,

I have been away for a long time from cpaptalk.com. The reason I'm now back is because my Goodnight 420E has finally behaved oddly; hence, when I am not wearing a mask, the machine instead of ramp up to my set level of 7cm, it goes to 3, and then completely stops. Then after a while it starts again and stops again. When I have a mask on, the machines works but there is a whining sound. So, I figure, after six years of services, the machine has finally come to a stage of quitting. Have you guys using this machine had the same experience?

Over the years, I've just been using a CPAP 6-7 cm level, and it has been fine. I shouldn't have purchased an Autopap which cost a lot more when I got it in 2006. So, if I want to have a good, quiet, CPAP, which one would you recommend? A link of the machine to CPAP.com would be appreciated!

Thanks!

[Sloop]

I would recommend mine (see my sig line) or the newer 60 series. C-FLEX is worth it.

[jweeks]

I shouldn't have purchased an Autopap which cost a lot more when I got it in 2006.

Hi,

Now days, the price difference between a fixed pressure CPAP and an auto adjusting APAP is very small, maybe $50 or so. I'd suggest getting an auto machine so you can run it in auto mode for a night or two every few months just to verify your pressure settings. It would be like getting a quick and cheap follow-up sleep study every few months just to make sure you are still at the optimal pressure settings.

In any case, you want a machine that is fully data capable, and one that records on a SD memory chip.

All of the current machines are pretty quiet, and since they moved away from the bright blue lights, they are a little easier to live with. Another option on many of the newer machines are heated hoses. I don't know if water in the hose is an issue for you, but if it is, a heated hose can really help.

-john-

[Pugsy]

Are you paying out of pocket without any insurance being involved?
Latest model Respironics APAP is $647 and that includes the heated hose humidifier. That is the discounted price so don't be alarmed by the MSRP. Top of the line, free software available for the data.
https://www.cpap.com/productpage/pr-sys ... -tube.html

https://www.cpap.com/productpage/respir ... utoiq.html
$509 and that includes humidifier.
It has limited APAP availability but as with about anything on the web we know of a way to make it full time APAP

https://www.cpap.com/cpap-machine/respi ... cflex.html
Cheap basic model. Straight CPAP and no data beyond hours of use $375 includes humidifier.. I wouldn't want one because of lack of data but if data doesn't matter...it is cheap and offers excellent therapy just like the other machines that offer full data.

https://www.cpap.com/cpap-machine/devil ... tflex.html
$545 with humidifier. Has full data but not as extensive of data as the PR System One. Software costs extra.

Prices have come way down on the APAP machines...APAP machines can be used in CPAP mode. CPAP RX will allow you to buy an APAP machine because they are technically a CPAP machine just with the additional auto adjusting pressure mode.

[mild6]

Thank you all for your comments which really make sense! I am paying out of my own pocket, plus international shipping charge as I live in Hong Kong. So, price is definitely of concern. While the price difference nowadays between CPAP and APAP is not significant, I somehow believe that the less functions a machine has, the harder it will break down and the longer it will last. It would be nice to order an APAP for titration purposes, but over the the years, I've noticed that my cm level doesn't change much. I was diagnosed at cm6, and I've set it at 7cm all the way, all these years, and it has been working just fine. When I was first diagnosed I was very much into learning my sleeping disorder, watching data from the siverlining software, and stuff. However, I've started losing that interest for a longtime. I don't care as much since my osa status doesn't seem to vary too much.

[mild6]

One more question, those of you who are using PR System One REMstar Plus CPAP Machine with C-Flex, how do you find the C-Flex feature? Do you think this machine is durable?