Hello fellow hoseheads

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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midwestosa
Posts: 6
Joined: Fri May 06, 2011 9:45 pm
Location: Heart of the midwest

Hello fellow hoseheads

Post by midwestosa » Sat May 07, 2011 10:16 pm

Greetings,

I have really enjoyed reading the stories and information in this forum so I thought I would share my story for the one person who might find it interesting. I am a 38 yo single dad of 3 little ones and have had severe daytime fatigue for quite some time. I asked my doc about it and assumed it was related to the stress of work and kids but he mentioned a number of things that could also cause it such as low thyroid, osa, vitamin deficiency, acid reflux, etc.. He had me tested for all the simple things and every thing came back ok. He then said even though I didn't fit the profile for sleep apnea based on the majority of his patients who have it and in his words "you are about 40 pounds lighter than the weight at which most people start to develop it" but he still wrote a script to have me go in.

Literally the next day the sleep lab called and a very nice woman explained the whole process that I would have to fill out some paperwork, come in for a consultation, and then do the sleep study. I went in for my consult and the dr reviewed everything and then they gave me a tour. I then had my sleep study and the follow with the dr. She said that I had mild osa and not all dr's would treat me but she is going to since I meet the criteria that insurance cos have for cpap reimbursement and also she said osa is a chronic illness that generally gets worse with time not better so I might as well start therapy now. She then had me scheduled for the titration stayover which also went very smooth.

After the titration stayover the dme called and asked if I would like to come in or they can come to my house. I said I'll be there in 30 mins and they said great. The rt explained everything to me and showed me how to use the equipment and clean it. I tried on a number of masks and decided I liked the nasal masks the best so that is what I got.

The first night was definitely the roughest. I couldn't seem to get the mask adjusted properly even though it fit great at the dme. I finally got it somewhat comfortable and fell asleep. In the middle of the night i remember waking up and taking it off for reasons that I have no idea about. Even though I was awake and conscious I have no idea why I did it. The second night was better I slept through the night but decided that I really needed some accessories. I bought the cheek pad things since I had marks on my face for half the day which was really annoying. I also purchased a hose cover and cleaning wipes. I realized that the hose was really annoying when I was sleeping so I looked for hose holders but did not like any of the ones for sale so I made my own using fleece and a sewing machine. My goal is to make the whole contraption as comfortable and non medical looking/feeling as possible. One of the biggest challenges is keeping my kids from messing with it. They are absolutely fascinated by it which is not a good thing since there is no telling what they may do with it when I'm not in the room. The. I told rt from the dme called a week later and asked how everything is going and we talked for about 20 minutes about various things. I told him that I don't mind the nasal mask but it is kind of bulky and I wouldn't mind trying out a nasal pillow and asked it I was allowed to have two. He said insurance only covers one but if I stop by he would let me pick out a nasal pillow mask and I could keep it. It must have been my luck day but I was very nice with him and the staff and I've learned a long time ago being nice generally gets you much further in life than the opposite.

Conclusions.... My experience (this is just my opionion) of everything so far has been extremely positive. For some reason I never felt anxious or worried through the process or knowing that I have osa. I have had several medical conditions in my past that have been more severe than this (an amputation, surgery, and a few other things) so I really wasn't any more upset about being told I have osa any more than the doctor telling me I have a cold. I am not trying to downplay the impact that this diagnosis can have to some people I am speaking strictly from my own viewpoint. I would not be alive today if it wasn't for modern medicine so I am one of those people who is very thankful that I live in an age where this wonderful technology cpap, despite it's shortcomings, exists and I as well as others can benefit from it. This wouldn't have been the case 30 years ago.

My machine is a PR REMstar Pro with a system one humidifier and a F&P Zest mask which I noticed made the trek to my bedroom all the way from New Zealand. So far I can't complain too much. It is amazingly quiet. The only thing that I think they could improve on is the b/w lcd display seems a little dated and does not provide much information and has no backlight. I did purchase the encore viewer software and have been reviewing my data for the past 2 weeks since I have been using the cpap. I really like looking at the information and was a little surprised by a few things... I have only been averaging 5-6 hours of sleep a night and that is unrelated to the osa but just more of my busy life. I don't watch tv since I don't have time for it and between work and getting my kids to school and sports, doing laundry, cooking, getting groceries, fixing stuff around the house, helping my kids with homework, etc. I never realized how little sleep I got. I could've sworn I was sleeping 8 hours a night but the numbers don't lie so I am trying to get more in the 7-8 hour range. Also my ahi has been averaging 1-2 every night so I am going to talk to the doctor to see if that's acceptable or if I need to have my machine adjusted. On the bright side it shows that my mask is not leaking at all which is good and I am getting very used to it and almost don't feel complete without it. I have included a few pictures to show my setup.

Image
Image

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Mr Bill
Posts: 532
Joined: Fri Feb 18, 2011 11:56 pm
Location: Grand Junction, CO

Re: Hello fellow hoseheads

Post by Mr Bill » Sat May 07, 2011 11:33 pm

Hello and welcome to the forums. Looks like you are pretty resourceful. Feel free to ask questions. Again, welcome.
EPAP min=6, EPAP max=15, PS min=3, PS max=12, Max Pressure=30, Backup Rate=8 bpm, Flex=0, Rise Time=1,
90% EPAP=7.0, Avg PS=4.0, Avg bpm 18.3, Avg Min vent 9.2 Lpm, Avg CA/OA/H/AHI = 0.1/0.1/2.1/2.3 ... updated 02/17/12

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rested gal
Posts: 12881
Joined: Thu Sep 09, 2004 10:14 pm
Location: Tennessee

Re: Hello fellow hoseheads

Post by rested gal » Sat May 07, 2011 11:59 pm

midwestosa wrote:I then had my sleep study and the follow with the dr. She said that I had mild osa and not all dr's would treat me but she is going to since I meet the criteria that insurance cos have for cpap reimbursement and also she said osa is a chronic illness that generally gets worse with time not better so I might as well start therapy now.
Very smart doctor.
midwestosa wrote:decided that I really needed some accessories.
Very good idea.
midwestosa wrote:I realized that the hose was really annoying when I was sleeping so I looked for hose holders but did not like any of the ones for sale so I made my own using fleece and a sewing machine.
You were thinking like a "lab rat" (that's a compliment, btw) To me, that kind of thinking is a pretty good sign of a cpap success story in the making.
midwestosa wrote:My goal is to make the whole contraption as comfortable and non medical looking/feeling as possible.
Absolutely! Another sign of the right attitude toward becoming a successful cpap user. I'm big into comfort -- gotta be comfortable to sleep well while using all that "contraption" stuff.
midwestosa wrote:rt from the dme called a week later and asked how everything is going and we talked for about 20 minutes about various things. I told him that I don't mind the nasal mask but it is kind of bulky and I wouldn't mind trying out a nasal pillow and asked it I was allowed to have two. He said insurance only covers one but if I stop by he would let me pick out a nasal pillow mask and I could keep it.
What a good DME you found.
midwestosa wrote:It must have been my luck day but I was very nice with him and the staff and I've learned a long time ago being nice generally gets you much further in life than the opposite.
Lucky day, yes, but your "nice" approach does usually work out well in most dealings in life.
midwestosa wrote:For some reason I never felt anxious or worried through the process or knowing that I have osa. I have had several medical conditions in my past that have been more severe than this (an amputation, surgery, and a few other things) so I really wasn't any more upset about being told I have osa any more than the doctor telling me I have a cold. I am not trying to downplay the impact that this diagnosis can have to some people I am speaking strictly from my own viewpoint.
You have a wonderful attitude.
midwestosa wrote:I did purchase the encore viewer software and have been reviewing my data for the past 2 weeks since I have been using the cpap. I really like looking at the information
Very smart of you to do that. And you were lucky to have received a machine that gives you useful data to see ... not just "compliance" as in "hours of use."
midwestosa wrote:was a little surprised by a few things... I have only been averaging 5-6 hours of sleep a night and that is unrelated to the osa but just more of my busy life.
----
I never realized how little sleep I got. I could've sworn I was sleeping 8 hours a night but the numbers don't lie so I am trying to get more in the 7-8 hour range.
Good you've found that out now. And good that you plan to do something about getting more hours of sleep.
midwestosa wrote:my ahi has been averaging 1-2 every night so I am going to talk to the doctor to see if that's acceptable or if I need to have my machine adjusted.
That's an excellent "treated" AHI. Very, very acceptable. If you decide (I'm not a doctor!) you want to try another full cm or two of pressure, I wouldn't hesitate to raise the pressure a little myself. Not necessary to do that, however, as that AHI indicates your prescribed pressure is doing a fine job for you.
midwestosa wrote:On the bright side it shows that my mask is not leaking at all which is good and I am getting very used to it and almost don't feel complete without it.
That is absolutely great! Leaks (mask leaks or mouth breathing if not wearing a Full Face mask) are often the main problem people have in "doing CPAP" therapy. You are very, very lucky in that regard.
midwestosa wrote:I have included a few pictures to show my setup.
Thanks for posting the photos. As Bill said:
Mr Bill wrote:Looks like you are pretty resourceful.
I agree. You are doing everything right to make this work for you. Comfortably and effectively.
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
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Breathe Jimbo
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Location: Pasadena, CA

Re: Hello fellow hoseheads

Post by Breathe Jimbo » Sun May 08, 2011 12:54 am

The goal is to get your AHI below 5, so 1-2 is good.

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ozij
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Joined: Fri Mar 18, 2005 11:52 pm

Re: Hello fellow hoseheads

Post by ozij » Sun May 08, 2011 8:49 am

Depending on your kids' age, I think if you take the time to show them everything about the mask and machine they may be quite satisfied an not mess with it. Of course toddlers are another issue, but I'd say anything from 3 up. Simply explain it matter of factly, let them touch what they want, even press the "on" button - and there's a chance they will no longer find it that interesting.

Welcome to the forum.

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Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks.
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midwestosa
Posts: 6
Joined: Fri May 06, 2011 9:45 pm
Location: Heart of the midwest

Re: Hello fellow hoseheads

Post by midwestosa » Sun May 08, 2011 10:28 am

Thank you very much for the feedback and I look forward to more learning and sharing with others on this forum in the future!

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DavidCarolina
Posts: 477
Joined: Wed Feb 23, 2011 6:23 pm

Re: Hello fellow hoseheads

Post by DavidCarolina » Sun May 08, 2011 7:59 pm

You were darn fortunate to get a Doc who thought comprehensively.

In my case, OSA was never CONSIDERED, even though Im a classic, little bit overweight, large necked,
50 year old, guy with a narrowed airway and a snoring history

...AND a back sleeper to boot.

I spent THOUSANDS of dollars on other approaches: including thyroid like you mentioned, and
ended up at mayo clinic. My "diagnosis" was basically accidental after they ruled out the more
serious conditions.

I sure wish I could have avoided all the hoopla and suffering.

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