Just been diagnosed help this newbie

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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DreamDiver
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Joined: Thu Oct 04, 2007 11:19 am

Re: Just been diagnosed help this newbie

Post by DreamDiver » Thu Aug 08, 2013 9:24 am

buckeyes614 wrote:...
I used a nasle pillow mask I think that what she called it was difficult to get use to as my a mouth breather so what are some of the best masks?[
...
buckeyes614,

While we're enjoying the S9-Intellipap smackdown, I thought I'd pass you some popcorn and say, "Welcome!"
Image

I thought I'd also offer my spin on masks. Many of us are not so much mouth breathers as mouth leakers. Even if we keep our mouths closed, air leaks through as our bodies relax during sleep. That's why full-face masks are good. They reduce mouth leaking so we can breath normally through the nose.

I'm partial to these full-face masks:
Current favorite is the one in my equipment profile, the quattro fx.
I also like the probasic zzz full-face.

Neither of these have the awful forehead brace that many full-face masks have.
The quattro fx does the best job of large leak reduction of any mask I've tried yet.
I would also encourage using a PapCap to reduce puffed-out cheeks (blowfish syndrome) and to reduce mask torque.

Good luck and sleep well.

_________________
Mask: ResMed AirFit™ F20 Mask with Headgear + 2 Replacement Cushions
Additional Comments: Pressure: APAP 10.4 | 11.8 | Also Quattro FX FF, Simplus FF
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Most members of this forum are wonderful.
However, if you are the target of bullying on this forum, please consider these excellent alternative forums:
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Chris

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jeremyclarkson
Posts: 7
Joined: Thu Aug 08, 2013 10:18 am
Location: Ohio

Re: Just been diagnosed help this newbie

Post by jeremyclarkson » Thu Aug 08, 2013 10:24 am

DreamDiver wrote:
Neither of these have the awful forehead brace that many full-face masks have.
The quattro fx does the best job of large leak reduction of any mask I've tried yet.
I would also encourage using a PapCap to reduce puffed-out cheeks (blowfish syndrome) and to reduce mask torque.

Good luck and sleep well.
As a newbie with a Quattro FX mask, I'm curious to hear how the PapCap can help with a full-face mask. I was under the impression that the chin straps are just to help with mouth leaks when using a non-full mask.

Even with the Quattro FX, I still get pretty dry mouth and "blowfish syndrome", as you say.

Thanks.

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Sleeping Manatee
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Re: Just been diagnosed help this newbie

Post by Sleeping Manatee » Thu Aug 08, 2013 11:00 am

robysue wrote:You've made this claim more than once. Exactly what data does the IntelliPAP record that the S9 does not record???
Exhale Puff Index and Pressure Plateau Time are two things that instantly spring to mind. EPI refers to inhaling through your nose but exhaling through your mouth (which would make the PAP therapy work, but would still leave you with a dry mouth, despite you not being a mouthbreather), and the PPT will ping if you are on an automatic machine and you need a pressure greater than the maximum pressure it's set to blow - effectively telling you that you either need your pressure to be bumped up, or if it's at max already, possibly that you need a BiPAP machine. To the best of my knowledge, the S9 Auto does not do that, and any lower S9 version (such as the Escape) will not even record AHI, which should be one of the most basic recordings.
And comparing the Smartcode system to SH is comparing apples to oranges. The Smartcode printouts, nice as they are, do not include the wave form data among other things. A better comparison is to compare the Smartcode system to either the S9's LCD data OR to compare the Smartcode system to ResMed's newly launched SleepSeeker website. But having said that, I'll also add that my impression of the Smartcode stuff is that it runs rings around SleepSeeker and the LCD; but it is NOT as easy to use as the S9's LCD data. And the S9's LCD data is remarkably complete for a quick run down of the statistical over night numbers for those who don't want to look at the full data day.
I'll totally concede on this point. You're right.
Objectively, the IntelliPAP has better features than the S9 by a long shot.
Again, you've made this claim a number of times. But the only features you've mentioned deal with the power supply. And as nice as the extra-long warranty is, that is NOT a "feature" in my opinion since a "feature" (to me) is something that affects the day-to-day use of the machine and is meant to make the machine easier or more comfortable to use.

Obviously both the power supply and the warranty are important to you, but they may or may not be the critical features that others look for. As you yourself said, there are people out there who swear ResMed's EPR system is the best exhalation relief system out there and who may not like how the IntelliPAP's smartflex or the PR Flex family for that matter. (Personally? I was in that small minority of folks who don't particularly like the EPR system. But then I also dislike the Bi-Flex on my BiPAP even more.)

And finally understand: I'm a System One BiPAP user and I have no dog in this S9-IntelliPAP fight. Rather I'm genuinely interested in learning what it is that the IntelliPAP can do that the S9 (and the System One) does not do in terms of data recording and features beyond the power supply and location of the humidifier which are NOT all that important to me.
I have no issues with your post at all; you make excellent points and raise valid concerns. In the way of features, there are still several differences, but most of them are very minor and most people don't care one lick about 'em, but I'll list everything I know about the differences between the machines - most will not be day-to-day things, but any difference I consider a feature, so I'll list everything. Whichever differences you like better, that's the better machine for you. I'll be comparing the IntelliPAP Auto, S9 Auto, and System One 460 Auto, just to give 'em all a fair shake. There are several you may not care about, just as there are several I personally don't care about (off the top of my head, the filter and heated tube, for instance).

The IntelliPAP has two filters, a disposable and nondisposable, that come with the machine. A spare of each in included in when you purchase a new machine. The S9 has a disposable filter, and does not come with a spare when you purchase a new machine. The 460 can have two filters, both disp. and nondisp. but only comes with a nondisp. new and does not come with a spare. Most people don't care about this, as the disp. filters are dirt cheap, and some people don't even care if they have one or not.

The IntelliPAP and S9 can both break if water spills into the machine, and this voids the warranty. The 460 is specifically designed so that water cannot spill into the machine (though it's better not to tempt fate regardless). This isn't something you generally need to worry about unless you travel a lot, but if you have a kid or dog and they pull the machine off your nightstand by accident just once, that can be a very costly issue. This is not a day-to-day usage feature, but still good to know.

The S9 can have a heated tube attached, while the IntelliPAP and 460 can't*. One of the biggest boons of the heated tube is that you can set an exact temperature, instead of using an arbitrary scale that all machines use.
*There are 3rd party heated tubes, such as the Hybernite, that will fit all machines. In this case, though, I am talking about the machine being specifically designed for a heated tube made by the same company.

The S9 has the ramp automatically come on when the machine turns on, while the 460 and IntelliPAP both have a ramp button. I actually like the button better, as most newbies like the ramp, but after a few years, it feels like you're not getting any air when the ramp is on, and if you wake up for any reason or have trouble falling asleep at night, you can just hit the ramp again instead of turning your machine off and on again.

All three have an auto-on and auto-off feature than can be enabled or disabled.

IntelliPAP has the smallest travel bag. If you don't travel, this doesn't make one bit of difference, but if you do travel a lot, it's INCREDIBLY useful to know. The other two are a toss-up, but I'd say Respironics is second best and S9 comes in third. This is disputable.

IntelliPAP is made in America, 460 is made in Singapore and assembled in America, and S9 is made in New Zealand. Another example of something I don't care about at all, but some people really love that.

IntelliPAP sits on top of the humidifier, while the other two sit side-by-side. This is something you said you don't care about, but everyone's different, and again, if a person travels a lot, this makes a big difference.

IntelliPAP doesn't have a power brick, the others do. Again, something you don't care about, but some (especially travelers) might.

IntelliPAP has a longer warranty. Not a day-to-day feature at all, but incredibly important to someone with limited income if the machine breaks.

ResMed looks the nicest. It can also have skins made for it, so you can design it to look like anything you want. This is one of the silliest differences, for me, but again, some people will love that.

Those are all the differences I can think of that are fully and easily quantifiable. Since everyone weights things differently, different ones will matter for different people, and I felt any issue with making the machine easier to travel with was important to note, as many people travel a lot regardless, and apparently all across the United States the DOT and various companies (Wal*Mart being one of the biggest) have started instituting mandatory sleep tests for their truck drivers, and the FDA is likewise making sleep studies mandatory for pilots (obviously with CPAP machines and constant compliance monitoring if they are proven to have sleep apnea).

Of the given differences and features, I like DeVilbiss the best. Others may like ResMed or Phillips Respironics. The only think I took issue with in this thread was the statement to flat-out ask the doctor for a specific machine without any reason given as to why. If the OP does go ahead and get a ResMed S9 because he likes it better than the others, more power to him. But saying "Get this machine" without any reasoning given is, in my mind, no better than a DME handing you a random machine and telling you how to use it. You should be able to choose which one you like best. That's all.

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pootsie
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Re: Just been diagnosed help this newbie

Post by pootsie » Thu Aug 08, 2013 11:09 am

Buckeye614, I am guessing you are in central Ohio? Me too. Go bucks.

There is a lot of info here for you but you can take it in little bites. Some people are more into data collection and analysis than others. I got an S9 elite and I have been sleeping better, so that works well enough for me. But it is good to know the considerations so that you can take or leave them as suits you. This is a great (though slightly argumentative) bunch here and they have really helped me a lot in my journey into hosehead land thus far

Good luck and rest well.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Pressure: 9 cm H2O. Diagnosis: OSA with AHI 10.6.
You are the Zzz's knees!

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Sheriff Buford
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Location: Kingwood, Texas

Re: Just been diagnosed help this newbie

Post by Sheriff Buford » Thu Aug 08, 2013 11:10 am

buckeyes614: get the S9 Autoset....

Sheriff

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DreamDiver
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Re: Just been diagnosed help this newbie

Post by DreamDiver » Thu Aug 08, 2013 11:49 am

jeremyclarkson wrote:As a newbie with a Quattro FX mask, I'm curious to hear how the PapCap can help with a full-face mask. I was under the impression that the chin straps are just to help with mouth leaks when using a non-full mask.

Even with the Quattro FX, I still get pretty dry mouth and "blowfish syndrome", as you say. ...
jeremyclarkson,

Welcome.

I've tried a number of different chin straps. They're all pretty much useless for me, mostly because they offer crummy purchase on the scalp. Don't buy this one unless you plan to throw money away. The only one that has been useful is the PapCap. The strap fits far enough in front of the ears, but stays secure on the head throughout the night. The strap placement accomplishes three things:
  • I have enough slack in the strap that it leaves about an eighth-inch gap between upper and lower teeth. This allows my lips to stay closed, even though my jaw isn't firmly clamped up. Because the pressure in my mouth is the same as my nose, air does not leak through my lips. I can keep my mouth closed and breathe normally through my nose--using the full face mask-- as is intended by full-face mask manufacturers. So my mouth stays dry, but isn't clamped shut, removing a wake-trigger. The fact that you can also wear it when your sinuses are clogged during a cold and breathe through your mouth when necessary is an added benefit.
  • Because my mask doesn't cover my cheeks and because the column of air is pushing out against all and any fleshy interior surfaces that will give, the cheeks are first to go, especially when my body goes slack during sleep. My cheeks are held in by the PapCap strap, so blowfish syndrome is averted, removing one more wake trigger from the list.
  • The surface of the papcap offers some resistance that seems to hold the mask's head gear steadfast without having to tighten too much, thus reducing mask torque -- where you move your head's position during sleep, but your mask stays where it was, causing large leaks. I'm less likely to wake fully from large leaks and the need for re-seating the mask, removing yet another wake trigger.

_________________
Mask: ResMed AirFit™ F20 Mask with Headgear + 2 Replacement Cushions
Additional Comments: Pressure: APAP 10.4 | 11.8 | Also Quattro FX FF, Simplus FF
Image
Most members of this forum are wonderful.
However, if you are the target of bullying on this forum, please consider these excellent alternative forums:
Apnea Board
Sleep Apnea Talk Forum
Free CPAP Advice

Be well,
Chris