bipap ?

When it comes to the various Flex settings available with the Respironics machines I always felt like the higher settings were sort of making me feel like I was rushed to breathing...almost like I was hyperventilating if I tried to keep up with the machine.

Now the way the Flex thing works is that the reduction and timing is based on the force of our own breathing...so it can vary widely as to how each person perceives it. If your breathing is different from mine then what I feel may be entirely different from what you feel at the very same setting. That's how come we can't tell you exactly which way to go...we have no way to know how your respiration compares to ours.
The best we can do is tell you to try everything and go by how you feel.

Since your desire to use BiPap trial is geared mainly for aerophagia relief...we just want to find you a comfortable setting that deals with your OSA well and doesn't make the aerophagia issues worse. Sometimes it's just a tiny difference in the pressures that will offer the relief you need.
Try the smaller range....8 EPAP and 9 IPAP just to see if you feel less rushed and heck if you can use it and it's comfortable (be sure to try BiFlex too) and those settings alleviate the aerophagia issues then there is no reason to have to use 8/11.
In terms of OSA treatment your prior cpap pressure of 10 cm did the trick but caused the aerophagia issues which affected sleep quality.

Normally most people find that 3 or 4 cm difference between EPAP and IPAP to be quite comfortable but you may feel better with less...and that's okay. The goal is to alleviate the aerophagia and not cause OSA to worsen or cause you these issues adjusting to the pressure changes.

ChicagoGranny wrote:

araris wrote:However, I am disheartened, mostly because I was hoping that this would instantly fix my issues. I was definitely being naive (sp).

Yep, I tried to tell you in this thread of yours - viewtopic/t103947/viewtopic.php?f=1&t=1 ... 45#p976445

ChicagoGranny wrote:
I would advise posting some of your daily detail screens here for review by members. Let's make sure your therapy is effective and you have the pressure settings right before making any expensive moves.

Did you post screen shots of your previous therapy before you ran out and spent a lot of money on a BiPAP? Noooo, you did not.

I guess I should have screamed at you.

Thanks mom, I appreciate you telling me I told you so.

Look, I'm very courteous to everyone, but you don't have to be rude.

I have posted previous therapy's up here before(Screenshots of sleepyhead data). I don't blame you for not knowing, you can't know everything. . My AHI is almost always under two Normally under one, my reras are great, I have minimal to no leaks, the data looks great. I feel better. I just have really bad gas, and I still dont feel 100%. I can live with how I feel, I would just like to feel better.

I appreciate your advice, but please be respectful to me or don't post in my thread.

Pugsy wrote:When it comes to the various Flex settings available with the Respironics machines I always felt like the higher settings were sort of making me feel like I was rushed to breathing...almost like I was hyperventilating if I tried to keep up with the machine.

Now the way the Flex thing works is that the reduction and timing is based on the force of our own breathing...so it can vary widely as to how each person perceives it. If your breathing is different from mine then what I feel may be entirely different from what you feel at the very same setting. That's how come we can't tell you exactly which way to go...we have no way to know how your respiration compares to ours.
The best we can do is tell you to try everything and go by how you feel.

Since your desire to use BiPap trial is geared mainly for aerophagia relief...we just want to find you a comfortable setting that deals with your OSA well and doesn't make the aerophagia issues worse. Sometimes it's just a tiny difference in the pressures that will offer the relief you need.
Try the smaller range....8 EPAP and 9 IPAP just to see if you feel less rushed and heck if you can use it and it's comfortable (be sure to try BiFlex too) and those settings alleviate the aerophagia issues then there is no reason to have to use 8/11.
In terms of OSA treatment your prior cpap pressure of 10 cm did the trick but caused the aerophagia issues which affected sleep quality.

Normally most people find that 3 or 4 cm difference between EPAP and IPAP to be quite comfortable but you may feel better with less...and that's okay. The goal is to alleviate the aerophagia and not cause OSA to worsen or cause you these issues adjusting to the pressure changes.

Thanks Pugsy, I truly apprecite your constructive advice. I will definitely try all of these. I am not even close to giving up.

• I’ve been watching this and hoping someone will answer “araris’s” question. I have had the exact same experience as “araris”. Mark at secondwind answered my question and palerider did as well. Here’s what I have taken from these advisors. First the PR1 bipap measures every breath and tries to predict what your next five or six breaths are going to be. The reason it does this is because PR has a “predictive” system where the machine will give you extra air to see if you accept it. This is only the case with bipap-auto. If you are not on bipap-auto it is possible that the same logarithm is at work when on straight bipap. I think it is because here are the features: System One 60 Series Heated Tube Humidifier with Heated Tube - Optional
• Bi-Flex Pressure Relief
• System One Resistance Control
• Advanced Event Detection
• On Screen Data Display
The advance event detection is at work here!!!! This is what likely has cause me to have the same experience.

Pesser wrote:• I’ve been watching this and hoping someone will answer “araris’s” question. I have had the exact same experience as “araris”. Mark at secondwind answered my question and palerider did as well. Here’s what I have taken from these advisors. First the PR1 bipap measures every breath and tries to predict what your next five or six breaths are going to be. The reason it does this is because PR has a “predictive” system where the machine will give you extra air to see if you accept it. This is only the case with bipap-auto. If you are not on bipap-auto it is possible that the same logarithm is at work when on straight bipap. I think it is because here are the features: System One 60 Series Heated Tube Humidifier with Heated Tube - Optional
• Bi-Flex Pressure Relief
• System One Resistance Control
• Advanced Event Detection
• On Screen Data Display
The advance event detection is at work here!!!! This is what likely has cause me to have the same experience.

Thanks Pesser
Is there a way to tell if mine has advanced event detection.

Also, what does the "System One Resistance Control" do

cpap pressure of 10 cm

My doctor said he would not issue a prescription for BiPAP unless the pressure was 14 or higher. That turned out to be OK because eventually my aerophagia went away except for an occasional minor problem.

Huh? wrote:

cpap pressure of 10 cm

My doctor said he would not issue a prescription for BiPAP unless the pressure was 14 or higher. That turned out to be OK because eventually my aerophagia went away except for an occasional minor problem.

I got a script from dr. for it but insurance wouldn't supply it. I bought mine second hand through GrayGhost. A very good deal.

Just curious, was your gas pain excruciatingly bad? Mine even at 10 was at one point so bad that I couldn't keep it on for more than an hour without having extreme pain. I will say that the gas pain has gotten alot better, but it still wakes up. quite often

How long did it take you to acclimate?

araris wrote:ust curious, was your gas pain excruciatingly bad?

How long did it take you to acclimate?

Yes, it was horrible. Many nights I would awaken with severe plan and my stomach looked like I had swallowed a watermelon whole.

It took some months to get better. I think adding a soft neck collar helped the most. You might want to try one. They are under $10 and last a long time.

System One Resistance Control is a Respironics setting for different types of masks. The full face vs. nasal vs pillows would have different resistance to flow. The company matches their masks types with numbers on the them that you can set on their machine. Since a lot of people use Resmed masks there are no numbers to match up. Most people use 0 and if there is a difference in resistance to flow it is compensated with the pressure settings. You could try out different numbers but it is usually not needed and be aware it may change your pressure requirements. I think I would check out the different Bi-flex settings first.
Here is a link. http://www.healthcare.philips.com/main/ ... cecontrol/

OkyDoky wrote:System One Resistance Control is a Respironics setting for different types of masks. The full face vs. nasal vs pillows would have different resistance to flow. The company matches their masks types with numbers on the them that you can set on their machine. Since a lot of people use Resmed masks there are no numbers to match up. Most people use 0 and if there is a difference in resistance to flow it is compensated with the pressure settings. You could try out different numbers but it is usually not needed and be aware it may change your pressure requirements. I think I would check out the different Bi-flex settings first.
Here is a link. http://www.healthcare.philips.com/main/ ... cecontrol/

Thank you .

Huh? wrote:

araris wrote:ust curious, was your gas pain excruciatingly bad?

How long did it take you to acclimate?

Yes, it was horrible. Many nights I would awaken with severe plan and my stomach looked like I had swallowed a watermelon whole.

It took some months to get better. I think adding a soft neck collar helped the most. You might want to try one. They are under $10 and last a long time.

Thanks Huh. I will look into the neck pillow. That exemplifies me exactly. Sometimes I can't even stand up straight it hurts so bad. Then I have to get up in the middle of the night and roll on the ground and do different yoga poses to expel the gas.

Huh? wrote:

araris wrote:ust curious, was your gas pain excruciatingly bad?

How long did it take you to acclimate?

Yes, it was horrible. Many nights I would awaken with severe plan and my stomach looked like I had swallowed a watermelon whole.

It took some months to get better. I think adding a soft neck collar helped the most. You might want to try one. They are under $10 and last a long time.

Like this one here?

http://www.amazon.com/Futuro-3822527260 ... B0057D84M6

araris wrote:

Pesser wrote:• I’ve been watching this and hoping someone will answer “araris’s” question. I have had the exact same experience as “araris”. Mark at secondwind answered my question and palerider did as well. Here’s what I have taken from these advisors. First the PR1 bipap measures every breath and tries to predict what your next five or six breaths are going to be. The reason it does this is because PR has a “predictive” system where the machine will give you extra air to see if you accept it. This is only the case with bipap-auto. If you are not on bipap-auto it is possible that the same logarithm is at work when on straight bipap. I think it is because here are the features: System One 60 Series Heated Tube Humidifier with Heated Tube - Optional
• Bi-Flex Pressure Relief
• System One Resistance Control
• Advanced Event Detection
• On Screen Data Display
The advance event detection is at work here!!!! This is what likely has cause me to have the same experience.

Thanks Pesser
Is there a way to tell if mine has advanced event detection.

Also, what does the "System One Resistance Control" do

In a previous post you wrote that your machine was a PR660. This has Advanced Event Detection.

I had the exact same problem as you. Here's what I did. I put my machine at 10/7. Then I used it while reading in bed. That got my breathing down to calm predictable levels. The machine does not re-act well to erratic breathing because it is trying to predict where you're going with the inhalation. You mentioned that you slept for three hours with it at bipap. This means that you can use it successfully. The anxiety that you have need not be a conscience thing. When you sleep your breathing is normal and the machine uses it program successfully. Try what I did and see if it works. You'll likely find your breathing is calm when you are accustomed to this.

Pesser wrote:

araris wrote:

Pesser wrote:• I’ve been watching this and hoping someone will answer “araris’s” question. I have had the exact same experience as “araris”. Mark at secondwind answered my question and palerider did as well. Here’s what I have taken from these advisors. First the PR1 bipap measures every breath and tries to predict what your next five or six breaths are going to be. The reason it does this is because PR has a “predictive” system where the machine will give you extra air to see if you accept it. This is only the case with bipap-auto. If you are not on bipap-auto it is possible that the same logarithm is at work when on straight bipap. I think it is because here are the features: System One 60 Series Heated Tube Humidifier with Heated Tube - Optional
• Bi-Flex Pressure Relief
• System One Resistance Control
• Advanced Event Detection
• On Screen Data Display
The advance event detection is at work here!!!! This is what likely has cause me to have the same experience.

Thanks Pesser
Is there a way to tell if mine has advanced event detection.

Also, what does the "System One Resistance Control" do

In a previous post you wrote that your machine was a PR660. This has Advanced Event Detection.

I had the exact same problem as you. Here's what I did. I put my machine at 10/7. Then I used it while reading in bed. That got my breathing down to calm predictable levels. The machine does not re-act well to erratic breathing because it is trying to predict where you're going with the inhalation. You mentioned that you slept for three hours with it at bipap. This means that you can use it successfully. The anxiety that you have need not be a conscience thing. When you sleep your breathing is normal and the machine uses it program successfully. Try what I did and see if it works. You'll likely find your breathing is calm when you are accustomed to this.

Thank you, I truly appreciate your help.

araris wrote:Like this one here?

http://www.amazon.com/Futuro-3822527260 ... B0057D84M6

No, that one has collar height adjustment. I prefer simpler ones - KISS principle.

I believe I have used this brand - http://www.amazon.com/Carex-Health-Bran ... eck+collar

Don't worry too much about the height. I would start out with 2.5 - 3.0 inch height if you are normal male. The height is not so critical.