Rhodesengr's thread

[palerider]

[quote="rhodesengr"My normal starting pressure is 5psi.

Also, why is my machine not showing up under my posts? I PM'ed admin about it but didn't hear back.[/quote]

just fyi, 5psi would make you explode like a blood filled balloon, all over the walls and ceiling.

it's 5 cm/h2o, check google for how many psi that is.

as to your machine not showing up, you've either got the wrong one picked, or it's an old machine they've dropped from the listings, only the current machines show up.

what do you have?

[Pugsy]

If you have a machine that will work with a heated hose and it is an apap (auto) CPAP and Respironics it most likely is the PR System One 60 Series Auto CPAP. That's usually what Kaiser gives out.
That model was replaced in October by the DreamStation Auto CPAP....when you have Kaiser you take what they give you or go without or buy your own so getting them to swap is highly unlikely.
That's really okay though...the PR S1 60 Series Auto CPAP model 560 (look on the bottom of the blower to confirm) is a great machine. The new Dream Station machines didn't change the overall way it does its job so you really aren't missing anything critically important.

Please note that with the 560 machine it takes more than just a heated hose to have it heat the hose.
It takes a special lid on the humidifier and a 80 watt power supply instead of the 60 watt.
You need to be able to hook up the heater coils on the lid and have enough power....so if you only get the heated hose and you check the power brick and it says 60 watt and there's no electric plug in on the lid...you still won't have a heated hose.
There is a little upgrade kit that will make the 560 compatible with the heated hose.
So make sure that your machine is compatible in all areas and not just with the heated hose.

The reason that machine isn't showing up in your profile is that link is broken.
Once you confirm that you do indeed have the model 560 just manually add it to your profile in the comments section....like "PR S1 Auto CPAP #560"

Also..if you have the 560 model...you need to choose a different humidifier because the one you have chosen now won't work with a 60 series machine.
You need to choose "PR System One 60 Series Heated Tube Humidifier with Heated Tube"
Please change to text option if you think about it as text lets us see quickly at a glance what you are using.
Images are tiny and text is easier.

[rhodesengr]

Thanks folks. Sorry i got the units wrong. I mostly deal with psi at work so that just sort of slipped out. I can look at my model number when It get home but my system looks exactly like this
http://www.usa.philips.com/healthcare/p ... uto-a-flex

I am pretty sure Kaiser is having Apria sending me everything I need. The lady at kaiser actually called it a "heated circuit" and said something about changing out the lid so I am sure all is good. Again, I was just being sloppy about my terms.

Re machine displaying, I'll try changing to text mode, but I had text mode enabled at one point and the machine was still not showing up.

Whatever humidifier I have does work with my blower. It was delivered together. Its just a matter of maybe not putting the models down right from the drop down choices in the profile section here. I'll fix later when i am at home.

[palerider]

but my system looks exactly like this

pretty much everything in the respironics line up until recently looked like that.

looks don't tell you anything with cpaps.

[Pugsy]

None of the PR System One machines are showing up in the profile (no matter if text or images) because all the links are broken and they have been broken for some time.

I am pretty sure you have the 560. It's typically what Kaiser has been dispensing for some time now.
Kaiser uses Apria to get the supplies but Kaiser considers itself as the DME even though Apria is used.
You won't be able to swap machines but there is no critical need to.

You have to be using the PR S1 60 series heated tube humidifier with your machine because the 50 series humidifiers won't work with 60 series machines.

Respironics ships out the machines and humidifiers 2 ways...one way is with it already heated hose capable with the special lid and power supply and heated hose....the other way is the way you got your machine which is not heated hose capable with smaller power supply, no special lid and non heated hose.
Not a big deal to get the machine like you did because it is easily converted. My first 60 series machine came without it being heated hose capable but I just bought the upgrade kit and did it myself...it's easy.
Most likely they will be sending you this little kit.
https://www.cpap.com/productpage/pr-hea ... e-kit.html

So this will be the correct choice for humidifier (even now because it is the only one that will work with your machine even if you aren't using a heated hose at this time)
PR System One 60 Series Heated Tube Humidifier with heated tube...the 60 series part of the model name is important.

Why do we make such a big deal? It really helps us help you when we know exactly what you are using because there are options available with the heated hose that aren't available with the non heated hose.
You might want to read up on how the temp and humidity is set and how it works
https://www.cpap.com/productpage/pr-sys ... ifier.html

The humidity is set in the clinical setup menu and you have 3 choices
The hose air temp is set in the clinical setup menu along with being adjustable with the knob and you don't have to be in the setup menu.

Probably would be a good idea to get the provider/clinical manual for your machine as it explains all this
Go here and request the manual....instructions down near the bottom of the page
http://www.apneaboard.com/adjust-cpap-p ... tup-manual
Make sure you follow the directions and this is what you need to request.
Respironics PR System One 60 Series REMstar Auto with A-flex
Lots of good useful information in that manual so if you don't have it yet...get it.

[rhodesengr]

my blower is definitely a 560. The humidifier is DF6HFLG.

[rhodesengr]

I have SH images I could upload for you all to look at but I don't see the upload feature in the post editor. Looked in the FAQ. Sounds like it has to be enabled for me?

[OkyDoky]

You have to use a host to post. Here is a link to help. https://sleep.tnet.com/reference/tips/imgur
Here are some of my helps for your screenshot.
On the left side turn off the calendar by clicking on the triangle by the date.
Also the pie chart doesn't give us very much info so you can turn it off by going to File - Preferences -Appearance - Uncheck Show event break down pie chart
That allows us to see the details on the left.

The graphs that are usually helpful are:
!. Event Flags
2. Flow Rate
3.Pressure (not mask pressure)
4. Leak
5. Flow Limit (only with Resmed machines)

Put your graph in that order by grabbing, by the labels, with your mouse and dragging it where you want it.
Now grab the line between the graphs and resize them until you get them in one screenshot.

Take a screen shot after you organize your graphs. You can push F11 ( or click file - view - fullscreen toggle) on your keyboard before you take your screenshot and it makes it full screen with no ID info.

[Pugsy]

You won't have the #5 Flow limit graph...that's for ResMed machines only. Your machine flags Flow limitations up in the events graph and doesn't do a separate Flow limitation graph.

Examples here
viewtopic/t103468/Need-help-with-screen-shots.html

[OkyDoky]

Thanks Pugsy, I corrected mine above.

[rhodesengr]

ok thanks for the tip, looks like I got the image thing working. The other forums I am on have built in uploading features.
Anyway.... here is last night. I guess its not optimized yet per the post above but its a start. I don't think there is anything remarkable but I thought I'd let you all take a look. I am not currently using the humidifier.

One issue that wouldn't show up in the data is I think the P10 is starting to make my nose sore. Not internally, just where it touches my nose.



test

[Julie]

Hi - I think you might be someone who, if you sleep on your back most of the night, would benefit a lot from doing whatever you can not to do it (using e.g. backpacks, foam wedges, baseball-sewn-to-jammies) and from also wearing a soft cervical collar that would keep your head up more, opening your airway further and helping to keep your jaw closed better. Hypopneas and flow limitations can arise from blockages to your airway apart from just tongue blockage.

[OkyDoky]

On the left side you can't see all of the statistics with the calendar and pie chart on. Check out my instructions above on how to turn those off.

[ChicagoGranny]

I don't think there is anything remarkable but I thought I'd let you all take a look.

You achieved a good night. Are you comfortable with the min pressure at 5.0? Maybe it should not be mentioned, but anything below 7.0 and I feel starved for air (suffocation feeling).

One issue that wouldn't show up in the data is I think the P10 is starting to make my nose sore. Not internally, just where it touches my nose.

Here are some tips to help with that:

- Observe how the hose runs from the machine to the mask. Manage your hose in such a way that it does not pull on the mask when you move in the bed. You need some slack in the hose. Check when you bed down that the slack is there.

- Watch the manufacturer's videos on how to adjust the mask headgear. There is a medium range, not too loose and not too tight, that needs to be achieved. You can find links to most of the masks under the specified mask at cpap.com.

- Do use a small amount of Lansinoh lanolin on irritated areas. http://www.target.com/p/lansinoh-hpa-la ... m=lansinoh

[ChicagoGranny]

Hi - I think you might be someone who, if you sleep on your back most of the night, would benefit a lot from doing whatever you can not to do it (using e.g. backpacks, foam wedges, baseball-sewn-to-jammies) and from also wearing a soft cervical collar that would keep your head up more, opening your airway further and helping to keep your jaw closed better. Hypopneas and flow limitations can arise from blockages to your airway apart from just tongue blockage.

You came to that conclusion from his Jan. 15 chart? If so, you are nutz.

He achieved an AHI of 2, and his pressure barely hit 7. No need at all to mess with a cervical collar, and he should sleep in whatever position he is comfortable in.