CPAPtalk.com

Gryphon wrote: ↑

Sat Jan 12, 2019 3:07 pm

You could also look at turning off the modem for a while... then you can go in and setup any pressure changes you would like to try... The machine will keep recording the needed info that "insurance wants" and as far as the DME or Doctors office trying to remote back into your machine to change them back... well unless they break into your house they're not going to be able to do squat.

It's worth a try if you want to try higher pressures etc...

Best of luck.

Gryphon

Dog Slobber wrote: ↑

Sat Jan 12, 2019 3:08 pm

accrn wrote: ↑

Sat Jan 12, 2019 2:07 pm

I am also looking at purchasing a machine out of pocket (AirSense 10 for her) with income tax refund (providing we eventually have a working gov't again soon). And once I have my own machine I can explore auto mode.

Hi accrn,

I use the AirSense 10 for Her and I really like the the Auto Ramp feature.

It seems to be pretty accurate, every time I look at a nights data I can see when ramp is on, switches off and it seems to line up fairly well when I believe I fell asleep. And if after 30 minutes it hasn't detected sleep onset it will ramp to proper APAP mode.

For competitive purposes my settings are:
Ramp: Auto
Ramp: 8 cm
APAP: 9.6 - 12 cm
EPR: on (3 cm)

What I like about ResMeds Auto Ramp:

• Seems to me fairly accurate
• I can easily tell when I fell asleep
• If I awaken during the night, I often turn the machine off, then on again. This creates a wake up marker on my sleepyhead graphs, and the Auto Ramp lets me know when I'm sleeping again.
  While in Auto Ramp, I don't get flagged with SWJ.

My ramp pressure, 8cm, is fairly close to my minimum pressure 9.6 and typical pressure 11. My only suggestion is to try to get to a point where your ramp pressure isn't to far away from your typical pressure. This way if it detects you need more pressure while in ramp, it doesn't have as far to go to meet your needs.

Gryphon wrote: ↑

Sat Jan 12, 2019 3:13 pm

On a side note - not to stir up any problems,

My issue with ramp "personally" was that it caused issues later with Mask Fit (when I was first starting off with CPAP) - if I didn't remember I had to fit my mask for therapy pressure later on in the night...

But it seams like most machines have a "Mask Fit" function now that you can turn on while your masking up that should give you full pressure, so you can check for leaks, then go back to ramp land and drift off to sleep with the lower starting pressure. Just don't forget you need to fit your mask when your in normal pressure ranges not during ramp. (I could be wrong about this but I don't think so)

As far as ramp... I don't like it - but that's just me... If you really really need it. Make sure you understand how it works then do what ever makes you sleep better.

Best of luck!

Gryphon

accrn wrote: ↑

Sat Jan 12, 2019 7:38 pm

Gryphon wrote: ↑

Sat Jan 12, 2019 3:07 pm

You could also look at turning off the modem for a while... then you can go in and setup any pressure changes you would like to try... The machine will keep recording the needed info that "insurance wants" and as far as the DME or Doctors office trying to remote back into your machine to change them back... well unless they break into your house they're not going to be able to do squat.

It's worth a try if you want to try higher pressures etc...

Best of luck.

Gryphon

That's a great idea. I will give that a try.
If they catch me, I'll just plead ignorance, LOL.

accrn wrote: ↑

Sat Jan 12, 2019 11:08 pm

palerider,
I like that approach! They don't seem to know what the crap they're talking about anyway.

palerider wrote: ↑

Sat Jan 12, 2019 11:46 pm

I know that there's good doctors out there, (Chunkyfrog has one), I know that there's good DMEs out there... (Pugsy has one). I know that there's good sleep techs out there (Jason over at freecpapadvice.com is one).

But, it seems that they're the exception, not the rule, otherwise, why would we all be here... we didn't come here because we were getting great care from our doctors and great service from our DMEs... we came here because we'd been failed.

Dog Slobber wrote: ↑

Sun Jan 13, 2019 7:53 am

I think that might be why my Sleep Doctor is so accommodating to my self-management. How could she in good conscience tell me, "You shouldn't be changing the settings of your machine, we'll see you again in 6 months."

palerider wrote: ↑

Tue Jan 29, 2019 7:30 pm

Well... the leak lines look good... now if you can get the little leaks to quit bothering you.

Did you say you've tried earplugs?

accrn wrote: ↑

Tue Jan 29, 2019 7:38 pm

palerider wrote: ↑

Tue Jan 29, 2019 7:30 pm

Well... the leak lines look good... now if you can get the little leaks to quit bothering you.

Did you say you've tried earplugs?

So far, with the Nuance Pro, I haven't had any leaks that woke me up (fingers crossed that this trend continues). It isn't the noise that bothers me, it's the feeling of leaking air on my face, so earplugs won't help. Good suggestion though.

palerider wrote: ↑

Tue Jan 29, 2019 8:34 pm

accrn wrote: ↑

Tue Jan 29, 2019 7:38 pm

palerider wrote: ↑

Tue Jan 29, 2019 7:30 pm

Well... the leak lines look good... now if you can get the little leaks to quit bothering you.

Did you say you've tried earplugs?

So far, with the Nuance Pro, I haven't had any leaks that woke me up (fingers crossed that this trend continues). It isn't the noise that bothers me, it's the feeling of leaking air on my face, so earplugs won't help. Good suggestion though.

How about a balaclava?