After 4 months, suspected problem with machine

I started using the AirSense 10 machine in March of this year. Things have been working well up until about a month ago. It was gradual. I started to notice a couple days of being just a little tired during the day. My girlfriend noticed that I started snoring again with the mask on about 3 weeks ago. The last 4-5 days have felt like I haven't been using the machine at all. I'm back to waking up every couple hours during the night, feeling exhausted during the day. It's hard to work. My numbers according to the machine have still been good, less than 2 events, no mask leaks, etc. On paper everything seems fine. I suspect the machine (for whatever reason) is no longer ramping up the pressure enough to open my airway. The last few nights when I wake up I purposely see what the pressure is and it's been between 6-7. I remember when I first started using it at times it would get up to around 12. My girlfriend remembers hearing the airflow get very loud during an event, but not anymore.

I went into Apria healthcare today, the RT tested the output pressures and according to their tests it's functioning normally. I'm waiting for a call back from another Apria RT and I also left a message for the sleep clinic that originally diagnosed me and determined the settings.

I'm officially stumped, but as I said I highly suspect that it's just failing to increase the pressure enough. I thought maybe a setting got changed somehow (I have not once messed with any settings), or worst case scenario my machine just isn't working properly. Has anyone else had or heard of this issue?

Thanks!

Welcome to the forum.

Can you please confirm the model machine you are using....tell us all the words you see on the face of the machine in the lower right corner?
The machine you have chosen in your equipment profile doesn't "ramp up" or increase in response to anything.
Hopefully you just chose the wrong machine.

If you have the ResMed AirSense 10 AutoSet....look down in the Rs for that choice.

It's possible that your settings somehow got changed. If you ever changed them yourself, this is even more likely, as some providers are known to reset it remotely.

Pugsy wrote: ↑

Wed Aug 07, 2019 3:55 pm

Welcome to the forum.

Can you please confirm the model machine you are using....tell us all the words you see on the face of the machine in the lower right corner?
The machine you have chosen in your equipment profile doesn't "ramp up" or increase in response to anything.
Hopefully you just chose the wrong machine.

If you have the ResMed AirSense 10 AutoSet....look down in the Rs for that choice.

Yes, it's the airsense 10 autoset. I've never tried to change any settings myself.

LordoftheBeans wrote: ↑

Wed Aug 07, 2019 11:36 pm

Pugsy wrote: ↑

Wed Aug 07, 2019 3:55 pm

Welcome to the forum.

Can you please confirm the model machine you are using....tell us all the words you see on the face of the machine in the lower right corner?
The machine you have chosen in your equipment profile doesn't "ramp up" or increase in response to anything.
Hopefully you just chose the wrong machine.

If you have the ResMed AirSense 10 AutoSet....look down in the Rs for that choice.

Yes, it's the airsense 10 autoset. I've never tried to change any settings myself.

If you know what your original settings were, make sure that they didn't get changed. If they did, put them back. As we used to say at work, look for the simplest answer first.

D.H. wrote: ↑

Thu Aug 08, 2019 7:07 am

LordoftheBeans wrote: ↑

Wed Aug 07, 2019 11:36 pm

Pugsy wrote: ↑

Wed Aug 07, 2019 3:55 pm

Welcome to the forum.

Can you please confirm the model machine you are using....tell us all the words you see on the face of the machine in the lower right corner?
The machine you have chosen in your equipment profile doesn't "ramp up" or increase in response to anything.
Hopefully you just chose the wrong machine.

If you have the ResMed AirSense 10 AutoSet....look down in the Rs for that choice.

Yes, it's the airsense 10 autoset. I've never tried to change any settings myself.

If you know what your original settings were, make sure that they didn't get changed. If they did, put them back. As we used to say at work, look for the simplest answer first.

I have no idea what the settings were originally. I have Kaiser. I did the sleep study at home, turned in the equipment, then I was given the machine with the settings already put in. I was shown how to use it and how to change simple settings like the humidity, if I want the low pressure first to fall asleep, etc.

Ask for a copy of your Sleep Study..you paid for it.

I have a phone appointment for the 14th with the Kaiser RT. The lady that made the appointment said that if they need to they can change the settings remotely. I asked if they would be able to tell me my settings so if it happens again I can at least verify if the settings are correct and she said probably not because it's basically a prescription and she thought it was probably illegal to do that.

In the meantime it's miserable feeling like this everyday.

LordoftheBeans wrote: ↑

Thu Aug 08, 2019 5:59 pm

I have a phone appointment for the 14th with the Kaiser RT. The lady that made the appointment said that if they need to they can change the settings remotely. I asked if they would be able to tell me my settings so if it happens again I can at least verify if the settings are correct and she said probably not because it's basically a prescription and she thought it was probably illegal to do that.

In the meantime it's miserable feeling like this everyday.

She is incorrect. You are entitled to review you records -- including the sleep study, any lab or imaging results, clinical notes, and prescriptions. In some case, they may be able to charge a fee but they must provide the information....

Take, an example, a prescription. If you wanted to make sure the pharmacy filled your prescription for antibiotic, the md office would say they couldn't tel;l you the drug name, dosage, and duration of therapy because "that is basically a prescription."

Complete nonsense.

Use available software like SleepyHead or OSCAR...there's a section in it that shows the settings and any changes that have been made to the settings since day one of using the machine.
It's on the bottom of the Statistics page and under "changes in the prescription".
If anything has been changed it will show up there.

What I can be sure of (based on your original posting) is that the max is not lower than 12! Can you check for that?

I'm looking at the clinical settings and the pressures are set from 6-20, auto.

Yes, I looked into the OSCAR program, I have it but my machine has never had an SD card. I found another thread on this forum where people have also not gotten a card with their resmed machine. I'm leaving the best buy now with an SD card but I guess it'll only be helpful from this point on.

And yes I agree that it's nonsense about the prescription bit. The only reason I didn't say anything is because she was just the lady making the appointment and not the doctor or RT. When I speak to the RT I'll be asking for my sleep study.

When you put in the SD card, it will save the summary data which includes the settings. That is saved on the machine even if there is no card. To get the full data with graphs, the card needs to be in the machine.

So, you should be able to review the settings when you first got it and now, and see if they changed anything.

Does anyone know, is it worth uploading the data from the SD card to this thread after just one night (last night), or should I wait until I have a few more days? I'm mainly speaking of the graphs and more detailed info, since you can still get the basic info from the machine.

Go ahead and upload today. While you won't have the detailed graphs from prior nights there is going to be other data available.
A lot more than what you can see on the machine LCD screen and its easier to compare to.