Machine arrived. Now what?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 8:00 am

My sister ordered me an Autoset 11 because she has more money than I do and was sick of watching me deteriorate. (Long distance watching. She lives on the coast. I'm in the Midwest.) As it turns out, my brother and both of my sisters have sleep apnea. It's a genetic thing, something to do with the shape of our chins and throats, she was told. But they have better health insurance and/or more money, so have been treated. It took me years to even get a sleep study. And then I failed my first trial because I had such a hard time getting a proper mask during the pandemic. Now that things are more opened up, I went back and got a new script only to find out there is a waiting list for the machine I had before that my insurance covers. With the previous machine, it was set up at the DME. This one came in a box and I am supposed to know what to do with it. I am so exhausted, I can't even face opening the box. Is there an unboxing/setting up video for this sort of thing? Or does anyone have any advice? Be nice. I am very anxious about this and utterly exhausted, practically brain dead from 12 years of untreated sleep apnea.

BTW, I tried to update my signature and apparently failed. Will try again.

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

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Pugsy
Posts: 61649
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Machine arrived. Now what?

Post by Pugsy » Fri Aug 05, 2022 8:12 am

Go here and download and save and read the clinical/provider manual
https://media.resmed.com/sites/3/202106 ... ER-ENG.pdf

For additional instructions and video access to instructions.
https://www.apneaboard.com/resmed-airse ... setup-info

We have no idea what pressures to start with so try these
Mode....AutoSet mode...auto adjusting
Minimum pressure....7
Maximum pressure ....20
EPR...turn it on and set it to full time
EPR setting itself....set it to 3

AutoOn....set it to On
AutoOff...set it to On

I can't remember the others but these are the main ones for now.

Get OSCAR....you will need it.
If you don't have a SD card in the machine go to WalMart and get the cheapest generic SD card you can ger.
There MUST be a SD card in the slot for you to get the detailed data that OSCAR can give you.

https://www.sleepfiles.com/OSCAR/
http://www.apneaboard.com/wiki/index.ph ... stallation
http://www.apneaboard.com/wiki/index.ph ... rpretation
http://www.apneaboard.com/wiki/index.ph ... ganization organize and how to do screen shots.
wiki/index.php/Oscar:organize Wiki

http://www.cpaptalk.com/viewtopic/t1585 ... eview.html
Mask: Bleep no headgear mask.. https://bleepsleep.com/
Machine: AirCurve 10 VAuto

I may have to RISE but I refuse to SHINE.

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 8:26 am

Thanks, Pugsy. Does the DME help with that?

Edit: The prescription says: Use 5 of 16 cmH20 for all sleep. Is that the pressures?

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
Last edited by onward60 on Fri Aug 05, 2022 8:41 am, edited 2 times in total.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

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Julie
Posts: 19354
Joined: Tue Feb 28, 2006 12:58 pm

Re: Machine arrived. Now what?

Post by Julie » Fri Aug 05, 2022 8:34 am

Definitely not - tho' plenty think it's them! Your MD prescribes, but again, while they 'should', they so often don't know much and that's why people end up here needing tweaks, etc. after a few nights of using Oscar software getting posted here (using default settings of 4 and 20) and realizing things aren't working well for them. Once experts here see Oscar they can then recommend changing pressures, or adding other features, even possibly suggesting machine changes (there are diff. types depending on your results).

Also, others can prescribe - as in sign scripts already titrated for you - such as dentists, nurse practitioners, etc. etc.

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 8:43 am

Julie wrote:
Fri Aug 05, 2022 8:34 am
Definitely not - tho' plenty think it's them! Your MD prescribes, but again, while they 'should', they so often don't know much and that's why people end up here needing tweaks, etc. after a few nights of using Oscar software getting posted here (using default settings of 4 and 20) and realizing things aren't working well for them. Once experts here see Oscar they can then recommend changing pressures, or adding other features, even possibly suggesting machine changes (there are diff. types depending on your results).

Also, others can prescribe - as in sign scripts already titrated for you - such as dentists, nurse practitioners, etc. etc.
Thanks!

I just edited while you were also writing. The prescription says 5 of 16 cmH20.

I have no idea how all this software stuff works. My daughter will help me. I am practically brain dead from lack of sleep.

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

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mummmz
Posts: 234
Joined: Sat Jun 18, 2016 5:06 pm
Location: USA

Re: Machine arrived. Now what?

Post by mummmz » Fri Aug 05, 2022 9:35 am

"Attempt two. Haven't decided on a mask yet."

For your signature look in the "A's" for Airsense to find the ResMed Airsense 11 if that's what you have. And are you saying you don't have a mask yet? You'll need a mask to use with your machine.

_________________
Machine: AirSense 11 Autoset
Mask: ResMed AirFit™ F30 Mask + 2 Replacement Cushions Bundle
Additional Comments: Autopap Min 8.4, max 15, ramp ?, flex 3, small ResMed AirFit 30 mask, heated humidity off, O2 therapy added 5/20/22

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 12:57 pm

mummmz wrote:
Fri Aug 05, 2022 9:35 am
"Attempt two. Haven't decided on a mask yet."

For your signature look in the "A's" for Airsense to find the ResMed Airsense 11 if that's what you have. And are you saying you don't have a mask yet? You'll need a mask to use with your machine.
Thanks. Just updated.

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

User avatar
Julie
Posts: 19354
Joined: Tue Feb 28, 2006 12:58 pm

Re: Machine arrived. Now what?

Post by Julie » Fri Aug 05, 2022 1:40 pm

Are you sure it said five OF sixteen, or possibly 5 and 16... which would make more sense if talking of min and max pressure settings.

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 2:46 pm

Julie wrote:
Fri Aug 05, 2022 1:40 pm
Are you sure it said five OF sixteen, or possibly 5 and 16... which would make more sense if talking of min and max pressure settings.
Yeah, it says "of." I wonder if it means "to."

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

User avatar
mummmz
Posts: 234
Joined: Sat Jun 18, 2016 5:06 pm
Location: USA

Re: Machine arrived. Now what?

Post by mummmz » Fri Aug 05, 2022 3:14 pm

Download the MyAir app on your phone and it will step you through setting up your machine. Edit-I see Pugsy gave you settings suggestions already.

_________________
Machine: AirSense 11 Autoset
Mask: ResMed AirFit™ F30 Mask + 2 Replacement Cushions Bundle
Additional Comments: Autopap Min 8.4, max 15, ramp ?, flex 3, small ResMed AirFit 30 mask, heated humidity off, O2 therapy added 5/20/22

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 7:15 pm

My daughter claims she set it up. I haven't tried it yet.

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Fri Aug 05, 2022 8:23 pm

My daughter says I don't really need Oscar and a SIM card to start practicing with it. Is she right? The last time I used it during the day first to get used to it. I am probably a long way from being able to wear it at night.

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.

User avatar
Pugsy
Posts: 61649
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Machine arrived. Now what?

Post by Pugsy » Fri Aug 05, 2022 8:32 pm

For practicing while awake you probably don't need the data but if/when you try to sleep with it then you may need it because in that data might be a clue if you are having some sort of problem.
You do have to be asleep for the data to mean anything.
Awake data doesn't mean much.
Mask: Bleep no headgear mask.. https://bleepsleep.com/
Machine: AirCurve 10 VAuto

I may have to RISE but I refuse to SHINE.

clownbell
Posts: 255
Joined: Fri Apr 02, 2021 8:46 pm

Re: Machine arrived. Now what?

Post by clownbell » Tue Aug 09, 2022 5:50 pm

@ Onward60 -

Pugsy is right as always. While it is true that wearing your gear while awake may help you become accustomed to it and train your brain to view it as a friend not as a threat, the awake data is pretty much meaningless. Your daughter is right in that limited sense. When you start to use it at night however, the SD card will be essential in capturing your data and OSCAR will be essential in reading it. Data will help the experts recommend pressure settings for you. 5 to 16 may happen to be right. Likely not. 5 is too low for most adults. So get an SD card and OSCAR, down your data after a couple nights, and post it here so the experts can evaluate it and advise you accordingly.
ResMed AirSense 10 Autoset with built in humidifier
Resmed P10 pillow mask

User avatar
onward60
Posts: 181
Joined: Tue Sep 14, 2021 1:48 pm
Location: Midwest, USA

Re: Machine arrived. Now what?

Post by onward60 » Sun Aug 14, 2022 2:49 pm

Well, I am a LONG way away from using it at night. My machine is still off-gassing a plastic smell. I am running it 8 hours/day with no mask on it to try to get rid of the odor. It's not the hose. The hose doesn't smell. The smell is coming out of the machine itself.

Meanwhile, my sister sent me a chin strap, the one she uses. I have been trying to wear it while lying down. After about 30 minutes, my teeth start to hurt. If I loosen it, my mouth falls open. I have attached a picture of the strap. My face is narrow, like the guy in the picture.

I'm not sure the terminology for the teeth. My 2 front teeth are fairly straight but the 2 teeth adjacent to them (one on each side) are slightly rotated because my face is narrow and my teeth are crowded. These 2 teeth seem to be really sensitive to any kind of pressure. Even though there is no direct pressure on them, something about the strap is irritating them. Actually, it maybe is the gums around the teeth that are irritated. Kind of hard to tell.

I have a connective tissue disorder. My tendons and ligaments are loose. My muscles are flexible. Even if I weren't a mouth breather, I think my jaw would still fall open when I sleep.

I'm not sure where to go from here. Give up on the strap and try a full face mask (which I find uncomfortable in its own way)? Try a different strap? Try it looser? If my lips gap a tiny bit, does that ruin the pressure?

Does anyone have any ideas?

_________________
Machine: AirSense 11 Autoset
Additional Comments: Haven't decided on a mask yet. I have several I tried on previously that I still have.
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New to CPAP in Sept. 2021. Failed first attempt. On second attempt July 2022.

My private messages might be turned off.