Some general CPAP questions....

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
beetee
Posts: 21
Joined: Thu Jul 04, 2024 6:35 am

Some general CPAP questions....

Post by beetee » Wed Jul 24, 2024 5:11 pm

Hi all , been using my Resmed Airsense 10 Autoset for about 9-10 days now, and i have some general follow up Cpap questions

1.When i press the start/stop button (on the top of the device) for a toilet break in the middle of night and then return and press the start button again it drops the pressure all the way back down to the orginal starting pressure of 4 and presumably takes the same amount of time to get back to the pressure it was previoulsy at, Just so i understand this, is the only way to speed this process up to have the healthcare provider change the pressure and increase it from 4-20 to say 5-20 or even 6/20 as an example?

2. Following on from the above question, I have my first follow up phone appointment with my healthcare provider in 3 weeks, My prescribed pressure is 4-20, I'm finding when the pressure is at 4-5 that its quite easy to tolerate, i already feel adapted to it, so can i ask them to increase the base level pressure or do you think its best to wait longer before making changes?

3. Aside from this Oscar thing which i still need to look into, is it worth me downloading the 'My Air' app and having/using it as I have not done so yet??

4. If you press the start/stop button on the top of the Resmed 10 to start and stop the therapy 6-7 times a night for toilet breaks, can doing this negativley affect the sleep report data or the accuracy of the information it gets??

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ozij
Posts: 10437
Joined: Fri Mar 18, 2005 11:52 pm

Re: Some general CPAP questions....

Post by ozij » Wed Jul 24, 2024 8:01 pm

Welcome to the forum!
Sounds like you're off to a good start.
beetee wrote:
Wed Jul 24, 2024 5:11 pm
4. If you press the start/stop button on the top of the Resmed 10 to start and stop the therapy 6-7 times a night for toilet breaks, can doing this negativley affect the sleep report data or the accuracy of the information it gets??
No.
However, unless you're an older male with a know prostate problem, 6-7 toilet breaks a night are the result of untreated / improperly treated sleep apnea.
beetee wrote:
Wed Jul 24, 2024 5:11 pm
1.When i press the start/stop button (on the top of the device) for a toilet break in the middle of night and then return and press the start button again it drops the pressure all the way back down to the orginal starting pressure of 4 and presumably takes the same amount of time to get back to the pressure it was previoulsy at, Just so i understand this, is the only way to speed this process up to have the healthcare provider change the pressure and increase it from 4-20 to say 5-20 or even 6/20 as an example?
You can do it on your own. Most of us do.
2. Following on from the above question, I have my first follow up phone appointment with my healthcare provider in 3 weeks, My prescribed pressure is 4-20, I'm finding when the pressure is at 4-5 that its quite easy to tolerate, i already feel adapted to it, so can i ask them to increase the base level pressure or do you think its best to wait longer before making changes?
No need to wait longer.
A pressure of 4-20 is set, when a person starts therapy, as a way for using the machine to search for a range which would serve the patient better - although some providers are ignorant enough to assume that range never has to change. Wrong.
It's a good idea to raise your minimum now - if your healthcare provider agrees to do that - fine. No need for you to wait any longer. Though I believe that in the US at least, the people who proved the equipment need a physician's Rx to do that.

OSCAR reports your median pressure (that pressure at or above which you're spending half the night) and that's a good pressure to try as your new minimum - if you can tolerate starting there.

Most of us on forum have found better therapy ranges by using the data recorded each night by the machine, and doing our own adjustments based on that data. That kind of detailed data only gets recorded on an SD card - in real time.
If you don't have an SD card, get one, and put it in the machine. The machine records more onto the SD that it can keep without it.

OSCAR (on your own computer) and SleepHQ (uploaded to their site and better for sharing) read the detailed data from the SD card and let you see your breathing and its interruptions breath by breath. That helps you understand how your breathing is a affected by the therapy - and by leaks.
My Air lacks those details. Not worth the time.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks.
And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
Antoine de Saint-Exupery

Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023

beetee
Posts: 21
Joined: Thu Jul 04, 2024 6:35 am

Re: Some general CPAP questions....

Post by beetee » Thu Jul 25, 2024 8:18 am

Welcome to the forum!

Thanks Ozij!
beetee wrote:
Wed Jul 24, 2024 5:11 pm
4. If you press the start/stop button on the top of the Resmed 10 to start and stop the therapy 6-7 times a night for toilet breaks, can doing this negativley affect the sleep report data or the accuracy of the information it gets??
No.
However, unless you're an older male with a know prostate problem, 6-7 toilet breaks a night are the result of untreated / improperly treated sleep apnea.

* I think this is possibly due to drinking too much liquids (non alcohol) before bedtime, I'm going to keep an eye on that and make adjustments accordingly.

beetee wrote:
Wed Jul 24, 2024 5:11 pm
1.When i press the start/stop button (on the top of the device) for a toilet break in the middle of night and then return and press the start button again it drops the pressure all the way back down to the orginal starting pressure of 4 and presumably takes the same amount of time to get back to the pressure it was previoulsy at, Just so i understand this, is the only way to speed this process up to have the healthcare provider change the pressure and increase it from 4-20 to say 5-20 or even 6/20 as an example?
You can do it on your own. Most of us do.

*No i spoke to my healthcare provider, and any manual pressure changes on the device cannot be accessed or changed by me as the settings have been hidden to only be viewed & changed by the clinic remotely.

2. Following on from the above question, I have my first follow up phone appointment with my healthcare provider in 3 weeks, My prescribed pressure is 4-20, I'm finding when the pressure is at 4-5 that its quite easy to tolerate, i already feel adapted to it, so can i ask them to increase the base level pressure or do you think its best to wait longer before making changes?
No need to wait longer.
A pressure of 4-20 is set, when a person starts therapy, as a way for using the machine to search for a range which would serve the patient better - although some providers are ignorant enough to assume that range never has to change. Wrong.
It's a good idea to raise your minimum now - if your healthcare provider agrees to do that - fine. No need for you to wait any longer. Though I believe that in the US at least, the people who proved the equipment need a physician's Rx to do that.

It should be fine, I don't anticipate any resistance to requesting that, so we shall see.

OSCAR reports your median pressure (that pressure at or above which you're spending half the night) and that's a good pressure to try as your new minimum - if you can tolerate starting there.

I haven't yet invested any time into looking into this Oscar thing, but i may start with watching some youtube tutorial videos.

Most of us on forum have found better therapy ranges by using the data recorded each night by the machine, and doing our own adjustments based on that data. That kind of detailed data only gets recorded on an SD card - in real time.
If you don't have an SD card, get one, and put it in the machine. The machine records more onto the SD that it can keep without it.

I beleive my machine has an SD card yes.

OSCAR (on your own computer) and SleepHQ (uploaded to their site and better for sharing) read the detailed data from the SD card and let you see your breathing and its interruptions breath by breath. That helps you understand how your breathing is a affected by the therapy - and by leaks.

Sounds interesting, I plan to do that.

My Air lacks those details. Not worth the time.
[/quote]

Should i not download 'My Air' anyway, surely more tools of information the better?

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Pugsy
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Re: Some general CPAP questions....

Post by Pugsy » Thu Jul 25, 2024 8:24 am

A word about frequent nighttime urination (that we can't blame on the prostate or fluid intake) is that one should also evaluate blood sugar because an elevated blood glucose can be associated with diabetes and cause frequent urination.
So if you have no joy with reducing fluids and still have to pee frequently during the night....check your blood sugar if you don't already do that.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
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I may have to RISE but I refuse to SHINE.

beetee
Posts: 21
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Re: Some general CPAP questions....

Post by beetee » Fri Jul 26, 2024 4:47 am

Pugsy wrote:
Thu Jul 25, 2024 8:24 am
A word about frequent nighttime urination (that we can't blame on the prostate or fluid intake) is that one should also evaluate blood sugar because an elevated blood glucose can be associated with diabetes and cause frequent urination.
So if you have no joy with reducing fluids and still have to pee frequently during the night....check your blood sugar if you don't already do that.
Thats useful to know : )

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Miss Emerita
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Re: Some general CPAP questions....

Post by Miss Emerita » Fri Jul 26, 2024 10:23 am

"No i spoke to my healthcare provider, and any manual pressure changes on the device cannot be accessed or changed by me as the settings have been hidden to only be viewed & changed by the clinic remotely."

What your provider told you is incorrect. You can access the clinical menu yourself and change your pressure settings yourself if you want to. Copied/pasted from Apnea Board Forum: The button below the screen with the house icon is called the "home" button. To access the clinician menu, press the dial and the home buttons simultaneously for 3 seconds. The clinician menu will appear. Select parameter(s) you wish to modify with the dial (turn to modify, push down to select). When done, press the dial and home buttons for 3 seconds again, or find the "exit clinical menu" option in the menus.

Even if you decide you don't want to change your pressures yourself, I recommend that you go into the clinical menu and set "Essentials" to "Plus." This will allow you to see more information on the machine's screen.
Oscar software is available at https://www.sleepfiles.com/OSCAR/

beetee
Posts: 21
Joined: Thu Jul 04, 2024 6:35 am

Re: Some general CPAP questions....

Post by beetee » Fri Jul 26, 2024 4:36 pm

Miss Emerita wrote:
Fri Jul 26, 2024 10:23 am
"No i spoke to my healthcare provider, and any manual pressure changes on the device cannot be accessed or changed by me as the settings have been hidden to only be viewed & changed by the clinic remotely."

What your provider told you is incorrect. You can access the clinical menu yourself and change your pressure settings yourself if you want to. Copied/pasted from Apnea Board Forum: The button below the screen with the house icon is called the "home" button. To access the clinician menu, press the dial and the home buttons simultaneously for 3 seconds. The clinician menu will appear. Select parameter(s) you wish to modify with the dial (turn to modify, push down to select). When done, press the dial and home buttons for 3 seconds again, or find the "exit clinical menu" option in the menus.

Even if you decide you don't want to change your pressures yourself, I recommend that you go into the clinical menu and set "Essentials" to "Plus." This will allow you to see more information on the machine's screen.
Thanks, I didn't know that was possible to do, it's useful to know : ), I will still inform my healthcare provider before i change anything myself and consult with them as that is the expectation that they have and i think its best to work with them, but its good to know changes can be made on the device from on my end.

I do have essentials set to plus : )

robbob2112
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Re: Some general CPAP questions....

Post by robbob2112 » Fri Jul 26, 2024 9:06 pm

When you turn it off and on in the middle of the night and it starts lower it may be doing 'ramp' mode. You can turn that off or shorten the period.

Ramp is frequently set for new users so they can adjust to the cpap easier. I think most experienced users turn it off after not very long.

beetee
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Joined: Thu Jul 04, 2024 6:35 am

Re: Some general CPAP questions....

Post by beetee » Sat Jul 27, 2024 11:15 am

robbob2112 wrote:
Fri Jul 26, 2024 9:06 pm
When you turn it off and on in the middle of the night and it starts lower it may be doing 'ramp' mode. You can turn that off or shorten the period.

Ramp is frequently set for new users so they can adjust to the cpap easier. I think most experienced users turn it off after not very long.
Yes Ramp mode has been switched off since i recieved the machine. I guess it starts from the lowest pressure in the range again

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ozij
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Re: Some general CPAP questions....

Post by ozij » Sat Jul 27, 2024 12:17 pm

beetee wrote:
Sat Jul 27, 2024 11:15 am
robbob2112 wrote:
Fri Jul 26, 2024 9:06 pm
When you turn it off and on in the middle of the night and it starts lower it may be doing 'ramp' mode. You can turn that off or shorten the period.

Ramp is frequently set for new users so they can adjust to the cpap easier. I think most experienced users turn it off after not very long.
Yes Ramp mode has been switched off since i recieved the machine. I guess it starts from the lowest pressure in the range again
It does.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks.
And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
Antoine de Saint-Exupery

Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023

beetee
Posts: 21
Joined: Thu Jul 04, 2024 6:35 am

Re: Some general CPAP questions....

Post by beetee » Tue Jul 30, 2024 6:43 am

Surely its still better to download the 'My Air' app and use it , more data and information the better, no??

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Pugsy
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Re: Some general CPAP questions....

Post by Pugsy » Tue Jul 30, 2024 7:04 am

beetee wrote:
Tue Jul 30, 2024 6:43 am
Surely its still better to download the 'My Air' app and use it , more data and information the better, no??
Well....yeah....but MyAir doesn't give you any more data than you can get on the machine's LCD screen.
But it can give you a lot of "atta boys" and pats on the back. Some people seem to need the atta boys and pats on the back.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

Michael_On_cpaptalk
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Joined: Wed Jul 31, 2024 11:32 am

Re: Some general CPAP questions....

Post by Michael_On_cpaptalk » Wed Jul 31, 2024 11:36 am

Hey everyone!
Just got my Resmed Airsense 10 Autoset about a week and a half ago, and I've got some newbie questions for ya:

When I hit the start/stop button for a midnight bathroom break, it drops the pressure back to 4 when I start it again. Any way to speed this up without bugging my doc to change the settings?
Speaking of settings, I'm on 4-20 pressure. The low end feels pretty easy now - should I ask to bump it up at my follow-up in 3 weeks, or is it too soon?
What's the deal with this OSCAR thing? Worth checking out? And should I bother with the MyAir app, or is it just fluff?
Last thing - I'm hitting the bathroom like 6-7 times a night. That's not messing with the sleep data, right?

Thanks in advance, guys! Still figuring this all out. 😅
Peace ✌️

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vandownbytheriver
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Re: Some general CPAP questions....

Post by vandownbytheriver » Wed Jul 31, 2024 4:26 pm

Michael_On_cpaptalk wrote:
Wed Jul 31, 2024 11:36 am
Hey everyone!
Just got my Resmed Airsense 10 Autoset about a week and a half ago, and I've got some newbie questions for ya:

When I hit the start/stop button for a midnight bathroom break, it drops the pressure back to 4 when I start it again. Any way to speed this up without bugging my doc to change the settings?
Speaking of settings, I'm on 4-20 pressure. The low end feels pretty easy now - should I ask to bump it up at my follow-up in 3 weeks, or is it too soon?
What's the deal with this OSCAR thing? Worth checking out? And should I bother with the MyAir app, or is it just fluff?
Last thing - I'm hitting the bathroom like 6-7 times a night. That's not messing with the sleep data, right?

Thanks in advance, guys! Still figuring this all out. 😅
Peace ✌️
This is commonly called a 'thread hijack'... you didn't start your own help thread. That would be better... why don't you copy this post and start a new topic? And read all the newbie stuff at the top of the index... this will answer most of these questions.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion)
Additional Comments: I use O2Ring, Oscar, SleepHQ, and Cover Roll Stretch mouth tape.