Adjusting an S9 to go above 20cm

[quote="DreamDiver At that pressure why not get the S8 VPAP Auto 25 BiLevel Machine? It is a tried and tested machine that will deliver the pressures you need, and it works with ResScan, so you can track your results.[/quote]

That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

brain_cloud wrote:

DreamDiver wrote: At that pressure why not get the S8 VPAP Auto 25 BiLevel Machine? It is a tried and tested machine that will deliver the pressures you need, and it works with ResScan, so you can track your results.

That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

IF you got it from a DME they should swap it out with no troubles and a script from the doc.

GumbyCT wrote:

brain_cloud wrote:

DreamDiver wrote: At that pressure why not get the S8 VPAP Auto 25 BiLevel Machine? It is a tried and tested machine that will deliver the pressures you need, and it works with ResScan, so you can track your results.

That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

IF you got it from a DME they should swap it out with no troubles and a script from the doc.

cpap.com actually.

brain_cloud wrote:

GumbyCT wrote:

brain_cloud wrote:

DreamDiver wrote: At that pressure why not get the S8 VPAP Auto 25 BiLevel Machine? It is a tried and tested machine that will deliver the pressures you need, and it works with ResScan, so you can track your results.

That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

IF you got it from a DME they should swap it out with no troubles and a script from the doc.

cpap.com actually.

rut -roh better ask bb for the double-secret mod to crank to pressure up to 26 is it?

GumbyCT wrote:

brain_cloud wrote:

GumbyCT wrote:

brain_cloud wrote:

DreamDiver wrote: At that pressure why not get the S8 VPAP Auto 25 BiLevel Machine? It is a tried and tested machine that will deliver the pressures you need, and it works with ResScan, so you can track your results.

That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

IF you got it from a DME they should swap it out with no troubles and a script from the doc.

cpap.com actually.

rut -roh better ask bb for the double-secret mod to crank to pressure up to 26 is it?

Bummer, dude.

Check with your software to see the pressure you need, i'd trust it and my own judgement before a sleep study or DME. It may be BULL, needing the over 20 cm pressure. Jim

The S9 agrees that it is insufficient. It goes to the max every night and would clearly like to go higher still.

I'll keep it for travel.

If the S9 is set to work correctly, ( Narrow pressure range) and has a normal leak rate, (Mask leak rate plus max 10% over), and the Software data doesn't show up anything else that will cause the data to be ineffective, then maybe you need a higher pressure. I don't do Resmed but maybe posting your software readout will give others a chance to double check your need for excessive pressure. Jim

brain_cloud wrote:

billbolton wrote:

Wulfman wrote:Your tech is an idiot. There are no CPAPs that will go over 20 cm. (Unless something is "broken" in them)

Most xPAP systems will actually generate genuine flow rates at up to about 26cms H20 at sea level, though there is no direct setting to do that. This is so they are able to work hard enough to deliver a genuine 20cms H20 flow rate with the lower ambient air pressure at 2400 Metre altitude (the maximum altitude setting on most flow generators).

Cheers,

Bill

So you're saying I should take my machine up a mountain, set it to 20 up there, then it'll be all souped-up at the lower elevations? That rocks!

No it's just a Really convoluted way to say that Wulfman is right. Really

So why bother? Really??

Here it is again without all the words he think will impress you. Really.

billbolton wrote:Basically, if you need a titration pressure higher than 20cms H20, the usual solution is to to move to a BiPAP flow generator, as they have a higher maximum pressure.

Cheers,

Bill

They can do this but there is no way to do this. Really

You Really can't make this stuff up. Really.

Do I Really need an emoticon? Really??

Really wrote:No it's just a Really convoluted way to say that Wulfman is right. Really

So why bother? Really??

Here it is again without all the words he think will impress you. Really.
...

They can do this but there is no way to do this. Really

You Really can't make this stuff up. Really.

Do I Really need an emoticon? Really??

Every post by 'Really' is a troll post.

'Really' is an alternate identity of one of our members. Really's existence as a forum 'member' has been created purely to inflict cruelty upon other cpaptalk members. It comes across as either a feeble attempt at over-compensation, or some bass-ackwards attempt to garner external validation from like-minded individuals who might actually derive amusement from bullies.

'Really' thinks he's smarter than everyone else. His cruelty is directed. He's likely using a proxy or an IP-anonymizing service when he logs in as Really (or any of his other avatars) so we don't see the 'recently logged in as...' information under one or more of his avatars. These methods take longer to render a web page - sometimes considerably longer - so he's willing to go through a few major hoops to appear as a unique individual just to inflict us with his cruelty.

Really's latent inadequacies may stem from conflicting emotions that he's having trouble sorting. It manifests in this illogical activity of hiding behind alternate identities so he can hash out something subconsciously in this very public manner. It comes across as a cry for help. To that end, 'Really' should immediately seek professional psychological help.

Alternatively, 'Really' could unmask himself and tell us who he really is and why he feels compelled to inflict his cruelty.

So Really -- who the h#ll are you? Really?

The problem many of the RT's who perform sleep studies have no experience in the world of homecare. PAP machines that are used in a hospital setting are very different from those used in a home setting, most are designed to do everything from CPAP all the to SV type stuff. So an RT who only has hospital expeerience might tell you "Sure the CPAP machines will go all the way up to 40 cmh2o", and many of the ones used in the hospital setting do. There is absolutely ZERO incentive for RT's to learn about the type of equipment used in hamecare unless they are working in that capacity. These types of devices are generally not taugh in the schools either, infact most RT schools don't even have homecae as a part of their circullum. This attitude is slowly changing as more and more RT jobs are opening up in the homecare world, but the change is slow.

With all that said, I agree your RT is an idiot, not for the statement (because it is partially true for older PAP machines and maybe that's what he/she was referencing), but for opening his/her mouth in the first place. RT's know things in the medical equipment world change rapidly and constantly.

brain_cloud wrote: That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

You might want to check with your insurance, I know if after having another study and finding out a Bi-Pap machine is medically necessary then my insurance will pay for it and my 3 year machine renewal period will start over.

Uncle_Bob wrote:

brain_cloud wrote: That seems to be the way the wind is blowing. I'm definitely a Resmed man. The only problem is removing the frying pan from my skull when my wife finds out I need a new machine (I bought a new S9 just one month ago).

You might want to check with your insurance, I know if after having another study and finding out a Bi-Pap machine is medically necessary then my insurance will pay for it and my 3 year machine renewal period will start over.

Yes, I believe they will pick up the lion's share of the new-new machine, provided the paperwork is in order. What wasn't medically necessary, while my original S8 was scarce 6-months old, was to plonk down cash for the S9. So bedazzled was I with the awesome granularity of those S9 charts, I wanted it something fierce. Hey, come to think of it, weren't you one of the ones first out of the gate picking up an S9 and parading around those amazing charts?

Goofproof wrote:If the S9 is set to work correctly, ( Narrow pressure range) and has a normal leak rate, (Mask leak rate plus max 10% over), and the Software data doesn't show up anything else that will cause the data to be ineffective, then maybe you need a higher pressure. I don't do Resmed but maybe posting your software readout will give others a chance to double check your need for excessive pressure. Jim

Here's a couple. Not the worst and not the best.






See how she strains with all of her might 'gainst that red ceiling?

Uncle_Bob wrote:You might want to check with your insurance, I know if after having another study and finding out a Bi-Pap machine is medically necessary then my insurance will pay for it and my 3 year machine renewal period will start over.

Check with Ins. to see if they will help if there is a change in the Dx. OR Just check with BB he thinks you can get 26cm out of what you have?

Tapping the hidden power of Resmeds, LOL.