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Permalink Reply by Melissa Conner on September 28, 2009 at 10:38pm

Thank you I will check on seeing if there is amchines with alarms. thank you so much.

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Permalink Reply by Saz RPSGT on September 28, 2009 at 11:18pm

That stinks!

Try ruling out possibilities.

Are you waking with a dry mouth?

Could be a mouth leaking problem. This can be helped with heated humidification, a chinstrap, or a full face mask.

Another is that you simply aren't on the correct pressure. Are you still snoring with the CPAP on or waking up short of breath? Really it's best to have another sleep study, but that isn't really realistic because of cost. You could ask you physician if there is a pressure higher or lower (I would guess higher based on experience) that was better for your.

Sometimes they will jump up your pressure by 1 or 2cmH20 and see if it helps. Hunt and peck method.

I would think it's one of these two problems, but it could be something else.

Keep us updated.

Jason

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Permalink Reply by Neal Buckner, LRCP on September 29, 2009 at 7:03pm

One option would be to talk to your equipment provider and ask if they offer an APAP trial. If they do, then see if your PCP is willing to write a script for a 2 week APAP trial. This is sometimes a complimentary service. They will loan you a Auto adjust machine set for a range either 5-20cmH2O or +/- 5 cmH2O of your prescribed setting. After two weeks of data, a download is done to see what your CPAP pressures should be. Personally I recommend the Resmed Autoset II because of it's algorythm and superior sensitivity.

There is definately something causing an arousal or disturbance while wearing the CPAP to cause you to rip the mask off. I would venture to guess it's an incorrect setting. An APAP trial should help rule that out. Too high a setting is just as bad as a setting that is too low.

And like J. Sazama mentioned, rule out the dryness issue or mouth breathing issues. If you're waking with a dry or sore throat, nose or mouth then adjust your humidifier.

Neal Buckner, LRCP

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Permalink Reply by Melissa Conner on September 30, 2009 at 12:07am

J. Sazama RPSGT said:

That stinks!

Try ruling out possibilities.

Are you waking with a dry mouth?

Could be a mouth leaking problem. This can be helped with heated humidification, a chinstrap, or a full face mask.

Another is that you simply aren't on the correct pressure. Are you still snoring with the CPAP on or waking up short of breath? Really it's best to have another sleep study, but that isn't really realistic because of cost. You could ask you physician if there is a pressure higher or lower (I would guess higher based on experience) that was better for your.

Sometimes they will jump up your pressure by 1 or 2cmH20 and see if it helps. Hunt and peck method.

I would think it's one of these two problems, but it could be something else.

Keep us updated.

Jason

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Permalink Reply by Melissa Conner on September 30, 2009 at 12:09am

thanks Jason I will talk to my doctor about this. Again thank you so much. I think if anything in the morning when I wake up I feel more short of breath. Does insurance not pay for another sleep study.

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Permalink Reply by Melissa Conner on September 30, 2009 at 12:10am

Neal Buckner, LRCP said:

One option would be to talk to your equipment provider and ask if they offer an APAP trial. If they do, then see if your PCP is willing to write a script for a 2 week APAP trial. This is sometimes a complimentary service. They will loan you a Auto adjust machine set for a range either 5-20cmH2O or +/- 5 cmH2O of your prescribed setting. After two weeks of data, a download is done to see what your CPAP pressures should be. Personally I recommend the Resmed Autoset II because of it's algorythm and superior sensitivity.

There is definately something causing an arousal or disturbance while wearing the CPAP to cause you to rip the mask off. I would venture to guess it's an incorrect setting. An APAP trial should help rule that out. Too high a setting is just as bad as a setting that is too low.

And like J. Sazama mentioned, rule out the dryness issue or mouth breathing issues. If you're waking with a dry or sore throat, nose or mouth then adjust your humidifier.

Neal Buckner, LRCP

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Permalink Reply by Melissa Conner on September 30, 2009 at 12:11am

Thanks Neal I cant even tell you what machine I have. but I will call my machine provider tomorrow and find out about this too. Thank you so much.

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Permalink Reply by Saz RPSGT on September 30, 2009 at 12:20am

Melissa Conner said:

thanks Jason I will talk to my doctor about this. Again thank you so much. I think if anything in the morning when I wake up I feel more short of breath. Does insurance not pay for another sleep study.

Sometimes they do. I'm not exactly a whiz on insurance protocol. The best thing would be to call your physician and see if it's even something they would support. Usually if it's medically necessary then it can happen...from my understanding. PPO's will pay for whatever whenever, but you have a deductible. (someone feel free to chime in on this one.)

Jason

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Permalink Reply by Karen Moore www.padacheek.com on September 30, 2009 at 11:58am

Hello Melissa,
This is not uncommon for people to take their mask off at night. It will go away on its own with time. Try to not be so rough on yourself, if you notice that it is off, just tell yourself to put it back on. I did this for a while, but never do it at all now.

A mask is a foreign object on your face, and it has to get used to it. Each time you start a new mask, it can be the same thing. Be patient with yourself, and do not beat yourself up about it. This therapy takes a bit of tweaking and a good bit of patience.

Karen

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Permalink Reply by wallace j smith jr on September 30, 2009 at 3:39pm

alot of insurance copmanies wont pay for a second study unless you've had a substantial weight loss, or need a new machine,, best advice you gave waas for an apap study..some rpt may even help you out with that difficulty..... and the fact the mask is foreighn to you face is another factor you may have to telll yourself to put it back on and go to sleep i did it does take time and patience for the therapy to work but stick to it and you'll love the results

J. Sazama RPSGT said:

Melissa Conner said:

thanks Jason I will talk to my doctor about this. Again thank you so much. I think if anything in the morning when I wake up I feel more short of breath. Does insurance not pay for another sleep study.

Sometimes they do. I'm not exactly a whiz on insurance protocol. The best thing would be to call your physician and see if it's even something they would support. Usually if it's medically necessary then it can happen...from my understanding. PPO's will pay for whatever whenever, but you have a deductible. (someone feel free to chime in on this one.)

Jason

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Permalink Reply by Christine C on September 30, 2009 at 9:50pm

For the first couple of weeks I was taking my mask off in my sleep and then. I still do it on occasion, but its not on a nightly basis. I am still wating on my newest mask so I am waking up some having to adjust and readjust the mask I am using (the mirage quattro). By the way, if this new mask doesn't work out I am going to anvest in the padacheek for my quattro. I am currently using a homemade solution of a cut off sock...it works, but I am running out of socks that have been hanging around for months waiting for me to find the mate to it...lol

Karen Moore www.padacheek.com said:

Hello Melissa,
This is not uncommon for people to take their mask off at night. It will go away on its own with time. Try to not be so rough on yourself, if you notice that it is off, just tell yourself to put it back on. I did this for a while, but never do it at all now.

A mask is a foreign object on your face, and it has to get used to it. Each time you start a new mask, it can be the same thing. Be patient with yourself, and do not beat yourself up about it. This therapy takes a bit of tweaking and a good bit of patience.

Karen

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