How to change pressure settings on resmed airsense 10

I was diagnosed with sleep apnea by an ENT, whom I do not want to see again. I have decided he is a rip off, and the office won't answer the phone anyway. The third party he sent me to had me buy the machine in 3 payments, so now I own it.

The way the ResMed site and they explained it to me was, that as a user, I have little control over the machine. It is set up to send data to them via cell tower and they are able to adjust the pressure range. I don't seem to have control over the settings.

My question is, how can I get control over the settings? I want to lower the maximum pressure it rises to and raise the minimum it starts from. I'd also like to set it up to send data to my wireless router, and I'd like to view the results myself.

Is there a manual from the "care provider's" perspective rather than a "patient's?" Or does anyone know how to accomplish these things?

I see CPAP machines are sold all over the internet privately, with no "care provider" involved, so there must be a way.

Tango wrote:...My climate line hose has lots of holes. Tried a cheaply hose. Doesn't work. So I ordered another but in the meantime I put duck tape around the climate line hose. Is this ok?

That's a little disturbing. How old is the hose? I would like to think that it would take years for it to develop holes.

I would just get a new hose. And insurance might pay for it, assuming the hose is old enough.

If you use SleepyHead it could tell you how effective the duct tape might be, because it will tell you how much the system is leaking. It assumes it is a mask leak, but a leak is a leak, and if there are holes in the tube, then it should show as a leak. If it doesn't, then it means your actual pressure is probably slightly lower than the machine pressure, depending on how leaky we are talking about. It also means the duct tape is working, as much as I would suggest against that approach.

As for who can change pressure, You don't have to have a license to do it. A prudent doc or DME tech will tell you not to, because if they say its OK and then you do it and you have some sort of Joan Rivers incident, they have made themselves open to litigation. So it is a CYA game for them, and no one can really blame them for playing the CYA card.

My DME was informed by me today that I changed my own pressure (they had an order from the Dr to do so). They had no issue. All I got was an immediate "OK"; no hesitation, no discussion, no disclaimer such as "you should really let our tech do that for you" or anything of the sort. I was a little surprised by that; if I were running the company I would at least want my people to go on record with any patient changing their own pressure to the tune of it at least being not recommended and offering to send someone to do it for them. Not these guys, apparently.

We also did not discuss what I changed it TO. The Dr prescribed a change from 5-20 to 8-16. I wake up at anything over 12, so I set it to 8-12, and I am carefully monitoring AHI and events related to flow and pressure. AHI has gone down from ~5 to ~3 since I did this. I might change it some more to see if I can get it even lower once I switch to the Airfit P10, but it seems that if you know what you are doing and carefully monitor, there is little danger in doing this.

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Here are some tips for getting the most out of your therapy.

You might get used to your therapy very easily - some people do. But don't worry if it takes you a little longer. That's normal.

Learning to use and live with your therapy equipment is about forming good habits, staying positive and practicing. It's also about getting comfortable. We'll show you a few techniques to help you make the most of your therapy.

At first, you might be very aware of the feeling of air in your throat. But this is something that you can get used to: try to relax your breathing and breathe like you do normally when you're awake.

Practice breathing with your sleep apnea machine in the daytime while you're relaxing or watching television, for instance. You don't need to worry about breathing out when you're sleeping; you will automatically breathe out against the flow of air.

If you continue to find it difficult, talk to your doctor or ResMed authorised distributor.

Here are some tips for getting the most out of your therapy: 

• A ResMed device with the Ramp feature: this is where the machine pressure can be set to start at a lower pressure and 'ramp up' to your full therapy pressure over a maximum of 45 minutes, easing you into therapy.
• A ResMed device with the SmartStart™ setting: this allows you to start therapy by breathing in, instead of pressing the 'Start' button. This lets you ease in to therapy so that you can get used to breathing with your mask on. 
• A ResMed device with an EPR™ setting: this slightly lowers the pressure as you're breathing out, so breathing feels smoother and more natural.
• A ResMed AutoSet™ device: this machine automatically adjusts the pressure delivered to you throughout the night, so pressure increases only as you need it.

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