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Biguglygremlin

Biguglygremlin
Joined Nov 2018
Bio

Male aged 60+

Overweight

Very Severe Apnea

CPAP user since June 2014

Airsense 10

Pressure <12>

Nasal Pillow

Airfit P30

RLS PLMD PTSD CFS RBD

Australia

Biguglygremlin
Joined Nov 2018
Bio

Male aged 60+

Overweight

Very Severe Apnea

CPAP user since June 2014

Airsense 10

Pressure <12>

Nasal Pillow

Airfit P30

RLS PLMD PTSD CFS RBD

Australia

Hello again wandafeb02,

I think many of us have added a few kilos recently. It seems to be a symptom of life in pandemic mode, or at least that's what I keep telling myself.

I suspect that you would have more issues with leaks if you lost weight because filled out the cheeks would probably give the mask a smoother surface to seal against but that's just an unfounded theory of mine as applied to oldies like myself. It might not apply to feb02.

It's possible that you are tightening the wrong straps and the top strap is sliding forward on your head while you are moving around on the pillow. Have you considered adjusting it in front of the bathroom mirror or getting your husband to adjust it for you.

You could ask your sleep clinic if it would be advisable to reduce the pressure a little and check what the maximum setting is on the machine because they sometimes seem to max out for no apparent reason and leaks are likely to make that worse.

The mask liners that Sierra mentions might be worth a try too and another suggestion that seems to help is a slippery pillowslip like the satin ones or, if you have the funds, a real silk one. They help prevent drag on the straps as you move your head around in your sleep.

Yet another potential issue is the hose itself which can pull the mask sideways and cause leaks. Some like to tuck it under the blankets somehow but I prefer mine fed through a hose stand that suspends it above my head. There may be other options that work too.

Hi LoyalFish

I don't think my CPAP (S9) has any auto on/off function so I really don't know anything about that, but I wonder if you can just take the machine back to where you got it, as safely as possible, and ask them to service or exchange the machine.

I know it won't fix the hissing air hose issues but I wonder if there is a way to avoid bloating whilst continuing to use the CPAP.

Personally I find that my machine delivers effective results at anywhere between 10 and 13 with very little change in comfort or events. The deciding factor for me is that by dropping from 13 to 12 I can pretty much eliminate bloating. Obviously this process is usually achieved through official channels but you should be able to have some input if you understand what you are aiming for.

Another consideration that I have not seen addressed as yet is that different masks might deliver different outcomes when it comes to bloating.

Logic would seem to imply that having larger outlet vents and a corresponding increase in airflow may make a difference so perhaps those masks that everybody complains about being too noisy could be worth a try.

Another option would be a larger hose or some kind of inline reservoir like what the plumbers use to prevent water hammer. I don't think any of those options exist as yet so maybe they don't work.

One option that might exist is a longer hose.

Any of those options (in theory) could act as a pressure moderator and limit the peak pressure created by expelling air that forces it's way into the digestive tract.

Of course Sierra will inform me that they would all interfere with the normal function of the machine. :(

Apparently only 10% of vaccines are really effective in the long term so the first vaccines that become available might just serve as a stop gap till we find a better one.

I'm beginning to think that the long term social effects could be more damaging and longer lasting than the health impact of the virus.

So what are the potential social effects?

Our efforts to restrain this virus will push our economies into totally new terrain but I suspect that most national economies were an artificial construct in the first place and can probably be re-invented with enough goodwill and global co-operation but the businesses and jobs are going to take a long time to rebuild and that will have profound effects over time.

Many of the readers in this forum are 'oldies' and can probably relate to the feeling that our value to the younger folk is not what it might have been for past generations. Any skills or wisdom that we may possess are largely irrelevant nowadays. Add to this the accelerated pace of life for younger people and this global catastrophe could easily be seen as a generational problem, us old folk destroying their world in a futile attempt to stop what, to them, is just a new version of the flu.

Probably the biggest contributor to social issues will be government restrictions, which cause uncertainty and resentment and adversely impact on the outlook and well being of many people.

Another element that has dangerous potential is the way in which this world is so 'connected' that the conspiracy theorists and scare-mongers, and anybody else who wants a moment of fame or infamy, can start an inflammatory process that travels faster than the virus and is equally contagious and incurable.

All of these factors combine to fuel a level of social unrest that may be irreversible, even in what would previously have been considered conservative, law abiding countries.

So what has this got to do with CPAP?

Perhaps, instead of buying toilet paper or stocking up on meat, I should buy a spare mask and battery, and I really shouldn't watch the news if I want to get better sleep.