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Thanks everyone. He tells me he replaces the tubing far more often than I realized. And he uses fairly low pressure, between 10 and 20 (the machine is supposed to adjust for the pressure he needs, though we can set a floor and ceiling.) The machine is a Devilbiss AutoAdjust. Maybe they're just unusual work horses. It's certainly lasted longer than most of the other electronics we have.
My husband had amazing and practically immediate results as soon as he got diagnosed and started using an APAP (within three days struck me as practically immediate - his co-workers noticed, I noticed, he noticed - as soon as he adjusted to the machine, he started getting a decent night's rest and everything was better for him.) That was six years ago. Since then we have upgraded to a better pillow nasal thingy and replaced tubing and the mask velcro attachments a couple times, but have not upgraded the machine. And while his machine seems to be working fine, we're wondering if there have been important improvements that would make it worthwhile to consider an upgrade. His has a heated humidifier, which seems to work well for him and the machine is super quiet, so it doesn't bother me at all. I'm also a really good sleeper and had become so conditioned to his snoring before the machine that if he fell asleep on the couch in the middle of the afternoon on a Sunday, I'd hear his snoring and get sleepy. I've got no problems with the current set up. Any advice on what we ought to look for if we go for a new machine? Folks who have been successfully using a machine for several years and recently upgraded, maybe because something wore out or broke, even though ours has not - what was better? Does the ability to use the SD cards to track your sleep patterns help much? Are there other improvements that are worth looking into? We don't have any problems we're looking to solve, just want to make sure he's getting the best therapy available. Thanks, S