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Joined Oct 2018
Joined Oct 2018

Alright, so I'm just a few days away from ordering. They use a company called DME Supply USA. There are so many of the ResMed Air Sense 10 listings.

One is the machine with HumidAir Humidifier for $758: https://dmesupplyusa.com/resmed-airsense10-cpap-humidair-humidifier.html Looks like no hose.

Another is the machine ResMed AirSense 10 Elite CPAP w/ HumidAir Humidifier: https://dmesupplyusa.com/resmed-airsense10-elite-cpap-humidair-humidifier.html $848

For $969, this one has more: https://dmesupplyusa.com/resmed-airsense-10-elite-cpap-humidair-humidifier-climatelineair-tube.html ResMed AirSense 10 Elite CPAP w/ HumidAir Humidifier and ClimateLineAir™ Tube

ResMed AirSense™ 10 AutoSet™ CPAP w/ HumidAir™ Humidifier $883. https://dmesupplyusa.com/resmed-airsense-10-autoset-cpap-humidair-humidifier.html

Finally, for $923 you get ResMed AirSense™ 10 AutoSet™ CPAP w/ HumidAir™ Humidifer and ClimateLineAir™ Tube https://dmesupplyusa.com/resmed-airsense10-autoset-cpap-humidair-humidifier.html

Will it hurt anything getting the ClimateLineAir hose if I'm not in much of a humid environment all of the time? Better to have it ahead of time or to not bother? We have central heat/AC. It gets a little chilly in the house during the winter time since it is an older house that doesn't stay that well insulated. I'm trying to think ahead...will that help prevent the rainout during the winter if the house is a little chilly?

Mask will be ResMed P10. If I remember correctly, isn't this the quieter mask that also needs an upgraded version of headgear because it is a bit flimsy?

I presume that it comes with the filter that I'll need for the first month or so. I can figure that out as I go and order more stuff.

Humidifier chamber...shouldn't that come with it as part of it? Or is that something that I should change regularly?

Anything else I'm missing?

Alright, I've had two sleep studies in the past. One in-lab where I slept 2.75 hours, had about 50 unclassified breathing events hypopneas/apneas all thrown together. This could have been higher because I didn't sleep much that night. I've read that getting less sleep can actually make sleep apnea even worse than it normally would be. 4.7 AHI with 18 RDI. Snoring was noted by the sleep tech. Previous sleep doc wouldn't give me CPAP.

Second study was a home study that I requested myself. Snoring was noted, but no audio that I was aware of was on the equipment, so unsure how they determined that. 5.2 AHI.

ENT doc was willing to give APAP based on my home study results, but didn't know much about the equipment. She said they use American Home Patient and that they'd call me within a couple of weeks from AHP. They never did, so I called them back after over 2 weeks. It took forever to get them on the phone (hold recordings saying the agents were all busy) and when I did, they couldn't tell me the full cost. Instead, they told me that it was $40 a month co-pay and I don't even have insurance listed. I told them I was buying it directly without insurance. So then AHP told me to call DME Suppy and give them the info/order and "if they need a prescription, have them call American Home Patient to get it."   This is ridiculous.

So I'm going to seek a ResMed Air Sense 10 Auto. Some suggested the For Her version due to the lighter setting. Doubt they'll approve it because they'll say, "That's the women's machine" and may not know the difference.

ResMed P10 nasal pillow mask.

What else will I need? Heated hose? Extra filters? Doesn't look like they have the P10 mask , so may have to get that elsewhere. Will I need a prescription for the mask itself?

What other things do I need to put in the order?

A particular issue is my tongue. I get a deeply scalloped/crenated tongue with teeth marks all the way around. This is quite devastating and has been since I was a kid. These HURT so bad some days and make little pieces of the tongue stick off the side and/or cause canker sores that last for days because certain teeth marks are so deep. As you can see, it is all the way around both sides, the front and also the top edges of the tongue and extending back a considerable amount on top of the tongue. Seems like a medical condition. GP doc didn't know. Sleep doc said it is a classic sign of sleep apnea, but sometimes my marks stay deep and last all day and into the night before it is time for bed again. That makes me wonder if a night mouth guard would solve the problem completely. Some days the tongue is swollen and looks larger with these teeth marks. Other days it looks smaller and has no marks at all. I'm confused. Everyone else is confused. ENT doc seemed confused about it, as well. Logic tells me that if my tongue is enlarged or I'm thrusting at night to keep the tongue from blocking my throat, pushing it forward and therefore causing teeth marks would be expected. But I'm not sleeping all day. They should go away when I'm up during the day and they don't. Is this a medical problem other than sleep apnea-related stuff? My lips are also exceptionally red and my face is a bit flush red on days when I don't sleep very well, but blood pressure is normal on those days. Other days I look fine.





Previous in-lab study before with 4.7 AHI and 50 breathing events. Snoring was detected. Got 2.75 hours of sleep. No sleep apnea was mentioned because it was just below the threshold. Recently had a home sleep study that I requested myself via mail-order that showed 5.3 AHI, detected snoring and some pretty long apnea events (one was about 80+ seconds) and heart rate dropped down to 49 beats per minute at a low point during the night. Couldn't get the sleep doc to give me a prescription to try APAP. I went to my ENT doc Friday and I'll get a call from their supplier in a week or two and they're going to work with me to get an APAP. So going to try for the ResMed AIr Sense 10 Auto and P10 nasal mask.

Curiously, the ENT doc said that some people have a 10 AHI and don't feel too much in regards to being tired. Others can have a 5 and theirs hits much harder to the point where they're virtually falling on their face tired all of the time. She did not recommend surgery for other stuff, said it hurts a lot and is dangerous. She previously did my turbinate reduction and deviated septum surgery, so it definitely isn't my nose/sinuses. We have the CT and MRI scans showing my sinus/throat and such. Must be either the adenoids, throat or the tongue causing my apneas. She said if the CPAP works, then keep at it and stay with that and don't bother with surgery. If it doesn't work, then she said we'll start looking at neurology-related stuff. What's she talking about with that?

I should also note that it feels like I wake up 5 or 10 times every 10 minutes sometimes, and that's when I'm laying on my stomach with my head to the side. Usually the worst apneas are supposed to happen on the back. My tongue usually feels incredibly swollen during this time and may be the culprit.