Tidal Volume & Mask fit.

[michael9346]

Good morning. I have been on Cpap therapy for 1-1/2 years and have been concerned about a proper mask fit the whole time. I have had 2 DME's in this time. The first would not even return any calls so I returned the equipment after 9 days and got another DME. After 3 failed mask fits, the new DME wanted to start charging me for any mask I tried. As I am retired and on Medicare, it just wasn't in the budget. I have been without a DME since April and even ended up buying my own machine since 3 more DME's have not responded to taking me as a patient, even with Medicare's help. I was prescribed a FFM (mouth breather) and tried three including the F20 Airfit & Airtouch, Quattro Mirage, and Dreamware with major leaking problems. I also tried nasal masks and presently 3 nasal pillows and taping my mouth. The worst has been P10 (see attached leaks for last night) Swift FX and Nuance. I have used #1 on suppliers list but quite frankly cannot afford the high cost and shipping charges to send them back.

Another problem has been my extremely low Tidal Volumes. Is there any way to get them up? I asked my Sleep Doctor and his response is "Don't worry about it and leave your pressures alone". (I swear that is one of the first things they learn in med school) I am concerned this low number can be some respiration problem. Since I really don't know what TV is, I am anxious to find out why mine is so far away from the 500 average. I would be so appreciative for any help in either matter...…..Mike
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[Walla Walla]

I wouldn't worry about the Tidal volume. With the leaks you have the tidal volume isn't accurate. Check out the link below on mask primer for tips on how to handle mask leaks.