Please help with treatment review

[DaveL]

Thanks sleeprider!

I changed the setting last night before I slept.  I feel pretty good; except my dog woke me up and that's the gap shown in treatment.  I gave her some Rescue Remedy and went back to sleep.

So here are two screen shots. (edit: failed. My computer hates me. so...I've added the screenshots in two following posts. my apologies. )

The first one is with the "man" setting activated. I've been using that for a while.

The second one is with the "for her" setting activated.  Pressures seem different.

Good news...the Knightsbridge Dual Strap seems to be working and keeping my jaw closed so I don't mouth breath.  The other recent change was that I read a posters description telling how to adjust a mask. It really helped.  I've had leakage from the bottom of the mask....I wasn't aware of that.  I couldn't feel leakage there.  However, adjusting it ever so slightly made a difference.  I like the Knightsbridge Dual Strap better than other chinstraps I've used.

[DaveL]

Trying again....

Here's the screen shot using the apap "him" setting.

[DaveL]

Here's the screenshot using the "for her" setting for the first time, last night.

[Sleeprider]

To my eye, pressures were similar, but flow limitation higher with for her. I don't think making conclusions on the basis of one night is good validation, so go with what feels best and it may take more time to decide.

[DaveL]

Thanks sleeprider

If it ain't broke don't fix it

I'll put the "man" setting back because I've done that for a while.

I *think* my big issue is getting a good seal on my mask, and keeping my mouth closed. (I wish that I tolerated a full face mask. I've never kept one on. Closest to successful was the F20 by ResMed. but it leaked horribly on my face.)

Thanks so much.

Dave

[DaveL]

Saying a sincere thank you to everyone that is helping me.

Here's last nights score.

I woke up at 6:30 (my dog barked me up.)  Felt pretty good.  Let the dog out; watched her and then sat with her for a while. 

ResMed N20 Large head gear/medium insert 

Knightsbridge dual-strap  Leakage is pretty darn good. Finally.  Learning how to get the KDS on properly.  It's been difficult, and frustrating. However, it's worth it.  If you have leakage like I do (mouth breathing) I'd consider this strap over others.

As always, any hints/suggestions/comments are appreciated.

[Dormeo]

Zero! Dude!

And you've wrestled the leaks and won.

[DaveL]

Zero!  Dude!

And you've wrestled the leaks and won.

Thanks Dormeo!

Hat's off. a salute to everyone here who has helped.

Past:  

I had a ResMed S9 with 22,000+ hours on it.
I've used a hand made cushion under my chin for several years. I've also used numerous chinstraps. They either fail first time wearing, stretch, slip off my bald spot...

I got my new ResMed "S10 for her" and the Knightsbridge Dual Strap about the same time.  
the ResMed S10 is easy to use; much better than my S9!
the Knightsbridge Dual Strap isn't easy to use. With respect to Larry, I found a bunch of ways to use it poorly .  He helped with suggestions, and even offered to talk.

Because of the Knightsbridge dual strap I had to buy a new mask. 
 
Reason? Using my ResMed N20 Medium headgear with it, the bottom strap kept falling off, because of fit on the new KDS.  

Fix! So I bought an N20 LARGE which comes with the Large Insert.  $300 Canadian (I know, I've bought cheaper.  It actually was in a package with my S10, but benefit insurance wouldn't cover the purchase.) After leaks, I swapped out the Medium Insert I had, because that's my size. 

Glad the Knightsbridge Dual Strap works.  

It was $170 Canadian for 2 by the time I got it home. That's with Duty and Postal Storage   Took a month to come; not Larry's fault. That's Canajun Guvmint and Covid.

I'm happy. And I'd buy a Knightsbridge Dual Strap again.

Downside? If I take my mask off I'm 100% awake by the time I get it back on again. 

Thanks Dormeo!

[Sleeprider]

Dave, great news. I'm sure Larry has had some benefit from working with you. You have certainly come a long way, even after many years of CPAP experience.

[DaveL]

Thank you!
Larry produces a great product.
He is extremely helpful and really cares.

(Last night I had more leakage than I showed in my last screen shot. That's ok. I'm grateful when I wake up in the morning.)

My only concern: cost. It's been expensive. About $170 Canajun getting 2 KDS caps inside my door in Toronto; another $300 Canajun because I bought a mask that used to fit, and exchanged it with my DME for a larger one that I needed to use with my new KDStrap. Have a new benefit supplier who pays a lot less for CPAP equipment. That's ok; I'm lucky to have benefits insurance again....talked about wrongful dismissal and age discrimination, and human rights. Got health, dental AND life insurance back!)

My lesson learned was when I change one thing, other things are affected. Future? I'll find a vendor that sells masks cheaper.