CPAP vs BiPAP Machines - What's the difference???

[@jayztoob]

I can't tell you how happy I am to have found some informatio about these devices. I've visited or contacted every local seller, and have universally been dismissed by the people manning the shops. Always I get, "You don't have to know anything about them, just bring your Rx in and we'll give you what works." The rudest and most arrogant people I've ever met. Not some of them; ALL of them! It's refreshing to see this on KZbin. We'll once again, with your help, consider purchasing a C-PAP or similiar device.

[@RespShop]

Glad the video was of help! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP & Sleep related videos!

[@packerone7962]

I have the Bipap machine like the one you were showing. They programmed my air pressure for me. I was having 80 events an hour before my machine now I’m down to less then 2.5 events per hour. My machine is the AirSense 10 Elite. This is the best thing that had happened to me, now I get the best sleep ever. It’s been at least 4 years my be more.

[@RespShop]

Hello, Your Airsense 10 Elite would be a CPAP machine! We are happy to hear your are getting the proper treatment. Thanks for watching! If you enjoyed our video, please don't forget to Like & Subscribe for more CPAP and Sleep related videos.

[@morgans3256]

Thank you for sharing I had 79 events. I got the same machine today. I am starting tonight.

[@packerone7962]

@@morgans3256 it’s going to make a big difference when sleeping

[@ToddM452]

I don’t know how many events I have. I’ve had it for about 8yrs at least. I just breath thru don’t much anything else. Has two 😊😊 faces on the screen in the morning🤷

[@packerone7962]

@@ToddM452 if you can download the app for your machine then you can see how you do each night. It’s great to know how you’re doing with your machine

[@jeansteele7685]

I just watched this video and discovered that I have been using a BiPAP machine for the last 7 yrs. I had no clue. I even see a sleep specialist regularly and was never told. I thought I was using a CPAP machine. When I had my sleep study, I was diagnosed with severe sleep apnea and later Narcolepsy. Thank you much for this video.

[@RespShop]

Thank you! We're glad you found this informative :D

[@danmallery9142]

I have been using the Aircurve 10 for about 6 years now. It changed my life. If you are on the fence about it, get the sleep study and see if you need it. If so, stick with it!!! It takes a little adjustment to wearing the mask but honestly, I felt so much better, it wasn't even an inconvenience to me. After a while, you won't even think about it.

[@RespShop]

Hello Dan! Thank you for such a positive insight on your therapy Journey. I am sure your story will help motivate many who are reading!

[@davidcarter9322]

I started with a cpap and had the issue of exhaling against the pressure. Once on a bipap it was so much easier to get sleep 😴

[@RespShop]

We are so happy to hear you found the right PAP device for you! Thank you for watching and if you enjoyed our video, please do not forget to push the Like and Subscribe button for more CPAP and Sleep related videos!

[@tarafallon7678]

Adjust your settings for EXP Expiratory Pressure Relief. You’ll be must more comfortable.

[@charlesrary5320]

I've got the Aircurve 10 and have 3L of oxygen bled in from a concentrator. In addition to sleep apnea, I have an autoimmune disorder which causes lung issues. My O2 saturation had been falling into the 70's when I slept - now it stays in the 90's consistently. I've literally slept right through thunderstorms since I started on this machine - it has been great!

[@RespShop]

Hello Charles, thank you for sharing with us! We are so happy to hear you are receiving appropriate treatment. If you enjoyed our video, please don't forget to Like & Subscribe for more CPAP and Sleep related videos.

[@Smokey.Tackle]

I started off with a CPAP for the first month or two but i kept unconsciously taking the mask off at night. I was having a hard time being compliant and I wasn't aware I was taking the mask off. When I did the initial sleep study it was a home study. But my doctor decided to try the in-house sleep study. They found out that I was having a hard time breathing out with the pressure. They switched me over to a BiPAP machine and it was like night and day. It's now been 8 years and im 100% compliant.

[@RespShop]

Thank you for sharing!

[@dennishein2812]

I’ve been on a bi-pap for probably close to 20 yrs. I completely stop breathing and it would take awhile before I started again. My oxygen level awake runs around 94-96. When I slept it would drop into the 40s. I was also having daily migraines that turned out to be caused by my sleep apnea. I’m on my 3rd machine now. I’ve got neck problems so I get bad headaches again but they aren’t always migraines. They told me to use the machine when I first got it or I probably had a good chance of stroking out within 5yrs. I’m still here so it works.

[@RespShop]

Thank you for sharing your PAP therapy journey!

[@4PawSquad]

Have you tried propping yourself up while you sleep? It helped me with my neck issues. My neck never sits right lying down on a pillow but I use two body pillows and sleep at an inclination and my neck issues/migraines have decreased.

[@dennishein2812]

@@4PawSquad already have my head elevated thanks

[@4PawSquad]

@@dennishein2812 Ah I see. Migraines and neck pain are truly terrible. I’m sorry

[@dennishein2812]

@@4PawSquad always figure it could be worse.

[@txdave2]

I suffer from complex sleep apnea. Also, my sleep study revealed my O2 saturation dropped to the low 80's while I was sleeping. I am currently on BIPAP with the ResMed Aircurve 10 and supplemental oxygen at 2L per minute. This combination has made an amazing improvement in the quality of my sleep. Thanks for explaining the difference in CPAP and BIPAP.

[@RespShop]

Hello David, I am so happy to hear you found the perfect machine and therapy for you. Thank you for watching! If you enjoyed our video, please feel free to Like & Subscribe for more CPAP and Sleep related content.

[@trento8397]

How do you use bipap and oxygen? Is there two slots on the mask?

[@nomadsolos]

indeed! I started with CPAP - I had the Phillips Dreamstation. After about 6 months of use the Doctor had me go to another sleep study which found that I needed BiPap and I also had O2 Saturation in the 80s. I wound up with the Resmed Air curve and Oxygen Cocentrator. It made a world of difference! I went from a place where my sleeping disorder was so severe that I on 2 occassions fell asleep standing up - One of those events landed me in the hospital. Now I sleep 7-9 hours a night ! BiPap saved my life.

[@nomadsolos]

@@trento8397 You use a couple on the Hose side that has a nipple to slip the o2 line onto it.

[@txdave2]

@@trento8397 The heated hose that was supplied with my Resmed Air Curve has a nipple where the oxygen hose attaches. It's right where the hose plugs into the machine.

[@jackbootshamangaming4541]

Just got the airsense 11 after being diagnosised with sleep apnea finally. I feel so much better and I've had it for a week today. Even people around me have noted a drastic difference in me, like I'm back to where I was about 2-3 years ago before I started having the issues.

[@RespShop]

Thank you for sharing! We are so happy to hear CPAP therapy has been a success for you! Keep it up! If you enjoyed watching our video. Please don't forget to Like and Subscribe for more CPAP and Sleep related videos!

[@jackbootshamangaming4541]

@@RespShop I most certainly have. Thanks for the info. I'll be checking your shop out when I need supplies, I honestly need a better mask as well my current one does leak sometimes if I dont have it positioned correctly and I move more at night. I did just get insulation for the tubing to stop rainout, I'll see how that does vs the more expensive heated tubing.

[@beckygarrigan3700]

I've been using the ResMed 11 for a few months now. I have a full face mask. I can't tell if I'm getting air or not. When I pull it away from my nose, I can feel the air blowing, but when I put it back in my nose, I don't feel anything. Due to no improvement, I've been told to add oxygen to my machine. I just need to watch some more tutorials about how to do that. At 73 yrs old, I am only getting 3-4 hrs sleep at night. My most restful sleep is early afternoon. Maybe the combination of oxygen and cpap will help me. *sigh*

[@AngieFromCanada]

Thank you for explain that VPAP and BiPAP are the same thing. That did confuse me as my script was VPAP-S

[@RespShop]

You're welcome! Glad our video helped and thanks for watching!

[@Pipsicle330]

Thank you. Always wondered why my machine said VPAP and not BIPAP on the front but now I know it’s the same thing 👍🏻

[@RespShop]

You are welcome! Thank you for watching! If you enjoyed our video, please don't forget the Like and Subscribe for more CPAP and Sleep related videos.

[@LithiuM230]

I am doing an overnight sleep study on December 21st as they think I need a Bi-Pap machine. I’m so tired of feeling like death and I hope this machine helps!

[@RespShop]

Thank you for watching! We hope you can get the restful sleep you've been missing ASAP

[@alicanrsneads5965]

I tested years ago and it was 53 times an hour. I thought it was a misprint. The doctor even questioned it and sent me again. But it was right. I am at a level 14 and it was hard to adjust to having air forced in my nose so hard. But greatful when i don't feel like death when my alarm goes off😂

[@rolop847]

I know what you mean last full sleep test I did I stop breathing 61 times an hour, and my pressure was at 27, so I do know what you mean about having to learn how to it's hard. But that is why we still are alive. Now I just have to get my 7 hours which I don't I'm lucky if I get 4 hours sleep a night.

[@RespShop]

Thank you for sharing your experience/story! Thank you for watching! If you enjoyed our video, please don't forget to Like & Subscribe for more Sleep and CPAP related videos

[@babyboomer9560]

Interesting trivia…. at first insurance companies did not want to pay for these machines. But truckers were falling asleep on long-haul’s and getting into horrific accidents. They discovered that it was due to sleep apnea. So the insurance company started to cover the machines for the truckers and the expensive accidents decreased with less insurance claims.

[@RespShop]

Thank you for sharing

[@AngieFromCanada]

I have the BiPAP Resmed AirCurve 10 VAuto and the AirTouch F20 Small which leaks around the top of my nose arch sometimes and if I push it down more than my nostrils are compressed and that doesn't help with the air getting into my stomach.

[@RespShop]

If your nostrils are compressed when you push down on your nasal bridge, it sounds like you could use a larger cushion. Have you tried swapping out the AirTouch F20 Small cushion for the medium cushion? If that still leaks, please feel free to give us a call at 866-936-3754 or send us an email ([e-mail]) and we can give you mask recommendations.

[@IntoThatGreatGoodNight]

I use a BIPAP, and have for the last 4 years. Unlike my old CPAP, I don’t struggle or fight the machine. I still have apnea events (I have both obstructive and central, having apnea while awake as well) but not nearly ‘suffering’ from it as I was.

[@RespShop]

Glad to hear your Dr found a machine that works for you.

[@AdamSandaver]

5-30 an hour....Hold my beer, i had 110 plus. Now down to 1-3 per hour, thank heavens.

[@RespShop]

I am glad to hear CPAP therapy is working well for you! Thank you for watching and If you enjoyed our videos please do not forget to Like, Share, and Subscribe for more CPAP and Sleep related content.

[@sheldonhall1295]

Your video is well organized and informative. Thank you.

[@RespShop]

Glad it was helpful! Thank you for watching! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos!

[@marcmayou1422]

I stopped breathing over forty times per hour! I was miserable. I am using CPAP now.

[@RespShop]

We are happy to hear you are seeking treatment! Thank you for watching! If you enjoyed our video, please don't forget to Like & Subscribe for more Sleep and CPAP related videos.

[@pepepepert]

When I was diagnosed with SA I was stopping breathing more then 70 times an hour. Now I'm down to 3 or less on my machine.

[@RespShop]

That is amazing!

[@callyman]

When first diagnosed I was having over 80 and hour whereas now I'm usually under 10 on a bad night. I have to fiddle with my pressure occasionally as somehow I end up swallowing air and waking from hiccups and stomach discomfort. I had a bad night recently where I had over 30 episodes an hour. One thing is when I first started using my mc is all my facial swelling disappeared but now after 2years it's come back and I can't figure out why. I've severe central apnea and thinking of changing to CPAP rather than bipap. My sleep therapists seem to have less of an idea than me... I'm happy yours is going so well for you.

[@Walkercolt1]

I wuz gonna ask where's my APAP that wakes me if I stop breathing for more than 155 seconds (set by my Dr.) and FORCES me to breathe??? After my fourth BAD stroke, my sleep apnea became much more severe and "deeper" and I live alone (I'm 70). I just wish you hadn't quit making my favorite full-face mask!!! The shape of my face, and the fact I don't lie flat on my back sleeping, (I didn't at 3 days of age, I squirmed like a worm and twisted up my blankets and turned over! Nurses said they never saw a newborn do that!!!) makes me have some leakage. You make GREAT machines-quiet, durable, reliable-things other brands can't say truthfully.

[@RespShop]

Hello Ricky, We will pass on your feedback to ResMed. We are happy to hear you are happy with your machine. Thank you for watching! If you enjoyed our video, please don't forget to Like & Subscribe for more CPAP and Sleep related videos!

[@leoinsf]

Great video! More and more of my friends are starting to use CPAP and BiPap machines and so sleep apnea is becoming mainstream! I sleep like a baby and am thankful after a lifetime of terrible sleep.

[@RespShop]

Thank you for sharing. We are happy to hear you are getting great sleep. Don't forget to Like and Subscribe for more CPAP and Sleep related videos.

[@OneIdeaTooMany]

It'd be interesting if you took apart the bipap to see what the hardware differences are between an airsense 10 and the aircurve.

[@RespShop]

That's a good idea. Thanks!

[@kirkmorrison6131]

I was having 0 REM sleep. My insurance sent me a machine and mask. I have great sleep now. I am on my 3rd machine now. I don't remember the model number but it is a Resmed and will never go back to sleeping without one

[@RespShop]

Thank you for sharing your story! We are so happy to hear, CPAP therapy is working for you.

[@bruceskehan6189]

I have the bi pap featured on the show. ( resmed ) I think and I am completely happy

[@RespShop]

We are happy to hear you are happy with your BIPAP!

[@rickiejacobs5910]

I have had 4 machines over 18 years. The first two were C-pap and the last two Bi-pap machines. My first Bi-pap was a Philips Dream station which had a recall on them. Fortunately. My 5 years was up and I got another machine, the Remads Aircurve 10. It is a lot quieter than the Dreamstation. I did put in for the recall and after a year or so I got a refurbished Dreamstation and sent my old machine in. One thing is I was always sent to a loco cpa supplier to get a machine, Inguess something to do with my insurance. Anyway thanks for the video.

[@RespShop]

Glad to hear you like your ResMed VPAP auto! Thank you for watching! If you enjoyed our video, ensure to Like and Subscribe for more CPAP and Sleep related content.

[@mingdarkheart9706]

I abhor my CPAP machine. I get lousy sleep and horrible side effects. It is akin to some mid-evil torture device. I wish I could just stop. I am so happy for those who love their PAP devices-I cannot understand it-but, am happy for them.

[@kathyyoung1774]

I went through that for 3 months, got no better sleep. Had a second sleep study and needed a BIPAP, so that was traded off. I’ve slept much better. I was ready to hurl the CPAP out the window. Also went through 9 masks before settling on the N20. I will never love this contraption, but it does help. Best wishes.

[@RespShop]

I am sorry to read your are struggling with your CPAP device. Have you reached out to your physician to discuss if the comfort features to your device is being utilized. I always suggest, trying your machine while awake. Wear the machine while watching tv or reading a book, if you can get used to it while awake you may find sleeping with it better.

[@dougburton001]

Most insurance will pay for a fully automatic machine that eliminates all of the CPAP/BIPAP nonsense. Just get one of those - like an Airsense 11 - and it can be configured for pretty much any patient requirement for mainstream use.

[@RespShop]

Thanks for your feedback. We are glad to hear a standard APAP works for you Doug! However, not all Sleep apnea can be treated with a basic APAP. Some patients need a BIPAP or more to treat complex sleep apnea. Some patients who also struggle with congestive heart failure, COPD, and even obesity may need BiLevel or a machine with pressure support so exhalation can come easier. For most breathing in and out on a standard CPAP may come easy. For some, the concern of retaining high levels of CO2 and ejection fraction for cardio health can be compromised with a standard CPAP. We do not want to provide false info, since we do not have everyone's medical history.

[@dougburton001]

@@RespShop Fair enough, thanks for the clarification. In my case I was able to turn on the pressure relief function and that was enough to make me comfortable. Interesting to know how many unique use cases there are. Would you like me to delete the original comment?

[@michaelbacon8431]

@@RespShop Thank you for pointing this out Respshop. I have both COPD and Pulmonary Hypertension along with a few other things. But what's important to me is my EXTREMELY high level of Co2 retention in my lungs. I just spent the entire month of December in the hospital because of my lungs. I went in with COVID and RSV but the really scary part was my Co2 level of 127. The ER doctor told my wife he had never seen a patient walk into the ER and answer all of their questions, before promptly passing out, with such an extreme Co2 level. Anyways, I am out now and doing SO much better with my new PAP machine. I didn't realize how much my life was suffering from Co2 retention. Everything from panic attacks and depression to severe sleep deprivation and weight issues. I was often scared to go to sleep because I would wake up with an oxygen saturation headache or worse wake up from my SpO2 being way too low. Needless to say, it's been a journey. I can't thank you enough for sharing this video and helping us understand the differences between the patients and their machines. Cheers ❤

[@trento8397]

@@michaelbacon8431 what made your o2 level go up to 127? We're you on oxygen or part of your condition?

[@michaelbacon8431]

@@trento8397 it was my CO2 level, not my O2 level. Not sure if that was just a typo but I wanted to make that clear. Yes, I tend to have a high CO2 level as part of my Pulmonary Hypertension and COPD. I am on oxygen 24/7 and have been since my hospitalization and coma in 2015. That was the date my life took its first major turn toward disability :( Thanks for asking and I hope I answered your question appropriately for you. Cheers

[@tarafallon7678]

I have a ResMed 11. Thank you for your extremely informative videos. You’re a literal life saver!

[@RespShop]

Thank you for watching, if you enjoyed our video please don't forget to Like and Subscribe for more Sleep Apnea and CPAP related videos.

[@WoodyW2k]

Excellent video in both production quality and information. Thanks very much!

[@RespShop]

Glad you enjoyed it! Thank you for watching! Please don't forget to Like and Subscribe for more CPAP and Sleep related videos!

[@PeppaRoni426]

great video, I'm getting a BiPap machine tomorrow so l don't know which machine the DME is giving me... thanks for the clear explanation!!

[@RespShop]

Thank you for watching! If you enjoyed our video, please don't forget to Like & Subscribe for more CPAP and Sleep related videos!

[@KVAR42]

Sir, thank you for the informative video! Just starting out. Will continue to watch further content. Your time is appreciated. Ty

[@RespShop]

Glad it was helpful! Thanks for watching, if you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos!

[@tomdonovan4842]

Excellent review very easy to understand thank you

[@RespShop]

Thank you for watching! Glad it was helpful 😁

[@jamesguitar7384]

I've been using the Airwave machine for years but only relatively recently discovered that I had the mask on unnecessarily tight. The mask is cushioned to avoid this but it had to be pointed out to me by a nurse at an NHS sleep clinic . The main difference apart from comfort was that I didn’t have to go about looking like I had a scarred face . Sometimes I try not to be stupid bit I can't help it !

[@RespShop]

We all make this mistake from time to time. Ensure you can place two fingers under your strap with ease. This will ensure your mask is not on too tight.

[@jamesguitar7384]

@@RespShop thank you

[@bb22602]

I did try a BiPAP and had a horrible time. I would dream I was suffocating and wake up trying to rip the mask off my face. I was SO disappointed because I know several CPAP user (including my husband) who just LOVE them. Best sleep ever, they all said. Not for me - it was multiple months of bad or no sleep. The insurance company said I wasn't wearing it enough (due to the ripping it off during the night) and they weren't going to pay any more, so I returned it to the company and I'm sleeping much better now.

[@RespShop]

We are sad to hear you have discontinued treatment. Depending on your severity you may want to revisit therapy at another date. Ask your provider to lower your pressures, it can take an individual 3-6 months to get used to treatment.

[@kathyyoung1774]

I have severe central apnea and also claustrophobia. The N20 mask works for me with my BIPAP. My biggest problem was fighting the hose, which I rolled onto or pulled into my armpit when I turned over in my sleep. I zip-tied a flag holder from Dollar Tree to the bedpost and draped the hose over it to drop down from above me rather than beside me. This has helped! It took me a year to get used to the machine, but once I got the right mask (my 9th one!) and the flag holder, I’m sleeping much better and events are fewer than 5. Best wishes.

[@christinemarie007]

Thank you for the nice video. I am just starting with my bipap machine today. It felt like sleeping in a windstorm. I couldn't keep it on more than 5 minutes. The wind noise is so loud, that my husband felt as he was camping under a storm. All of you are having great experience and I would like to be the same for me. I cannot see how it can be possible. Do you have tips for me? I appreciate any help you could provide. I thank you in advance for it. It is so hard for me. How was it for you in the first day?

[@RespShop]

Hello Christine, you should not be hearing a windstorm, sounds like your mask might be on wrong. Ensure to wear your mask in front of a mirror, ensure all straps are secure and practice wearing it while watching tv or reading a book. Feel free to book a consultation with our medical staff for more assistance call 1866 936 3754.

[@callyman]

I've had this problem. It does sound like a mask fit issue. If this isn't the case perhaps you could adjust yr pressure down a point. I Always record any changes I make in my diary so I can adjust them back if need be. Are you having any other issues? What is yr apnea events an hour etc? I can only just hear my machine and it definitely isn't an issue to my partner.

[@fayeshaffer4927]

I understand fully. Think you are hearing the O2 concentrator😮. It sounds like a snare drum with a rim shot. It was suggested to me to put it in a different room (didn’t have room for that) or at least put it on a rug if it is on a hardwood floor. It has gotten better and the dog even tolerates it now.

[@lucygoose6052]

Thanks for the info

[@RespShop]

We are happy to hear you liked our video. Please don't forget to hit that like and subscribe button.

[@iri6205]

Thanks for a very informative video

[@RespShop]

Glad it was helpful! Thank you for watching! If you enjoyed our video, please don't forget to like and subscribe for more CPAP and Sleep related videos.

[@gloriasaliba3395]

Very informative video recently diagnosed with SA 7 weeks on and struggling badly using my CPAP machine just can’t handle wearing the full mask all night long the nose cushions are worse I do suffer with sinus asthma wondering if the BiPap is a better machine for me - can I use the CPAP without filling the humidifier with water - I am a mouth breather wondering if not having so much moisture in my nose would help me keep the mask on all night

[@RespShop]

Hi! If you're dealing with too much moisture in your mask, you can lower the humidity level. If you have a ResMed machine, you can set climate control to manual which will let you adjust your humidity and heated tubing temperature. If you completely turn off the humidifier, you run the risk of waking up with really dry mouth and nose. We have a video that explains CPAP humidification: kzbin.info/www/bejne/f5Wti6h4j9edrac

[@faroukteg5493]

Thanks for this great video, Please i want to Ask you, i have a Philips DreamStation BiPAP S/T, can i use it as a simple CPAP? Also, can i use as a VNI? Thanks a lot

[@RespShop]

Thanks for watching! Yes, you can use your DreamStation BiPAP S/T as a CPAP, you just have to switch to CPAP mode. Not sure what you mean by VNI...I'll take a guess and assume you meant NIV (non-invasive ventilator)? A BiPAP S/T is a non-invasive ventilator :) If that's not what you meant, please let me know!

[@user-pk2fg8im4u]

Just started with the Aircurve 10 a couple months ago. Was very hard to go more than 4 hours without taking it off at first. I just had my first full 8 hours a week or so ago, and another night where I had it on 8 hours and 20 minutes. So it is getting a little easier, but I'm not sure I feel that much more rested yet. Giving it time, hoping for the best.

[@RespShop]

Glad to hear you are giving it time. It takes an average patient 3 months to get used to the PAP device and start to notice small symptomatic changes. It can be as small as, one less bathroom trip to no more headaches. Keep up the good work! If you enjoyed watching our video, please don't forget to LIKE & SUBSCRIBE for more CPAP and sleep related videos!

[@polarablues64]

5-30 times an hour? Man it can be so much worse than that. When I was diagnosed it was almost one a minute during parts of the night.

[@RespShop]

5-30 an hour is the range of severity. 5-15 mild, 15-30 moderate, and anything over 30 is severe. Thank you for watching! If you enjoyed our video please don't forget to Like and Subscribe for more CPAP and Sleep related content. is the range of severity. 5-15 mild, 15-30 moderate, and over 30 is severe.

[@andrewgardner3071]

I was thinking the same thing when I heard his data/numbers.

[@tennesseeterri]

You do not decide which type of machine you need, the doctor does.

[@krishnaaskr]

Hello, great content videos, I have a question, doctor said I have severe Osa, shall I use Resmed air curve10V Auto? please guide me

[@RespShop]

Hello, Regardless of your severity the first step is usually to try a CPAP machine and work your way through the devices if CPAP fails. Your Dr will read your results and advise which device will work best for you.

[@cgirls.3676]

Thank you great video and information 😊

[@RespShop]

Glad it was helpful! Thank you for watching! Don't forget to Like & Subscribe for more sleep and CPAP related content!

[@jlf6803]

Do I need another sleep test? I've had one for 10 years, cannot sleep without it.

[@RespShop]

Feel free to give us a call at 1866-936-3754 and we can discuss your options in getting a new device without having to do another sleep test!

[@rolop847]

Good day I have severe sleep I have the ResMed servo which is as high as you can get it is one shot off what the hospital uses to measure you I have had pressure as high as 28 out of 30 luckily I am now coming down thank God also losing some weight helps. I have big problems with masks because of the pressure that I'm at you also have to learn how to start breathing all over because at pressure it is really hard.

[@rolop847]

Sorry I got cut off the pressure that I'm at burn out 3 to 4 masks a year because all the masks hover on my, I look like Robbie the raccoon in the morning. The big thing is no matter what I do I always wake up with a dry mouth, the humidifier will be empty usually in about 5.5 ish hours. And this drives me crazy but I do better than being six feet underground. I wish I could get someone to help me figure out how not to wake up with dry mouth, thank you.

[@RespShop]

Rolo, I would suggest trying a full face mask if you are not using that, if you are possibly try a chin strap along with the full face mask. If your water chamber is empty, it might be due to high leak, anything over 20/lpm. Heated tube assists if you have a higher humidifier level. Small things like changing your cushion every 3-4 months, washing your mask, and being clean shaven assists as well.

[@AzizimIstanbul]

What about for asthma/bronchitis patients who have difficulties breathing at all times, not only during the sleep, is there any effective machine for them?

[@RespShop]

Unfortunately there isn't a machine that can make breathing easier for those with asthma/bronchitis/COPD. For these breathing conditions, you'll need medication to help relieve the shortness of breath.

[@doreenandrew4229]

They started me out on a cpap and I was constantly struggling to exhale so I told them and long story short they got me a bipap now I can’t sleep without it the only problem is no matter what mask I use they make noise from air escaping and it make’s me nuts trying to adjust it. Some nights I have it so tight that when I wake up I have strap marks on my face for hours!

[@RespShop]

Thank you for sharing! If you are interested, you can give our medical staff a call and they can walk you through other choices for masks 1866 936 3754. If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related content. RespShop is dedicated to release a new video every week!

[@aussernllc]

Hoping the PAP improves my sleep. Wondering why O2 is not included. Seems like that would increase efficiency.

[@RespShop]

The CPAP therapy is meant to open your airways for your body to take in O2 naturally. Oxygen is a drug and is not meant to be used lightly unless directed by your Dr for patients who have compromised Respiratory help. Oxygen can be T'd in if your Dr believes you require it. Thank you for watching! We hope you enjoyed our video. Please don't forget to Like and Subscribe for more CPAP and Sleep Related content. RespShop is committed to uploading a NEW video every week!

[@dr.dominicktibuhwa5380]

Will Bipap improve upper airway resistance?

[@RespShop]

Yes, it will definitely help!

[@shahbanhamid2270]

Hiii...My mother uses Cpap machine. I have to know which mask i should use Nasel mask or Full face mask for Cpap machine?

[@RespShop]

Hi, a nasal mask is our go-to recommendation because it's lighter and easier to to get used to. But if she tends to breathe through her mouth during the day then she'll need a full face mask or use a chin strap with a nasal mask. There's also the option of nasal pillow masks. You can read all about how to choose the best CPAP mask here: www.respshop.com/kb/a-guide-to-finding-the-right-cpap-mask/

[@pennieshivaie9343]

Thank you Sir !!!!

[@RespShop]

Most welcome!

[@morgans3256]

I just got the bipap I have the nose mask but I sleep a lot with my mouth open per my spouse.

[@RespShop]

If you find the mouth opening is bothering you/spouse, feel free to try a full face mask.

[@kathyyoung1774]

I’m too claustrophobic for a full face mask and use N20. But I breathed through my mouth a lot, too. Someone suggested a small piece of medical tape, which works, but use paper medical tape, not cloth or “waterproof” so it doesn’t hurt coming off. That solved my problem. Someone else suggested a neck pillow backwards under the chin. I have not tried that yet but might.

[@morgans3256]

@@kathyyoung1774 great advice !

[@kathyyoung1774]

@@morgans3256 If you use tape, make sure it's the paper tape, so it won't rip the skin (or hairs) off your upper lip. Best wishes.

[@Love888G]

is there a charity program for people without ins? for the bipap?

[@RespShop]

Unfortunately, we do not know of any. Best would be to speak your Dr or a local DME to see if they have any to provide with a small fee.

[@adelhafalishelhaboni2020]

What is different between BIPAP and REsmart BPAP system?

[@RespShop]

Hello Adel, I am not too sure what your question means. Feel free to give us a call at 1866 936 3754 and a medical staff will be able to assist you. Thank you for watching! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos.

[@Bigdaddy-dx9ph]

I have the resmed 11 and I was having 110 episodes an hr. I'm down to 7 on average an hr. I struggled at first and my sleep dosent feel much better I still feel tired but I dnt need a nap in the afternoon now lol so think positive.

[@RespShop]

Thank you for Sharing. Great improvement on therapy, with more time you should see some more symptom improvements. Have a look at your sleep hygiene as well to aid in better quality sleep.

[@kysupersport]

No naps for me now, I used to have two a day. Events down to less than 1 in 4 days of using machine. Also I m not depressed at all.

[@sherrilbjalexander2856]

Is the Resmed Airsense 11 a Bi-pap machine? Thank you.

[@RespShop]

The ResMed Airsnese 11 is auto CPAP. The Aircurve 10 VPAP is ResMed's BIPAP unit. Thank you for watching, do not forget to Like and Subscribe for more CPAP and Sleep apnea content.

[@nick4leader]

Resmed hasn't released a bipap for 11 yet. My supplier said typical is another 2ish years behind cpap

[@LAZBY]

can you do a review of the ResVevt BiPAP machine-- i have a new one && the symbols i the Doctor's menu are confusing-- i have it operating in the S30 mode at 22.5-inhale and 19-exhale

[@RespShop]

We will take your request into consideration. Thank you for watching!

[@grandetaco4416]

I've been doing cpap since 2007.The thing I don't like about the machines: 1, Not having a function to turn on automatically when you start breathing through it. 2. Bright blue lights in a dark room. 3. Having to reach down in the dark and find the small button on the machine to turn it off for trips to the bathroom. 4 Hiding the pressure controls behind a "clinical menu" sorry, not taking it to a specialist every day to have it reset, I paid for it, I'll adjust it.

[@RespShop]

Hi there, Thanks for Sharing! Depending on your machine, in the clinical settings there is a smart start/stop option. Once the mask is on, the machine will turn on automatically and off once you have removed the mask. The lights should only come on once the machine is turned off and off, and this is for no more than 30 seconds. You can face your machine away from you to avoid the light disturbing you. The clinical menu is accessible right through the device. The reason for the hidden menu is so that by an ease of button your settings will not change, sometimes children play with machines etc. Also with clinical changes, if made speak to your Sleep Specialist and ensure they are adequately treating your apneas. To much pressurized air can cause one to retain to much c02 and too less pressure can cause apneas to increase. Follow up your clinical changes with a repeat pulse oximetry test to ensure blood oxygen levels are adequate.

[@SantaFe19484]

Does health insurance (in the USA) usually cover the cost of these devices?

[@RespShop]

Yes, you will need to speak to your insurance for their requirements.

[@thedawg2023]

I have United Healthcare by Medicaid and it FULLY covers my machine thru my Cleveland Clinic doctor i got my Central Sleep Apnea studies and the machine's prescription from!

[@hessian1]

Do you know if a ResMed 11 Cpap can be programmed to be a Vpap ?? Or does one need to purchase a different model ?

[@RespShop]

A CPAP cannot be programmed to become a BIPAP. The Airsense 11 will only provide APAP, Elite, or APAP for her. You will need to look into the Aircurve models for VPAP. Thank you for watching! If you enjoyed our video, please don't forget to LIKE & SUBSCRIBE for weekly CPAP and Sleep related content.

[@soumendukumardas6063]

Sir,kindly suggest me , my doctor suggested auto CPAP for OSA for my wife. But she had admitted 3 months ago due to COPD. Which is suitable to purchase auto Bipap or Auto Cpap?

[@RespShop]

Hi, we suggest speaking to your doctor to see if your wife needs a BiPAP. BiPAP machines help lower the level of CO2 in COPD patients. Maybe your doctor doesn't think your wife's CO2 levels are high enough to need BiPAP so he/she just suggested auto CPAP for treating OSA.

[@iwolfdk]

I have sleep apnea and I have 16 time/h and before I was snoring loudly - dry mouth and insomnia

[@RespShop]

Thank you for watching! If you enjoyed our video, please don't forget to Like & Subscribe for more CPAP and Sleep related videos.

[@lonewolf9009]

Is it good for asthma

[@RespShop]

Hi! If you suspect that you may have sleep apnea which may be worsening your asthma, please speak to your doctor regarding testing for sleep apnea to see if you need a PAP device.

[@paulmckenna500]

I have COPD, which machine will help my condition best,

[@RespShop]

Hello Paul, You will need to speak to your Sleep Specialist about this. The best PAP device is determined by the findings off your sleep study and possible titration study. Thank you for watching! If you enjoyed our video, please do not forget to Like and Subscribe for more CPAP and Sleep related videos.

[@richardsimms251]

Good video!!!

[@RespShop]

Thank you for watching! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos!

[@ronaldgrimard9151]

My wife uses a trilogy by phillips its used because she has copd are the machines you’ve just showed similar to what she’s using? Thanks for the info

[@RespShop]

No, I am sorry! The Trilogy can be calibrated more finely than a BIPAP.

[@Yukonjackman1]

I'm getting a replacement device tomorrow from the recall process probably a dream something 2 no idea how it works, dr uped a setting just because she feels like it

[@RespShop]

Hello Gary, The machine should be set up for you. I would suggest calling your provider to bring in your machine to them so they can ensure it is set up for you.

[@trento8397]

It's very easy to turn it back down if you have resmed airsense just push the two buttons at the same time, menu and bottom button

[@MrTommyboy68]

I've had a bi pap for about 4 years now. Since my dog doesn't tell me I quit breathing at night. I did the sleep study and was surprised to find out just how often I stopped breathing (a lot they said). My only problem is I find myself fighting it during the night and wake up with the mask on the floor. This usually happens when I have one of my "falling dreams". Any thoughts as to why I am fighting this? I don't feel it is serious enough to waste my insurance companies money for an office visit. I only go to the doctor when I am dying (like when I got COVID.)

[@RespShop]

A burst of pressure can cause you to wake up from sleep, as your provider to take a look at your pressures and see if it needs to be dropped.

[@amyh9512]

I have a luna bipap. It doesn't work for me because the airway blockage occurs betwwen the exhale and the inhale. Bi paps wont deliver the higher pressure unless it detects that you have started inhaling air which im not doing. I also believe the laranx is causing the blockage and not the tongue. I assume that bipap is effective because very few patients have a blockage between the exhale and inhale. Am i right about that? The dr said for me to see a speech therapist for the laranx closing. I asked if asv miggt help sonce it works for central sleep apnea

[@RespShop]

Speaking to an ENT may be helpful in your case. If you enjoyed watching our video, please don't forget to Like and Subscribe for more Sleep and CPAP related videos!

[@SteveH-TN]

Fantastic information thanks for sharing

[@RespShop]

Thank you for watching we are glad to hear you enjoyed the video!

[@deje7086]

HELP, I use a bipap machine, in the last few months my score from my resmed 10 has shown my events at between 30 and 60 events per hour. Please tell me is it possible because my mask is leaking ? Prior to the mask causing a painful sore on my nose. I've tried every type of mask. Please advise could the high events be due to leaking ??

[@RespShop]

Sorry to hear you're have trouble with your BiPAP. Without seeing your sleep data, we can't tell if your high AHI is caused by poor mask seal. But it sounds like you've been struggling to find a mask that seals well so leak can definitely be the issue. Also, with such high numbers, your leak would likely be quite high as well. So you should definitely be able to hear your mask leak (and maybe even feel the air leaking out of the mask).

[@msm632]

I liked the video. Except he never went over the cost, like he stated in the beginning.

[@RespShop]

Visit out website for all the cost details at: www.respshop.com. Thank you for watching! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos and content.

[@kathyyoung1774]

Here is where it pays to shell out for good health insurance!

[@Rakasvlog987]

I have the same Bipap machine. But its not working now

[@RespShop]

We're sorry to hear that! If you would like to talk to someone on our medical staff, you can give us a call at 866-936-3754, or chat online with us at www.RespShop.com.

[@JC-pb4db]

How does the exp relief differ? Is it like a bipap in any way?

[@RespShop]

EPR has 3 settings (1,2,3) the higher the setting the more relief. It is relief on exhalation but different from BIPAP as BIPAP provides much relief with 2 pressures settings for IPAP and EPAP.

[@yazlaw1]

I have been using the Airsense 11 for a year but suffer from aerophagia. I heard that switching to Bipap would help, but my doctor won't allow it. He says if I struggle with using CAPA for 4 hours per night, then therapy isn't for me. Any advice anyone?

[@RespShop]

Have you asked your Dr to reduce the pressure on your CPAP machine and switch a full face mask in the mean time?

[@Sparkysings2]

I’ve been on CPAP for years but my Dr is saying I might have to go on a Bi-pap. Does it feel very much different from one to the other?

[@RespShop]

It will depend on the BIPAP model, there are different types. But if you are on a high pressure and having difficulty exhaling then yes, you will see a difference in therapy pressure and ease of breathing.

[@kathyyoung1774]

Not to me. I tried a CPAP unsuccessfully for 3 months before a second sleep study said BIPAP. The BIPAP does work better (I have central sleep apnea) for me, and I can still use the N20 nasal mask (I’m claustrophobic and can’t use whole face masks). I’ve adapted far better to the BIPAP. Best wishes!

[@Sparkysings2]

@@kathyyoung1774 thank you!

[@kathyyoung1774]

@@Sparkysings2 You're welcome. I hope it works well for you. I'm just grateful I wasn't born 100 years sooner when we didn't have these machines ... and lifesaving surgeries and chemo and X-rays and physical therapy and artificial joints, etc. We're blessed.

[@Sparkysings2]

@@kathyyoung1774 I’ve been in my dad for years because he refuses to wear one. Well he just had his 5th heart attack and 3rd stroke and he’s finally going to try it again.

[@abelgomes2250]

I have BiPAP from Resmed, don't know why it makes a funny noise. Can you tell me why

[@RespShop]

Are you able to take your machine into your providers for them to have a listen ? or can you explain what the noise sounds like ?

[@haventhebeast6050]

I recently got diagnosed with sleep apnea most likely to do with obesity and genetics being 385lbs, I'm not sure if I'm getting a CPAP or BIPAP yet though are there any ways to make it less difficult to sleep until I get a machine

[@RespShop]

You can try positional therapy. Sleeping elevated or on your side. Avoid certain things like alcohol and caffeine close to bed time. Increase physical activity during the day. Thank you for watching. If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos.

[@haventhebeast6050]

@@RespShop thank you very much for this advice I tried doing some of the tips that you advised and these actually helped a little bit

[@kathyyoung1774]

I had 2 sleep studies, one determining I need CPAP and a second when that didn’t work and I got a BIPAP for central sleep apnea. It’s worth getting the sleep study!

[@bonniefranklin6097]

I use a Bi-pap.

[@RespShop]

Great!

[@ajudygarlandfan3019]

Mine is the AirSense 10 is that APAP?

[@RespShop]

The Airsense 10 came out with 3 versions, Elite, APAP, and APAP for her. If you take a look at the serial number, the description of your CPAP will be noted there, this is found on the back of your CPAP. Thank you for watching! If you enjoyed our video, please don't forget to give us a Like and Subscribe for more CPAP and Sleep related content.

[@grh7399]

Hi Reuben, nice explanation. I've been a c-pap user for over 20 years and I've noticed sometimes ( not very often) I wake up coughing, wondering if I've been holding my breath and not breathing normally. It's kind of scary when it happens and I use the humidifier with distilled water filled to the proper line. Sometimes I'll even add 2 drops of euclyliptus oil to the water to open my nasal passages. Do you think I'm holding my breath? My setting is 12/8.

[@RespShop]

We do not recommend adding anything to your water chamber except distilled water! Discontinue adding oils immediately. Any sort of essential oils can cause serious pulmonary damage and long lasting respiratory issues. This may be why you're still coughing. Some essential oils also break down plastic and create toxins, this is why most essential oils are sold in glass bottles. Increase your humidifier and purchase a heated tube, if you are not using a full face mask you can try this. If you machine is showing a well treated the cough isnt from holding your breathe but something you should speak to your DR about.

[@grh7399]

@@RespShop what about using a vicks inhaler before putting your mask on? Thanks Reuben

[@Mike-hb4pc]

@@grh7399 I don't know about Vicks, but my doctor prescribed 'Symbicort'. It's a little 'puffer' bottle that you shoot down your throat. I use it twice a day. What it does is open the airways for easier breathing. I think it is a kind of steroid that helps to repair the tissue and stuff too.

[@grh7399]

@@Mike-hb4pc Thank You Mike

[@valeriemusick9129]

I was diagnosed with Sleep apnea about 5 years ago, I couldn't handle the mask. I am trying it again and I filled up with air I was so bloated after a couple hours. What is an alternative?

[@okieking8503]

56 episodes an hr. 78% o2. I'm waiting on mine

[@RespShop]

Thank you for watching. Hope you get your machine soon! Those are some alarming numbers.

[@doug7745]

Does it work on central sleep apnea?

[@RespShop]

Hello Doug, complex sleep apnea should be discussed with your sleep specialist. Most complex sleep apneas require a sleep titration study at the sleep lab which will then advise which BI Level device will be used as there are different functions with each machine, depending on the complexity. Thank you for watching! If you enjoyed our video please don't forget to Like and Subscribe for more CPAP and Sleep related content.

[@doug7745]

@@RespShop Thank you. I have done the titration study ( very uncomfortable) . Still waiting for the results.

[@kathyyoung1774]

Yes. I have central sleep apnea and needed a BIPAP after 2 sleep studies. Went from 40 events to less than 5.

[@francishubertovasquez2139]

That APAP machine Automatic Positive Airway Pressure, the arbiter between Manual CPAP Continuous Positive Airway Pressure the Automatic CPAP only that it can adjust the level of air for optimal breathing. That can be a high value item with a semi- ventilator type airflow adjustment.

[@williamjohnson9815]

Is the AirSense11 a BIPAP machine?

[@RespShop]

The Airsense 11 is a CPAP machine. We hope you enjoyed watching our videos, please do not forget to Like and Subscribe for more CPAP and Sleep apnea related videos.

[@nick4leader]

From what I've heard from my supplier ResMed usually takes a couple of years after the airsense to release the aircurve which is the BiPAP

[@francishubertovasquez2139]

Are there machine that can shift assist which either aortic or carotid chemoreceptors are on the play according to their functionality as respiratory assistive chemoreceptors because if aortic, the health of blood vessel should be considered if aneurectic, clogged or with aortic congenitality and if carotid pressure the tachycardia due to other factors, if not mechanical ventilator yet, if not unless portable vent, but if no portable vent, can the spinal innervations to periphery be rerouted to brain signallings for spinal injuries, of course the fiber connectivities in mind, but what if the brain waves for nerve effects be red by lower peripherals by the implanted device synched to neuropathic nerves or the periphery as brain waves or brain signal reader bypassing injured nerve fibers coz when the nerves works, the muscle works, the oxygen and carbon dioxide comes in maybe that works as long as no severe paraphlegia, sorry for thinking deeply, I come to think if there's a problem there's a polarized solution.

[@RespShop]

Thank you for your insight! Sorry, but this is way over our heads. I'm afraid we don't know the answer to your question. We're sleep and respiratory therapists here and don't have the medical training to answer your question. I think you'll need to consult a sleep doctor, or a neurologist who also specializes in sleep medicine.

[@titaniumman_22]

I use a bipap due to central sleep apnea. Meaning my brain doesn’t tell me when to breathe.

[@johngray6379]

try up to 90 times per hour

[@RespShop]

Glad to hear you are using a PAP device to treat your severe sleep apnea.

[@rzelaya2283]

Can’t get any sleep with a c-pap and feel like I’m choking n wake up. 🤷🏻‍♀️

[@RespShop]

We are sorry to hear you are struggling with your CPAP machine. We suggest contacting your DME or sleep Dr to see if they can review your CPAP compliance report and make some changes to assist with your symptoms.

[@edwardlewis7859]

You talk up the machine, but never address the mask and its adjustments, etc. Since ResMed has gone to the "New and Improved" masks that use supposedly adjustable straps. The straps have little sharp attachments to connect them to the straps underneath. I find that they routinely come loose, allowing them to scrape and injure the sides of your forehead, neck and jaw. One area of my chin was damaged tothe point I had to have to go to a Doctor. I would take the old rubber flaps on the mask any day. Of course they suddenly weren't available when the new foam maska came out a couple of years ago.

[@RespShop]

We have other videos addressing masks and use of menus on machines etc. If it was all on one video sadly, it would be too long. This is the first I have ever heard of a mask being too sharp and causing injury such as scrapes and damage to the chin. Feel free to share the name of the mask and we can look into it. Could it have been possible it was the Velcro scratching you and due to wearing the mask too tight you developed pressure sores ?

[@rickibaron4816]

Am I missing something? The machine on the left side of the screen (the white one) looks exactly like my CPAP machine. Why are you calling the machine BIPAP machine? I have been using it for a few years now, but still struggle every night to get used to this machine being on my face. Some times it can take me an hour or more to finally get to sleep with CPAP machine. Since I no longer have a doctor I have no one to talk to. Besides this seems more like an advertisement. I find myself trying to get a little sleep during the day without any machine at all and I fall asleep very fast(with in a few minutes, sometimes less).

[@RespShop]

Hello Ricki, I am sorry if the video confused you, the machine on the right is (silver) and it is a BIPAP machine, the Airsense 10/Aircurve 10 look the same but come in different colors and function different. The machine on the left (half black/half white) is the airsnese 11 and it is a CPAP. The video caption states "CPAP vs BIPAP", video is advising the diffrence between the 2 machines. Hope this resolves the confusion.

[@kathyyoung1774]

It looks exactly like my BIPAP machine.

[@DonLuc23]

This could have been very informative, however the back ground music is terribly annoying and the pitch is so close to your pitch that it makes it very difficult to hear what you say

[@RespShop]

Thank you for your Feedback!

[@trento8397]

Up to 30 times per hour ? Wrong!! Mine on average 68 times per hour

[@RespShop]

Thank you for watching! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos!

[@kathyyoung1774]

Everybody is different.

[@truthhurts5158]

49 times an hour for me

[@RespShop]

WOW! Thanks for sharing.

[@aimgorge]

5 to 30 times per hour? I was at 93 before being treated 😂

[@RespShop]

Wow! That is sever sleep apnea, glad to hear you are being treated!

[@aimgorge]

@@RespShop still having trouble with central apnea :( Generally around 5 AHI but sometimes up to 20 AHI :(

[@robcemento9605]

Resumed 10. 6 years of faithfully service!

[@RespShop]

Thank you for sharing!

[@samrodriguez9864]

Ahh try 110 time an hr .

[@RespShop]

wow! Thanks for sharing!

[@sportsfan205]

You forgot to tell people that they have a modem in them that the company monitor you and the company don't usually tell the patient either and if you miss a couple days the insurance won't pay it is a racket that all above are into, happened to my grandson, I don't trust resmed worth a crap but am stuck with one.

[@RespShop]

Hello Dave, Modems within machines should be mentioned by your provider. Our review of each machine video mentions this. Both CPAP and BIPAP machines have the option to come with and without modems. Modems help with compliance download and provide Dr's/providers information on whether a patient is compliant and being well treated. Most insurance providers require their customers to be 80% compliant, below that I assume they do not want to fund a machine one is not utilizing. If you are willing to pay out of pocket for your machine you can then disable the modem. Something to discuss with your provider if you are unhappy with being monitored.

[@kathyyoung1774]

They told me!!! And since it was hard to get used to at first, I used the machine while awake if I didn’t manage the 4 hour minimum while asleep for the 3 required months the insurance company monitored. I had a hard time getting used to it. There was no secret involved. I was reminded to BE SURE to use it at least 4 hours a night during that trial period. Your trainer was at fault. That info also goes to my doctor so she can evaluate what changes I might need. Even my doctor reminded me to be sure to use it at least 4 hours a night so insurance would pay for it.