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running a breathing machine in a sleeper berth, 300 nights a year
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The equipment company that set me up was great about the machine, but they'd never been in a Peterbilt sleeper. Nobody told me how to run this thing on the road. So I figured it out, mostly the hard way, and other drivers have written in with what works for them. Here's all of it. Your machine and your truck may be different, so check with your own equipment company before you go rewiring anything.

1. POWER

Your CPAP runs on regular house current. Your truck runs on 12 volts. So you need a power inverter, which turns the truck's 12 volts into household current you can plug into.

* Find out what your machine draws. Call your equipment company or look on the label on the bottom. The humidifier heater pulls a lot more than the machine itself. Get an inverter rated well above what the two together need. Mine is a 400-watt unit and it's never so much as blinked.

* Wire it right. A little inverter that plugs into the cigarette lighter might not cut it, especially with the humidifier. Mine is wired straight to the batteries with its own fuse. The shop at our terminal did it in an hour. If you're not handy with wiring, get it done by somebody who is. A melted cord in a sleeper is no joke.

* Ask about a 12-volt cord. Some machines can be run off a 12-volt cord made for them. Ask your supplier if yours can.

* Watch your batteries. If you're shut down all night, a CPAP plus a heated humidifier will pull your batteries down some. I get through a night fine, but I don't run the TV and the coffee pot off the same inverter at the same time. If you're worried, get an inverter that shuts itself off before your batteries go too low to start the truck.

* Carry a spare fuse. Ask me how I know.

2. DISTILLED WATER

If you use a humidifier, you're supposed to fill it with distilled water, not tap water. Tap water leaves minerals that crust up the tank. Most truck stops sell distilled water by the gallon now, usually in the aisle with the antifreeze and the windshield fluid, and grocery stores always have it, cheaper. I keep two gallons in the side box and buy more when I'm down to one. A gallon lasts me about a week.

Don't leave yesterday's water sitting in the tank. Dump it in the morning, let the tank dry, and fill it fresh at night.

3. KEEPING IT CLEAN

A truck is dusty, and a dirty mask is a good way to catch a cold or worse. Here's my routine. Your equipment company will give you theirs, and theirs wins.

* Every morning: wipe the mask cushion with a damp washcloth and a drop of mild dish soap, rinse it, and let it air dry. Dump the humidifier water.

* Once a week: on my weekend at home, or in a truck stop shower if I'm out, I wash the mask, the hose and the humidifier tank in warm soapy water, rinse them good, and hang the hose over the shower rod to drip dry. A wet hose that's coiled up in a bag gets nasty fast.

* The filter: check it every week or two. A truck gets a lot more dust than a bedroom. Mine needs changing more often on the road than the book says.

* Keep spares: an extra mask cushion, an extra set of headgear straps, an extra filter. Straps stretch out and cushions crack, and it's always on a Saturday night in Wyoming.

4. A COLD CAB

Winter in a sleeper is where I learned the most. When the cab gets cold, the warm wet air from the humidifier cools off in the hose and turns back into water. You wake up with a gurgle in your hose and water spitting in your nose. The equipment man called that "rainout." I called it something else.

* Run the hose under your blanket so it stays warm.

* Or slide the hose inside an old tube sock or two. Sheryl sewed a few together into a long sleeve for me. Looks silly. Works great.

* Turn the humidifier down a notch on cold nights.

* Set the machine lower than your head, so any water runs back toward the machine and not toward your face.

* If you're going to leave the truck shut down somewhere freezing, empty the water out first so it doesn't freeze and crack the tank, and let the machine warm up before you run it again.

5. EVERYTHING ELSE

* Find it a home. I put a little rubber shelf liner down on the sleeper shelf so the machine doesn't slide around, and a bungee cord across it when I'm rolling.

* Wear it for naps. All of them. Even a twenty-minute nap at the dock. If you nap without it, you're napping with apnea.

* Motels: carry a six-foot extension cord. The outlet is always behind the bed.

* Paperwork: keep a copy of your prescription and your equipment company's number in the glove box. If your machine quits in Nevada, you'll want to call somebody who knows what you've got.

* The guys will rib you. Let them. I got called Darth Vader on the CB for about a month. Then two of the guys who laughed the hardest asked me, quiet like, where I'd had my sleep study done.

NOTES FROM OTHER DRIVERS
by handle, the way we know each other. E-mail me yours and I'll add it.

"Lady Kenworth," team driver with her husband, out of Oklahoma
We run team, so I sleep while he drives. With the truck moving, the bunk bounces and my mask used to slip and leak. I tightened the bottom straps a little and switched to a mask with a forehead rest, and it stays put now. Also, ladies, you can get sleep apnea too. I didn't believe my doctor either.
"Ozark Mule," Arkansas, dry van
I fought the machine for six months. Took it off every night, told my doctor I was wearing it. Then I fell asleep at a fuel island with the nozzle in my hand. Now I wear it every night. Don't be a mule. Well, be a mule about everything else.
"Cornbread," Alabama, reefer
Distilled water at the grocery store is half what the truck stop charges. Buy it at home and carry it. Also, if your nose stuffs up on the road, tell your doctor, there's things they can do. Stuffy nose and a nose mask don't mix.
"Silver Fox," Missouri, 41 years driving
Diagnosed at 59. I'm 61 now. I've been tired since Nixon. Every young driver who reads this page, go get checked now, not when you're my age. I'd give a lot to have those years back rested.
"Dutchman," Pennsylvania, flatbed
I made a little wooden box with a hinged lid for my machine so it doesn't get dusty when I'm tarping and the doors are open all day. Drilled a hole in the side for the hose. Wife says it looks like a birdhouse. It's a CPAP house.
"Gravel Gertie," owner-operator, Nebraska
Bart's right about the tube sock. I'll add one more thing: on hot summer nights in the South, a little battery fan pointed at your face makes the mask a lot easier to stand. And don't idle all night just for the air if you can help it. Some places have rules about idling now, so know where you're parked.

ONE MORE TIME

None of these tricks matter if the machine sits in the bag. Wear it every night. Wear it for naps. If it bothers you, call your equipment company or your sleep doctor and get it fixed. Don't quit. Your family wants you home, and so do the folks in the minivan.

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Last updated Wednesday, September 22, 1999
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