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Dave Hargett
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- Bolingbrook, IL
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Good Sense of Humor about CPAP
Replied Sep. 30, 2009
Sleep 2010 in San Antonio
Replied Sep. 25, 2009
Dave Hargett's Page
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Well, even on my very first sleep study back in 1994, I got a good education from the tech who was hooking me up and I've observed that happening with techs at other labs. But given the way we're hooked up, that might not count as "face to face"!
L…
There were more than 17 comments this afternoon when I read the article. Be sure you click to see ALL comments, not just the latest three.
Dave
Keep in mind that this is a medical meeting that is a heavy duty paid registration. I've attended for years because I've helped work at the American Sleep Apnea Association exhibit booth, but to fully attend can cost up to $400 (meetings and exhibit…
Susan,
I'm not sure what was going on that they didn't titrate you more fully in the lab, but I suspect your discomfort and "lack of air" at 4-5 hours of sleep signals that your pressure is not high enough to control your apneas while you're hittin…
I've been on CPAP for 15 years almost. I think I'm basically still at the same weight. I tend to lose weight only if I really concentrate on my diet, watching what I eat. I've bounced up and down over the years, due to diet and exercise. I don't bel…
I like # 6, particularly the mention of A.W.A.K.E. groups. I've led two A.W.A.K.E. groups for years and am the Past Chairman of the American Sleep Apnea Association which fosters the A.W.A.K.E. Network. This is a good place for those who are not int…
Ron,
Part of the issue is the generic "doctors" term. The avergage primary care physician has little or no training on sleep medicine during medical school, probably no more than 2-3 hours according to research. I've educated my primary physician t…
I started on CPAP in the fall of 94. I had a minor pressure "tweak" from my sleep doc in 1997 when I lost some weight and we just did it by experiment, first dropping from 13 to 10 and then going back to 12 when I fell asleep the first afternoon aft…
If you have sleep apnea it is VERY important that you understand your situation and that your doctors understand your situation with regard to apnea and any sedation.
The American Sleep Apnea Association has two publications (which I helped write)…
Over the years, the US standards have changed. I'm severe at 82 and always have been, but when I was first diagnosed back in the 1990's, the standard was 50 for severe. As we've learned more about sleep apnea the parameters have changed a bit.
With…
Hearing/Reading the word apnea in the Congress is a rarity, so this is at least a minimal step in speaking the words. Now all of us should write our congress persons to support the resolution and urge them to consider additional funding to support a…
Profile Information
- My Interest in Sleep Apnea
- I have Sleep Apnea, Other
- Treatment Being Used, if any
- CPAP
- If Machine Being Used, What Type? (e.g., Respironics M Series with A-Flex Auto-Adjusting CPAP)
- Respironics M Series CPAP (flex and ramp not used)
- If Mask Being Used, What Type? (e.g., ResMed Activa Nasal Mask)
- ResMed Activa Nasal Mask
Comment Wall (4 comments)
- At 7:54pm on May 17, 2009,
Judy said…
- Ha! So you don't think there's any chemistry gonna help me, eh? *giggle* Thanks, Dave I do appreciate it. I see Dr Fernando Martinez in pulmonary every now and again and HE is WONDERFUL. But - I don't know anyone in sleep there. *sigh*
- At 7:27pm on May 17, 2009,
Judy said…
- Thanks, Dave. I'm in the Flint, Saginaw, Lansing triangle but I am also taking part in a couple of COPD research trials at U of M in Ann Arbor (near Detroit).
- At 4:34pm on May 17, 2009,
Judy said…
- Hey, Dave,
Mike suggested I ask you if you knew of any "outstanding" sleep doctors in Michigan. I have COPD. But as much as the sleep doctor knowing his sleep stuff I want a sleep doctor I can TALK to, one who is willing to take the time to answer questions. Do you know of any such scions of virtue in Michigan??? You know, the old "good bedside manner" bit as well as good sleep expertise.
- At 5:54pm on April 7, 2009,
sleepycarol said… - Welcome to the forum!!
We are glad you joined. You will find informative information about sleep apnea, treatment options, and other information to help enhance your sleep.
If you are fairly new to the world of sleep apnea, please check out the new users group and the collective wisdom section. In those groups you will find informative discussions that maybe of interest to you.
If you have been around the world of sleep apnea for a while, we hope you still find the site informative and of interest.
Please feel free to share your thoughs, ideas, comments, questions, etc.
Again, Welcome to the forum!!
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I do not just love him. I think he makes sleep look sexy!
Yeah, well, jnk is one sharp cookie for all his protestations he is "only" a patient!! And his comment planted the question in my head. Blame him!! Dontcha just love that guy??
I thought jnk had me for a minute. great question Judy.
I know. I rather like it too. *wicked grin* Doggone jnk is just too darn level headed.
The two major manufacturers have similar "comfort features" but use somewhat different terminology. Since determining the settings for these "comfort features" require that the patient be sleeping how on earth is the local DME RRT going to come up w…
You could very well be right jnk. I have never been in this situation. Those settings are hardly ever discussed.
It would all depend on what the minimum maximum window is Judy. Maybe I am missing something on this one as I do not fully understand your question.
In general Carol, steve is right. Your case and many others prove the need to treat the pt rather than the rule.
Keep them coming guys! Thank you so much Judy. Ask anything you want. It does not matter if it is on the test or not. Put me in any situation you like as I am bound to answer based on the same set of rules.
This would be a question of protocol. For which I would refer first to my P&P. Which I do not to believe to have a policy on these types of comfort adjustments. Which would leave to clinical judgement. Clinical judgement tells me that I can adjust f…
Judy thats evil.....I like it
very timely welcome to the forum
Wishing all the success for your trial ordeal exam i am confident you will breeze it
You are titrating a patient on bi-level. The patient has slept well and you've found what seems to be the IPAP and EPAP needed for this patient. The patient has COPD. Can you adjust for Rise Time, Ti Maximum and Ti Minimum, Exhalation, Trigger and C…
(((hugs))), Rock Hinkle. Youse our hero!
Hey DW ~
Great hearing from Brandon. Please tell him from me that I'm glad he asked in and that I think he's amazing - way ahead of his time -- the wave of the future. And would you also tell him that I hope he keeps voicing his ideas about everyth…
If anyone would like to help me study this week PM me your email. i will send you questions to post on SG.
Do you mean where they go, or why they are used? The first thing that I am going to do is draw out the complete 10/20 when I walk into the room.
there is a couple questions about t3-t4- placement
No cramming the night before. My brother has a day of fun planned for me that will end with an early night. I will however cram through Tuesday with my family doing a comprehensive review at dinner on Wed. The only thing I will look over on Friday m…
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