"please keep me updated about oximeters "
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I can't get my Dr's to consider the fact that I have Csa.My sleep studies have always been unimpressive.The Dr has recently ordred a CPap study to focus on centrals,but the insurance co. has sent back the request and is asking what machine I am on.I have tried every type of therapy pressure and mask.sounds like I need the ASV.My face stays red and my head hurts all the time,I wake up fatigued every day.Thia is a miserable existence,I can't even hold down a job in this condition.Sound familiar?
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Replies to This Discussion
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Permalink Reply by Mary Z on
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Robert, I see you are on a BiLevel machine. Unless your sleep study has shown an inordinate amount of centrals (most of us have some) they do not need to be treated with ASV. If your sleep studies have been unimpressive you need that sleep study to focus on looking for central apnea. There is no other way to know. Obvioussly if you are not getting postive results from your therapy something needs to change. Good luck, it's tough being miserable while on therapy. Are you using your machine all night, every night?
Perhaps your doc needs to be more assertive with the insurance company.
Good Luck.
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Permalink Reply by robert scott boyd on
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@ Mary,all night,every night.I have tried every pressure in Cpap,Bipap,and Auto Bi pap and can't even get a solid 15 min of sleep without tossing and turning,I think each time I have an event,I get restless.The machine is saying that my AHI is under 2.But,when I wake I feel it would be in the severe range.thx
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Robert, you need to talk to your doctor. If you don't like the one you have now, find another one. If you're not sleeping at night of course you feel bad in the morning, but that doesn't mean your OSA is severe. Are you using your machine all night, every night? You may need a sleeping pill or mild sedative to get you over this hump of not sleeping.
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No
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I have the phillips respironics bipap.Should I try ramp on bilevel or cpap and how do you set it?
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And is the cflex or biflex setting the pressure relief?
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On the auto bipap setting there is Max Ip,Min Ep,and PS ;I don't know what PS stands for.
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Robert, you need to read the users manual and the clinicians manual.
robert scott boyd said:On the auto bipap setting there is Max Ip,Min Ep,and PS ;I don't know what PS stands for.
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Permalink Reply by RockRpsgt on
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Yes you are correct. I do not believe that you need either of these options. Sometimes the ramp can cause problems by not eliminating onset events. Given the fact that you believe your events are central in nature I would not suggest changing your settings on your own. CSA is a fickle disorder. Not having your machine dialed in by a tech or doc could cause your severity to go up.
Has your doc attempted to use night oxygen to help with the CSA? We have had really good luck with a PAP O2 combination at our lab.
robert scott boyd said:And is the cflex or biflex setting the pressure relief?
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I have the o2 set at 2,Still feel the same,with or without.
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Keep up the good communication with your doc. It sounds like he is on the right track. Did I understand it correctly that you are getting ready to have another study?
Things that I would discuss with your doc:
Bpap St
ASV
Possibly raising your o2(Plz discuss this before doing it on your own.)
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