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Dang! I go soooooo aggrivated when I type up a reply and it doesn't get posted!!!! I don't even fully remember all I commented on and am too aggrivated to go back thru all 5 pages of the reports and comment again! Grrrrrrr!
Basically, maybe he scripted 9 cms instead of 11 cms because you spent considerably more time at 9 cms than at 11 cms and maybe percentage-wise you did better at 9 cms than 11 cms. He didn't seem at all impressed w/the mask you used during the study aand maybe he felt you had too high a leak rate at 11 cms and that might have skewed the results a bit. Just a fellow patient's guesses. I'm no medical or sleep professional!!
How refreshing that he so willingly scripted the Resmed S8 AutoSet II w/o batting an eye!!!! I thought a time or two of driving out to Denver and Nat'l Jewish. Maybe I should have. You can't do much better than Nat'l Jewish except PERHAPS for Stanford.
My DME just called.
I had it easy with the doc...now I am in for the REAL WORK. The DME did not have an order for the new machine just the pressure change. geeeze. Why does is always have to be so hard? Well...I am ready for the fight! :>D
Judy said:Dang! I go soooooo aggrivated when I type up a reply and it doesn't get posted!!!! I don't even fully remember all I commented on and am too aggrivated to go back thru all 5 pages of the reports and comment again! Grrrrrrr!
Basically, maybe he scripted 9 cms instead of 11 cms because you spent considerably more time at 9 cms than at 11 cms and maybe percentage-wise you did better at 9 cms than 11 cms. He didn't seem at all impressed w/the mask you used during the study aand maybe he felt you had too high a leak rate at 11 cms and that might have skewed the results a bit. Just a fellow patient's guesses. I'm no medical or sleep professional!!
How refreshing that he so willingly scripted the Resmed S8 AutoSet II w/o batting an eye!!!! I thought a time or two of driving out to Denver and Nat'l Jewish. Maybe I should have. You can't do much better than Nat'l Jewish except PERHAPS for Stanford.
You did say you have a copy of your script in hand, right? To rub the DME supplier's nose in? Let them know that less than the truth isn't exactly appreciated by you, eh.
Hi there....Sorry to hear you are having some difficulties. Regarding the machine: ResMed is one of the best brands out there. However, you do not necessarily need an autotitrate unit. I just had a patient in today that had an autotitrate and had to change it to CPAP mode in order to adjust to using it. The physician I work with is not a fan of autotitrates unless the sleep lab was unable to adequately titrate the patient during the study. Often a patient will try an autotitrate temporarily to desensitize. You should do just as well with the S8 Elite II--it has the same data capability and EPR (expiratory pressure release) as the auto. The EPR can be very helpful for those who do have trouble with the exhalation part. You want to make sure it is set at 3 to get the maximum benefit of EPR.
As far as your study numbers, which would you like to understand? I don't know what all of them mean, but I do know which ones are important for determining your therapy. I looked over your study pages, specifically the one that shows your titration numbers. What I notice is that the tech did not leave the pressure set long enough at some levels. It often takes the body more time to adjust to the pressure, so changing the pressure too rapidly does not give us adequate information. Also, I notice that they increase the pressure in increments of 2. Not sure why they did that. It looks like you could do well anywhere between 7 and 11 cm. I am on 8cm, but they didn't try any even numbers in your study! What the docs look at is at what pressure did you sleep the most time with the least amount of apneas/hypopneas. Sometimes not all apneas can be eliminated, so they choose the pressure that did the best. However, choosing a pressure also involves the doctor's experience. The doctor I work with would either have you repeat that titration or try different pressures and test your nocturnal oxygen saturation at each pressure at home. My guess is the doctor dropped your pressure to 9 to make it easier to exhale, knowing that you did fine at 9cm in the study anyway.
I hope that helps. I would be happy to answer other questions or explain myself better if you need more help!
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