In trouble at Sleep Doc

[Midnight Strangler]

DIRECT impact on your hormones, including leptin, ghrelin, thyroid, and INSULIN

Sure, and I imagine also testosterone and maybe a lot more -

http://users.rcn.com/jkimball.ma.ultran ... Table.html

[TyroneShoes]

Sounds like there is one more change you should make...

New sleep doc

[chunkyfrog]

Sounds like there is one more change you should make...

New sleep doc

--First change I would have made!
This is likely the reason I have good doctors--all the lousy ones were replaced!

[bwexler]

If my docs aren't friendly and cooperative, they don't stay my doc very long.
For 30 years I went without insurance and without doctors for over 30 years. Then I found a medical facility I trusted and went in for a comprehensive physical (4 days not cheap) paid out of pocket for me and the wife. Went back a few years later and they discovered cancer which they also took care of. Still paid out of pocket. Still cancer free today. Then came Medicare and dealing with ordinary doctors. First couple not so hot.
Then I happened onto a world renowned cardiologist and head of integrative medicine at Scripps Green hospital in La Jolla. Once again I found my kind of doctor. But all good things come to an end. First my Medicare Advantage plan said no more out of network payments. Then we moved and changed Advantage plans and no out of network specialist again. Then the doc announced she is going into research and will no longer see patients. All this in a 2 month period.
Back to the drawing board. I found a young DO with a nice bedside manner and very cooperative. Plus, he happens to be very good at fixing old folks aches and pains. So when I get old I will be all set. HaHa
If a doctor doesn't do what I ask or provide a reasonable explanation why not, he doesn't stay my doc very long.

Recommendation for th OP, do your research, adjust your settings to your liking and have a clear conversation with the doc. Work together as a team or say goodbye.

[Janknitz]

I had a new doctor for a week. He was a certified jerk. He is no longer my doctor. The good news is that I think I won this round of doctor roulette. I am impressed with my new doctor (and that's saying a lot as I'm not easily impressed by doctors).

[archangle]

This is what I have found so far that supports his position: http://journal.publications.chestnet.or ... 8#Abstract

Pugsy said it more politely, but the idiots are comparing properly titrated CPAP to untitrated APAP.

Where's the facepalm icon?

[ChicagoGranny]

This is what I have found so far that supports his position: http://journal.publications.chestnet.or ... 8#Abstract

Pugsy said it more politely, but the idiots are comparing properly titrated CPAP to untitrated APAP.

Where's the facepalm icon?

Yes.

[lytepole]

I've got a bunch more studies to review on this over the weekend (straight CPAP vs APAP) and will be interested to see if all the APAP machines for the studies were set from 4-15. If anyone is interested, I will share what I find. If not, I won't type it all up.

I may have some questions about what some of it means though, so I'm hoping those that are more up on the technical stuff will help me make sense of stuff I have questions on

[bwexler]

Every APAP machine can be set in CPAP mode, but CPAP can not be set in APAP mode.
Which machine to get should be a no brainier, especially if insurance is paying.

You can't turn a sows ear into a silk purse.

[lytepole]

Every APAP machine can be set in CPAP mode, but CPAP can not be set in APAP mode.
Which machine to get should be a no brainier, especially if insurance is paying.

You can't turn a sows ear into a silk purse.

My research is due to some comments my sleep doc made that studies show that patients on APAP do not get the cardiovascular improvement that patients on straight CPAP get.

I'm with you, if insurance is paying, get the APAP - best to ensure you have the all the functionality and data you MAY need.

BUT, I want to understand what the studies really DO show and if they apply to me.

[ChicagoGranny]

if insurance is paying, get the APAP

Even if you are paying, get the APAP. The price difference is small.

[chunkyfrog]

+1000
Every apap can be used in cpap mode, so the only difference is the option of using a range for comfort,
or skipping needless $leep $tudies --maybe that's why there is opposition--no kickbacks!
And that would explain why the use of a wide, marginally therapeutic pressure range.