I am against self dosing without the advise of your doc or worse advising someone else on their settings when you are not the doc. I think I have been very consistent about this.
| Machine: M Series Auto CPAP with A-Flex | ||||
| Mask: FlexiFit HC431 Full Face CPAP Mask with Headgear | ||||
| Humidifier: HC150 Heated Humidifier with hose, 2 chambers and stand | ||||
| Software: Encore Pro Smart Card | ||||
| Additional Comments: CPAP Auto with Max/Min = 8, CMS50-F Oximeter, EncorePro, MyCPAP card utility, Excel Charting/Analyses Spreadsheet | ||||
leejgbt wrote:Mars,
You stated that you monitor your therapy in conjunction with your doc, correct? This is what I advocate. If your doc wants you to adjust your settings I'm all for it. I am against self dosing without the advise of your doc or worse advising someone else on their settings when you are not the doc. I think I have been very consistent about this.
Credentials are brought up a lot on this site and I find this interesting given the hostility towards the professionals. My question is would it make a difference as to whether you would heed the advice given? I agree with autpapdude on this one as people's minds are already made up. Your opinion just lets everyone know what camp you are in creditials or not.
People here do like to be educated so my goal is to provide data. Then you can make up your own minds. You already know my opinions.

Slinky wrote:
Aw, Rooster, you are soooo baaaaaaad!![]()
| Machine: M Series Auto CPAP with A-Flex | ||||
| Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear | ||||
| Software: Encore Pro Smart Card | ||||
| Additional Comments: M Series Integrated Humidifier | ||||

| Machine: M Series Auto CPAP with A-Flex | ||||
| Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear | ||||
| Software: Encore Pro Smart Card | ||||
| Additional Comments: M Series Integrated Humidifier | ||||
Slinky wrote:Here's another good laugh for you. They give you a local anesthetic in the throat before the FNA. So I told them I was on a bi-level PAP for OSA and asked did they need to examine it before. They said I wouldn't need it. Say what? Apnea is a closing off of the throat due to the muscles relaxing during sleep and/or the tongue dropping back in the throat. The throat and tongue muscles won't be relaxed as a result of the local anesthetic in the throat???? I'm taking my VPAP Auto - JUST IN CASE.
| Machine: S8 Elite II CPAP Machine | ||||
| Mask: Mirage Quattro Full Face CPAP Mask with Headgear | ||||
| Humidifier: Humidaire H4i Heated Humidifier | ||||
| Software: ResScan Version 3.7 Software | ||||
| Additional Comments: 15 cm-H2O | ||||
leejgbt wrote:Mars,
You stated that you monitor your therapy in conjunction with your doc, correct? This is what I advocate. If your doc wants you to adjust your settings I'm all for it. I am against self dosing without the advise of your doc or worse advising someone else on their settings when you are not the doc. I think I have been very consistent about this.
Credentials are brought up a lot on this site and I find this interesting given the hostility towards the professionals. My question is would it make a difference as to whether you would heed the advice given? I agree with autpapdude on this one as people's minds are already made up. Your opinion just lets everyone know what camp you are in creditials or not.
People here do like to be educated so my goal is to provide data. Then you can make up your own minds. You already know my opinions.
| Machine: Sandman Auto HC CPAP Machine with Built In Heated Humidifier | ||||
| Mask: Mirage Quattro Full Face CPAP Mask with Headgear | ||||
| Additional Comments: Sandman Software 1.4....and....CMS-60D Pulse Oximeter....and....Euky Bear Vapouriser.....and.....Resmed Hose Cover | ||||
Guest wrote:Yes Kira - you're right once again with your idiotic 'paint everyone with the same brush' statements regarding how useless DMEs are. Get a clue. With your know-it-all attitude I'm not surprised your DME didn't want to initiate contact with you lol. Yikes.
Guest wrote: Keep up the DME bashing. You assume there is some type of golden DME behavior book that, magically, everyone will follow to your liking - or else. You act like all DMEs are the same. When in God's name are you simply going to realize that, like all businesses, some suck and some excel. MOVE ON!
Guest wrote: If you want to take your own treatment into your own hands, go ahead! Self-titrate until you're blue in the face for all I care. Wrap moleskin and panty hose around your face. Leejgbt is correct - for the anal-retentive person that likes to tweak his AHI from 1.4 to 1.6 using software, that is fine. All you get from online companies is a cheap price, distorting the real cost of this therapy. No one will follow up with your doctor or worry about your other side health issues. People that work with their doctor and DME have higher compliance rates.
| Machine: BiPAP Auto SV | ||||
| Mask: ComfortLite 2 Cushion and Nasal Pillow CPAP Mask With Headgear | ||||
| Humidifier: REMstar Heated Humidifier | ||||
| Software: EncoreViewer v1.0 Software for Respironics M Series and REMstar Machines | ||||
| Additional Comments: Got my Beastie 28 Oct 2008. PadaCheek. CL2 Direct Seal. St. Bernard Brandy Keg Chin Support. Headrest for Summer Mask | ||||
leejgbt wrote:Two points to make:
I will attempt to have a "guest" RT give the risks of changing pressures without the advice of a sleep doc. Some of the negative outcomes, etc.
It is against FDA regulations for DME companies to change settings without an order. It is ill advised for the patient to do the same, but not illegal. The people here that change their settings I hope are doing this in conjunction with a sleep physician. Would you change your blood pressure med dosage without getting your doc's opinion? Would you know all the risks? If you feel better afterwards does it make you right or just lucky?
curious2 wrote:I believe I recall a study years ago in which OSA patients were allowed to adjust the pressure settings of their CPAPs up or down based on how they felt they were doing, and actually did quite well in fine tuning the titration. And, that was without the benefit of recording APAPs and software...
rested gal wrote:curious2 wrote:I believe I recall a study years ago in which OSA patients were allowed to adjust the pressure settings of their CPAPs up or down based on how they felt they were doing, and actually did quite well in fine tuning the titration. And, that was without the benefit of recording APAPs and software...
You recall correctly.![]()
Link to a study that concluded, "yes."
"Can Patients with Obstructive Sleep Apnea Titrate Their Own Continuous Positive Airway Pressure?"
http://ajrccm.atsjournals.org/cgi/reprint/167/5/716
Return to CPAP and Sleep Apnea (CLICK HERE TO READ POSTS)
Users browsing this forum: BlackSpinner, falvesjr, LSAT, PST, ScrappinMom, tonycog and 9 guests