What can you do anyway?

Sleeping With The Enemy · Post by **Sleeping With The Enemy** » Wed Feb 02, 2005 7:23 pm

I'm on a Remstar C-Flex with humidifier. Question: If you were 12.4 95% of the time for 12 days what would be the real benefit of having an auto? Just wondering because CPAP.COM told me this morning that an auto cannot predict your apneas, it only changes pressures after the incident. So if you go from having 67 episodes, like I did during the sleep study, down to say 2 per hour, what would you be able to change. Just wondering why everyone is making such a big deal out of having an auto. CPAP.COM said they didn't want to sell me something I didn't need. Any comments welcome.

Waverly · Post by **Waverly** » Wed Feb 02, 2005 7:29 pm

I'll have a crack at this. If your 95% was 12.4 then sometimes it was lower and perhaps a bit higher at times also. So the sleep doc would order a setting of perhaps 14 just to be safe. An auto might be set at 10 low 15 high. You see your median isnt what a lab would set it at. It most likely would be higher. IMHO

Waverly

Sleeping With The Enemy · Post by **Sleeping With The Enemy** » Wed Feb 02, 2005 7:33 pm

12.4 is what the autopap "clocked" me at 95% of the time for the 12 nights that I wore it in my own home from the DME, that is how she figured my pressure for the cpap machine.

guest · Post by **guest** » Wed Feb 02, 2005 7:37 pm

All I can tell you is - My precsribed pressure of 10 was too much air when I was on my side and was not enough air (at times) when I was on my back! The autopap delivers me the right amount of air depending on my need. And I feel sooooo much better with apap because of less aerophagia and better AHI control!

Waverly · Post by **Waverly** » Wed Feb 02, 2005 7:39 pm

What was the "other "5% ? What was the minimum pressure and maximum pressure ? I'd bet 12.4 wouldnt clear all hypopnias and apneas at that setting (12.4). Were there any Flo Restrictions noted ?

Waverly

Sleeping With The Enemy · Post by **Sleeping With The Enemy** » Wed Feb 02, 2005 7:43 pm

I will post a reply later, have to get my little boys to bed.....lucky ducks sleep like rocks!!!!!

Flatulance · Post by **Flatulance** » Wed Feb 02, 2005 7:45 pm

Straight pressure units are only good the day they are titrated. In the position you were sleeping in. After that its a crap shoot.
I'll give you just one guess how I got my name and it isnt cause I eat alot of beans.
Went away when I started using my auto.

Good luck

Flatulance
aka Marty Farty

Sleeping With The Enemy · Post by **Sleeping With The Enemy** » Wed Feb 02, 2005 8:02 pm

If everyone thinks that I need an auto so bad, I am going to need some pretty convincing stuff to bring to my MD so she will prescribe it for me. Any help, links will be appreciated as I build my case. I can't do this on my own, only been diagnosed and treated for 2 weeks.

Liam1965 · Post by **Liam1965** » Wed Feb 02, 2005 8:09 pm

hhunt wrote:If everyone thinks that I need an auto so bad, I am going to need some pretty convincing stuff to bring to my MD so she will prescribe it for me. Any help, links will be appreciated as I build my case. I can't do this on my own, only been diagnosed and treated for 2 weeks.

I agree, wholeheartedly. Many people here seem to think the auto is just the thing. I'm not trying to say that they're wrong. But as we all know, this stuff costs some bucks, and the insurance for many of us is next to worthless.

So I just want to be sure that it's really going to be helpful before I try to change.

By the way, I know the Resmed S7 Elite can change into the Auto Spirit with just a simple software download. Anyone know if the same is true of the Respironics Remstar Pro-2?

Liam, who prefers a manual car, but might be talked into an Auto-pap.

chrisp · Post by **chrisp** » Wed Feb 02, 2005 8:10 pm

Just get the RX for a cpap and send it to cpap.com. Order an auto . Or find another Dr. She isn't the brightest bulb in the box when it comes to cpaps and OSA. Its 2005.

Check this out and give it to your Doc. http://www.sleepreviewmag.com/Articles. ... d=S0311F03

chrisp · Post by **chrisp** » Wed Feb 02, 2005 8:24 pm

Liam you hit the nail on the head, $$$$ The insurance company doesnt want to spend the money to get you the state of the art equipment .

Secondly..And most important..If you buy online you can get this stuff for The SAME or LESS than YOU are paying at your DME

Follow the $$ it never lies.

Cheers,

Chris

wading thru the muck! · Post by **wading thru the muck!** » Wed Feb 02, 2005 8:33 pm

hhunt,

You're misunderstanding the 95% number. It's the pressure you need to resolve apneas/hypopneas 95% of the time. you are not spending 95% of the time at 12.4cm. In my case I spend 22% of the total time at my 95% pressure of 7cm. Which means I spend 78% of the total time at a lower pressure than my titrated pressure.This is one of the big benefits of the auto. The other is, for you, when that 12.4cm is no longer correct (say after you gain 15lbs) and it no longer resolves your apneas. If you don't have an auto you will go back to how you felt without the machine. With the auto, the machine will adjust the pressure as required, up or down. For my money I would not buy anthing else.

chrisp · Post by **chrisp** » Wed Feb 02, 2005 8:36 pm

Thanks Wader, You say things much better than I.

Cheers,

Chris

Liam1965 · Post by **Liam1965** » Wed Feb 02, 2005 8:38 pm

chrisp wrote:Secondly..And most important..If you buy online you can get this stuff for The SAME or LESS than YOU are paying at your DME

Yes, true, but not the same or less than I can get the CPAP online. So what I'm getting at is, either way, it costs me more than a CPAP. The only way it doesn't is if I compare a CPAP from a DME to an APAP from online, which isn't a fair comparison.

So I'm just trying to see what's worth my extra $150 or so. I'm not saying it's not, I'm just being a cautious consumer.

But that still leaves two questions:

1) Is the Remstar Pro-2 upgradable like the ResMed S7 Elite is?
2) I'm sure it'll be obvious when you say it, but what does DME stand for?

Liam, who just KNOWS he's going to look like an idiot for #2.

Liam1965 · Post by **Liam1965** » Wed Feb 02, 2005 8:40 pm

OH! I got it. "Durable Medical Equipment". See, if it was DMES, then I'd have gotten it, with SUPPLIER on the end.

I guess that's Durable Medical Equiper?

Liam, I may not be right, but I'm cute, doesn't that count for something?

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