Help deciding CPAP

Hey guys, I had a sleep study done in India and doctor recommended to get cpap matching. He had told me my oxygen saturation drops below 80%, whatever that means.
Here's my results from sleep study, please explain if you can

http: //imgur. com/a/vZrMi

My questions is: I have the prescription written on paper from India doctor. Do I need to spend lot of money here at doctor to get cpap?

https://www. cpap . com/ productpage/ resmed- airsense- 10- autoset- humidair . html #product-image-9 I

t's the highly rated cpap. I was gonna buy it but I am not sure about pressure setting. What kind of mask to buy or etc.
What's the best Automatic Cpap machine out there I can buy (budget is not a problem)?
What's the most durable and easiest mask to wear at night?
Can I order the mask myself and try it? Do I really need to see sleep doctor here to get proper cpap machine mask or to get the proper pressure settings?
Thank you.

Guest wrote:I have the prescription written on paper from India doctor.

What does the prescription say?

Guest wrote:Do I need to spend lot of money here at doctor to get cpap?

Where is "here"...still in India?
How much for the ResMed AirSense 10 AutoSet where ever you are at?

You won't be able to buy it from cpap.com unless you have an address in the US for them to ship it to. ResMed won't let cpap.com ship any of its products outside the US. Now if you are here in the US now or have someone in the US who it can be shipped to and they then ship it to you then you can order from them.

If you are outside the US and have no way to get anyone to accept the machine for you here in the US and reship to you, you can order from secondwindcpap.com. They can ship ResMed products outside the US and they do it all the time.

Guest wrote:What's the best Automatic Cpap machine out there I can buy (budget is not a problem)?

Actually the ResMed AirSense 10 AutoSet is an excellent machine. Do you know what your pressure needs are? Have you had a sleep study with the mask and machine to figure out the pressure or did the doctor just suggest getting the Auto CPAP and let the machine figure it out?
Letting the machine figure is out will work but you need to understand how it works and maybe fine tune the pressure settings. They aren't totally plug it in and forget it.

Guest wrote:What's the most durable and easiest mask to wear at night?

Which ever one works for you. Usually the least amount of stuff on the face is easiest to deal with and most masks will last months and months and sometimes years with common sense care.
Do you normally breathe through your nose just fine during the day and night or do you have chronic nasal congestion that can't be cleared up well enough and you are forced to mouth breathe for enough air exchange?
If your nose works fine and you don't have to mouth breathe...get one of the nasal interface masks. Less on your face to need to keep sealed.
Check out the nasal pillow mask I have in my profile. ResMed AirFit P10 ....Quiet, durable and and easy to get and keep sealed.

Guest wrote:Can I order the mask myself and try it?

Again...where are you at?

Guest wrote:Do I really need to see sleep doctor here to get proper cpap machine mask or to get the proper pressure settings?

You can do it on your own if you want to try it. We have lots of people who will either self diagnosis and self treat or self treat after having a formal sleep study.
Not hard to do but does take a bit of education and understanding the results that are seen on the software reports.
We can help if that's what you want to do. Heck, often people still need help and they had an official in lab sleep study with mask and machine.

Pugsy, Is the number of centrals showing on his sleep study a concern?

ChicagoGranny wrote:Pugsy, Is the number of centrals showing on his sleep study a concern?

Dunno...I couldn't get it to load. I will try again.
I thought he had a RX from the doctor for AirSense 10 Autoset.
Give me a little bit to fiddle with the url.

ChicagoGranny wrote:Pugsy, Is the number of centrals showing on his sleep study a concern?

The primary and only diagnosis is OSA. I am not sure if the central count is enough to warrant much more than keeping an eye on them at this point.
The majority of the AHI is obstructive.
For some reason or other the doctor didn't see fit to include a mention of the centrals or even maybe do a "compSA" thing in terms of the diagnosis.
Maybe they were going to explore further with a titration study????
Did mention specifically "no CSR"...so they did look for it and it was negative.

I was uncertain as to where the OP is at the moment. Sounded like still in India in one sense and in another sounded like not.

Does he need one of those fancy high dollar machines just in case those centrals are a problem....hmmm...I dunno.
An in depth discussion with the doctor would be called for to be sure if at all possible.

ChicagoGranny wrote:Pugsy, Is the number of centrals showing on his sleep study a concern?

Hey guys, I am sorry for mis type. I live in Houston, Texas. I had the study done from India last year. My deductible here is too high and it was cheaper to get it done there.

Here's my sleep study test, delete the space before com:

http://imgur. com/a/vZrMi

So you have just the diagnostic sleep study in India but you didn't go further and have another sleep study with cpap and mask on?

I can't quite determine if those centrals mentioned are overall total or an hourly index.
If an hourly index/average then they could mean a different diagnosis which would likely mean more than cpap/apap machine.
If it's just an overall average then it may not be that big of a deal.

Exactly what does your RX say?

We can't treat/fix central apneas with the traditional cpap/apap machines. They can't respond fast enough or high enough.
At this point though it is unclear as to just whether those centrals need anything to be done about them.

You can go ahead and get the machine you were looking at. It will flag centrals if they occur and then we could see if they are numerous enough to present a problem or not. Then you could decide if you want to pursue seeing a doctor for the central evaluation.
If the centrals aren't numerous enough to be a problem when using the AirSense 10 AutoSet then you should be able to fairly easily manage your own therapy without a doctor's involvement.

A machine that can treat/fix the centrals is a lot more expensive and involved and harder to purchase without a RX specific for that machine.
Now they can be found on the secondary market if you know where to look but at this point I don't know for sure that you need that type of machine and there are also som health contraindications that need to be ruled out first before using that type of machine.

You definitely need the obstructive sleep apnea addressed...the AirSense 10 AutoSet should do what you need in that regard.
It won't fix the centrals (assuming the centrals need fixing) but it will flag them and alert you to whether or not they are numerous enough to warrant concern.
The doctor who read your sleep study didn't mention central apnea or mixed apnea or complex sleep apnea in his diagnosis. He only mentions Obstructive sleep apnea...now did he do that on purpose because he wasn't concerned about the centrals or did he just mess up...don't know and unfortunately he isn't available to clear things up with.

Do you take any medications that might suppress respiration....specifically pain meds of some sort?

Do you have any history of any cardiac issues...heart attack or congestive heart failure or anything along those lines?

Get a Dreamstation from Amazon for $365... It's an Auto machine, used by many people with great success. You won't need a prescription

xxyzx wrote:in general Rx are only valid in country doctor is in who wrote it

Not true.
Cpap.com will accept a RX from somewhere outside the US.
I have seen similar policies at other online cpap vendor websites.

From cpap.com RX policy page

Will you accept a prescription from a doctor in my country?
Yes. If you have a valid international prescription, upon receipt and review of the prescription, we will ship your order to any US state except Texas, or to your country of residence. If the prescription is not written in English the entire prescription must be translated into English on the original document.

xxyzx wrote:i did not see any centrals noted on his report

They were there. Look again. I couldn't tell if it was an overnight total or an hourly average though.

He just posted 5 replies in a row and no value added; just some confusion. A bull in a china shop. SMH

ChicagoGranny wrote:He just posted 5 replies in a row and no value added; just some confusion. A bull in a china shop. SMH

Trying to make up for quality with quantity maybe.

Pugsy wrote:Trying to make up for quality with quantity maybe.

I'm saltier that you and will say, "If you can't dazzle them with brilliance, baffle them with bullshit (lots of it in this case)."

xxyzx wrote:

ChicagoGranny wrote:Pugsy, Is the number of centrals showing on his sleep study a concern?

======

i did not see any centrals noted on his report

They are there. Under "Respiratory Summary," the next line underneath starts with "By Event Classification," and then next to that "Central," and then "Mixed," etc.

Hey Guys, I was busy working. I just read the howle thread and I am not sure what centrals mean. I didnt get time in India to get the CPAP done because I was flying out the next day. I have deductible of 1200 dollar here, the sleep study here cost that much. I was thinking about ordering the auto machine that is $883 from CPAP. I was going to order a full mask and try it myself. I am more worried about my heart now since you guys mentioned central apnea. I am 28 year old 6 foot and 210 lbs. I hope this work out.