[quote="jules"]the pressure needs are based on your anatomy and not how severe the apnea is
you need to push your doctor not the DME on any pressure adjustments - the DME can't change it without an order from your doctor
if you are really in trouble with seizures and sleep go to the nearest ER and get them to contact your doctor - your doctor might respond to them faster than to you directly
the discussion of pressure needs change with different masks has been discussed here before - some say no change in needed - some say they do need to fine tune the pressure
however as I and cpapnewbie pointed out, your machine has no data to help you fine tune the pressure (once you get your doctor's approval)
Jules, you've been terrific and I very much appreciate your helpfulness. I shall contact my doctor's office. The problem has not been the doctor, but, rather the supplier who is supposed to contact my doctor for changes. When I needed a mask and the supplier wouldn't call the resp therapist who performed my sleep study and fitted me for a mask, I should have gone elsewhere. I did call my doctor's office at that point and immediately got a call back with the mask information I wanted. So, I shall bypass the supplier and call the doctor's office tomorrow. I know doctor's are so busy, but, my seizures have gotten significantly worse the last two months in intensity and frequency so I really need to get this right and see if it can help deter the seizures.
What a great group of people. I hope to be able to contribute once I get this figured out.
Thanks so much, everyone.