Search found 25 matches

by JCFlorida
Thu Jan 25, 2024 2:54 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Thank you all for your feedback over the last few weeks. As per advice here, after using EPR at 1 for a week, turned it off. Also, the next night increased minimum pressure to 6 from 5 as the median had been closer to 7. Might be too early to tell but my AHI and CA's have dropped below 5 for 2 conse...
by JCFlorida
Mon Jan 22, 2024 12:26 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

That said, according this sleep study, the OP has an AHI of 42.3 but an arousal index of 19.1? So, there's something I don't know about what they call an arousal, what they call a "respiratory arousal" and what they call a RERA. From a practical perspective, every obstructive event results in an ar...
by JCFlorida
Sun Jan 21, 2024 8:59 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

That said, according this sleep study, the OP has an AHI of 42.3 but an arousal index of 19.1? So, there's something I don't know about what they call an arousal, what they call a "respiratory arousal" and what they call a RERA. From a practical perspective, every obstructive event results in an ar...
by JCFlorida
Sat Jan 20, 2024 2:52 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Rubicon wrote:
Sat Jan 20, 2024 1:02 pm
JCFlorida wrote:
Sat Jan 20, 2024 12:18 pm

Sure. The O2 desaturation details was on previous post. That is all I have from that.
Needed to know the number of desats.

As the oil driller said....
Rubicon,
That report is all I have from the sleep study.
by JCFlorida
Sat Jan 20, 2024 12:18 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

The codes that have been used are 95810, 99214, and 94660. I have had one face to face and one zoom call with him, and one other visit with their APRN. Time with them has not been longer than 20 minutes. The CPTs for office visits (E&M) are the 9921x. https://i.imgur.com/A5t8OaW.jpg 99214 is for 30...
by JCFlorida
Sat Jan 20, 2024 8:59 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

ChicagoGranny wrote:
Fri Jan 19, 2024 2:39 pm
Please provide the link to a typical night (one night, not historical data) at the most current settings.
Of course. Here is a typical night:

SleepHQ: https://sleephq.com/public/d97cf32e-8db ... bdcc86ee8f

Image
by JCFlorida
Fri Jan 19, 2024 2:14 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

I can share what that looks like on Oscar once I have a week of data on the new EPR setting. That does sound reasonable? Don't wait a week if there is any significant change. Hi, These are changes made in last 2 1/2 weeks to settings: 12/30 settings and prior: Min 5, Max 20, EPR 2 - Original settin...
by JCFlorida
Fri Jan 19, 2024 1:47 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

So how much time is your MD actually spending with you? On your paperwork, what are the billing codes for the office visits? If he/she is sending in a code for like 40 minutes of face-to-face time and they're only spending like 2, then Houston, We Have A Problem... Thank you for your feedback. The ...
by JCFlorida
Thu Jan 18, 2024 2:24 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Your average heart rate in the diagnostic study was reported as 46 BPM. That's low. Any idea why? Are you an endurance athlete? Given that, I definitely lean toward wanting to give the apap a little more time before I introduce new medication or try the ASV machine. I can't disagree with that. When...
by JCFlorida
Thu Jan 18, 2024 10:10 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Thank you for your advice. I will get the doctor's opinion on my next appointment. I do feel like I sleep more soundly and don't recall waking up as much as I use too. Also, my wife is a light sleeper has told me I barely move now. Whatever was reported during the sleep study might have been allevia...
by JCFlorida
Thu Jan 18, 2024 9:00 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Thanks for your help. Here is the original diagnostic appended below, as well as last night's data. I also use SleepHQ (link provided). Leaks still a bit higher than usual, been experimenting with different mask liners. Though numbers are trending in right direction. Marked improvement AND I felt le...
by JCFlorida
Wed Jan 17, 2024 10:11 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Hi, Thanks again for all the advice. It is a challenge to accept that doctors really don't help you track this. You are taught to follow their advice, but when it comes to sleep apnea they just seem too busy. My doctor said his practice handles 300 new patients a month. They expect you to set someth...
by JCFlorida
Tue Jan 16, 2024 4:08 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Options after Failed ASV Titration-Current Oscar Reports
Replies: 30
Views: 30324

Re: Options after Failed ASV Titration-Current Oscar Reports

Thank you for your response. On cpap all of the apneas, except centrals, dropped immediately below 1 event per hour. My centrals have remained consistently above 6-7 an hour, at 10 to 24 seconds each. I have been 100% compliant with wearing mask. How have I felt? In the beginning, a lot worse then b...
by JCFlorida
Sat Jan 13, 2024 6:54 am
Forum: CPAP and Sleep Apnea Message Board
Topic: New Member and New to CPAP...new issue with ASV trial
Replies: 25
Views: 19878

Re: New Member and New to CPAP...new issue with ASV trial

Will do. Thank you. This is pretty new to me. I am averaging over 5 AHI then sporadically under 5. Confusing. Anyway, look forward to getting any advice.