These tips might help you to use your CMS50E (CMS-50E) with OSCAR: My Smart Device Assistant V3.1.0.1 on my Windows 10 machine using a CMS50E Pulse Oximeter doesn't offer a choice of where to save the SPO2 file...it just automatically puts it here: C:\Users\[USERNAME]AppData\Local\VirtualStore\Progr...

Have you told your cardiologist about the difficulties you are having with the sleep doc and the sleep clinic taking your adjustment problems to ASV therapy seriously? I asked my referring cardiologist who the final authority was, and he said that he always defers to the sleep doctor's expertise. ....

Both studies say severe central and severe obstructive apnea. That means that you've got a complicated case. It also does mean the ASV is the considered the machine you need for treating your severe central apnea along with your severe obstructive apnea. Yes, assuming that the ASV sleep study wasn'...

Both studies say severe central and severe obstructive apnea. I'm not inclined to ask for graph data or ask why the ASV because I don't want to alienate them. All doctors SHOULD be competent, ego-free, and tolerate questioning, but often they are not, and certainly THIS one is not. At this point, I'...

You wrote: Back in 2010, my first sleep doc's office was only interested in #2: Get the AHI below 5.0. I did have a PA who worked with me for several months because my AHI was consistently below 2.5, but my insomnia exploded immediately upon starting CPAP because I was over titrated and it triggered...

You wrote: To answer your question about the real risk of experimenting with lower pressures in the hopes of feeling more rested in the daytime, we need more data from you: 1) What were your symptoms that led to the sleep test that diagnosed you with AHI in the first place? Has there been any improv...

Is the goal to: 1.) Feel well rested, or 2.) Make your AHI numbers and Oscar graphs look good, or 3.) Both of the above? If death from apnea is extremely rare, is it still actually dangerous to adjust my pressures to optimize #1, while completely ignoring #2? Should I trust my subjective feeling of ...

The use of CPAP is covered under Medicare when used in adult patients with OSA. Coverage of CPAP is initially limited to a 12-week period to identify beneficiaries diagnosed with OSA as subsequently described who benefit from CPAP . CPAP is subsequently covered only for those beneficiaries diagnose...

...most sleep doctor's offices will ask you to bring in your SD card with the data on it rather than bringing in the whole machine so that they can insert their SD card into it... ...So if the SD card is always in the machine, when the data is downloaded from the SD card, all the detailed data from...

If your AHI is under 5, Medicare and most insurance will cover the CPAP, whether you're deriving any real benefit or not. Conversely, if it's 5 or over, you can have a problem even if you're feeling much better than before. The fact that you keep wanting to reset the ramp tells me that the pressure...

Only odd part for the OP may be this bit? But in the meantime I don't want to risk them dropping me by telling them that my sleep is so awful that now I put my 4+ hours per day on the machine in the afternoon fully awake, and sleep at night totally without the machine. Using a 45 minute ramp time w...

Well, I tried to reply but apparently my login timed out (?) and it deleted what I wrote. I do understand about the possible harm of pressure changes and also about possible harm from lack of sleep. Bottom line for me is that I am just not willing to risk antagonizing my sleep center, because they a...

I totally agree with all of the practical advice here...I just think that y'all are having trouble believing how bad a sleep center can be, and/or how seemingly arbitrary their policies and decisions can be. If it were up to me...if I didn't NEED them for my insurance to pay...I would have no reason...

All I am saying is that there is no law that says that sleep centers have to be logical in their choices, and that if I provide them with a negative subjective sleep report, despite low AHI data, they MIGHT just decide "well, the ASV machine is successful treating his apneas, and yet it isn't helpin...

Lying is not my first choice, but further research confirms that, without progress, Medicare stops paying, and therefore if you report no progress and your doctor merely reports that to Medicare, you will lose coverage. Ideally, your doctor would instead adjust pressures, masks, etc., to achieve pro...