Seems Like I have Central Sleep Apnea - Switch to Bipap Worth it?

[Applecheeks]

Your prior answer to the OP of "No", was quite explicit and conclusive.
When Max cited the journal, you came down on him as if he was expressing his own opinion that was in contradiction to your assertion.
That's all.
End of story.

[Rubicon]

Your prior answer to the OP of "No", was quite explicit and conclusive.
When Max cited the journal, you came down on him as if he was expressing his own opinion that was in contradiction to your assertion.
That's all.
End of story.

That makes NFS whatsoever.

Now I know why you're teaching 3rd grade.

Reading comprehension must not start until 4th grade.

[Pugsy]

Please stop with the personal crap and get back on topic.
This is the only warning...do it again and I will start removing posts as being off topic.

Thank you.

[lazarus]

What is it that I have said that needed correction?

Well, there was this:

...hypercpanic.

What am I, dyslexic?

hypercapnic

Although that was, of course, nothing to hyperpanic about.

And I do hope the OP comes back and that your help for the OP will be accepted.

Just sayin'.

[3clipse]

Hi Blaird!
I’m quite new on this forum but I work in the DME industry and help PAP patients daily. There’s been quite a few replies here so forgive me if I repeat some information in previous replies.

CSA or central sleep apnea is diagnosed through the results of a sleep study. You can get another one done if you had one already. First thing I would do is to contact your pulmonologist or sleep doctor and ask for their advice on getting a new sleep study to test for CSA. Once you perform your sleep study, over 50% of your apneas have to be listed as central sleep apnea or mixed apneas to be diagnosed for CSA. Once you obtain that diagnosis, you would qualify for not a BIPAP but a BIPAP ASV/ST. In terms of insurance guidelines, there are a few other requirements needed but that would be either handled by the DME company or will be explained to the patient as they transition. Please let me know if you have any questions. Thank you.

[Rubicon]

Please let me know if you have any questions.

Well, I got one.

Can you talk a little bit about what a "post-arousal central" is?

TIA.

[3clipse]

Post central sleep apnea is basically CSA that occurs during the NREM which are the light stages of sleep. It’s still classified under CSA and falls under the same category. The simple explanation for the differences between OSA and CSA is OSA is the physical collapse of your airway during sleep. CSA is when your brain lacks the drive to breathe during sleep. Basically your brain forgets to breathe at night. CPAP pushes air into your lungs when you breathe out. BIPAP pushes air when you breathe in and breathe out. And IIRC, BIPAP ASV/ST sucks air and pushes air. These are questions I would definitely bring up with your pulmonologist. Make sure to follow up with your doctor 90 days after you first receive your PAP and then at least yearly so you can get new prescriptions for your supplies. Prescriptions only last yearly.

[Rubicon]

Post central sleep apnea is basically CSA that occurs during the NREM which are the light stages of sleep.

Not even close.

Try again.

[Rubicon]

... during the NREM which are the light stages of sleep.

Does that mean that there's "dark" stages of sleep?

[3clipse]

I wasn’t sure if my reply sent but I’ll send it here again.

Hi there,
I apologize for any misunderstandings. I try my best to explain PAP guidelines to our patients so if I am incorrect, I do apologize for that. Is there a specific part of my statement that you disagree with? I can consult with our respiratory therapist and see if I can get a better answer for you. Thank you very much in advance.

[Rubicon]

I can consult with our respiratory therapist and see if I can get a better answer for you.

Yeah, do that.

[ChicagoGranny]

I work in the DME industry and help PAP patients daily

Historically, that has been a big negative in this forum.

[3clipse]

I can consult with our respiratory therapist and see if I can get a better answer for you.

Yeah, do that.

Absolutely! Is it just the “post-arousal central” you have questions on or also the different PAP machines?

[3clipse]

I work in the DME industry and help PAP patients daily

Historically, that has been a big negative in this forum.

I can definitely see that. I hear complaints all the time about bigger companies like Apria and Rotech. I work for a smaller company so we emphasize on patient care. I work with Medicare patients so I unfortunately get the strict end of insurance guidelines. However, I try my best to explain in detail how Medicare billing works and the guidelines that follow behind it.

[Rubicon]

Absolutely! Is it just the “post-arousal central” you have questions on or also the different PAP machines?

Nope! Just a brief discourse on post-arousal centrals. I think I'm good re: CPAP Machines, reimbursement, algorithms and the like.