Elizabeth,
Those Respironics machines are very well designed & built & I am sure the problem is not a big one.
The way that model works is that it has a motor that is run at a fixed speed and the air is pumped at a constant rate.
Within the machine is what I call an 'air valve'. This air valve is a device that can channel air coming in so that it flows either out the air port to the hose, or redirected back into the internal blower. By electronically adjusting this air valve (which can be done in miliseconds) the air pressure out can be completely manipulated by the internal computer.
When you pick these machines up with no power, you can feel the air valve's slide flopping around. But when power is applied, the air valve slide gets power & locks its position relative to the settings in the machine.
When the machine is 1st powered on the air valve goes to the position that prevents any air from coming out & the blower motor is powered up. When the blower is at full speed, the air valve switches to its current cms pressure out setting and the machine begins operating.
From what you are saying, it seems the blower is not coming up to speed & the air valve is not opening the air out vent.
The possibilites are that something (perhaps tissue ?) has gone in and may be catching in the blower ?
The motors in those blowers are works of art & almost can't go wrong unless they get water in the bearings or some foreign object gets into the air intake (such as tissue paper) and catches in the fan blades of the blower.
Pity I am not in the US else I'd say send it to me & I'll take a look
Good luck with your thearpy and good for you to be asserting control over your own therapy.
DSM
VPAP lll problems
-
StillAnotherGuest
- Posts: 1005
- Joined: Sun Sep 24, 2006 6:43 pm
S/T Must Be The, Well, S/T
Hi Elizabeth:
So if we're talking like 1994 when you got your machine, is this what it looks like?
If so crack open the back door, and see what the Mode Setting is on: IPAP, EPAP, Spontaneous/Timed or Timed (I think those are the options, I'm using it for a planter and the Spider "babies" are hiding the menu). As others have suggested, if you were on a Timed Mode before, you might need to be on a Timed Mode now. That's something you should check with your physician about sooner rather than later.
Say! Maybe when you see your pulmonologist, you can get a sleep study! They are an interesting way to spend the night out!
But it's really the best way to figure out what's going on.
You have maybe 5 considerations in forming the treatment plan:
Restrictive lung disease and resultant hypoventilation.
Central hypoventilation.
Central hypopneas (probably not, I just say that to needle -SWS)
Obstructive apnea
Central apnea
If your pCO2, or whatever CO2 measurement you have is high and you end up with a sleep study, you might inquire if the sleep laboratory has the ability to monitor end-tidal or transcutaneous CO2 levels.
Beats the daylights out of a bunch of ABG.
SAG
So if we're talking like 1994 when you got your machine, is this what it looks like?
If so crack open the back door, and see what the Mode Setting is on: IPAP, EPAP, Spontaneous/Timed or Timed (I think those are the options, I'm using it for a planter and the Spider "babies" are hiding the menu). As others have suggested, if you were on a Timed Mode before, you might need to be on a Timed Mode now. That's something you should check with your physician about sooner rather than later.
Say! Maybe when you see your pulmonologist, you can get a sleep study! They are an interesting way to spend the night out!
But it's really the best way to figure out what's going on.
You have maybe 5 considerations in forming the treatment plan:
Restrictive lung disease and resultant hypoventilation.
Central hypoventilation.
Central hypopneas (probably not, I just say that to needle -SWS)
Obstructive apnea
Central apnea
If your pCO2, or whatever CO2 measurement you have is high and you end up with a sleep study, you might inquire if the sleep laboratory has the ability to monitor end-tidal or transcutaneous CO2 levels.
Beats the daylights out of a bunch of ABG.
SAG
Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.
-
StillAnotherGuest
- Posts: 1005
- Joined: Sun Sep 24, 2006 6:43 pm
The List Is Endless
Which reminds me, if your goal is to lower pCO2 levels, I also agree that this must be done under close supervision, abrupt changes to hypercapnia can create some significant issues. This ain't one of those things that you can spin the dials around and "see how you feel in the morning."StillAnotherGuest wrote:If your pCO2, or whatever CO2 measurement you have is high...
And that reminds me of another thing. Did your physician say, "Put the BiPAP back on and see how you feel in the morning"?
That said, an I/E of 8/4 or 9/5 is not particularly aggressive, but you do have to go about this scientifically.
SAG
Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.
Elizabeth
Just realised that SAG has the model right. When I 1st read the post re age I saw 3.5 years use mentioned & figured that has to be a 'synchrony' but of course you mention that it was bought 13 years before. That makes it the original 'box' model - I have an S/T one & it is in as new condition. Works very well when I try it but it is a tad noisy
But, I am surprised that you would have a machine for 13 years but only use it for 3.5 years ?
Did you only use it intermittently or at the start or only of late ?
Am guessing you bought the VPAP III of your own initiative ? (not from a DME) ?
DSM
Just realised that SAG has the model right. When I 1st read the post re age I saw 3.5 years use mentioned & figured that has to be a 'synchrony' but of course you mention that it was bought 13 years before. That makes it the original 'box' model - I have an S/T one & it is in as new condition. Works very well when I try it but it is a tad noisy
But, I am surprised that you would have a machine for 13 years but only use it for 3.5 years ?
Did you only use it intermittently or at the start or only of late ?
Am guessing you bought the VPAP III of your own initiative ? (not from a DME) ?
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)
Aha! Caught red-handed! Of course, we all know that SDB in its entirety (not to mention the origins of life on Earth) can be traced to one of these two distinct categories: 1) central hypopneas, and 2) hypopneas that are thought to be central in nature.SAG wrote:blah, blah, blah... Central hypopneas (probably not, I just say that to needle -SWS) blah, blah, blah.
It's also just a matter of time before scientific research reveals that the Universe's "Big Bang" really should have been a much bigger bang. Now there's one heck of a Central Hypopnea waiting to be discovered.
-
AnotherElizabeth
- Posts: 16
- Joined: Fri Feb 02, 2007 3:24 am
VPAP lll Problems
Obviously you guys are nuts but I'll try to answer your questions anyway.
My old clunker is set on Spontaneous.
Yes, I fully expect the pulmonologist to prescribe a sleep test...and if he doesn't, I will request one.
Those five considerations in forming a treatment.....was that a multiple choice?
I have no clue what end tidal or transcutaneous CO2 levels or ABG's are, but I bet you guys will tell me. And I'll take a note to the pulmonologist...bet he will know. Maybe not about the ABG's because I have a feeling there's a joke or something behind that one.
You ask, did the physician say, "Put the Bipap back on and see how you feel in the morning." Yes, pretty much, but you have to understand, these were not specialists in the field. These were a surgeon and my eye doctor whom I happened to have routine appointments with and some mighty scary symptoms. I was feeling them out to see if they thought they might be related to the high CO2 in my last several routine blood tests. It was just a place to start.....I was desperate for answers because the symptoms were so scary and unfamiliar to me.....visual and audio distortions, for a lack of better word, upon waking that lasted for a few minutes or so....every morning, and extremely vivid and upsetting dreams...oh, and talking in my sleep....which was not normal for me.
Looking back....good ole hindsight....I know when the symptoms started and why. With Polio, which I had as a child, often the residual visible damage is a weakness in a lower limb, which I had in my right lower leg. I say visible because they now know that the original polio actually did a lot of non-visible damage....like destroying roughly 90% of all the motor neurons.....that wasn't a typo.....90%. But with a weak leg, one tends to over compensate with the other and wear out a joint prematurely...and I did and had a knee joint replacement on the other leg. Three years ago I took a bad spill....make that "split" and shattered the femur where it joined the knee joint replacement...on my strong leg. I was needing soooo much pain meds for so many months....it relaxed my diaphragm that was already weak...and TADA.....hypopnea again.
And you ask about my usage of the bipap....why do I feel like I already answered that? Dunno. I used the respironic the first 3.5 years I owned it and then went to a Post Polio Clinic in Mississippi where they worked largely with the central nervous system...don't ask... and after two weeks of treatment, when I returned home, I discovered in the first week that I couldn't tolerate the bipap and would keep turning it off in my sleep. I tried going without it and did just fine for all those years in between...no high CO2 in my blood tests...no symptoms of hypopnea....until the accident I mentioned above. I have come to a conclusion that a big part of the hypopnea in the Post Polio patients (?) is initiated by an already compromised diaphragm and the need for muscle relaxants and pain meds for the muscles to stop jumping around and the pain relieved so one can sleep....and they relax the diaphragm also....because they aren't picky about which muscles to relax.
You asked....."Am guessing you bought the VPAP III of your own initiative ? (not from a DME) ? "
When my old bipap faltered during my recent use of it and I knew it needed to be replaced since no one would touch it to even see what was wrong with it, and my symptoms were bad enough I couldn't wait six weeks or more for my appointment with the pulmonologist, I requested a loaner from our local Associated Health where my respironic came from...but they don't loan them out. I had bought a new mask....well several...before I found one that I could tolerate and it was ResMed's Swift. It had a CD with it showed the VPAP lll. When my clinician was going to order a new replacement for me, I requested the VPAP lll. She was the one who informed me that I needed the ST model and that's how I ended up with this one. I did not know when I gave her the go ahead to order it, that she nor anyone in the group knew anything at all about programming the machine. They only work with Respironic Units...I learned.
I did things rather backwards but sometimes there's not a choice and symptoms dictate the direction. But I've seen this before and when all is said and done, it all works out if one is persistent enough to go after the information they need and are willing to be their own advocate, taking charge, like a general manager, of bringing it all together. And that's what you see me doing. If one waits for others to bring their life together for them, it won't happen, trust me.
And about hypopneas and the Big Bang....you guys are on your own.
Elizabeth
If so crack open the back door, and see what the Mode Setting is on: IPAP, EPAP, Spontaneous/Timed or Timed (I think those are the options, I'm using it for a planter and the Spider "babies" are hiding the menu). As others have suggested, if you were on a Timed Mode before, you might need to be on a Timed Mode now. That's something you should check with your physician about sooner rather than later.
Say! Maybe when you see your pulmonologist, you can get a sleep study! They are an interesting way to spend the night out!
But it's really the best way to figure out what's going on.
You have maybe 5 considerations in forming the treatment plan:
Restrictive lung disease and resultant hypoventilation.
Central hypoventilation.
Central hypopneas (probably not, I just say that to needle -SWS)
Obstructive apnea
Central apnea
If your pCO2, or whatever CO2 measurement you have is high and you end up with a sleep study, you might inquire if the sleep laboratory has the ability to monitor end-tidal or transcutaneous CO2 levels.
Beats the daylights out of a bunch of ABG.
SAG
_________________
Hmmm, seems to be a little traffic this morning...
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StillAnotherGuest
Joined: 24 Sep 2006
Posts: 104
Posted: Mon Feb 12, 2007 7:21 am Post subject: The List Is Endless Delete Spam
--------------------------------------------------------------------------------
StillAnotherGuest wrote:
If your pCO2, or whatever CO2 measurement you have is high...
Which reminds me, if your goal is to lower pCO2 levels, I also agree that this must be done under close supervision, abrupt changes to hypercapnia can create some significant issues. This ain't one of those things that you can spin the dials around and "see how you feel in the morning."
And that reminds me of another thing. Did your physician say, "Put the BiPAP back on and see how you feel in the morning"?
That said, an I/E of 8/4 or 9/5 is not particularly aggressive, but you do have to go about this scientifically.
SAG
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): bipap
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dsm
Joined: 20 Jun 2005
Posts: 2152
Posted: Mon Feb 12, 2007 4:06 pm Post subject: Delete Spam
--------------------------------------------------------------------------------
Elizabeth
Just realised that SAG has the model right. When I 1st read the post re age I saw 3.5 years use mentioned & figured that has to be a 'synchrony' but of course you mention that it was bought 13 years before. That makes it the original 'box' model - I have an S/T one & it is in as new condition. Works very well when I try it but it is a tad noisy
But, I am surprised that you would have a machine for 13 years but only use it for 3.5 years ?
Did you only use it intermittently or at the start or only of late ?
Am guessing you bought the VPAP III of your own initiative ? (not from a DME) ?
DSM
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): DME
_________________
PB330 A/C mode (=S/T) 9/12 cms. BPM=6. F&P HC150 H/H. Resmed UMFF mask. Hose Comfort Sleeve.
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-SWS
Joined: 11 Jan 2005
Posts: 784
Location: Location, Location!!
Posted: Mon Feb 12, 2007 8:52 pm Post subject: Delete Spam
--------------------------------------------------------------------------------
SAG wrote:
blah, blah, blah... Central hypopneas (probably not, I just say that to needle -SWS) blah, blah, blah.
Aha! Caught red-handed! Of course, we all know that SDB in its entirety (not to mention the origins of life on Earth) can be traced to one of these two distinct categories: 1) central hypopneas, and 2) hypopneas that are thought to be central in nature.
It's also just a matter of time before scientific research discovers that the Universe's "Big Bang" really should have been a much bigger bang. Now there's one heck of a Central Hypopnea waiting to be discovered.
_________________
[quote][/quote]
My old clunker is set on Spontaneous.
Yes, I fully expect the pulmonologist to prescribe a sleep test...and if he doesn't, I will request one.
Those five considerations in forming a treatment.....was that a multiple choice?
I have no clue what end tidal or transcutaneous CO2 levels or ABG's are, but I bet you guys will tell me. And I'll take a note to the pulmonologist...bet he will know. Maybe not about the ABG's because I have a feeling there's a joke or something behind that one.
You ask, did the physician say, "Put the Bipap back on and see how you feel in the morning." Yes, pretty much, but you have to understand, these were not specialists in the field. These were a surgeon and my eye doctor whom I happened to have routine appointments with and some mighty scary symptoms. I was feeling them out to see if they thought they might be related to the high CO2 in my last several routine blood tests. It was just a place to start.....I was desperate for answers because the symptoms were so scary and unfamiliar to me.....visual and audio distortions, for a lack of better word, upon waking that lasted for a few minutes or so....every morning, and extremely vivid and upsetting dreams...oh, and talking in my sleep....which was not normal for me.
Looking back....good ole hindsight....I know when the symptoms started and why. With Polio, which I had as a child, often the residual visible damage is a weakness in a lower limb, which I had in my right lower leg. I say visible because they now know that the original polio actually did a lot of non-visible damage....like destroying roughly 90% of all the motor neurons.....that wasn't a typo.....90%. But with a weak leg, one tends to over compensate with the other and wear out a joint prematurely...and I did and had a knee joint replacement on the other leg. Three years ago I took a bad spill....make that "split" and shattered the femur where it joined the knee joint replacement...on my strong leg. I was needing soooo much pain meds for so many months....it relaxed my diaphragm that was already weak...and TADA.....hypopnea again.
And you ask about my usage of the bipap....why do I feel like I already answered that? Dunno. I used the respironic the first 3.5 years I owned it and then went to a Post Polio Clinic in Mississippi where they worked largely with the central nervous system...don't ask... and after two weeks of treatment, when I returned home, I discovered in the first week that I couldn't tolerate the bipap and would keep turning it off in my sleep. I tried going without it and did just fine for all those years in between...no high CO2 in my blood tests...no symptoms of hypopnea....until the accident I mentioned above. I have come to a conclusion that a big part of the hypopnea in the Post Polio patients (?) is initiated by an already compromised diaphragm and the need for muscle relaxants and pain meds for the muscles to stop jumping around and the pain relieved so one can sleep....and they relax the diaphragm also....because they aren't picky about which muscles to relax.
You asked....."Am guessing you bought the VPAP III of your own initiative ? (not from a DME) ? "
When my old bipap faltered during my recent use of it and I knew it needed to be replaced since no one would touch it to even see what was wrong with it, and my symptoms were bad enough I couldn't wait six weeks or more for my appointment with the pulmonologist, I requested a loaner from our local Associated Health where my respironic came from...but they don't loan them out. I had bought a new mask....well several...before I found one that I could tolerate and it was ResMed's Swift. It had a CD with it showed the VPAP lll. When my clinician was going to order a new replacement for me, I requested the VPAP lll. She was the one who informed me that I needed the ST model and that's how I ended up with this one. I did not know when I gave her the go ahead to order it, that she nor anyone in the group knew anything at all about programming the machine. They only work with Respironic Units...I learned.
I did things rather backwards but sometimes there's not a choice and symptoms dictate the direction. But I've seen this before and when all is said and done, it all works out if one is persistent enough to go after the information they need and are willing to be their own advocate, taking charge, like a general manager, of bringing it all together. And that's what you see me doing. If one waits for others to bring their life together for them, it won't happen, trust me.
And about hypopneas and the Big Bang....you guys are on your own.
Elizabeth
If so crack open the back door, and see what the Mode Setting is on: IPAP, EPAP, Spontaneous/Timed or Timed (I think those are the options, I'm using it for a planter and the Spider "babies" are hiding the menu). As others have suggested, if you were on a Timed Mode before, you might need to be on a Timed Mode now. That's something you should check with your physician about sooner rather than later.
Say! Maybe when you see your pulmonologist, you can get a sleep study! They are an interesting way to spend the night out!
But it's really the best way to figure out what's going on.
You have maybe 5 considerations in forming the treatment plan:
Restrictive lung disease and resultant hypoventilation.
Central hypoventilation.
Central hypopneas (probably not, I just say that to needle -SWS)
Obstructive apnea
Central apnea
If your pCO2, or whatever CO2 measurement you have is high and you end up with a sleep study, you might inquire if the sleep laboratory has the ability to monitor end-tidal or transcutaneous CO2 levels.
Beats the daylights out of a bunch of ABG.
SAG
_________________
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StillAnotherGuest
Joined: 24 Sep 2006
Posts: 104
Posted: Mon Feb 12, 2007 7:21 am Post subject: The List Is Endless Delete Spam
--------------------------------------------------------------------------------
StillAnotherGuest wrote:
If your pCO2, or whatever CO2 measurement you have is high...
Which reminds me, if your goal is to lower pCO2 levels, I also agree that this must be done under close supervision, abrupt changes to hypercapnia can create some significant issues. This ain't one of those things that you can spin the dials around and "see how you feel in the morning."
And that reminds me of another thing. Did your physician say, "Put the BiPAP back on and see how you feel in the morning"?
That said, an I/E of 8/4 or 9/5 is not particularly aggressive, but you do have to go about this scientifically.
SAG
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): bipap
_________________
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dsm
Joined: 20 Jun 2005
Posts: 2152
Posted: Mon Feb 12, 2007 4:06 pm Post subject: Delete Spam
--------------------------------------------------------------------------------
Elizabeth
Just realised that SAG has the model right. When I 1st read the post re age I saw 3.5 years use mentioned & figured that has to be a 'synchrony' but of course you mention that it was bought 13 years before. That makes it the original 'box' model - I have an S/T one & it is in as new condition. Works very well when I try it but it is a tad noisy
But, I am surprised that you would have a machine for 13 years but only use it for 3.5 years ?
Did you only use it intermittently or at the start or only of late ?
Am guessing you bought the VPAP III of your own initiative ? (not from a DME) ?
DSM
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): DME
_________________
PB330 A/C mode (=S/T) 9/12 cms. BPM=6. F&P HC150 H/H. Resmed UMFF mask. Hose Comfort Sleeve.
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-SWS
Joined: 11 Jan 2005
Posts: 784
Location: Location, Location!!
Posted: Mon Feb 12, 2007 8:52 pm Post subject: Delete Spam
--------------------------------------------------------------------------------
SAG wrote:
blah, blah, blah... Central hypopneas (probably not, I just say that to needle -SWS) blah, blah, blah.
Aha! Caught red-handed! Of course, we all know that SDB in its entirety (not to mention the origins of life on Earth) can be traced to one of these two distinct categories: 1) central hypopneas, and 2) hypopneas that are thought to be central in nature.
It's also just a matter of time before scientific research discovers that the Universe's "Big Bang" really should have been a much bigger bang. Now there's one heck of a Central Hypopnea waiting to be discovered.
_________________
[quote][/quote]
Elizabeth
What an interesting road you have been down - really reminds me how everyone has a story and that makes us all so unique.
What I do find scary is that they bought you a Vpap ST & just handed it to you !!! - but good for you that you came here. The folks here who care are very generous with their time and advice & in a general sense you appear to be in better hands here now that at the assoc that got you the VPAP.
I sure hope we are able to make the best kind of difference in your favour.
DSM
What an interesting road you have been down - really reminds me how everyone has a story and that makes us all so unique.
What I do find scary is that they bought you a Vpap ST & just handed it to you !!! - but good for you that you came here. The folks here who care are very generous with their time and advice & in a general sense you appear to be in better hands here now that at the assoc that got you the VPAP.
I sure hope we are able to make the best kind of difference in your favour.
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)
-
StillAnotherGuest
- Posts: 1005
- Joined: Sun Sep 24, 2006 6:43 pm
That Part We Already Knew...
Obviously.AnotherElizabeth wrote:Obviously you guys are nuts
In order to assess CO2 levels, you need to do an Arterial Blood Gas (ABG). It also provides at least 2 other essential parameters. While this is essential to establish diagnosis and determine baseline, using it for a monitoring tool is impractical in the sleep lab because it can be somewhat uncomfortable (excluding "A-lines", but let's leave that for now), a little costly, and time consuming.I have no clue what end tidal or transcutaneous CO2 levels or ABG's are, but I bet you guys will tell me. And I'll take a note to the pulmonologist...bet he will know. Maybe not about the ABG's because I have a feeling there's a joke or something behind that one.
Having done that, once you get to the sleep lab, if your goal is to control CO2 levels, you should be monitoring that parameter, and 2 ways to do it are transcutaneous pCO2 and end-tidal CO2, which simply involve sensors to monitor that parameter. A lot of people don't have that technology, but you can kinda guess what you're trying to do by monitoring the amount of total air exchange (Minute Ventilation) and periodically checking daytime ABG to determine treatment effectiveness (the pCO2 goes down during the night, you rest respiratory muscles, and consequently the pCO2 is/can be maintained at a lower level during the day)(some people dispute that rationale. I don't.).
High CO2 could also be measured as a component of venous testing, but if you see that, and have pulmonary/neuro symptoms, then you need to follow that up with ABG (and for that matter, Pulmonary Function Testing).
OK, but ifMy old clunker is set on Spontaneous.
and now there is, then it's a whole new ball game....all those years in between...no high CO2 in my blood tests
Speaking of which, how high is it, and how did they measure it?
Yeah, gotta go that route.Yes, I fully expect the pulmonologist to prescribe a sleep test...and if he doesn't, I will request one.
Those five considerations in forming a treatment.....was that a multiple choice?
Right. Including the upper airway musculature. And central breathing controller. OK, that ain't a muscle. But based on what you've said so far, and given the co-morbidities of post-polio, you could have components of all 5.I have come to a conclusion that a big part of the hypopnea in the Post Polio patients (?) is initiated by an already compromised diaphragm and the need for muscle relaxants and pain meds for the muscles to stop jumping around and the pain relieved so one can sleep....and they relax the diaphragm also....because they aren't picky about which muscles to relax.
OK, but you're on the way to the pulmonlologist, so we're on the right track.You ask, did the physician say, "Put the Bipap back on and see how you feel in the morning." Yes, pretty much, but you have to understand, these were not specialists in the field. These were a surgeon and my eye doctor whom I happened to have routine appointments with and some mighty scary symptoms.
Sigh. Anyway, can you find out the Low Minute Ventilation? Monitoring minute ventilation will become a key component here.I did not know when I gave her the go ahead to order it, that she nor anyone in the group knew anything at all about programming the machine.
See, I can be serious!
Now what happened to my rubber chicken?
SAG
Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.
-
StillAnotherGuest
- Posts: 1005
- Joined: Sun Sep 24, 2006 6:43 pm
Oh-Oh!
Whoops! Where did you come from? I thought you bought an island down south and were living the life of Hennessey! Or was that O'Shaughnessy? McGillicuddy? Kowalski? Sun-Yat-Sen?-SWS wrote:Aha! Caught red-handed! ...SAG wrote:blah, blah, blah... Central hypopneas (probably not, I just say that to needle -SWS) blah, blah, blah.
Strange I can't think of it. I've got a memory like a... like a... you know, big gray thing, tusks, trunk...
Wait, it'll come to me...
SAG
Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.
-
AnotherElizabeth
- Posts: 16
- Joined: Fri Feb 02, 2007 3:24 am
VPAP lll Problems
I haven't learned how to use this site yet to respond to questions, etc. but I can't learn it today. I probably said, my hubby and I own a manufacturing corporation, he handles the physical workings of it, I manage all the financial end of it and somewhere in the middle we share all the decision making about growth, personnel, etc. Today's a major day in its future...and not really a day to learn how to get around in this site.
For now, DSM...the clinician didn't actually just hand me the machine. She entered what she could of my present/past prescription using the manual to try to get around in it but when I ran into issues with alarms keeping me awake all night, etc, she was at a loss and said she'd try to get help with that but I haven't heard from her yet. She admitted not knowing the machine.
And SAG....I need to print your questions out and study them. I'm not sure where you are asking me a question of what is, suggesting what I should request from the pulmonologist, or obtain information on recent blood tests. It's a whole new language for me and I need to study it a bit before I can respond to your most recent post. I'm a bit overwhelmed.
Thank you both for your help thus far.
Elizabeth
For now, DSM...the clinician didn't actually just hand me the machine. She entered what she could of my present/past prescription using the manual to try to get around in it but when I ran into issues with alarms keeping me awake all night, etc, she was at a loss and said she'd try to get help with that but I haven't heard from her yet. She admitted not knowing the machine.
And SAG....I need to print your questions out and study them. I'm not sure where you are asking me a question of what is, suggesting what I should request from the pulmonologist, or obtain information on recent blood tests. It's a whole new language for me and I need to study it a bit before I can respond to your most recent post. I'm a bit overwhelmed.
Thank you both for your help thus far.
Elizabeth