Going Back to Doc

DreamStalker · Post by **DreamStalker** » Wed Jul 02, 2008 9:07 am

Bookbear wrote:Snoregirl, just to clarify: if your Rx is for cpap, you can purchase any cpap or apap machine. If your RX says apap however, you are limited to apap machines only.

That is most certainly correct for cpap.com's policy ... I have no idea if it is true for other online vendors.

DME's will generally insist that doc write out Rx specifically for APAP complete with min and max pressure settings.

Magnum · Post by **Magnum** » Thu Jul 03, 2008 11:12 am

Well I bit the bullet and if according to my emails I have a M Series CPAP with humidifier, sotware. Maybe is will get here in time to get one or two nights readings I can take to my GP. Looks like CPAP.com had no problem with the script I sent in.

Total cost on this machine was about $200 less thatn what I was charged for my first machine. Wish I had found this site before I had my first visit, could have saved me a bundle already.

One other thing. I am looking for my reports, after being divorced I have lost things in moves, but I think I remember my oxygen desaturation was 87% during my first test. From reading here it seems that is low, and I know the CPAP machines can not show that. The reason I ask it I have had difficulty breathing during the day and I have been sent and tested for Asthma, but passed that test. I am curious if low oxygen saturation at night could be causing this and if so, how can I monitor that at night?

Needsdecaf · Post by **Needsdecaf** » Thu Jul 03, 2008 11:19 am

Pulse-oximeter.

Available pretty much anywhere online, and you'll pay whatever you want. But beware of what you get...an instant read is useless while you're sleeping!

Magnum · Post by **Magnum** » Sat Jul 05, 2008 5:00 pm

New machine came in today so we shall see what data it can capture. I am sure it will take a while to get used to the machine, not sure to start it out as regular CPAP or switch it over to Auto to begin with.

Wulfman · Post by **Wulfman** » Sun Jul 06, 2008 6:53 am

Magnum wrote:New machine came in today so we shall see what data it can capture. I am sure it will take a while to get used to the machine, not sure to start it out as regular CPAP or switch it over to Auto to begin with.

My advice is to start out with your prescribed settings to establish a "baseline". Run it that way for at least a few nights to a week and see what things look like. Who knows......they MAY have gotten your pressure pretty close, to begin with.
Good luck with your new machine.

Den

Magnum · Post by **Magnum** » Sun Jul 06, 2008 9:50 am

They may have gotten the pressures right, but from last night it appears the leak rates were high. I woke up several times with the mask leaking and had to fix it.

Although helpful data, not sure I like the encoreviewer software. reports just don't seem very intuitive.

Slinky · Post by **Slinky** » Sun Jul 06, 2008 1:44 pm

One night seldom tells the entire story - not even one night in-lab titration studies always get it right. W/o all the additional data provided by a full PSG you might as well forget about one night's worth of data from a CPAP or autoPAP.

Make ONE CHANGE, whether mask or pressure setting or whatever, and STAY W/THAT CHANGE ONE FULL WEEK. TheN assess that one week's worth of data averages BEFORE making ONE other CHANGE and stay w/THAT ONE CHANGE ONE FULL WEEK and assess that data before making ONE other CHANGE FOR ONE FULL WEEK.

Doing otherwise is just spnning your wheels and not much better than making changes by guess and by gosh.

Magnum · Post by **Magnum** » Sun Jul 06, 2008 2:01 pm

[quote="Slinky"]One night seldom tells the entire story - not even one night in-lab titration studies always get it right. W/o all the additional data provided by a full PSG you might as well forget about one night's worth of data from a CPAP or autoPAP.

Make ONE CHANGE, whether mask or pressure setting or whatever, and STAY W/THAT CHANGE ONE FULL WEEK. TheN assess that one week's worth of data averages BEFORE making ONE other CHANGE and stay w/THAT ONE CHANGE ONE FULL WEEK and assess that data before making ONE other CHANGE FOR ONE FULL WEEK.

Doing otherwise is just spnning your wheels and not much better than making changes by guess and by gosh.