Looking For Tips On How To Interact With The Doctor

[palerider]

I guess this must be the updated version. I wonder what DOM means (data only machine?)!

respironics uses a lot of meaningless words in their names. I think it's to confuse people.

you should also update your humidifier, pick the one that has 'system one 60 series' in the name, it'll avoid confusion later.

the 460 is a good machine, and, as you said, has data.

[Mike208]

4 is the default low machine setting and no one on earth can breathe at it... 6 or 7 being the first reasonable low pressure to start with... plus if you use the ramp, never mind at 45 mins(!) you won't be being treated at all as there's nowhere for the ramp to reach if 4 is the setting entered! Plus 45 mins (even if your low setting were e.g. 12) means you're not getting full treatment for all that time, which is why 90% of us turn the ramp off in the first week of using Cpap.

Yep, found that out last night. I had a very difficult time breathing. I lasted about a little over an hour. This is getting pretty ridiculous actually. These people should know that you can't hardly breathe like that.

[HoseCrusher]

This is interesting...

When you go back to discuss things with your "employee" (your doctor) ask him why he would suggest a pressure that is very difficult to breath with unless you are totally relaxed and is marginal even them. Ask if he has ever tried to breath with such a low pressure.

We know this because many of us have experienced similar results. Experience plays a large part in finding good "employees" to help us achieve our goals. It doesn't sound like your "employee" has much experience in this area.

[Mike208]

This is interesting...

When you go back to discuss things with your "employee" (your doctor) ask him why he would suggest a pressure that is very difficult to breath with unless you are totally relaxed and is marginal even them. Ask if he has ever tried to breath with such a low pressure.

We know this because many of us have experienced similar results. Experience plays a large part in finding good "employees" to help us achieve our goals. It doesn't sound like your "employee" has much experience in this area.

Interesting is one word. Stupid, idiotic, ridiculous, are some others. Personally, I feel like this employee needs to find employment elsewhere.

[Greg Riddle]

How long do you have to dither around before dr has you try bylevel

[Mike208]

How long do you have to dither around before dr has you try bylevel

He won't write a script for bilevel. As it was explained to me, the machine I have has the ability to operate similar to a bilevel. This is why they said that if I fail with the present machine there really is no point in trying the bilevel machine.

[OkyDoky]

Mike do you have a copy of your clinical manual? You can get on at this link. http://www.apneaboard.com/adjust-cpap-p ... tup-manual Scroll down to section three and at the bottom it will tell you how to order one. Your machine will give you a 3 decrease in exhalation but a bilevel can be set greater than that. Not sure if that will cure your problem or not but that's a difference between the two machines.

[Greg Riddle]

The machine I had before had epr. It wasn't enough. Sounds like he needs to get his head out off his

[Mike208]

Mike do you have a copy of your clinical manual? You can get on at this link. http://www.apneaboard.com/adjust-cpap-p ... tup-manual Scroll down to section three and at the bottom it will tell you how to order one. Your machine will give you a 3 decrease in exhalation but a bilevel can be set greater than that. Not sure if that will cure your problem or not but that's a difference between the two machines.

Yes, got it. I know the bilevel has a greater degree of adjustment. But since the present machine has a small degree of "bilevel" action, the doctor feels like if I can't adapt to that the chances are I won't adapt to another machine. The more I read up on the differences between the machines the more I tend to agree. Is it possible that I might, at some point, adjust to the bilevel? Anything is possible I guess. But it's not likely knowing my history so I can understand their viewpoint.

[Greg Riddle]

With cpap I can't take pressure over 15. Bilevel it's close to 24. It's worth a shot

[archangle]

If that is the machine, it states it is a 250 which if you read at the bottom states only tracks AHI and compliance data which means no detailed waveforms. So check the number tonight when you get home.

The 250 machine does not record any AHI data, only settings and the times you used it.

Thanks for correction. I even read that statement, but since they were getting AHI, I read AHI into the statement. Does the AHI even show on the display window?

There was a mistake or confusion in the model number in this discussion. PRS1 250/260/150/160 and SE models have no data other than hours used and settings. No AHI is reported under any circumstances, not on the display, not on the SD card, not on the modem. I think they lack the internal hardware used to measure AHI, unless they've changed the hardware in later models.