Using Wife's CPAP?

[manich]

My wife got a ResMed Airsense 11 a few days after I got a Resvent iBreeze 20A. We have same sleep doctor but got sent to different DME's, and mine told me they could only acquire Resvents. Maybe doc sent her to DME they knew could get her a better machine since she has severe OSA and I have moderate complex SA. My Resvent has lowered my AHI from 15 to 5-8, but still feel tired and brain fogged most of the day. My Emay oximeter says my SpO2 no longer dips into the low 70s, but does still stay in the high 80s about 33% of the night. My question is- I would like to use her Resmed one night to see if I get better results and would be able to generate an Oscar report.

Question: Can I delete my one night data from her machine after using, or is this something I shouldn't do?

[Iamstumped]

If you do use her machine and try to delete just your data, it will also delete her data.

[SleepGeek]

Use it but do NOT delete it, that will likely screw up her compliance.

If it turns out it helps you better have your doc write another script specifying the make and model of the cpap you want - NO Substitutions allowed.

The Resvent just isn't very popular and doesn't work with Oscar. You will be using Oscar to check your results, right?

[Respirator99]

Question: Can I delete my one night data from her machine after using, or is this something I shouldn't do?

If you delete one night of your wife's data it may affect her compliance, if that is an issue to you.

Oscar does allow you to delete a day's data: Use the menu option Data | Advanced | Purge Current Selected Day

[manich]

Use it but do NOT delete it, that will likely screw up her compliance.

If it turns out it helps you better have your doc write another script specifying the make and model of the cpap you want - NO Substitutions allowed.

The Resvent just isn't very popular and doesn't work with Oscar. You will be using Oscar to check your results, right?

Yes, I want to see results on a resmed and my one Oscar night data, and to see how much Resvent might be missing my events.

I think I will eventually need to get a new script for a BiPAP or ASV. My sleep study showed most of my apnea was central, and even in the clinic overnight with a CPAP, with sleep tech adjusting pressure, couldn't get AHI below 8. I guess docs have to write for CPAP before Medicare will approve BIPAP or ASV.

[SleepGeek]

I guess docs have to write for CPAP before Medicare will approve BIPAP or ASV.

Because of the cost you almost always have to fail cpap before the insurance will pay for bipap.

IMO bipap will be much easier to adapt to esp. when trying to exhale at the higher pressures.

You are going about it the right way. Printing out your results may help sway your doc.

[babydinosnoreless]

Use it but do NOT delete it, that will likely screw up her compliance.

If it turns out it helps you better have your doc write another script specifying the make and model of the cpap you want - NO Substitutions allowed.

The Resvent just isn't very popular and doesn't work with Oscar. You will be using Oscar to check your results, right?

Yes, I want to see results on a resmed and my one Oscar night data, and to see how much Resvent might be missing my events.

I think I will eventually need to get a new script for a BiPAP or ASV. My sleep study showed most of my apnea was central, and even in the clinic overnight with a CPAP, with sleep tech adjusting pressure, couldn't get AHI below 8. I guess docs have to write for CPAP before Medicare will approve BIPAP or ASV.

I'm not sure this is correct information. I was written a script for a bilevel right from the get go.

[ozij]

Because of the cost you almost always have to fail cpap before the insurance will pay for bipap.

I'm not sure this is correct information. I was written a script for a bilevel right from the get go.

SleepGeek did say "almost always", and he OP was indeed presribed a non bi-level machine to start with.

I would say the OP's oxygen measurements on his peresent machine should be enough for the doc to say "this isn't working"....

babydino -- did you have a PSG study with a CPAP? And what is your maximum prescribed pressure? Bi-level machine can go higher than those that are not bi-level.

[SleepGeek]

babydino -- did you have a PSG study with a CPAP? And what is your maximum prescribed pressure? Bi-level machine can go higher than those that are not bi-level.

she didn't say who her insurance was either. We all know that can make all the difference.

[babydinosnoreless]

Because of the cost you almost always have to fail cpap before the insurance will pay for bipap.

I'm not sure this is correct information. I was written a script for a bilevel right from the get go.

SleepGeek did say "almost always", and he OP was indeed presribed a non bi-level machine to start with.

I would say the OP's oxygen measurements on his peresent machine should be enough for the doc to say "this isn't working"....

babydino -- did you have a PSG study with a CPAP? And what is your maximum prescribed pressure? Bi-level machine can go higher than those that are not bi-level.

I had a split night study, and was prescribed 18-23. I am aware bi-levels have higher pressure but I suspect it was also my 141.3 events per hour and my desats down to 76%. I had a lot of centrals. I am just lucky the bi-pap worked and I didn't need an ASV. However all that is besides the point, the point was I was prescribed bipap right from the start I didn't have to fail with a cpap first. Had that happened I would have no doubt given up. I almost gave up on the bi-level.

[Pugsy]

I had a split night study, and was prescribed 18-23

You earned a bilevel RX right from the beginning because of your pressure needs because regular cpap/apap can't go above 20 cm. It does happen to a few people who end up with prescribed pressures in their upper teens but most people won't qualify for bilevel just on pressure needs alone and those people will usually have to fail cpap/apap before their insurance will pay for bilevel.

[SleepGeek]

I had a split night study, and was prescribed 18-23. I am aware bi-levels have higher pressure but I suspect it was also my 141.3 events per hour and my desats down to 76%.

The pressure needs will certainly do it. Plus an insurance that realizes the need.

I am just lucky the bi-pap worked and I didn't need an ASV.

Certainly.

[Okie bipap]

My initial prescription was for a bi-level machine. The doctor simply added a statement to the prescription said: "Patient did not tolerate CPAP." My wife's prescription was the same way.

[lynninnj]

Because of the cost you almost always have to fail cpap before the insurance will pay for bipap.

I'm not sure this is correct information. I was written a script for a bilevel right from the get go.

SleepGeek did say "almost always", and he OP was indeed presribed a non bi-level machine to start with.

I would say the OP's oxygen measurements on his peresent machine should be enough for the doc to say "this isn't working"....

babydino -- did you have a PSG study with a CPAP? And what is your maximum prescribed pressure? Bi-level machine can go higher than those that are not bi-level.

I had a split night study, and was prescribed 18-23. I am aware bi-levels have higher pressure but I suspect it was also my 141.3 events per hour and my desats down to 76%. I had a lot of centrals. I am just lucky the bi-pap worked and I didn't need an ASV. However all that is besides the point, the point was I was prescribed bipap right from the start I didn't have to fail with a cpap first. Had that happened I would have no doubt given up. I almost gave up on the bi-level.

HOLY COW!

That’s a LOT of AHI!

I hope you are doing much much better now?

I can’t even imagine!

[babydinosnoreless]

HOLY COW!

That’s a LOT of AHI!

I hope you are doing much much better now?

I can’t even imagine!

Thanks to Pugsy and PR my AHI is now under 1 and I occasionally get zeros. Pretty sure the brain fog is forever tho, who knows how long it was going on before I was diagnosed and then I dragged my feet taking care of it. I've been on bi-level for about 3 years now. Its still amazing to me that I can sleep 8-9 hours. Up until I got the pap I was lucky to get 5 hours and that is something I've lived with my whole life up till now.