Saw a different DR today, his intrpretation of high CA Index

[Pugsy]

I think sometimes, insurance requires you to try bilevel before getting an ASV.

Arch...he's already using bilevel...he's got the PR S1 BiPap Auto.
I wonder if the doc thinks the AirCurve 10 VAuto is the ASV model....it isn't.

[cwillis]

Scratching my head here...the AirCurve VAuto is like the S9 VPAP Auto and the PR S1 Bipap Auto.
Could have got the same settings on the Bipap Auto.

Hi Pugsy so I took your advise and changed my EPAP min last night to 9. Actually had a better night, did notice that the Centrals usually follow a period after I was awakened and used bathroom. So maybe they are a transitional sleep generated apnea? This morning as I was in bed half awake I had numerous. So without those my CAI would have been lower say 3.54. Should I try these new settings they are prescribing on my PRS1?

[Pugsy]

Should I try these new settings they are prescribing on my PRS1?

Sure. I don't see any reason not to at least try them.

PS setting on the VPAP is fixed and won't vary so if you are using a PS minimum and maximum setting on the BiPap Auto you will need the PS minimum and maximum to equal each other to mimic how the VPAP works.

did notice that the Centrals usually follow a period after I was awakened and used bathroom. So maybe they are a transitional sleep generated apnea?

Very possible that they are sleep onset centrals and/or even simply awake.semi awake breathing irregularities getting flagged by mistake if you don't go back to sleep quickly.

[archangle]

I think sometimes, insurance requires you to try bilevel before getting an ASV.

Arch...he's already using bilevel...he's got the PR S1 BiPap Auto.
I wonder if the doc thinks the AirCurve 10 VAuto is the ASV model....it isn't.

Thanks, I noticed that. Maybe there's some sort of perceived insurance process to cause that. Maybe it's just doctor stupidity and doc is too lazy to learn to read PRS1 data instead of ResMed data.

Actually, if the doctor is using ResScan and Encore, that alone is enough to make the doctor insist on ResMed if you think about it.

I think it would be a good idea to ask the doctor if there's actually any reason to use a ResMed vs. the existing PRS1 machine.

I suspect it's just dummy doctor stuff, and they didn't notice OP already has an auto bilevel and just wrote a prescription for the ResMed machine without thinking.

cwillis, you should definitely ask the doc why he wants a ResMed auto bilevel instead of your existing PRS1 auto bilevel machine.

You definitely need to be sure the insurance will pay for the change between models of the same device. You could easily get screwed with the scam "full price" rental rates towards the end of your "rent to own" period if you aren't careful.

[cwillis]

Should I try these new settings they are prescribing on my PRS1?

Sure. I don't see any reason not to at least try them.

PS setting on the VPAP is fixed and won't vary so if you are using a PS minimum and maximum setting on the BiPap Auto you will need the PS minimum and maximum to equal each other to mimic how the VPAP works.

Not sure what you mean pressure is fixed? That means my pressure will always be IPAP 17 and EPAP 12? Or is there a min that my machine will start at? If PS is 4?

[palerider]

Not sure what you mean pressure is fixed? That means my pressure will always be IPAP 17 and EPAP 12? Or is there a min that my machine will start at? If PS is 4?

pressure SUPPORT (ps) is fixed on the vpap line... the respironics have a minps and maxps setting, the resmeds simply have a ps setting.

within limits, you can duplicate the settings on your respironics by setting minps and maxps to 4.

[cwillis]

Not sure what you mean pressure is fixed? That means my pressure will always be IPAP 17 and EPAP 12? Or is there a min that my machine will start at? If PS is 4?

pressure SUPPORT (ps) is fixed on the vpap line... the respironics have a minps and maxps setting, the resmeds simply have a ps setting.

within limits, you can duplicate the settings on your respironics by setting minps and maxps to 4.

Thank you Pale Rider so does that mean this new machine will start at IPAP 13 and EPAP 8?

[palerider]

Not sure what you mean pressure is fixed? That means my pressure will always be IPAP 17 and EPAP 12? Or is there a min that my machine will start at? If PS is 4?

pressure SUPPORT (ps) is fixed on the vpap line... the respironics have a minps and maxps setting, the resmeds simply have a ps setting.

within limits, you can duplicate the settings on your respironics by setting minps and maxps to 4.

Thank you Pale Rider so does that mean this new machine will start at IPAP 13 and EPAP 8?

the settings you mentioned earlier were minepap 12, maxipap 17, ps 4.

that means the pressures would vary between 16/12 and 17/13 at that .... strange sounding setting.

[cwillis]

Not sure what you mean pressure is fixed? That means my pressure will always be IPAP 17 and EPAP 12? Or is there a min that my machine will start at? If PS is 4?

pressure SUPPORT (ps) is fixed on the vpap line... the respironics have a minps and maxps setting, the resmeds simply have a ps setting.

within limits, you can duplicate the settings on your respironics by setting minps and maxps to 4.

Thank you Pale Rider so does that mean this new machine will start at IPAP 13 and EPAP 8?

the settings you mentioned earlier were minepap 12, maxipap 17, ps 4.

that means the pressures would vary between 16/12 and 17/13 at that .... strange sounding setting.

Pale Rider how would you suggest I start changing my pressures in my current machine to get used to these pressure prescribed, go up on all settings by one?

[palerider]

the settings you mentioned earlier were minepap 12, maxipap 17, ps 4.

that means the pressures would vary between 16/12 and 17/13 at that .... strange sounding setting.

Pale Rider how would you suggest I start changing my pressures in my current machine to get used to these pressure prescribed, go up on all settings by one?

what do you have now ,and where do you want to get to?

[cwillis]

I'm at Min EPAP 9 Max 12 Min IPAP 11 Max 14 PS min 2 PS max 4. I guess I want to see how I deal with pressure increase and how it effects my Centrals.

[palerider]

I'm at Min EPAP 9 Max 12 Min IPAP 11 Max 14 PS min 2 PS max 4. I guess I want to see how I deal with pressure increase and how it effects my Centrals.

I'm not trying to advise anything, I'm simply clarifying your confusion about pugsys statement

PS setting on the VPAP is fixed and won't vary so if you are using a PS minimum and maximum setting on the BiPap Auto you will need the PS minimum and maximum to equal each other to mimic how the VPAP works.

I suggest you continue doing what she suggests.