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Now the thing skyrockets to 20 every night for no good reason.

The RESmart Fact Sheet claims to have a central apnea protection scheme:

When treatment pressure approaches 10 cm H2O during rising, increases in pressure will slow greatly and sensors must all detect a snore or flow limitation for increasing pressure. This is to prevent an inappropriate response to central apneas.

http://roscoemedical.com/Customer/romei ... RTAUTO.PDF

Need detailed data to figure out is SOME of the stuff is wrong, or ALL of the stuff is wrong.

So what is your suggestion? My insurance will not cover the 2nd part of the study so its only logical they would refuse another study by someone else. I don't know where to go from here.
Is it possible to get someone else to read the results of the 1st test?

EMTunit31 wrote:So what is your suggestion?

Sludge wrote:I think the ball will start rolling if you call you guy and say "I had 387 central central central central apneas on my sleep study but you gave me a diagnosis of obstructive apnea. What's up with that? And I read on the internet (they always love to hear that) that the WORST thing you can do with somebody who has central apnea is put them on a wide open APAP (that does not have central apnea identification technology). Now the thing skyrockets to 20 every night for no good reason. Why'd you do that to me?'"

I think that's an excellent idea and I will call his office on Monday or have my doctor call him. Thanks Sludge. BTW...how did you come up with the user name "Sludge"?

EMTunit31 wrote:I think that's an excellent idea and I will call his office on Monday or have my doctor call him. Thanks Sludge. BTW...how did you come up with the user name "Sludge"?

I would love to be a fly in the wall when you make that call and follow Sludge's advice. All jokes aside, best of luck in getting this resolved. It sounds like you have been through h-ll.

49er

Thanks 49er. I'm really interested in the reply the doctor is going to give me. I hope not some BS because I'm not educated enough in this to really know better. All I have at this point is common sence and with the help I've already got.... this report makes no sence at all!!!

EMTunit31 wrote: I was given a Res Mart machine

Heck, when I saw that, I thought Walmart is finally selling CPAP machines (As some here wish for.) and has a house brand.

I had to look that one up and learned there is a brand RESmart that seems to have nothing to do with Walmart or ResMed or Philips Respironics.

Best of luck EMT in getting your diagnosis right and getting on the way to an excellent therapy!

Sludge I just seen your earlier post. After my stroke I was sent to rehab to learn to swallow,(I had suction so I wouldn't choke) walk and talk again. I am constantly dizzy and I choke easily. The right side of my body was completely numb (I sence pressure now) and the left side of my head. I can't detect cold very easy and most of the time I'm overheated. My weight right now is around 230. I've lost 50 pounds and aiming for much more
My normal weight, pre stroke, was around 130. I worked 2 jobs and then IT happened. My memory and intellect were not affected at all.
I have gone through so many fights and struggles that this fight coming up is NOT something I'm looking forward to. I know I'm going to have doctor issues and insurance denials. Tomorrow will be the 7th anniversary of my stroke. The day before the stroke I had sinus surgery and they broke my nose. The last 7 years have been a struggle. Everyday I think about the positives just to remain sane

Yes, I would love the Resmart software and if you guide me through it, I'll upload info from my SD card too.

Hangfire you're killing me, LOL. Walmart selling ResMart. Now thats funny.
Thanks for the encouragement.

I haven't left you. I am here but I am deferring to Sludge as he knows a lot more about this stuff than I do and he may have access to the software that the POS ResMart uses and I don't.
Sludge has been here for several years but likes to change his screen ID and avatar depending on his mood and how many posts he has accumulated.

Sludge wrote:I think the ball will start rolling if you call you guy and say "I had 387 central central central central apneas on my sleep study but you gave me a diagnosis of obstructive apnea. What's up with that? And I read on the internet (they always love to hear that) that the WORST thing you can do with somebody who has central apnea is put them on a wide open APAP (that does not have central apnea identification technology). Now the thing skyrockets to 20 every night for no good reason. Why'd you do that to me?'"

This is exactly where I would start but the "central central central central" part I would make sure that it was heard loud and clear.
If your doctor actually missed the central part of the report...he's an idiot.
If the DME simply supplied the wrong machine...they are idiots.
Somebody dropped the ball in your situation....maybe both are idiots.

As far as your insurance not covering a titration sleep study...that boggles my mind...perhaps they don't/won't for plain jane vanilla OSA titrations and that's what they think you have based on the idiot diagnosis. Those centrals (assuming they are the real deal) really complicates things.

Pugsy wrote:As far as your insurance not covering a titration sleep study...that boggles my mind...perhaps they don't/won't for plain jane vanilla OSA titrations and that's what they think you have based on the idiot diagnosis. Those centrals (assuming they are the real deal) really complicates things.

I wonder if the dx were CSA or mixed if the insurance would then cover a titration?

You guys are so cool. (That comment dates me, doesn't it). You don't let your ego's interfere. If you feel someone knows more about a situation, you say so. I have heard a lot of good about you through my aunt. She loves this site and turned me over to you guys. She did good!!!!!

I have a question again. Is it common for teeth to hurt from the full mask? I don't have sensitive teeth but today is the second time my teeth have ached.

While not all that common for a person to have teeth pain...it isn't impossible. The teeth are sensitive to pressure and I suspect it's the pressure of the mask.

Which mask are you using? I don't remember if you ever said.
If it's a nasal cushion mask then it's probably the pressure on the upper teeth between upper lip and nose.
Mask might be a little too tight in that area putting too much pressure on the teeth....it shouldn't cause tooth pain and it is NOT something that you should accept. If teeth hurt...that means they could potentially move later from the pressure and you don't want that to happen.