Can't recommend Good Morning Snore Solution

Goofproof wrote:It amazes me, the effort people will goto to, not sucessfully treat their sleep apnea. Any amount of money, and wasted effort, just to keep stroking in De-Nile.

If half the effort was put into using XPAP correctly (Correctly, many use it incorrectly.),

If you can please enlighten me, I would rather send the money to you. Considering how much money is spent on doctor appointments and XPAP itself, these kind of expenditures pale in comparison. Specifically, what to do about UARS suspect?

Tan, there is treatment for UARS, none available OTC, AFAIK. Good luck with whatever you want to try.
If anything works, please share it.

tan wrote:Specifically, what to do about UARS suspect?

Get a sleep study and CPAP titration in a lab that is skilled and experienced with UARS. Don't bother with gadgets.

chunkyfrog wrote:Tan, there is treatment for UARS, none available OTC. Good luck with whatever you want to try.
If anything works, please share it.

I am not saying it is available OTC. I am trying to use OTC stuff in combination with conventional CPAP. My Major problem is tolerating higher pressures. FFM starts leaking. Padacheeck doesn't help in my particular case. A nasal pillow mask does better, but I need to somehow control mouth leaks as taping doesn't really work. Neither does cervical collar nor fixodent to keep my mouth sealed.

Midnight Strangler wrote:

tan wrote:Specifically, what to do about UARS suspect?

Get a sleep study and CPAP titration in a lab that is skilled and experienced with UARS. Don't bother with gadgets.

Yeah, insurance just refused the titration study and offered a Home sleep test (!!) for the purpose:
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tan wrote:Yeah, insurance just refused the titration study and offered a Home sleep test (!!) for the purpose:

Why are you asking about UARS if you have been diagnosed with OSA?

I agree with your insurance company. You have a CPAP machine and should use the tools described here to make sure your apneas are under control.

Midnight Strangler wrote:

tan wrote:Yeah, insurance just refused the titration study and offered a Home sleep test (!!) for the purpose:

Why are you asking about UARS if you have been diagnosed with OSA?

Because if I have a low AHI and am yet still tired and experience sleepiness And during my sleep study I had AHI of around 5 (mild) and RDI around 17 (moderate), and after I have been given the machine with 4/20 setting and I still have symptoms. I increased pressure, flow limitations seem to have decreased but not eliminated. I think I need to go higher but it is harder and harder to tolerate.

I agree with your insurance company. You have a CPAP machine and should use the tools described here to make sure your apneas are under control.

Well, my doctor disagrees with you and my insurance company and is open to UARS diagnosis and that I need a sleep study. What tools are you talking about?

My AHI with an APAP is below 0.5, so what? It does not mean I have a restful sleep, flow limitations are still present and may be impacting my therapy

tan wrote:I have been given the machine with 4/20 setting and I still have symptoms. I increased pressure,

Pet peeve: Why don't you say to what pressure setting you increased? It could have been 5/20 or it could have been 19/20. Big difference.

4/20: I don't believe is effective for very many people.

tan wrote:if I have a low AHI and am yet still tired and experience sleepiness

Do you practice good sleep hygiene, have a moderate, regular exercise program and eat a good diet?

tan wrote:my doctor disagrees with you and my insurance company and is open to UARS diagnosis and that I need a sleep study.

If your doctor is on your side, he can write a letter to your insurance company and get this approved. Better yet, he can call the medical director (a doctor) at your insurance company and get it approved quickly.

From the post you made, it looks like so far all the insurance company knows is that you have OSA.

Good luck,

I agree with Granny. 4-20 is ridiculous. Your machine is having to raise pressure too far,
and too fast to not disrupt your sleep. Tighten up, and check your pressure history on the software.

ChicagoGranny wrote:

tan wrote:I have been given the machine with 4/20 setting and I still have symptoms. I increased pressure,

Pet peeve: Why don't you say to what pressure setting you increased? It could have been 5/20 or it could have been 19/20. Big difference.

4/20: I don't believe is effective for very many people.

Right. I gradually increased it to 15 with EPR=3. But isn't what sleep studies are for? My doctor wrote a pre-approval letter but insurance denied it.

tan wrote:if I have a low AHI and am yet still tired and experience sleepiness

Do you practice good sleep hygiene, have a moderate, regular exercise program and eat a good diet?

I try to.

tan wrote:my doctor disagrees with you and my insurance company and is open to UARS diagnosis and that I need a sleep study.

If your doctor is on your side, he can write a letter to your insurance company and get this approved. Better yet, he can call the medical director (a doctor) at your insurance company and get it approved quickly.

I saw what doctor wrote: request for a titration study because the patient still has OSA symptoms to determine proper pressure. He also said the patient agreed.

chunkyfrog wrote:I agree with Granny. 4-20 is ridiculous.

Yes, looks ridiculous to me, too. But it seems like there are people even on this board who don't think it is ridiculous by agreeing with the insurance's determination to refuse a titration study

tan wrote:

chunkyfrog wrote:I agree with Granny. 4-20 is ridiculous.

Yes, looks ridiculous to me, too. But it seems like there are people even on this board who don't think it is ridiculous by agreeing with the insurance's determination to refuse a titration study

4-20 is the best *starting point* then you adjust from there.

palerider wrote:

tan wrote:

chunkyfrog wrote:I agree with Granny. 4-20 is ridiculous.

Yes, looks ridiculous to me, too. But it seems like there are people even on this board who don't think it is ridiculous by agreeing with the insurance's determination to refuse a titration study

4-20 is the best *starting point* then you adjust from there.

Yes, that is what I did: self-titration. Hard to go over 15 though, even with EPR==3. It is just I think that professional titration could have been a much better and faster option. Who knows... maybe... I need a VPAP, but how can one tell...

tan wrote:He (doctor) also said the patient agreed.

Your doctor must be stupid to write this. I am sure the insurance people got a good laugh out of a doctor saying the patient was advising on what tests to undergo. It is good for the patient to ask for certain tests. But a doctor is stupid for writing this to the insurance company.

tan wrote:I saw what doctor wrote: request for a titration study because the patient still has OSA symptoms to determine proper pressure.

What you are saying in this quote and what the insurance company says in their letter indicates that the insurance company has zero idea that the doctor wants to test you for UARs. Does he? Or does he just want to titrate you for OSA?

tan wrote: Do you practice good sleep hygiene, have a moderate, regular exercise program and eat a good diet?


I try to.

Try not! Do. Or do not. There is no try!

https://www.youtube.com/watch?v=p_tYQRP4QWM

Get with it Tan!

palerider wrote:4-20 is the best *starting point* then you adjust from there.

Best? Horse manure.

4 will ruin many people because they will feel like they are suffocating as soon as they put the mask on.

If you are taking this approach, I would go with 7 - 20.

You know the min can be adjusted up and down from the starting point?