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Re: Dealing with angry sleep docs

Posted: Mon Oct 28, 2019 8:44 pm
by palerider
Brounmoney wrote:
Mon Oct 28, 2019 8:39 pm
palerider wrote:
Mon Oct 28, 2019 8:05 pm
Dog Slobber wrote:
Mon Oct 28, 2019 7:53 pm
. She did tell me she prefers that I keep the machine in CPAP mode. I shared why I was in APAP mode and then politely, but firmly told her, when my machine was being managed by the Sleep Clinic my AHI was 3.5, since I optimized it myself, it's under 1.
My only guess is that some doctors prefer CPAP mode because they don't understand APAP mode... and how it can benefit many, if not most, people.
I have changed mine from CPAP to APAP. The fixed pressure was not working, and I am getting great results. I don’t see how that’s an issue. Shouldn’t it be about me getting good results? I would think so.

Just curious what the benefits are of using APAP? I know I get better results with little to no leaks and leave the mask on longer, and feel so much better.
Well, "I have changed mine from CPAP to APAP. ... and I am getting great results." <- that's the benefit.

The machine can adjust, and respond to your changing needs throughout the night, and from day to day, instead of being at one fixed setting.

Sleep varies, during the night and from day to day... it's not a constant... why should your machine be a constant?

Re: Dealing with angry sleep docs

Posted: Mon Oct 28, 2019 11:02 pm
by chunkyfrog
APAP gives you a mini-sleep study every night.
Now if you were a doctor who got kickbacks from a sleep lab, how would you feel?
My thought--let somebody ELSE pay for that boat, country club membership,
tropical cruise, or greens fees.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 5:42 am
by ChicagoGranny
mike291068 wrote:
Mon Oct 28, 2019 2:22 pm
... I "hacked" the whole system ...
For anyone who is puzzled by WTH Mike means, here is his previous thread - viewtopic.php?f=1&t=177401&p=1327565#p1327565

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 7:26 am
by mike291068
ChicagoGranny wrote:
Tue Oct 29, 2019 5:42 am
mike291068 wrote:
Mon Oct 28, 2019 2:22 pm
... I "hacked" the whole system ...
For anyone who is puzzled by WTH Mike means, here is his previous thread - viewtopic.php?f=1&t=177401&p=1327565#p1327565
ChicagoGranny the reason I did not put this in original thread is because it is more or less unrelated. The other thread was more geared to the experts, I had posted 5 posts in a row with no responses and did not want to continue posting and becoming "that guy". This question was more for the "commoners" :D among us so I thought it was appropriate to post separately. Not trying to confuse anything and not complaining as I know the experts are very busy and I have gotten very good info/advice from them. Just trying to keep everyone happy and get some answers. I see the reasoning behind keeping everything in one thread but don't want to be a pest asking question after question that others could help with. Feedback on this is welcome. Thanks to all out here. Peace.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 7:36 am
by Pugsy
Not a big deal to have multiple questions about seemingly unrelated things in one thread.
Also not a big deal to start a new thread.
It does make it easier when a newbie confines the bulk of his questions to one thread so that people can easily look to see what has already been discussed.
But it's not set in stone either. It bugs some forum members more than it bugs others. :lol:
I am not particularly bugged by it unless I start seeing a dozen new separate topics for a dozen new questions. :lol: :lol: That's when I start getting annoyed. You are okay with 2 or 3...not a big deal.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 7:38 am
by D.H.
Brounmoney wrote:
Mon Oct 28, 2019 8:39 pm
. . .

Just curious what the benefits are of using APAP? I know I get better results with little to no leaks and leave the mask on longer, and feel so much better.
The advantage is that you can have the higher pressure only when you need it; not all night long.

The disadvantage is that there needs to be some level of distress experienced before the machine responds.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 8:21 am
by Dog Slobber
D.H. wrote:
Tue Oct 29, 2019 7:38 am
Brounmoney wrote:
Mon Oct 28, 2019 8:39 pm
. . .

Just curious what the benefits are of using APAP? I know I get better results with little to no leaks and leave the mask on longer, and feel so much better.
The advantage is that you can have the higher pressure only when you need it; not all night long.

The disadvantage is that there needs to be some level of distress experienced before the machine responds.
This doesn't have to happen if one's minimum is properly set.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 9:10 am
by palerider
D.H. wrote:
Tue Oct 29, 2019 7:38 am
Brounmoney wrote:
Mon Oct 28, 2019 8:39 pm
. . .

Just curious what the benefits are of using APAP? I know I get better results with little to no leaks and leave the mask on longer, and feel so much better.
The advantage is that you can have the higher pressure only when you need it; not all night long.

The disadvantage is that there needs to be some level of distress experienced before the machine responds.
Vs a non auto machine that won't respond at all, no matter how much "distress" one experiences.

Some "disadvantage" :roll:

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 9:38 am
by Brounmoney
palerider wrote:
Tue Oct 29, 2019 9:10 am
D.H. wrote:
Tue Oct 29, 2019 7:38 am
Brounmoney wrote:
Mon Oct 28, 2019 8:39 pm
. . .

Just curious what the benefits are of using APAP? I know I get better results with little to no leaks and leave the mask on longer, and feel so much better.
The advantage is that you can have the higher pressure only when you need it; not all night long.

The disadvantage is that there needs to be some level of distress experienced before the machine responds.
Vs a non auto machine that won't respond at all, no matter how much "distress" one experiences.

Some "disadvantage" :roll:
Yes my doc didn’t even set the APAP, but man it’s been working much better with. I still think I might need to up my min. 9 seems that I get a lot of V2 snores, and I think I could limit that.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 10:05 am
by Jas_williams
Don’t worry about VS2 snores turn that stat off it is not meaningful in optimising your treatment

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 10:18 am
by Brounmoney
Jas_williams wrote:
Tue Oct 29, 2019 10:05 am
Don’t worry about VS2 snores turn that stat off it is not meaningful in optimising your treatment
Oh really? Good I had no idea what that meant! Thank you!

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 11:19 am
by ChicagoGranny
mike291068 wrote:
Tue Oct 29, 2019 7:26 am
ChicagoGranny the reason I did not put this in original thread is because it is more or less unrelated.
If you read my post again, you should see that I did not say you should have combined it in your first thread.

I was just pointing out where people could find out what you meant by,
... I "hacked" the whole system ...

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 11:20 am
by ChicagoGranny
Personally, I would turn this,
Dealing with angry sleep docs
back on the doctor,
Doctor Asks How To Deal with Patients Who Refuse To Buckle to Bullying

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 12:14 pm
by chunkyfrog
ChicagoGranny wrote:
Tue Oct 29, 2019 11:20 am
Personally, I would turn this,
Dealing with angry sleep docs
back on the doctor,
Doctor Asks How To Deal with Patients Who Refuse To Buckle to Bullying
Granny--well stated.

Re: Dealing with angry sleep docs

Posted: Tue Oct 29, 2019 12:21 pm
by mike291068
Pugsy wrote:
Tue Oct 29, 2019 7:36 am
Not a big deal to have multiple questions about seemingly unrelated things in one thread.
Also not a big deal to start a new thread.
It does make it easier when a newbie confines the bulk of his questions to one thread so that people can easily look to see what has already been discussed.
But it's not set in stone either. It bugs some forum members more than it bugs others. :lol:
I am not particularly bugged by it unless I start seeing a dozen new separate topics for a dozen new questions. :lol: :lol: That's when I start getting annoyed. You are okay with 2 or 3...not a big deal.
Gotcha - I get it and I can see how it would get frustrating. I won't start any new threads. This one way mainly attributed to my impatience :D