Is it true about Resmed and software?

lizkayfast wrote:lizkay aka lizkayfast. Thanks to those who have responded.

I have had horrible daytime sleepiness (not body fatigue/muscle fatigue) since 1-03. First sleep study was done 3-05 by the director of an ASSM certified sleep lab in Lincoln, NE. AHI was .09, but had 93 RERAs, 21.2 event index. 116 arousals & awakenings = index of 25, 1.5% stage 3, 0% stage 4, 9.3% REM

Titration droped the AHI to 0, 1 RERA, 0.6 event index. 79 arousals & awakenings = index of 14. 26% stage 3, 0% stage 4, .05 % REM.

Diagnosis was OSA, primarily in the form of RERAs.

Had a second study at a smaller outstate lab in 10-05. Pressure was left at 5 all night. AHI was .04, 76 arousals = index of 13, 10% Stage 3, 35% stage 4, 10% REM. No mention of RERAs

Had a third study at a different outstate lab in 11-06. AHI 12.8, 77 arousals = index of 20. No mention of RERAs. 22% slow wave sleep. 5.7% REM.

While I know CPAP helps eliminate all of the snorting type breathing episodes that would continually wake me up, the horrible sleepiness continued. I am 100% compliant in CPAP use.

Decided to go to major university medical center (300 miles one way). After numerous visits, variety of medications, another sleep study was done (my MD is director of that center) there 11-08. AHI 1.6, 45 arousals = index of 8.2. No mention of RERAs. 0% stage 3 & stage 4. 0% REM. Diagnosis = "no evidence of significant sleep disordered breathing, PLM, or increased upper airway resistance. Did have severly fragmented sleep as she has been on CPAP for a number of years and likely has developed somewhat of a dependence on using the CPAP despite the fact that she does not have any overt evidence of flow limitation based on the study on this night." I did not meet criteria for titration study and would not have been prescribed CPAP based on this study.

I have taken all the sleep medications and all the wake promoting medications. The sleepiness continues. Fibro and CFS have been ruled out.

Slinky wrote:And, what about Leak, Wulfman??

provider wrote:PAP is a Class II medical device as governed by the FDA, meaning a prescription is required. Since the software can be used as a mechanism to change the settings, meaning the physician's prescription, I would imagine this is the reason. However, I am only speculating.