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Re: Data - What and how to share

Posted: Sun Feb 28, 2010 10:21 am
by jimplasticguy
ozij wrote:
When they raised your pressure, in the psg -- was it to control apneas or to control hypopneas?
Do you see the pressure going to 12 and more -- ever? I don't see that happening on the graphs you posted.
OziJ - I do not have the new study yet. They went over it with me a few weeks ago and I need to go get a copy. He told me that I did not have a problem with centrals. My recollection is that on straight cpap, they controlled all apneas at around 11, and had prescribed 12 (I guess for good measure). Very good question on the hypoapneas. I am going to get the report.

On my M series at 12 cm, I started having problems feeling crappy and I knew that I was having mouth leaks on exhale. The doctor wrote me a prescription for a BiPap. He said I do not need pressure on exhale in my case. Something about me not being heavy.

The DME argued about the insurance not paying for a BiPap unless I had been titrated that way. After a lot of crap, like we all go through, I got the doctor on the phone and we discussed. He liked the idea of trying an autopap, but with exhale relief.

I could put this think in straight cpap mode at 12 and see what happens. Or I could bump up now so the range is 10 to 16 instead of 8 to 16 where I was last night.

Finally, I should say that I am really trying to avoid blocking my mouth with either full face mask or with tape, etc. As I said before, I have had choking nightmares for years and have significant anxiety now about that. Additionally, I have significant reflux which is controlled by meds, but occasionally results in a pretty bad nighttime event where I inhale the acid, then get bronchial spasms. Scares my wife worse than me! The idea of blocking a method of (pardon my being blunt) spitting up causes me anxiety.

Thank you!

Jim

Re: Data - What and how to share

Posted: Sun Feb 28, 2010 11:00 am
by ozij
If the doc said to me I don't need pressure on exhale I would definitely put EPR at 3.
I think I would move the minimum up as well.

I had a few terrifying events of inaling reflux before my OSA was diagnosed. Properly treated OSA often results in relief for GERD as well.


O,