Two week DME follow up....
Two week DME follow up....
The visit went well the DME even offered to let me try another mask. However I'm still averaging 10.9 apneas an hour. The DME is going to contact the doctor and get a prescription for a Auto CPAP. I will use it for 4 weeks to determine what pressure I need currently I'm at 13lbs. The problem is it's a plus model and is not data ready. I'm not going to get stuck with that machine and I guess I better wait before getting any soft ware for the PRO i have now. So I guess I'm still on the road to recovery.....Thanks for listening
Re: Two week DME follow up....
13 is fairly high and I doubt it will need to go higher, just keep using the CPAP for now and dont worry about the data
its measured in centermetres of water
its measured in centermetres of water
australian,anxiety and insomnia, a CPAP user since 1995, self diagnosed after years of fatigue, 2 cheap CPAPs and respironics comfortgell nose only mask. not one of my many doctors ever asked me if I snored
Re: Two week DME follow up....
I know this is a wild idea.....seeker01 wrote:The DME is going to contact the doctor and get a prescription for a Auto CPAP. I will use it for 4 weeks to determine what pressure I need currently I'm at 13lbs.
If it were me....I would contact the doc and
get a Rx for an auto...period....end of story.
.....but really....now....in all seriousness....
if you lower that pressure to 13cm/h2o....
could go a long ways to fixing that hair problem...
.....NOT that there's anything wrong the way it is....
....I'm just say'n......
"If your therapy is improving your health but you're not doing anything
to see or feel those changes, you'll never know what you're capable of."
I said that.
to see or feel those changes, you'll never know what you're capable of."
I said that.
- rested gal
- Posts: 12880
- Joined: Thu Sep 09, 2004 10:14 pm
- Location: Tennessee
Re: Two week DME follow up....
seeker, far be it from me (I'm not a doctor) to suggest a pressure range for the autopap trial....but...
The doctor is likely to order the trial range to be 4 - 20, or 5 - 20. Or, the doctor may leave it up to the DME to set the range for the trial. In which case the DME is likely to set it at 4 - 20 or 5 - 20.
If it were me and I'd been using a straight pressure of 13 cm H2O (not "lbs") I'd set the autopap range for the trial at 8 - 20, or better yet, 10 - 20. I'd use software (I know you said you were going to wait on getting software since you don't know for sure what machine you'll end up with) to download the data myself at least every other day during the trial. Being careful, of course, to choose keeping all the data on the card each time I downloaded it.
There's no way I'd go along with a trial that had the minimum pressure down at 4 or 5. I'd want a much more efficient minimum pressure (up closer to what's already presumed to be necessary to prevent apneas) so that when flow limitations started hitting at the eighth or ninth floor, so to speak, the elevator wouldn't be starting way down on the fourth floor on its slowwwww journey to get pressure up where its needed on the eleventh or twelfth floor. If I'm going to need 10 or 11 or 12 to prevent apneas (and I probably will if 13 was the previously prescribed pressure) I'd want the machine to be "almost there" right from the get-go.
The max set for 20 would be fine. Any un-used pressure up there wouldn't matter anyway, 'cause...it's not used.
8 - 20 would yield a much more informative, useful autotitration trial, imho, than the way most autotitration trials are set up by doctors and/or DMEs.
There's also no way I'd go along with a trial in which I couldn't see for myself what was happening all along the way. Thus, the software. But that's just me.
The doctor is likely to order the trial range to be 4 - 20, or 5 - 20. Or, the doctor may leave it up to the DME to set the range for the trial. In which case the DME is likely to set it at 4 - 20 or 5 - 20.
If it were me and I'd been using a straight pressure of 13 cm H2O (not "lbs") I'd set the autopap range for the trial at 8 - 20, or better yet, 10 - 20. I'd use software (I know you said you were going to wait on getting software since you don't know for sure what machine you'll end up with) to download the data myself at least every other day during the trial. Being careful, of course, to choose keeping all the data on the card each time I downloaded it.
There's no way I'd go along with a trial that had the minimum pressure down at 4 or 5. I'd want a much more efficient minimum pressure (up closer to what's already presumed to be necessary to prevent apneas) so that when flow limitations started hitting at the eighth or ninth floor, so to speak, the elevator wouldn't be starting way down on the fourth floor on its slowwwww journey to get pressure up where its needed on the eleventh or twelfth floor. If I'm going to need 10 or 11 or 12 to prevent apneas (and I probably will if 13 was the previously prescribed pressure) I'd want the machine to be "almost there" right from the get-go.
The max set for 20 would be fine. Any un-used pressure up there wouldn't matter anyway, 'cause...it's not used.
8 - 20 would yield a much more informative, useful autotitration trial, imho, than the way most autotitration trials are set up by doctors and/or DMEs.
There's also no way I'd go along with a trial in which I couldn't see for myself what was happening all along the way. Thus, the software. But that's just me.
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435
Re: Two week DME follow up....
Thanks....Rested gal...I may request a meeting with the doctor before the trial.... (lbs hard to tell I'm a new LOL)...thanks again...



