Two week DME follow up....

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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seeker01
Posts: 42
Joined: Sat Mar 20, 2010 6:12 am

Two week DME follow up....

Post by seeker01 » Fri Mar 26, 2010 1:54 pm

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

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harry33
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Re: Two week DME follow up....

Post by harry33 » Fri Mar 26, 2010 2:12 pm

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
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

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carbonman
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Re: Two week DME follow up....

Post by carbonman » Fri Mar 26, 2010 2:33 pm

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.
I know this is a wild idea.....
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.

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rested gal
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Location: Tennessee

Re: Two week DME follow up....

Post by rested gal » Fri Mar 26, 2010 3:36 pm

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.
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seeker01
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Re: Two week DME follow up....

Post by seeker01 » Fri Mar 26, 2010 4:32 pm

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...

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