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AHI suddenly increased
#31
RE: AHI suddenly increased
Pull up OSCAR, look at your Daily chart for night X and on a Windows PC push F12. It'll save to your OSCAR File or other designated location.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#32
RE: AHI suddenly increased
Ok , here it is...


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#33
RE: AHI suddenly increased
OK you got it on there. I suppose same pressure setup between the PAPs.

If EPR is being used, I'd consider dropping to 1. I didn't see historically if we've discussed what type your CA are, treatment emergent, pre-existing, or idiopathic. Due to the Central consistently inconsistent attribute, we're going to have to try to avoid them by minimizing pressure swings, that's mainly EPR and Ramp, sometimes a too wide pressure set can do it somewhat.

OK took a look at your first thread from 1/24/21, you've been dealing with CA since the beginning. I think it's time to chat with your doc and ask for a new titration with ASV included. You'll need to discuss how they hinder well rested sleep, cause headaches, and so on. Read the doc your list of unresolved symptoms which include untreated CA. We'll go with you having idiopathic Centrals, unknown cause.

To get the ASV complain long and loud that the current PAP is not treating consistently due to these Central events.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#34
RE: AHI suddenly increased
Ok, Dave, thanks so much!  I lowered my EPR last night from 2 to 1.  I had 5 CAs, AHI 0.93.  From my understanding from previous posts, heart failure can cause CA's, but wouldn't I know if I had heart failure?  Kind of scary.


I am going to schedule an appt. with a new sleep doc/pulmonologist.  I wasn't crazy about the one I saw (no personality) and not personable. :/ (seemed bored with job...)

I have good insurance, and they are pretty flexible if I want to change docs.

I see you are on the AirCurve10 ASV!  Is that for your CA's, etc. ? Did your insurance pay for it or did you buy it.  I did look them up and they are quite expensive.
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#35
RE: AHI suddenly increased
My ASV is for very high pre-existing CA on my diagnostic in 2017. Medicaid based health insurance paid it fully. DME I used then was Apria.

I'm graduating to even higher priced ventilator NIV with my preference as the ResMed Astral 150. I also have COPD and the ASV isn't playing well with this combo.

If you're a heart failure patient as in CHF, not any doubt you'd know it.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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