Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

APAP results
#1
APAP results
Diagnosed 1 year ago with moderate sleep apnea (AHI 16 with mostly central events)
Doctor prescribed Resmed Airsense 10 with pressure setting of 5-20 using Dreamware nasal mask
events went down to 8-9 with 80% being central apneas
Had 2 overnight studies done and they adjusted machine settings...at one week in January , they placed constant pressure of 5 and AHI went to around 5 but because still was having daytime fatigue, they put machine back to 5-20.
Attached are last 2 days results with year summary.
Any advice would be greatly appreciated.


Attached Files Thumbnail(s)
           
Post Reply Post Reply



Donate to Apnea Board  
#2
RE: APAP results
Hey there! I'm sure you will get more experienced advice than I have shortly but I don't think even by medical standards you are being successfully treated since they want AHI below 5. Almost a year is a long time to go like this, and my feeling is you need to be on an ASV machine instead of CPAP/APAP. Let's see what the others have to say but hang in there, you're going to get help to go through this.
Post Reply Post Reply
#3
RE: APAP results
Thanks for speedy reply.

They said I wouldnt qualify for ASV because my apnea wasnt severe enough for it...said I need to "flunk out" of APAP treatment before being able to qualify for an ASV unit....guess they think my apnea is good enough even though still tired during day. Sad
Post Reply Post Reply
#4
RE: APAP results
Welcome to the forum. I think the previous post is correct. The machine you have will not treat your condition adequately. It appears you are using EPR. Turning off EPR may reduce the number of centrals but probably not to the point at which you will be adequately treated. A lower fixed pressure may also be best. The trial at 5 demonstrated that.
Download OSCAR

Organize Charts
Attaching Charts

Mask Primer
Soft Cervical Collar

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

Post Reply Post Reply



Donate to Apnea Board  
#5
RE: APAP results
Seeing they wont qualify me for an ASV machine (and my insurance wont pay for it unless I meet my $6000 deductible), will try to improve things with a constant lower pressure of 5 (like in January) and lower EPR down to see what difference that makes.
Thanks for advice
Post Reply Post Reply
#6
RE: APAP results
Before you make more changes wait for one of the more experienced people to respond. I think you've already flunked out and your doctors just aren't being realistic and following the actual guidelines. You may be able to make CPAP work "good enough" for the doctors but still feel horrible, and you want to get onto the correct treatment for your condition. I mean you've already been at this for almost a year, I don't know what else they would want. You are probably going to have to become the squeaky wheel and keep complaining to them about how bad you feel until they do the right thing. Just tell them the truth without sugar coating it.

Also check out this Wiki page - http://www.apneaboard.com/wiki/index.php...P_Machines
Post Reply Post Reply
#7
RE: APAP results
Just saw your update about being concerned about the cost. Supplier # 2 might be able to help you make it happen more affordably, but if your deductible is that high it's definitely a concern.
Post Reply Post Reply



Donate to Apnea Board  
#8
RE: APAP results
desertscorpion, I was in a position similar to yours a while back. originally diagnosed 32 years ago with moderate central apnea with no treatment available. in late 2016, a home sleep test returned severe central and obstructive apnea in near equal numbers but diagnosed obstructive anyway and prescribed a resmed autoset. 1.5 years later overall ahi was between 5 and 6. my doc seemed very pleased but I continued to feel awful. I bought a used $1000 usd asv out of pocket, figuring if it didn't work better than apap I could easily resell it. as it turned out, the results are a striking improvement over apap with overall ahi under 0.3. like you, even if insurance permitted, and there was a question about that, I would have paid out of pocket because of a high deductible. I don't know for sure I wouldn't have qualified for asv but I knew it was going to be an uphill battle. in the end I didn't go back to the sleep doc because it cost me $350 for 10 to 15 minutes with him and he wouldn't look at anything other than summaries and averages. folks here helped me get started on asv and I continue to self-titrate as my layman's understanding of the data and how the machine works grows. lots of trial and error but eventually got there. the machine was out of pocket but my action saved me the time and cost of additional doctor appointments, sleep studies and titrations since they would have been against my high deductible as well. when it comes time to replace the asv, I might have to find a doc willing to prescribe the asv based on the existing data and without further sleep studies.
Post Reply Post Reply
#9
RE: APAP results
sheepless, thanks for sharing your struggles...sounds like the same situation I am in...doc seems to think apnea results OK even though I dont feel any different before or after starting treatment...they have tried various settings with some improvement (constant pressure of 5 seems to have worked best for AHI but still tired).
They did have me have a brain MRI done and heart stress test,etc to be sure there wasnt any heart failure or brain abnormalities  and those tests were normal so I think I should possibly purchase a Aircurve10 and with the knowledge I am receiving here and the help of the people like yourself here in this forum, perhaps I can titrate the settings that will give me some improvement.
Thanks for your feedback
Post Reply Post Reply
#10
RE: APAP results
you seem to have a pretty obvious ca issue so you may not need to look beyond that. keep it in the back of your mind however that there are a jillion reasons we could be tired. asv has helped me enormously but I'm still not up to par. in my case I believe periodic limb movements are causing a lot of arousals contributing to my severely fragmented sleep. IDK, but it's possible had I been properly treated for that, I would have felt better on apap. if/as/when I ever get some help for plm, I'll have to go back to the apap to test that. whatever; the point is simply to be on the lookout for non apnea / cpap related influences on sleep as well.
Post Reply Post Reply



Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  [Treatment] UARS and APAP slowriter 247 6,581 9 hours ago
Last Post: slowriter
  [Pressure] Pressure change results PaulaO2 14 374 Yesterday, 11:34 AM
Last Post: PaulaO2
Exclaimation [Health] Need help interpreting sleep study results (full report included) JoeyWallaby 14 363 Yesterday, 01:25 AM
Last Post: JoeyWallaby
  Comparative Analysis of 8 APAP Machines Sleeprider 33 4,258 10-16-2019, 08:55 AM
Last Post: Sleeprider
  Home Test Results - need assistance interpreting results billonca 9 164 10-16-2019, 04:45 AM
Last Post: billonca
  18 mths of apap: need help optimizing settings to feel better sheepless 191 10,382 10-13-2019, 02:25 PM
Last Post: sheepless
  Looking for Advice [Erratic results, many centrals] snoopj123 17 548 09-29-2019, 07:24 PM
Last Post: mesenteria


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.