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AirCurve 10 ST-A
#81
(01-11-2018, 02:48 PM)ajack Wrote: You are going to need to google this...peep or min pressure is for your heart and it increases it's function. They now think that is the reason it cpap works on pulmonary oedema, rather than the increased pressure pushing the fluid out of the lung. The heart works better and is able to clear the fluid.

As to Nocturia, that and HF goes hand in hand and the peep/min/fixed pressure may have a similar effect? It is also associated with just getting older and the urine production increases at night?

PEEP effect on HEART Pre-load and After-load
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#82
You could imagine the mess I would have made, to try and describe that to you in a paragraph. Plus I only understand half of it Smile
new http://www.apneaboard.com/wiki/index.php...re_success
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
From machine or charts for auto-cpap, set the min 1cm below median pressure, or 2cm below 90/95%. max at 20cm for now. Forum will help you fine tune settings
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#83
(01-12-2018, 04:24 PM)ajack Wrote: Plus I only understand half of it Smile

"Plus 1" Big Grin
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#84
You have central apnea and no coexisting respiratory or diaphragmatic illness? Your doctor/insurance is doing you a great disservice. It should be a crime to prescribe an advanced machine like the 10 ST-A to someone who doesn't benefit from it. Especially if your Dr. doesn't even understand it.

I would just look on the forums for a used ASV machine from a reputable seller and call it a day. Vast majority of these docs/companies just want your money.
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#85
(01-14-2018, 12:30 PM)Matt00926 Wrote: You have central apnea and no coexisting respiratory or diaphragmatic illness? Your doctor/insurance is doing you a great disservice. It should be a crime to prescribe an advanced machine like the 10 ST-A to someone who doesn't benefit from it. Especially if your Dr. doesn't even understand it.

I would just look on the forums for a used ASV machine from a reputable seller and call it a day. Vast majority of these docs/companies just want your money.

It was explained earlier in the thread why he did not get an ASV (heart disease with reduced EF) and did get an AVAPS capable device (he needed a BPAP-ST capable device and doc thought he had comorbid COPD).
-Amin
Nothing I say on the forum should be taken as medical advice.
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#86
(01-14-2018, 01:32 PM)Shin Ryoku Wrote:
(01-14-2018, 12:30 PM)Matt00926 Wrote: You have central apnea and no coexisting respiratory or diaphragmatic illness? Your doctor/insurance is doing you a great disservice. It should be a crime to prescribe an advanced machine like the 10 ST-A to someone who doesn't benefit from it. Especially if your Dr. doesn't even understand it.

I would just look on the forums for a used ASV machine from a reputable seller and call it a day. Vast majority of these docs/companies just want your money.

It was explained earlier in the thread why he did not get an ASV (heart disease with reduced EF) and did get an AVAPS capable device (he needed a BPAP-ST capable device and doc thought he had comorbid COPD).

Correct Shin, Pulmonologist ruled out COPD since getting ST-A.  (iVAPS was a miserable failure)  The VAUTO I was prescribed prior was, in fact, the better unit for me so far.  ASV is a moot point!
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#87
Shin, I like your new picture.
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#88
(01-14-2018, 03:40 PM)Walla Walla Wrote: Shin, I like your new picture.

Proud PAPA?
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#89
(01-14-2018, 01:32 PM)Shin Ryoku Wrote:
(01-14-2018, 12:30 PM)Matt00926 Wrote: You have central apnea and no coexisting respiratory or diaphragmatic illness? Your doctor/insurance is doing you a great disservice. It should be a crime to prescribe an advanced machine like the 10 ST-A to someone who doesn't benefit from it. Especially if your Dr. doesn't even understand it.

I would just look on the forums for a used ASV machine from a reputable seller and call it a day. Vast majority of these docs/companies just want your money.

It was explained earlier in the thread why he did not get an ASV (heart disease with reduced EF) and did get an AVAPS capable device (he needed a BPAP-ST capable device and doc thought he had comorbid COPD).

Thanks - I wasn't able to read 9 pages before I posted. As far as I know, the ResMed ASV study is not gospel so I think using the ASV should be on a case by case basis; it shouldn't be hard to see what the ASV is doing to or for the patient. IMO there should be no strict cut-off points because sleep medicine is far, far from a perfect science.

https://www.ncbi.nlm.nih.gov/pubmed/28390743
http://jcsm.aasm.org/Articles/jcsm.12.9.1313.pdf
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#90
Better to have a messy chart, than to not have one at all Smile
Who can tell if like with the st-a the pressure will max out. any auto machine seems to max out on you and the numbers get worse. It was the same with the Vauto.

You need the VA doctor to take your case seriously, see what happens at your next appointment. Or start writing letters to everyone up the ladder. I guess you can't choose your own doctor with VA, but a few letters may get the wheels moving?
new http://www.apneaboard.com/wiki/index.php...re_success
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
From machine or charts for auto-cpap, set the min 1cm below median pressure, or 2cm below 90/95%. max at 20cm for now. Forum will help you fine tune settings
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