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Ammunition for a stubborn doctor
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eseedhouse Offline

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Machine: ResMed Airsense 10 Autoset
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CPAP Pressure: 7-10
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Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #21
RE: Ammunition for a stubborn doctor
(03-20-2015 01:40 PM)TyroneShoes Wrote:  So APAP is indeed reactive (doc's correct about that), as well as preventative (doc's incorrect about that), but only about successive events. The term you used above, "in response" refers to a reactive process, by definition.

Well, I don't mean to be obstreperous, but it seems to me you are rather mincing words here. Technically the only thing any machine or program can do is react to events. A flow limitation is not an apnea. So by reacting to a precursor event that is not in and of itself problematical your machine is being "proactive" in attempting to prevent apneas, not simply "reactive". Similarly if it detects an apnea it reacts to that apnea by raising pressure in an attempt to proactively prevent the next one.

The way you seem to be using these words there is no difference between "reactive" and "proactive" and as a result the words lose their meaning, or so it seems to me.

The health destroying problem is not one or two isolated apnea events, but dozens and dozens of them throughout the night. By reacting to the first one or two and raising pressure we are acting in advance to prevent future ones. That's "proactive" by any reasonable definition of the word, I think.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
03-20-2015 01:53 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #22
RE: Ammunition for a stubborn doctor
(03-20-2015 01:53 PM)eseedhouse Wrote:  ........... obstreperous

Yep, had to google that one.. And all along I thought your were just vociferating.
03-20-2015 03:16 PM
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bwexler Offline

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Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #23
RE: Ammunition for a stubborn doctor
You asked for ammunition. You never told us if you carried a .22, .45, or 9 MM.
Now you have received a lot of good advice but no ammunition.

First thing I wanted after my sleep study was my full sleep report. I made that clear when I made the appointment, when I arrived for my appointment, when I left in the morning.
I allowed a day or 2 then called and asked for my report. The first sleep study I drove to the lab and they actually came out in the parking lot to hand it to me before I shut down the engine.
Second sleep study, when I called they asked if it would be OK to email it to me. I had it a few minutes later.
I took the first sleep study to a friend who happened to be an MD and also on PAP therapy. I told him what I wanted. He said that is what he uses. He called the DME where he got his machine and arranged for me to pick it up the next day. So about 5 days from sleep study to new machine.
Second time around was similar although I had a new sleep doc.
03-20-2015 04:08 PM
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VTSleeper Offline

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Posts: 16
Joined: Mar 2015

Machine: PRS1 Bipap Auto 760
Mask Type: Nasal mask
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CPAP Pressure: e12 - i25
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #24
RE: Ammunition for a stubborn doctor
Here is the update:

The doctor insisted that a regular CPAP was the way to go, rather than an APAP. My numbers were not good (73 APH and 72% O2), so I didn't want to put up with the delay of getting a prescription from another doctor.

My doctor hooked me up with a medical supply store. When I showed up, by some miracle, I was given an APAP. I have no idea why, since my doctor definitely didn't want me to have one. And even better, they set it to APAP mode, rather than CPAP mode.

It's a basic machine, a Philips Respironics System One, but I'm not going to argue at this point.
(This post was last modified: 04-03-2015 06:54 PM by VTSleeper.)
04-03-2015 06:51 PM
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Sleeprider Online
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Posts: 3,381
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
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CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #25
RE: Ammunition for a stubborn doctor
The Philips Respironics System One 60 series Auto (560) is not a basic machine. It has full data including RERA and is the equal of any auto out there for treatment. If it does not already have a heated hose, that can be added, and it does make things more comfortable.

You can get your clinician manual at this website http://www.apneaboard.com/adjust-cpap-pr...tup-manual If the unit is in Auto mode and delivered at 4/20 pressure, you will do better to have the minimum setting closer to your therapeutic pressure for CPAP.

______________________________________________
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04-03-2015 09:41 PM
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archangle Offline
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Posts: 3,159
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Machine: ResMed S9 AutoSet
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CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #26
RE: Ammunition for a stubborn doctor
(04-03-2015 06:51 PM)VTSleeper Wrote:  Here is the update:

The doctor insisted that a regular CPAP was the way to go, rather than an APAP. My numbers were not good (73 APH and 72% O2), so I didn't want to put up with the delay of getting a prescription from another doctor.

My doctor hooked me up with a medical supply store. When I showed up, by some miracle, I was given an APAP. I have no idea why, since my doctor definitely didn't want me to have one. And even better, they set it to APAP mode, rather than CPAP mode.

It's a basic machine, a Philips Respironics System One, but I'm not going to argue at this point.

Count your blessings. Don't tell the doctor.

Take out the water tank, and look on the bottom of the blower unit for something like REF 560. If it say 560, please put PRS1 Auto 560 in your profile so we'll know the exact model in the future.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
04-03-2015 10:00 PM
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VTSleeper Offline

Members

Posts: 16
Joined: Mar 2015

Machine: PRS1 Bipap Auto 760
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: PRS1 Heated Tube
CPAP Pressure: e12 - i25
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #27
RE: Ammunition for a stubborn doctor
(04-03-2015 09:41 PM)Sleeprider Wrote:  If it does not already have a heated hose, that can be added, and it does make things more comfortable.

I was lucky enough to get a model that came with a heated hose. I live in a very cold part of the country, so this was a very good thing.
(This post was last modified: 04-04-2015 08:03 AM by VTSleeper.)
04-04-2015 08:03 AM
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vsheline Offline

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Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
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CPAP Pressure: 15 EPAP, PS 5-10
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Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

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Location: California, USA

Post: #28
RE: Ammunition for a stubborn doctor
(04-03-2015 09:41 PM)Sleeprider Wrote:  The Philips Respironics System One 60 series Auto (560) is not a basic machine. It has full data including RERA and is the equal of any auto out there for treatment.

Exactly right.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
04-04-2015 11:05 PM
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