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Best Practices lower AHI/RDI in first 30 mins of sleep
#31
RE: Best Practices lower AHI/RDI in first 30 mins of sleep
Okay, that's my playbook. I didn't recall losing it, but thanks for finding it.
Sleeprider
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#32
RE: Best Practices lower AHI/RDI in first 30 mins of sleep
You have a good playbook there.


I called the Sleep Lab assigned to me and after a bit a lead casually says, "Hmmmm, we have only done one ASV titration and that was a year and a half ago.   I would have to check around to confirm what all we need to do that."

Doh!!


Add to my list of things to do >>  "Call around and identify a more competent ASV Sleep Lab"

J

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.
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#33
RE: Best Practices lower AHI/RDI in first 30 mins of sleep
most lab techs can't do the hard stuff, why is another story. The head guy should be able to do a proper study, or move to a bigger lab, perhaps one associated to a hospital.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#34
RE: Best Practices lower AHI/RDI in first 30 mins of sleep
Thanks Ajack.   


Anyone know of any really good sleep labs in the Austin, TX area?

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.
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#35
RE: Best Practices lower AHI/RDI in first 30 mins of sleep
[Image: WSgVIX1l.png]
Just posting an update.  
I have continued the nightly experimentation and  nightly "Tech Home Brew Nightly Data Gathering  / Do-it-yourself Hillbilly Sleep Lab" work.
I have been working to find the best balance between AHI, SpO2 (Agv, Min, Number of seconds below 90%) and Heart Rate Variability/ workload and pressures on the heart through the night.  
Conclusions:  
The short answer is this config of Min 5.5/Max 15, A-Flex = 1 has provided the best overall balance between AHI/SpO2/Heart Rate Variability; and Average AHI of the Max AHI of results at these settings is still not good enough.  

The insurance path is still months of additional processes, months of hassles and thousands of out of pockets $$ spend with no assurance of success.  My Doc and I are on the same page..  skip those processes and just spend the cash now is the way to go.   

I have a prescription for any BiPAP/ASV I want to buy on my own without any insurance help.  

Given:
  • The mis-fit seen to date between my therapy needs and the PR algorithms
  • I do not have either of the two contraindications for ASV
  • Reading in medical journals on sleep and heart topics
  • The valuable collective "it takes a village" info from multiple apena forums
I intend to do a cash purchase of a ResMed Aircurve ASV next week. 


J

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.
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