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BiPAP ST to ASV - Optimizing
#41
RE: BiPAP ST - almost there - please help
Yes, the mask will be fine. And glad you understand what I'm meaning, emphasize the negative.
Dave

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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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#42
RE: BiPAP ST - almost there - please help
So my next appointment isn’t until the end of august - not really sure what else I can do until then.  Got a 1.7 AHI last night with the Bipap but again - very difficult to work etc bc of the excessive sleepiness
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#43
RE: BiPAP ST - almost there - please help
Primary care doc gave me 1 month script for trazedone - in y’all’s experience is that helpful ?

Used cpap for 10 hours last night but woke up several times - still exhausted (ahi of 5)
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#44
RE: BiPAP ST - almost there - please help
Please do a search using these search terms trazodone site:apneaboard.com

This will give you a large number of returns for member experience with Trazodone.  I'd rather you draw your own conclusions based on what you find, however the problem with Trazodone is not so much using it, but getting off it. I think the use of a strong sleep-aid of this class is a poor substitute for the appropriate PAP therapy. Your doctor wants you to sleep more deeply so the respiratory arousal from the use of ST are not as noticeable. As you will see from the above search, the results have been all over the place for our members, but most do not view Trazodone as a sustainable therapy. Personally, I would take a couple OTC melatonin to help with sleep, but this is a strong anti-depressant, for treatment of a host of symptoms you have not complained of, at least here.
Sleeprider
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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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#45
RE: BiPAP ST - almost there - please help
Rather a hack job at fixing Apnea therapy I think. Wrong machine plus pills... Quack
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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#46
RE: BiPAP ST - almost there - please help
I found a slightly used ASV from a distributor that requires no script for $2k - they’ll also buy back my airsense 10.

What are the pros and cons of just ordering it now. Long story but I do not have time to wait and this doctor to actually eventually hopefully fix my problem. My appt is end of august.

How hard is it to get the ASV set up ?
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#47
RE: BiPAP ST - almost there - please help
Also - a different doctor (primary care) gave me the pills - just for a month as I deal with the bs pulmonologist office
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#48
RE: BiPAP ST - almost there - please help
Nothing could be easier than to setup a Resmed Aircurve 10 ASV in ASVauto mode.  As shown in the image below, the initial settings and optimization is very straight-forward.  The recommended initial setting in ASV auto is EPAP min 4.0, IPAP max 15.0, PS min 3.0, PS max 15.0.  In your case we would modify that only to raise EPAP min to 5 or 6 cm based on prior CPAP results.  The first night results of dozens of members we have see do this is generally under 2-AHI and generally less than 1 after the first night trial and optimization.  We usually end up narrowing the range for EPAP and PS and targeting comfort based on user input.

Beware of Trazodone as it is extremely habit forming and has a wide array of side-effects.

[Image: attachment.php?aid=4210]
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#49
RE: BiPAP ST - almost there - please help
Yep the settings are pretty easy, straightforward. It'll be a bit of a learning curve for you to get used to ASV, the feel and such on therapy. But you'll love results for the effort.

Me, I'd get it. Your use can be evidence to get a scripted ASV later. And you benefit from right therapy and feeling better for it now.
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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#50
RE: BiPAP ST - almost there - please help
So had an appointment with the actual doctor yesterday.

His take was that my Sleep Apnea was technically being treated because my AHI is an average of 2.5.

However, he also said I should have been titrated to the ASV during the study I already had.

He also agreed that an ASV is a proper treatment for Complex Apnea. He confirmed that it was totally safe for me to try an ASV. He also gave me a prescription for an ASV.

Now though, the one I found used for like $1500 was sold and it seems really hard to find any type of CPAP right now, let alone an ASV.

If anyone has any leads I'm ready to buy. I found one yesterday but it was $4100 which seems steep.
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