(01-25-2023, 07:01 PM)Gideon Wrote: My impression of the flow limits was that they were positional.
Once the positional aspect is managed you would likely need the higher PS of the BiLevel VAuto to lessen the flow limitations.
As Sleeprider has said the move to a BiLevel is a continuation, not a start over. Positional first.
I am not arguing the matter. I understand what you are all saying.
As far as managing the positional aspect, I think I did the most that could be done with semi-rigid collar.
It did improve the results, but not that much.
Then I started using a mandibular advancement device (MAD) which did bring much improvement.
All that, was discussed before and the conclusion, as Sleeprider once wrote, was that the only improvement would be a transition to a BiPAP (Resmed AirCurve 10 vAuto).
Since then, I have been fighting my "lung specialist" and PAP machine supplier to get my hands on the AirCurve.
After some months of discussions going nowhere, I decided to take the matter in my own hands, dump them and finally got the AirCurve within 2 weeks after order.
So now I am just trying to properly set up the machine and get on with the therapy.
I am not bitching, complaining or whatever. On the opposite I am so glad to have you guys here to coach me.
English is my second language. At home and the city where I live, we are French.
So please forgive me if sometimes my writing sounds offensive or not understanding what I was told. It does happen without ill intent.
So, tonight I will set the BiPAP with the last numbers Sleeprider recommended.
I will wear the cervical collar and the MAD to have the same conditions as for my last session with the CPAP.
Tomorrow I will come back here with the results.