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[CPAP] High AHI but technician says all OK...
#61
RE: High AHI but technician says all OK...
Thanks Sleeprider & SarcasticDave. I'll try changing the settings and see where it gets me. There seems to be a dearth of sleep experts in my area. I have yet to find one who uses anything other than CPAP to treat apneas. I'll look further.
But I thought that the reduction in CA's was meaningful. If it came down to 2.99 (instead of 6/7) with the sleeping pill, doesn't that mean things are going in the right direction? Even if there was leakage.
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#62
RE: High AHI but technician says all OK...
A single night does not make a trend you can count on. Central apnea is consistently inconsistent, but the best strategy to minimize them is to use lower pressure that is sufficient for comfort and to control OA, and to minimize pressure fluctuations and EPR or pressure support. It really is about being as comfortable as possible, and in your case, I see the leaks as a bigger problem.
Sleeprider
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#63
RE: High AHI but technician says all OK...
I think if leaks were more controlled, the other therapy aspects would more readily fall into proper place. Most of us have leaks as a big issue at some point. If you get the big issue under control, the smaller stuff is by far all the easier to manage.
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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#64
RE: High AHI but technician says all OK...
You've had some great advice so far by most of the recognized experts on this forum. They were instrumental in helping me with my therapy early on and have resulted in the succesful treatment I have today. I also struggled with balancing the CA events that I had early on and I found through advice here that using EPR (or rather not using it) was key to managing that aspect for me. However, I did not have the amount of CA events that you do so I feel their recommendation of an ASV machine would very much apply to you. Not that they need my validation as they are much more knowledgeable about ASV machines than I am.

I would encourage you to continue to be persistent and to advocate for yourself. Not all doctors are interested in continuing to work with a patient to resolve an ongoing issue as it is just easier to move on to the next patient. As they say, "the squeaky wheel gets the oil." If you don't continue to advocate for yourself you will not get a resolution to your issue. Bringing up Sarcastic Dave (I hope he doesn't mind) I still remember all that he had to go through to get an ASV machine for his needs and it took a LOT of work on his part to make it happen. Clearly it is what he needed and I am really happy he was successful.

Lastly, I would just like to congratulate you for joining here and asking for the help you need and being willing to work with everyone here. If you continue and follow their advice, I can guarantee that things will work out a lot better for you than if you go at it alone. All the best to you!!
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#65
RE: High AHI but technician says all OK...
No issue on my personal inclusion Marillion. I'm here to help by example. Self advocacy is a must in my opinion.
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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#66
RE: High AHI but technician says all OK...
Thank you all for your advice and encouragement. I'm learning here that there is no magic formula that works for everyone, that there are so many variables that determine the effectiveness of the treatment, including my particular physiology. Everything you say about needing ASV makes sense. But I am dealing with a medical system that does not make it easy to get treatment that is not commonly prescribed by the "experts". And a doctor who considers questions from the patient to be criticism that he will not listen too.

Having said that - over the last 6 nights, following his recommendation to take a sleeping pill, I have experienced an improvement. AHI has been between 3 and 5, I seem to have managed to adjust the mask to reduce leakage, and I'm more alert when I wake up in the morning. Still don't feel like Superman (did I ever?), but I am functioning better. Reminds me of when I first managed to adjust to using the CPAP - it took a few weeks of consistent good readings till I felt less tired. I hope the same will happen now. 

Oh, another thing: I took his advice and bought the humidifier attachment for $140 (I had been bothered by the dry air, and was even waking up because of it). That also has helped.

This last night AHI was 3.2, almost all centrals, no large leaks.

Thanks again to all of you for all your help! I'll keep updating, hopefully with more good news. Maybe someone else will benefit from my experience, as I have benefited from yours.


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#67
RE: High AHI but technician says all OK...
Maybe present your CA problem to the doc in a different way. If he'll look at OSCAR data, show it to him. Ask what he thinks should be done for events you can point out. Ask what he thinks about the flagged event at time X. Make him get involved by asking questions that demand explaining something. Phrase questions so that a yes or no answer is not an option.
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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#68
RE: High AHI but technician says all OK...
Believe it or not, he thinks it's a joke that I look at the data. He says my fatigue has nothing to do with the apneas. But if the sleeping pill reduces them to 3-4, why look for another solution?
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#69
RE: High AHI but technician says all OK...
I've dealt with similar doctors. One retired so I didn't need to deal with him further. Maybe you need to consider replacing the doc if that's an option.
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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#70
RE: High AHI but technician says all OK...
(06-30-2020, 12:47 PM)SarcasticDave94 Wrote: I've dealt with similar doctors. One retired so I didn't need to deal with him further. Maybe you need to consider replacing the doc if that's an option.

This doctor is too young to retire in the near future...

But is it so terrible to take a sleeping pill and stay with 3-4 central apneas?
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