RE: Central Apneas
Let's see what is going on.
Click on the triangle "V" between the Month and year to minimize the calendar.
Post a couple of 10 minute views of your centrals.
RE: Central Apneas
We have seen many members with similar events to yours, benefit from ASV. It is a very difficult matter to get one dispensed through your doctor and insurance. The question is, are you willing to spend $500 to $1200 for a used ASV to find out, or would you rather run the gauntlet of doctors and insurance?
RE: Central Apneas
While I don't disagree with SleepRider, and an ASV may very well be in your future, let's try reducing EPR first.
Set EPR = 1, no other changes, and then review. Possibly turn EPR off next then review.
Lowering EPR will tend to increase Obstructive events including your flow limits, and reduce Central events, thus taking it slow.
RE: Central Apneas
Welcome to the Central versus Obstructive teeter-totter dilemma.
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.
RE: Central Apneas
If you're getting this level of CA while the PAP is idling along, nah it's not going to cut it if you ask me. But I think your tactic should be you don't feel better for the therapy, etc. Since this therapist won't likely be interested in your OSCAR charts or comments you may pick up here that CA are looking Trainwreck terrible, just stick with your personal symptom and complaint list. Make that list. IF you want to pursue ASV, you have no good comments about this current therapy. I'm not saying to falsify things, but only mention negatives.
You may be forced to use BPAP next. Prepare yourself to fight, because next is TERRIBLE. After that is ST, and now it's TERRIBLE TIMES 20. And I would refuse that one. Pass ST, Go to ASV.
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.
RE: Central Apneas
What Dave says.
I'm currently having to play the "how it feels rather than what the numbers say" game with my (temporary) doctor and it's infuriating... but nope, it's nothing to do with your pressure, not with those numbers on basically nothing. You clearly need something else.
Tell him all the negatives, as Dave said. Headaches? Blurry vision? Confusion? Difficulty waking up? Falling asleep whenever you sit down even if you have to concentrate? Memory issues etc? anything you can think of.