Post Reply 
First Appointment with Sleep Doctor
Author Message
sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #1
First Appointment with Sleep Doctor
Good afternoon, On Thursday of this week I will see the sleep Dr. for the first time. I have been on the CPAP every night for about a month. I've not loaded all my data into Sleepyhead.
Background: At my titration I requested an Airsense For Her; I received a standard Airsense - respiration therapist: that's what the Dr. specified. The therapist subsequently recommended a change in initial ramping pressure (from 6 to 5) because of exhale problems I was having. The Dr.'s office said they would try to work me in. Received a call 3 weeks later, and an appointment schedule 2 weeks out from that.
I am sure that I will have, at best, 10 minutes with this Dr. (after, according to Healthgrades, a long wait). My question is: how can I make the very most of this appointment? My "events per hour" (from the Resmed "myair" data) have been mainly in the 7 -10 range. My mask leak, while not over the max on "myair", is not good. So, I have some issues which need to be addressed. My guess is that there will not be much time for data presentation/discussion.
How would those of you who are experienced proceed?
Thanks in advance for your help and support.
06-26-2016 02:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #2
RE: First Appointment with Sleep Doctor
I would get Sleepyhead software, load all my data and learn (with help here) to understand as much of the basic data as possible.
I would print out Sleepyhead reports and prepare a long list of questions, including a request for explanations of everything you don't understand and what can be done to improve your results in each area of concern.
I would hand a copy to the doctor as soon as he entered the room and let him know you expect answers before you leave.
Be prepared to take notes on the answer to each question and if he will allow it record the session.
You might say something like I am recording our session so I can review it until I understand all your recommendations so I won't need to call you repeatedly to repeat what you said.
06-26-2016 11:16 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: First Appointment with Sleep Doctor
Hi sautéed,
Don't forget to ask for a copy of your perscription and sleep study. Smile

OpalRose
06-27-2016 05:36 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
green wings Offline

Advisory Members

Posts: 548
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #4
RE: First Appointment with Sleep Doctor
Ditto on the prescription and sleep study or studies.

Are you still having problems with exhaling? What EPR (Expiratory Pressure Relief Setting) are you using?
06-27-2016 07:21 AM
Find all posts by this user Post Reply Quote this message in a reply
Sn00zeAlarm Offline

Preferred Members

Posts: 72
Joined: May 2015

Machine: Resmed A10 autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Builtin
CPAP Pressure: 5-7
CPAP Software: SleepyHead

Other Comments: Heated hose

Sex: Male
Location: Florida US

Post: #5
RE: First Appointment with Sleep Doctor
Yes, if you are having trouble just on exhaling, I would have adjusted EPR first, not lowered the top pressure.
06-27-2016 11:01 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #6
RE: First Appointment with Sleep Doctor
(06-27-2016 07:21 AM)green wings Wrote:  Ditto on the prescription and sleep study or studies.

Are you still having problems with exhaling? What EPR (Expiratory Pressure Relief Setting) are you using?

EPR is (and has been) set at 3. Thanks for taking the time to respond!
(06-27-2016 11:01 AM)Sn00zeAlarm Wrote:  Yes, if you are having trouble just on exhaling, I would have adjusted EPR first, not lowered the top pressure.

The lowering suggested by the therapist is the bottom ramp number. The top number is 12. EPR is 3.
Thanks for taking the time to respond.
(This post was last modified: 06-27-2016 03:44 PM by sautee.)
06-27-2016 03:42 PM
Find all posts by this user Post Reply Quote this message in a reply
sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #7
RE: First Appointment with Sleep Doctor
(06-27-2016 05:36 AM)OpalRose Wrote:  Hi sautéed,
Don't forget to ask for a copy of your perscription and sleep study. Smile

I have a copy of the sleep study, but not the prescription. I will ask for it. Just curious - why do I need the prescription? (Sorry for the newbie question).
Thanks for taking the time to respond.
(06-26-2016 11:16 PM)bwexler Wrote:  I would get Sleepyhead software, load all my data and learn (with help here) to understand as much of the basic data as possible.
I would print out Sleepyhead reports and prepare a long list of questions, including a request for explanations of everything you don't understand and what can be done to improve your results in each area of concern.
I would hand a copy to the doctor as soon as he entered the room and let him know you expect answers before you leave.
Be prepared to take notes on the answer to each question and if he will allow it record the session.
You might say something like I am recording our session so I can review it until I understand all your recommendations so I won't need to call you repeatedly to repeat what you said.
I will tackle the Sleepyhead task. And I appreciate your suggestions for the appointment.
Thanks for taking the time to respond.
(This post was last modified: 06-27-2016 03:49 PM by sautee.)
06-27-2016 03:46 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
pupcamper Online

Advisory Members

Posts: 401
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #8
RE: First Appointment with Sleep Doctor
You will need a copy of your prescription to buy CPAP machines and certain other CPAP supplies if you decide to by from someone who doesn't already have one. Who know, you may want to buy something online or decide to change equipment providers. It is also good to have a copy of the prescription and sleep study(ies) as backup in case you lose contact with your sleep doctor, you change sleep doctors or your insurance changes for some reason.

A lot of people scan them into their computer. I have given copies to all of my doctors and have a copy filed with the hospital I use. I have also printed and filed a couple of copies for easy access and carry copies in my CPAP carrying case when I travel.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
06-27-2016 04:08 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #9
RE: First Appointment with Sleep Doctor
(06-27-2016 03:46 PM)sautee Wrote:  
(06-27-2016 05:36 AM)OpalRose Wrote:  Hi sautéed,
Don't forget to ask for a copy of your perscription and sleep study. Smile

I have a copy of the sleep study, but not the prescription. I will ask for it. Just curious - why do I need the prescription? (Sorry for the newbie question).
Thanks for taking the time to respond.


No problems with the "newbie" questions. How would we know if we don't ask?

Anyway, you should always have a copy of your perscription. What if you change doctors, or DME or Supplier over time. They will want a script.

If you relocate or your doctor retires, it may be harder after the fact to obtain a copy.

If you want to buy online, depending what you are buying, they may request a script.

If you travel or go out of town and need something, you will need to show a script.

Just to play safe, ask for a copy, then scan it on your computer ready if needed.

OpalRose
06-27-2016 04:36 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,450
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #10
RE: First Appointment with Sleep Doctor
Hi sautee ,
I wish you good luck at your sleep doctor appointment.
You feel free to ask as many questions here as you need to, so you can better understand your CPAP therapy.

trish6hundred
06-27-2016 05:53 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  sending sleep study to another doctor's office sleepytimegal 3 238 11-30-2016 10:26 PM
Last Post: Mosquitobait
  Sleepyhead data vs. Doctor's data Daisylouu 8 1,404 09-01-2016 06:10 PM
Last Post: eseedhouse
  Any advice before my appointment? jessamnda 35 1,779 08-02-2016 08:03 PM
Last Post: jessamnda
Angry Doctor will not give my PX..need HELP Unloadit 27 1,140 07-19-2016 02:09 PM
Last Post: justMongo
  Doctor follow-up Inky1 6 569 06-06-2016 11:50 AM
Last Post: green wings
  confused -new sleep doctor has stopped cpap Sleeeppp 22 2,505 05-31-2016 10:45 PM
Last Post: big_dave
  Doctor followup on Compliance FrankNichols 20 1,416 05-08-2016 06:03 PM
Last Post: 0rangebear

Forum Jump:

Who's Online (Complete List)