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Here are my first night results
#21
RE: Here are my first night results
(07-22-2019, 09:15 AM)Croweater Wrote: Could somebody please help me with this?

I think an ASV would be the answer for me but I just wanted someone to verify this once and for all.

I'm also questioning why me CAs go down when I'm taking a sleeping pill. Is that normal?

It is TOO early to say once and for all whether an ASV isappropriate.
The majority of cases of treatment emergent Complex Sleep Apnea resolve themselves within the first 3 months.
I had Complex Apnea that resolved within the first month.
Exercise also helps.
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#22
RE: Here are my first night results
I don't have Treatment Emergent Central Apnea. My sleep study proves that. The CAs haven't gotten worse since I started treatment, but they certainly aren't going away either.
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#23
RE: Here are my first night results
I just saw my ENT Doctor. He is just not knowledgeable enough to help me. When I told him I thought my main problem was central apneas, not obstructive ones, it was clear to me he didn't even know what central apneas were. He ordered me another sleep study (with titration this time) and then he said he would refer me to another sleep doctor (this is a good thing).

He also mentioned something called Inspire and suggested that that may be my best option going forward. Of course I already know that operation is to treat Obstructive disorders, for people who don't tolerate the a cpap machine well. I have no trouble tolerating my machine. It just doesn't resolve central apnea. Inspire won't treat central apnea either.
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#24
RE: Here are my first night results
Please validate that the Titration study is to include ASV Titration (which usually is just setting the default values and validating that it resolved the Centrals).
Please let him know that that may require measurement of LVEF (Left Ventricle Ejection Factor) which is currently a requirement to use an ASV.  (we expect that to be cleared as a requirement in the next few years)
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Mask Primer
Dealing with a DME
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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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#25
RE: Here are my first night results
(9 hours ago)bonjour Wrote: Please validate that the Titration study is to include ASV Titration (which usually is just setting the default values and validating that it resolved the Centrals).
Please let him know that that may require measurement of LVEF (Left Ventricle Ejection Factor) which is currently a requirement to use an ASV.  (we expect that to be cleared as a requirement in the next few years)

I don't have any idea how to do this. My doctor ordered the titration study, but he had no idea what ASV was so I'm certain he would not have written instructions to use ASV Titration.

I suppose I could talk to the sleep clinician right before he performs the study and ask him if he will do an ASV Titration. I suspect that he will not have the requisite knowledge to do so, but it is worth a shot.
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#26
RE: Here are my first night results
Simply ask, via a nurse (easier to get a hold of), and ask if they could make sure that the titration study included a ASV Titration since you know this is the best machine to treat Central Apneas (In addition to Obstructive Apneas) and prove if the ASV would actually treat my Central Apnea or not.

It could be that this is already scheduled.

I feel that this is the opportunity for you to speed the process of getting an ASV.  There is no, or minimal, cost to adding or just doing an ASV Titration, and when they see it works it makes for a strong argument to get an ASV.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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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