(10-11-2014 07:56 AM)wheaton4prez Wrote: . . .
I did not have a titration study. The guy giving me the machine said that the doctor probably didn't know what to prescribe so just gave me the full range. I figure that it shouldn't matter much if the machine automatically goes to where it's supposed to, right?
The profile is filled out now reflecting what I have so far.
They did not give me the humidifier. They said that the doctor has to specifically prescribe that separately or insurance won't cover it. So, I have to go back to the doctor and have them send that px in and they'll ship it to me. After one half night of using the mask, I feel a little painfully dry. So, this has to be done.
I thought that I might have nasal problems and needed the full mask. But, I used it for only half the night and I found that I started breathing through my nose and kept my mouth shut with it on. Without CPAP I only breathe through my mouth at night.
. . .
Good job on getting a full-data machine - that was the first big step.
I'm not surprised you're finding that the humidifier should be helpful. This is normally considered a "Comfort" feature, and usually doesn't require a separate Rx. I suspect your DME is using this as a means to bill something more than if the humidifier was delivered with the machine.
Regarding the pressure range. You are correct that the machine will eventually find the pressure level that will be sufficient to control your apneas, or hit the top of the range. But if the bottom setting is too low, it takes the machine some time and you will have some apneas that could have been controlled. Also, some people have a sensation of "not getting enough air" when the pressure is too low. Many find a starting pressure of 4 is too low to be comfortable, and prefer it to be up around 6 or 7.
On the upper side, you want to pressure to be enough to counter the apneas, but not much more. Pressure higher than is needed can cause some discomfort or other undesirable effects. Generally, the higher pressures make for more leaks. If you are prone to air-swallowing (aerophagia), excessive pressure can make this problem worse. For a few people, pressures near the upper limits can affect the eyes, inner ears, etc.
For many, optimizing therapy will mean watching the data, checking and controlling the leaks, and understanding what pressures are needed to control your events.
Once you have the software set up and start checking your data, you can certainly post results here and ask for help in interpretation.
Good luck on your journey.