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Lingering fatigue: NHS unable to help
#21
RE: [split] Lingering fatigue: NHS unable to help
No, I am in line with Bonjour, above.
Simpler way to go could be increasing PS from 3.0 to 4.0..5.0.......whatever matches your case. You already on P.:3.0, the maximum you can get with APAP. So you would have to move to new machine, bilevel. The Arircurve 10 VAUTO, for instance.

all the best.
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#22
RE: [split] Lingering fatigue: NHS unable to help
Thanks a lot @mper6794. Which Auto BiPAP is better - Respronics or Resmed or any other and why?
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#23
RE: [split] Lingering fatigue: NHS unable to help
ResMed, because it responds faster to events allowing a lower average pressure because EPAP Min can be set lower. This lower average pressure better manages aerophagia.
ResMed tends to follow your breathing while PR likes to predict when you 'should' initiate both inhale and exhale and when it does can feel uncomfortably out of synch.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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#24
RE: [split] Lingering fatigue: NHS unable to help
Thanks and so I need to take care of any specific  thing while buying Bipap? I need to buy BIPAP VAUTO right ?
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#25
RE: [split] Lingering fatigue: NHS unable to help
ResMed VAuto ismy choice unless you have other respiratory conditions.
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
Soft Cervical Collar
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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#26
RE: [split] Lingering fatigue: NHS unable to help
.....agree! Looks a typical UARS case.
Gl
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#27
RE: Lingering fatigue: NHS unable to help
I have attached my latest sleep study done in house without the use of CPAP/BIPAP. If anyone can analyze it for me.

Pain Areas:- Still feel lethargic and no energy at all. I am pursuing NHS for Bipap but they are saying - as per your reports bipap is not required. They have scheduled one more sleep test in (April) g with cpap if that is not good then they may give me Bipap.

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#28
RE: Lingering fatigue: NHS unable to help
Gourav, you may get lucky in April, but if the NHS is like the American sleep system, they may look at your AHI on a machine like your current one and say they won't prescribe a VAuto. Do you have the ability to buy one yourself? They are sometimes available from private parties without a prescription, lightly used and in good condition. That is the route I chose, and I haven't regretted it.
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#29
RE: Lingering fatigue: NHS unable to help
Hi Dormeo,

Thanks for the advice. For me, big question is do I need BIPAP on my reports? Can you please suggest the basis on my reports of if anyone in this forum can help, please.
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#30
RE: Lingering fatigue: NHS unable to help
I think Bonjour might be a good person to answer this question.
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