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Need help on cpap settings
#61
RE: Need help on cpap settings
        Seems like making progress. Last weeks sleep- 4-4 1/2 hours straight sleep without awakenings followed by intermittent sleep. This is much better than my usual 1-2 hour all night awakenings. Have been using the knightsbridge chin strap for a week. Am getting used to it, it has reduce my leaks.  I increased my pressure to 13.8-14 range, which has't seemed to have lowered my flow limitations. Have a ssc and mouth tape to try. Thanks again for your interest in helping others.
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#62
RE: Need help on cpap settings
Note that I am basing this comment only on what I see in this latest chart. The only weapons left in your arsenal are to increase pressure or to switch to Auto/APAP and give it a range so as to avoid it running higher at all times and sacrificing your comfort. As is on the pressure being near 14, you're in the area that I myself shouted for a BPAP to relieve the higher pressures to exhale. What I mean is at about 14, 15 cmH20 doctors start considering BPAP as necessary to continue proper therapy, with insurance agreeing this is sufficient for cause.
Dave

OSCAR
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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.
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#63
RE: Need help on cpap settings
Thats what I thought. I suggested a bpap to my doctor based on flow limitations. He said you have to be calibrated new on a bi-level machine and not simply changed over from cpap. He wants me to send him data, apparently he doesn't have the capability of checking my data from his office. He is my Primary care doctor that advertises he is board certified in sleep medicine. I gave him copy of my sleep studies a year ago, i don't think he ever looked at it. I am not sure I want to go through the trouble of trying to convince my doctor i need a bi-level machine or just purchase one on my own.
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#64
RE: Need help on cpap settings
To legaly purchase a 'BiLevel without Backup' you need a prescription.
That said, It is possible to purchase via craigslist, offerup, dotmed, etc. without a prescription.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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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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#65
RE: Need help on cpap settings
I bought my VAUTO from Supplier #2 on the suppliers list at the top of the site. Used 1 month great shape and company. 799$ They did not ask for a prescription
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed 
Cervical Collar     Dealing w DME     Chart Organizing
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#66
RE: Need help on cpap settings
It seems it's your choice to buy from Supplier #2 or similar or build a list of symptoms/complaints and data to get Dr. Dolittle to write a script.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#67
RE: Need help on cpap settings
Update, I am sleeping now maybe 3 hours  without awakenings instead of every 1-2 hours. Two nights posted here show one night with increase AHI and hypopnea while wearing chin strap and mouth tape. Chin tucking seems a problem with Knightbridge chin strap. Last night with SSC and mouth taping clustered apneas gone. No matter what i do leaks are constant, now will revisit full face mask as nasal cushings and pillows, even with tape and or chin strap or SSC doesn't stop leaks.


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#68
RE: Need help on cpap settings
The most notable feature other than the chin tucking and leaks are the Flow Limits which are high in both charts, With EPR =3 the only option to decrease these is to increase pressure. They should not be chased unless they are bothering you.

I do suspect that you may have a VAuto in your future, though it would have to be a seld-purchase. This would give you higher levels of PS which should tame the flow limits.
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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#69
RE: Need help on cpap settings
I see the same as bonjour. Now you're at the limit for what your AutoSet can do for you unless you bump pressure up. I think the VAuto would be more comfortable when running at pressures you'll need, and with higher PS this can help with the FL.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#70
RE: Need help on cpap settings
thanks , one way or the other a Vauto is on the horizon.
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