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New to Actually Posting - 2nd sleep study results (Need an ASV)
#51
Thanks again for the help.....

Noticed something, I being a noob never noticed their was an AHI graph on the bottom of sleepyhead. Seems my AHI goes up as I get into deeper / REM sleep

1. - [Image: X1m799Hl.png]

2. - [Image: MIbVUgHl.png]

Called the Dr, then sleep center, just waiting on Insurance now....
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#52
The AHI graph shows the rolling hourly AHI. If you don't have events for an hour it will reset to zero. There are periods during the night where the AHI is higher in most people...in yours, it's phenomenal. I bet you're really looking forward to the new machine. I sure hope the come up with a solution for you.
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#53
(03-04-2016, 07:13 AM)metsfan302 Wrote: Thanks again for the help.....

Noticed something, I being a noob never noticed their was an AHI graph on the bottom of sleepyhead. Seems my AHI goes up as I get into deeper / REM sleep

1. - [Image: X1m799Hl.png]

2. - [Image: MIbVUgHl.png]

Called the Dr, then sleep center, just waiting on Insurance now....

Hi metsfan302,

Call your insurance company and appeal the denial. You very obvious;y need an ASV titration and machine to treat those central apneas seen in the sleep study.

When they deny the first appeal, appeal again. The second appeal goes to a higher level of review and has more chance of success.

The apneas you have zoomed in on again appear to me to be all obstructive.

I suggest raising your EPAP pressure about 1 cmH2O each week until those obstructive apneas are mostly prevented. Judging from the data you've posted, I think EPAP will need to be around 15, eventually.

Take care,
--- Vaughn


Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#54
That is one ugly graph! The apneas are coming in clusters at 30 to 40 minute intervals - are you aware of anything which could be causing that? Position perhaps? I would be interested in seeing the mask pressure graph (as opposed to the normal pressure) during a cluster, just to confirm the machine is responding properly. I'll go back to my earlier comments though - I think your epap is too low and needs to be increased.
DeepBreathing
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