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New to Actually Posting - 2nd sleep study results (Need an ASV)
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metsfan302 Offline

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Posts: 27
Joined: Oct 2015

Machine: PR System One Auto-Cpap + Borrowing a Resmed S9 Adapt ASV
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: yes
CPAP Pressure: ps min 10 - max 15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Delaware

Post: #51
RE: New to Actually Posting - 2nd sleep study results (Need an ASV)
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....
03-04-2016 07:13 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,344
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #52
RE: New to Actually Posting - 2nd sleep study results (Need an ASV)
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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03-04-2016 03:02 PM
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vsheline Online

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #53
RE: New to Actually Posting - 2nd sleep study results (Need an ASV)
(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.
(This post was last modified: 03-05-2016 01:59 AM by vsheline.)
03-05-2016 01:55 AM
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DeepBreathing Offline
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Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #54
RE: New to Actually Posting - 2nd sleep study results (Need an ASV)
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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www.ApneaBoard.com


Bed

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.
03-05-2016 02:03 AM
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