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New with questions
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vsheline Offline

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: #11
RE: New with questions
(12-30-2015 09:28 AM)Crimson Nape Wrote:  Unless your oxygen had major desaturations, treatment normally is considered at around an AHI of 20 or above.

I have heard that some insurance companies do not allow coverage unless RDI is at least 10 or 15.

But, actually, I suspect most USA insurance companies follow USA Medicare guidelines. I think USA Medicare covers CPAP machines if the untreated RDI is at least 5.0.

RDI is the sum of the average AHI plus the average number per hour of RERA (Respiration Effort-Related Arousal) events.

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: 01-01-2016 10:57 PM by vsheline.)
01-01-2016 10:41 PM
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vsheline Offline

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: #12
RE: New with questions
(12-30-2015 09:12 AM)Lindz Wrote:  I have an AHI of 6.1, ODI 5.5 and snore index 3.0%.
Apneas 1 obstructive 2 central/mixed 45 hypopneas.

...
2. The dr reading the test diagnosed mild obstructive apnea. How is that possible when I have some central/mixed in there? She said reading the actual respiration summary it looked like to her a pattern of obstructive not sure how she could tell that. Is it possible to be diagnosed with mild obstructive when there are some central/mixed in there?
...

Okay, if you have any thoughts on the above let me know. I start CPAP therapy next week.

I think it is not that uncommon for an apnea to start as a central apnea but, as we progressively relax during the central apnea, for the apnea to transition into being obstructive.

An obstructive apnea will tend to end with a sudden gasping for air, but centrals tend to end gradually, smoothly returning to a normal or above-normal Flow. "Flow" is the waveform which shows the rate at which we are inhaling or exhaling air.

Important:
Please refuse to accept the CPAP machine unless it is fully data-capable, as explained by member Archangle, here:
http://www.apneaboard.com/wiki/index.php...ne_Choices

In general, I recommend asking one's doctor to prescribe an APAP machine which is supported by the SleepyHead data presentation program. If the doctor is unsure what range to prescribe, one can request the doctor to prescribe a narrow range around the pressure suggested in the sleep report.

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: 01-01-2016 11:14 PM by vsheline.)
01-01-2016 11:12 PM
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