My current machine is set 9-15 or something I think and that's what the new script said. I might be misunderstood. The reason I want to start at a higher pressure then 4 is on my current machine if feels like I'm suffocating at the min so the min was set to 9. I usually fall asleep fast and i will be gasping for air if it starts at 4 unless it moves up quickly. My current machine did not.
So I assume I need to get the set up manual and adjust this myself. Like I said the company I bought from wouldn't adjust even with script because they said the machine is fully automatic.
I'm sorry if I misled you. It's best to get your doctor to give you a different prescription if needed. Then, he will fax it to the DME. Ideally, your doctor should be a partner in your health care.
You can certainly get the manual yourself and make your own adjustments, but this is second best and may undermine your relationship with your doctor. You will find that the board is full of people who have been let down by the system, including myself. (Lost insurance, unresponsive doctors, long waits for appointments, etc.) Take advantage of your doctor's expertise as long as it is available to you.
08-01-2014, 08:47 AM
(This post was last modified: 08-01-2014, 08:49 AM by NickDanger.)
What I read BKushner to say is that the doctor provided a script for 9-15 pressure and the DME ignored it. If so, the doctor will not be at all unhappy for BKushner to fix it. The DME is half right - the machine will adapt to your needs. However, it will slowly go up from 4 to 9 until it gets to the therapeutic range and during that time you will effectively be untreated. Just because the machine CAN be set to 4-20 doesn't mean it SHOULD be. Most people have better results with a narrower range. I would switch it to 9-15 and see how it works.
Many people find 4 cm to be too low a pressure and feel they aren't getting enough air with that pressure.
My doctor also prescribed a pressure of 4 but over a couple of months, I tweaked it up to a range of 9-14 where it has remained for the past 6 months. In doing this, it is very helpful to view your results on Sleepyhead or equivalent software.
Jim has a really good point. BKushner, the machine you have is fully data capable. Look around the forum to find the threads that talk about installing and interpreting SleepyHead results. They will give you a good idea of what the range should be. If you have questions, post the graphs from the night - there are a number of people on the forum who are quite adept at interpreting the results.