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Questions for the Sleep Doctor
#1
I will be seeing my sleep doctor for my yearly visit this week. This will be the second time I've seen this doctor as I switched from the doctor who originally diagnosed me with OSA. Since joining this forum I have been fortunate to learn many things, for which I am grateful.

Can anyone tell me what kinds of questions I should ask the sleep doctor? The original doctor was not the kind of person who encouraged questions at all. I've been told that this doctor likes it when patients are involved in their care.

Thanks for your help.
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#2
What stands out in my Resscan reports as positive and negative?
Do you think my therapy is effective?
What can we do to improve my sleep?
What can we do to improve my daily energy?
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#3
How 'bout dem Bears!
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#4
Has the doc asked you to bring the SD card or machine. If not, he'll not be reading any data.
Ask the doc: "How am I doing." (Instead of him asking you.)
Make sure it's a discussion and not a monologue.
Question statements when called for.
If he says you're doing fine -- yet has no data -- ask him how he knows that.
Perhaps the best question: What is my AHI with the therapy?
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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#5
(09-07-2014, 02:16 PM)justMongo Wrote: Has the doc asked you to bring the SD card or machine. If not, he'll not be reading any data.
Ask the doc: "How am I doing." (Instead of him asking you.)
Make sure it's a discussion and not a monologue.
Question statements when called for.
If he says you're doing fine -- yet has no data -- ask him how he knows that.
Perhaps the best question: What is my AHI with the therapy?

The doc's nurse reminded me to bring the SD card from the machine, and she downloads the information from the card before I even see him. When I register at the receptionist desk, they politely ask if I've brought the SD card to be downloaded and then I hand it to them.

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#6
(09-07-2014, 02:49 PM)GrammaBear Wrote: The doc's nurse reminded me to bring the SD card from the machine, and she downloads the information from the card before I even see him. When I register at the receptionist desk, they politely ask if I've brought the SD card to be downloaded and then I hand it to them.

Sounds like this doc will be worth keeping.

How sleepy/fatigued are you during the day?

Are you having problems from too much pressure (swallowing too much air to be comfortable, or hearing problems or balance problems, or too many central apneas, and have you been checked for glaucoma lately? (How is your peripheral vision?) If so, you might do better with a lower Max Pressure setting, so that your machine will not be able to adjust the pressure so high. And by sleeping only on your side (not on your back) you may be able to reduce how high your machine needs to raise the pressure.

To look at the sleep report which is available on your machine's LCD screen, press and hold down for about 5 seconds continuously both the rectangular button with two check marks AND the tall round knob, both at the same time.

When you get into the Advanced Report screen, turn the round knob to navigate, to see all the report data.

If you want to select or change anything, you will need to turn the round knob until what you want to edit is highlighted, and then press the round knob to enter edit mode, and then turn the knob again to change whatever is being changed (to change the date range of the report, or whatever).

Look at your data and see if there is anything interesting there to ask the forum or the doctor about.

Does the highest pressure used on most nights get limited by the Max Pressure setting being too low, such that the Max Pressure setting does not let the pressure adjust itself as high as it wants to go? If so, and unless you have problems when the pressure gets high, you might do better with a higher Max Pressure setting, so that your machine could adjust the pressure higher when needed.

Is your median pressure several cm H2O higher than your Min Pressure setting? If so, you might do better with a higher Min Pressure setting, so that your machine does not keep always dropping back toward a Min Pressure which is too low.

On the other hand, is your median pressure almost the same as your Min Pressure setting? If so, and if you prefer it that way, that is fine. Or, you might do better with a lower Min Pressure setting, so that your machine could spend more time a lower pressures.

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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