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Questions for the Sleep Doctor
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GrammaBear Offline

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Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #1
Questions for the Sleep Doctor
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.
09-07-2014 09:26 AM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #2
RE: Questions for the Sleep Doctor
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?
09-07-2014 10:59 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #3
RE: Questions for the Sleep Doctor
How 'bout dem Bears!
09-07-2014 11:03 AM
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justMongo Offline

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Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #4
RE: Questions for the Sleep Doctor
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.
09-07-2014 02:16 PM
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GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #5
RE: Questions for the Sleep Doctor
(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.
09-07-2014 02:49 PM
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vsheline Offline

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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: #6
RE: Questions for the Sleep Doctor
(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.
(This post was last modified: 09-08-2014 12:14 AM by vsheline.)
09-08-2014 12:06 AM
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