05-01-2014, 06:27 PM
(This post was last modified: 05-01-2014, 06:32 PM by SnuffySleeper.)
Will do retired guy. I kind of blame myself as I would happily live with a low pressure and just sleep on my side. I hope my doctor sees it our way. Under the Ontario restrictions I would qualify for an Autoset *crosses fingers* but in Ontario it's all up to the Doctor.
Well, if the autoset and a bit higher pressure would allow you to sleep on your back instead of only on your side, I'd be all over that.
Since beginning this new lifestyle I have been able to sleep on my back for the first time since dirt was invented. (which by the way, I helped design)...... I am still so loving being able to sleep on my left side, then flop to my back, then back to the left side, etc.... all night long. In the morning I just lay there on my back, stretching out, kicking the miserable cats out of the bed, and just be in the zone.............
sounds like the tech didn't know what they were doing
05-04-2014, 02:50 PM
(This post was last modified: 05-04-2014, 03:58 PM by vsheline.)
(05-01-2014, 05:55 PM)SnuffySleeper Wrote: Anyways, have to follow up with the doctor now but I have a feeling a HUGE pressure increase is on the agenda for me. I am hoping they upgrade me to an Autoset or I will not be a happy camper. I could not tolerate having a pressure of 16+ constantly even when I don't need it.
You may benefit from a bi-level titration.
And if you ask for a new machine it doesn't hurt to ask for the best.
If your new prescribed pressure would likely be 15 or higher then I suggest asking your doctor for a bi-level titration. (I suppose he might not be able to skip the bi-level titration and simply prescribe a bi-level Auto model like the S9 VPAP Auto.)
The S9 VPAP Auto is ResMed's optimal machine for Obstructive Sleep Apnea and is like the S9 AutoSet except it allows a greater difference between inhale pressure versus exhale pressure, which is often needed to make high pressures more bearable. (I would suggest the PRS1 BiPAP Auto except I think you already have the humidifier and power supply for the S9 series.)
I've read that most patients who are given an opportunity to use bi-level treatment find that their sleep quality is best when their IPAP is around 5 cm H2O higher in pressure than their EPAP. EPR on the Elite and AutoSet is like true bi-level except EPR only allows a difference of up to 3. (Bi-level machines also allow a little more adjustability, like on the timing and abruptness of the pressure rise and fall.)
You want an Auto machine so the pressure will auto adjust high only when needed, so the average pressure will be lower, and you want a bi-level machine to minimize the discomfort and aerophagia and leaking associated with high pressures.
A while back Zonk posted a great article by Dr Barry Krakow on the advantages of bi-level treatment:
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.
Thanks man. I'll bring this up with my doctor. He's cool in some regards like going over data and answering questions but he's old school with Cpap machines.
He's even said he doesn't like Apap as it's too late by the time the apnea is detected to be effective, and said he prefers constant pressure. So we'll see what he says. At least now I can be armed with more knowledge and better questions for him.