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Sleep study and CPAP experience in Norway
#1
I've read this story on the net from a CPAP user experience with getting a sleep study and CPAP in Norway.
Here is copy & paste of the story, some might find interesting as I did.
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A while ago I selfdiagnosed with my O2 meter and started CPAP treatment on my own. We have "socialiced medicin" i Norway, which means that allthough all studys and CPAP equipment is free, we have to wait long to get it because of limited resources. Thanks to my very good doc, I was given priority and got a sleepstudy in the end of january. I was expecting to wait close to a year longer for it.

I was expecting a polysomnograpfh test with a great deal of equipment attached to my body. In stead, I was given a Apneograph test http://mra-medical.com/download/Apneagra...20vsn2.pdf I got a pressuresensing catheter through my nose and down my throat and a O2 probe on my finger. The catheter was not very comfortable, but I think it would have been far worse with a full PSG. The result was a diagnose of moderate sleepapnea, with an AHI of 19, no centrals and mostly hypoapneas and a referral to a CPAP adaption study.

Last night I went in for my overnight CPAP adaption study. I was expecting to get the nosecatheter once again and sleeping the half night without CPAP and the other half with. But that did not happen. When I got there, we where shown a movie about the use and benefits whith CPAP treatment. Then we where given a S9 Autoset each and told to go to our rooms and set them up. A nurse then came to our rooms and gave us two masks each (I chose a Swift FX and a Mirage FX mask) and adjusted them for us and told us to use the CPAP a while before going to bed. Next morning the nurse came back to collect the SD card and came back a while later to give us the result. Being used to CPAP, I had no problem sleeping very well the whole night through, 7 hours with an AHI of just 0.8.

When the nurse gave me my masks, I asked the nurse about titration, how they would do that. She said that they had stopped doing any titration studys a long while ago. Now EVERYBODY gets a S9 Autoset set up in automode with the pressures set to 4 - 15. She said that this works very well for basically everybody. They have very few people pr year that needs their machine adjusted differently.

So to all that are distrustful of APAP, here is a whole country that basically only uses APAP and with a very wide pressuresetting
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#2
That is interesting! I think that the S9 Autoset sounds like a pretty sure solution to most people. Thinking this will be the one I end up buying (I am only hiring mine at the moment)
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#3
Zonk,

Interesting. 10 years on from my diagnosis, my new Sleep Specialist basically just looked at the sleep test and titration data taken 10 years earlier, asked a few questions and sent me away with a new S9 Auto telling me to come back in one month so he could review the data. Interestingly, the pressure I now require is only 15cm (bieng 17cm previously) - My previous machine was an wide open Autoset Spirit, so the difference in required pressure is somewhat academic anyway I guess.

Urlika,

Make sure you head over to the Commercial Posts sub-forum and check out the “Buying a Machine?” thread before committing to your purchase. It appears that considerable savings can be had if Aussies purchase from the U.S rather than domestically.

I know if I were in the market for a new a machine right now I probably wouldn’t look past the sales specials available on the Phillips Respironics machines in the U.S. at the moment. For example; The PR System One REMStar 60 Series Auto CPAP with Heated Humidifier and Heated Tube is on sale for under $650 + shipping. It may not be as pretty as the Aussie made Resmed S9 but its therapeutic outcomes would undoubtedly be just as good. I could buy this APAP, a couple of new masks, spare headsets, pillows/cushions and filters delivered for less than half the money I spent recently for similar Resmed gear domestically.
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#4
Interesting report, Zonk! The practice of giving everyone an S9 AutoSet who has OSA without other serious problems like Centrals goes hand-in-hand with what I recently heard from a RT at my DME who described his company as being in negotiations with their major equipment supplier--ResMed-- to sell only AutoSet machines, since they can be set to run either in auto mode or straight CPAP and thus eliminate the need to stock other models.
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#5
Dawei, please PM me with the name of your DME.
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#6
Absolutely agree. Its the opinion of Prof Colin Sullivan the inventor of CPAP who said about CPAP: "It really is a no-brainer," and pointing out that CPAP administration is especially easy with the newer devices that automatically set the appropriate amount of positive pressure.
Also the opinion of Professor Barbara Phillips of "Not every patients needs to go to the sleep lab"
http://www.apneaboard.com/forums/Thread-...a-Phillips

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