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Starting My Therapy
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AlanE Offline

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Post: #51
RE: Starting My Therapy
and that is you. No one else. Those results are unique to you. Humans are not 'built' to guidelines. If we were, this forum would not exist. For you, a fixed pressure works, for me it does not.

So again, what is your point?



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I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
(This post was last modified: 06-30-2015 05:46 PM by AlanE.)
06-30-2015 05:45 PM
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tedburnsIII Offline

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Post: #52
RE: Starting My Therapy
AlanE, you unfortunately do not understand my posts. No big deal, though. It's all good.

Best wishes,
06-30-2015 06:06 PM
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AlanE Offline

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Post: #53
RE: Starting My Therapy
I honestly don't. What you are saying makes sense for you. I would like my treatment to be that simple. To have one set pressure and have great results. Alas, that is not my reality.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
06-30-2015 06:11 PM
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tedburnsIII Offline

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Post: #54
RE: Starting My Therapy
(06-30-2015 06:11 PM)AlanE Wrote:  I honestly don't. What you are saying makes sense for you. I would like my treatment to be that simple. To have one set pressure and have great results. Alas, that is not my reality.

I am not recommending or saying that you must go straight CPAP.

Just wanted to know what your lab-titrated optimal fixed pressure is/was, because it seems that people are all over the place on this forum and others and do not take into consideration the lab titration and board-certified sleep doctor's recommended starting fixed pressure.
(This post was last modified: 06-30-2015 06:19 PM by tedburnsIII.)
06-30-2015 06:17 PM
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AlanE Offline

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Post: #55
RE: Starting My Therapy
The doctor that interpreted my sleep study is an MD, FACP, FCCP, FAASM, board certified in sleep medicine. If he did recommended a fixed pressure, why was I not prescribed one? Maybe all those fancy acronyms after his name are just to impress the ladies? Smile



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
06-30-2015 06:59 PM
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tedburnsIII Offline

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Post: #56
RE: Starting My Therapy
(06-30-2015 06:59 PM)AlanE Wrote:  The doctor that interpreted my sleep study is an MD, FACP, FCCP, FAASM, board certified in sleep medicine. If he did recommended a fixed pressure, why was I not prescribed one? Maybe all those fancy acronyms after his name are just to impress the ladies? Smile

Get a copy of his written report. You are entitled to it.

As I have stated before, the titration study recommends a fixed pressure. It is not possible for them to do otherwise.

Then the prescribing doctor can choose to prescribe CPAP fixed pressure or an Auto range of pressures.
(This post was last modified: 06-30-2015 07:16 PM by tedburnsIII.)
06-30-2015 07:15 PM
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quiescence at last Offline

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Post: #57
RE: Starting My Therapy
I regrettably did not get told to do a lab sleep study, and did not have a follow up titration in a lab. So, I am also sub-optimal.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
(This post was last modified: 06-30-2015 10:26 PM by quiescence at last.)
06-30-2015 10:06 PM
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AlanE Offline

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Post: #58
RE: Starting My Therapy
(06-30-2015 07:15 PM)tedburnsIII Wrote:  Then the prescribing doctor can choose to prescribe CPAP fixed pressure or an Auto range of pressures.

I was prescribed a range of pressures. Rolleyes



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
07-01-2015 05:06 AM
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Sleeprider Online
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Post: #59
RE: Starting My Therapy
(06-30-2015 07:15 PM)tedburnsIII Wrote:  
(06-30-2015 06:59 PM)AlanE Wrote:  The doctor that interpreted my sleep study is an MD, FACP, FCCP, FAASM, board certified in sleep medicine. If he did recommended a fixed pressure, why was I not prescribed one? Maybe all those fancy acronyms after his name are just to impress the ladies? Smile

Get a copy of his written report. You are entitled to it.

As I have stated before, the titration study recommends a fixed pressure. It is not possible for them to do otherwise.

Then the prescribing doctor can choose to prescribe CPAP fixed pressure or an Auto range of pressures.

From the day you came on this forum you have insisted that everyone is titrated to a single optimal pressure, and posted your chart and a reference to a titration guideline. I think in time, you'll learn that is a grossly over-simplified viewpoint, and there are many different forms of sleep disordered breathing, and many individual permutations of response to therapy that actually occur. Thus while some use a simple CPAP with great results, others respond better to APAP, or Bilevel or even ASV and S/T machines according to their needs. The identification of a pressure that relieves OA is just the first part of a titration that may go on to evaluate H and CA and even RERA. These latter events are not even visible to you as a user of a Resmart machine, and yet they can have a profound effect on sleep quality in some people.

The proselytizing of a single optimal pressure during titration is getting really old Ted.

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07-01-2015 01:43 PM
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tedburnsIII Offline

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Machine: 3B RESmart APAP
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Mask Make & Model: Wisp nasal; ResMed FX nasal
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CPAP Pressure: 10 cm CPAP
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Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

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Post: #60
A bit tired of wise-a*s, 'wise-cracks' QAL
(07-01-2015 01:43 PM)Sleeprider Wrote:  
(06-30-2015 07:15 PM)tedburnsIII Wrote:  
(06-30-2015 06:59 PM)AlanE Wrote:  The doctor that interpreted my sleep study is an MD, FACP, FCCP, FAASM, board certified in sleep medicine. If he did recommended a fixed pressure, why was I not prescribed one? Maybe all those fancy acronyms after his name are just to impress the ladies? Smile

Get a copy of his written report. You are entitled to it.

As I have stated before, the titration study recommends a fixed pressure. It is not possible for them to do otherwise.

Then the prescribing doctor can choose to prescribe CPAP fixed pressure or an Auto range of pressures.

From the day you came on this forum you have insisted that everyone is titrated to a single optimal pressure, and posted your chart and a reference to a titration guideline. I think in time, you'll learn that is a grossly over-simplified viewpoint, and there are many different forms of sleep disordered breathing, and many individual permutations of response to therapy that actually occur. Thus while some use a simple CPAP with great results, others respond better to APAP, or Bilevel or even ASV and S/T machines according to their needs. The identification of a pressure that relieves OA is just the first part of a titration that may go on to evaluate H and CA and even RERA. These latter events are not even visible to you as a user of a Resmart machine, and yet they can have a profound effect on sleep quality in some people.

The proselytizing of a single optimal pressure during titration is getting really old Ted.

Proseltzying? Viewpoint?

I am merely stating facts. All you seem to do is spout your 'opinions' here disguised as 'facts'. Of course, everyone who undergoes a lab titration is titrated to a single optimal, good or acceptable pressure. This assumes that the lab is certified and follows the Clinical Guidelines.

About the RESmart, it does report aps, hyps, CA's, but not RERA's. Let's try to be somewhat accurate here, ok?

[Image: 6-20-2015%20CPAP%2011pt5%20EXP_zps8p4tdbl0.png]

Your condescending remarks are a rude form of pontification and are not particularly relevant to that issue of titration.

I do believe it better to at least know what that fixed pressure is and use it as a 'covers-all' benchmark or starting pressure, if so recommended by a board-certified sleep specialist.
(This post was last modified: 07-01-2015 04:24 PM by tedburnsIII.)
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