I then got a Resmed Escape set to 10. After a few days of no major improvement in sleepiness and some googling, I discovered I could monitor own AHI using Sleepyhead, but not with the Escape. I also had to show compliance for at least a month for the unit to become "mine" and not a rental. So after a week on CPAP and without any arm twisting, my DME switched me to the Elite.
Now I can use Sleepyhead but find it just as convenient to have the Elite report my AHI on the screen. I had my 6 week follow-up today and my average AHI with CPAP is 6.7 which isn't news to me. I have better than 93% compliance. I reported to the DME that I hoped to be feeling better and so he prescribed another overnight titration and that they'd probably have to increase the pressure.
My insurance covers 85% of the studies and machine. 15% is still a lot. I told him that even at 15% for another study, it was adding up. He immediately reduced my burden to 7.5% and I scheduled the appt.
So I realize this number of 10 is a prescription and even with traditional medications, doctors may have to adjust the dosage. But considering that I am capable of adjusting my own pressure and that these fine tunings aren't cheap, would it be OK to just try it and monitor my AHI for a few days after each adjustment to see if there is an improvement? I haven't read up if the pressure can be adjusted in decimal or whole number increments but does going to 11 (insert Spinal Tap joke here) sound reasonable? If I can get below 5 consistently, I'll cancel the appt.