Last night is attached. My plan this week:
1)Soft cervical collar (already ordered)
2)Get appt. with my sleep doctor asap to push for ASV
Should I stay with the same settings until then?
Thank you!
Hello Guest,
Welcome to Apnea Board !
[Treatment] Advice Please
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08-23-2020, 07:20 AM
RE: Advice Please
Morning-
Last night is attached. My plan this week: 1)Soft cervical collar (already ordered) 2)Get appt. with my sleep doctor asap to push for ASV Should I stay with the same settings until then? Thank you!
08-23-2020, 08:11 AM
RE: Advice Please
It's not clear to me that a settings change would be productive at this point. With pressures of only 7-12 and PS 0-2, you are addressing all of the issues about as well as can be expected. The occasional PS is increasing for hypopnea and decreasing for CA. Once you incorporate a SCC to the therapy, the OA problem should nearly fully resolve. This therapy is a compromise approach to the suite of conflicting events you are experiencing.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier 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.
08-26-2020, 12:37 PM
RE: Advice Please
Doctor has set up another sleep study with just ASV. He is balking at the ResMed machine, preferring the DreamStation as it is easier to navigate and program (in his opinion). It seems that you all prefer the ResMed. The patient has a choice in this, correct?
08-26-2020, 12:44 PM
RE: Advice Please
The doctor can circumvent this by making the prescription DAW, Dispense As Written. Your 'choice' is typically limited to machines within the CPAP class. If the prescription says 'ASV' without a brand you have a choice.
You always have a choice of going outside the system, and we can help with that.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
08-26-2020, 12:45 PM
RE: Advice Please
Absolutely. You are the patient and your choice is what should count. FWIW the ResMed AirCurve 10 ASV has up to 5 pressure/therapy settings (depending on run mode), Mode then EPAP Min/Max and PS Min/Max if in the suggested ASVAuto Mode. How can that be too hard to program? I did my own when the RT at Apria said she had to guess at the settings when I received mine in 2017. It's easy enough for you to set your own as well and if you want assistance, we're here.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
09-11-2020, 09:26 AM
RE: Advice Please
Good Morning-
Here are the results from my second sleep study. This time they used the ASV machine. This machine is on its way to me. Do you agree with the MD pressure settings?
09-11-2020, 09:41 AM
RE: Advice Please
Titration indicates non-auto ASV mode, EPAP 7.0, PS 4-20. Based on those settings, I suspect they are setting you up with a Philips BiPAP Auto SV. My preference would be the Resmed Aircurve 10 ASV for comfort, with settings of ASVauto mode, EPAP min 6.0. EPAP max 8.0, PS min 3.0, PS max 15.0 The problem with the study is that all evaluations use a PS max of 20 and that is usually not needed, and we don't see what was actually delivered. In other words, it is the best result they got, but it is biased to Philips. The Philips BiPAP SV titration guide is compared to the Resmed ASV titration guide below. I think it's obvious where this is going. If you have a preference for a Resmed, you will have to speak up loudly and quickly.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier 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.
09-11-2020, 11:57 AM
RE: Advice Please
I'll throw 2 more cents in. I would call the DME/supplier now/ASAP to find out which ASV they're sending. If you learn it is a Philips, and if you prefer MesMed, tell them loud and clearly you request the ResMed. If you get to the place where you sign and accept it, then it is almost 100% at the point of no return. At that point, they may refuse a swap. I have gotten great results with my ResMed ASV until my COPD complained about it. It was good enough that if I needed to do it over, I would still choose ResMed ASV.
Thumbnail sketch if this were me:
Best of luck in success. Update us on how it goes. And if you have questions, feel free to ask.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
09-11-2020, 12:04 PM
RE: Advice Please
Thank you for the responses. I called my Dr. and it was indeed a Phillips. After a little finagling, they changed the order to the Res Med! Thank you both for the sound advice.
09-11-2020, 12:10 PM
RE: Advice Please
Excellent Ryan. Congrats on the win. Keep us updated please. And again if you have any questions, post em here. We'll all do our best to get you through the minefield relatively unhurt. BTW, keep pressure on DME to deliver the ASV. Somehow my DME forgot what it was doing if I didn't call daily to remind them they were working on my ASV order, filling insurance paperwork, and scheduling my delivery. Non-sarcastic I seriously called them every day.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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