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Want to IMPROVE please respond
#21
RE: Want to IMPROVE please respond
You and Bonjour posted at almost the same time; you now have your expert opinion. To answer your question, the machine will not go below the minimum pressure setting, so if that is too low, you need to raise it.
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#22
RE: Want to IMPROVE please respond
The wide-open pressure setup the medical community loves to suggest is good for the first night to see how you respond. When I see wide open settings I assume that is someone who needs settings to be optimized.  Rarely we see someone whom that works for.

PR machines respond very slowly so to perform well they need to be closer to the level they need to be at to treat your events.  Thus we almost always work on increasing the minimum settings to manage obstructive events.  For the Maximum setting, that too depends on the individual.  We actually like to see a fairly small difference between the actual min and max pressures that show up.  I have the max set at the machines max for 2 reasons, I tolerate high pressures with no problems, and my actual high is always very close to my min pressure, in other words, I have very little fluctuation. 

The same principles apply to other brands but with PR adjusting the min is critical.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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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.
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#23
RE: Want to IMPROVE please respond
Awesome I'll adjust and thank you for the reply. Also have you seen cases making adjustments will tick off the provider? Has this happened?  Just curious.

Thanks in advance,
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#24
RE: Want to IMPROVE please respond
Provider as in DME? Oh yes, they will feel threatened by you self adjusting, they'd say it's illegal or you may blow up a lung. BOGUS!

Will insurance care? NO. They require a compliance of use period. You must prove that if they pay for the machine you will use it. I told my insurance I would adjust my own. I stated I didn't have time to waste in making a doc consultation to discuss adjustments and extra time for doc to decide he'd approve adjusting. His adjusted settings would have been hit or miss anyway. He's not wearing the mask.

It's far more streamlined to approach it this way: I need to bump the EPAP, I reach over and enter clinical mode, I make the adjustment and lock it in and exit clinical. 10 seconds at most vs doc appointment method of days or weeks. NOPE!
Dave

OSCAR
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Mask Primer
Dealing With A DME
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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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#25
RE: Want to IMPROVE please respond
It is illegal for THEM to deviate from the prescribed pressures, but it is absolutely not illegal for YOU to change your pressures. Sometimes calm, reasoned communication works; sometimes you just have to ignore the DME and do what you need to do.
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#26
RE: Want to IMPROVE please respond
You need to get the clinician manual from AB. It will tell you how to make the changes.

It is better to not even contact the DME.

John
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#27
RE: Want to IMPROVE please respond
(03-17-2020, 02:12 PM)SarcasticDave94 Wrote: It's far more streamlined to approach it this way: I need to bump the EPAP, I reach over and enter clinical mode, I make the adjustment and lock it in and exit clinical. 10 seconds at most vs doc appointment method of days or weeks. NOPE!
Sparky, I think it's more often months, not days or weeks.  

Besides, there are all those docs that say, "that's an improvement,  I'm glad I thought of it, what did you say those settings are so I have them in your records."  They sre much more accomodating when it works, and most that stick it out here don't get worse.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
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#28
RE: Want to IMPROVE please respond
I'll make the adjustments. It's from the VA Smile
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#29
RE: Want to IMPROVE please respond
I would like to make the changes tonight to 7 as the suggested pressure setting since mine is 6. The questions is what do I change. I thought it would be easy but IPAP, EPAP, cmH2O...
   

Please advise what I should change...

Thanks in advance
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#30
RE: Want to IMPROVE please respond
sounds like you know how it is bonjour, no surpirse there

Setting edit: you would enter clinician mode, scroll down to where pressure is 6, click on the wheel to highlight, scroll wheel to go up to 7 and click in on the wheel to lock it in, exit clinical
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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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