Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

new sleep study titration??
#1
new sleep study titration??
Hi all,

My treatment is going very well.  I have zero issues with my equipment.  I have read numerous threads on here about settings and numbers and I am tuned in very well.

Here is my question.

I had a follow up appointment at my sleep clinic last week.  The doctor barley talked to me and didn't review any of my numbers.  He said I needed a new sleep study titration.  It has only been a year and a half since my last one.  I asked why and he mumbled something about I gained a few pounds (I have gained about 5 pounds).  Is this really necessary?  I don't have full coverage insurance so I will have co-pays for all of this.  Are there any issues if I don't go?
Post Reply Post Reply



Donate to Apnea Board  
#2
RE: new sleep study titration??
Welcome to the forum. If your apnea is well controlled and you feel well there is, in my opinion, nor reason for a titration study. What model Resmed do you have? If you have an Airsense10 autoset or an S9 auto it can be put in auto mode with a pressure range of 6-20 and you can self titrate with our help. I see you have OSCAR. Before doing anything, I suggest you post a daily chart following the instructions in the links below.
Post Reply Post Reply
#3
RE: new sleep study titration??
G'day Restful. Welcome to Apnea Board.

I'm not making any allegations here, but does the doctor get a cut of the lab fees for the test? I think that sometimes (often) there is a financial incentive for doctors to over-service, leaving their patients poorer but with no better treatment. If your AHI is regularly under 5 and you feel well rested and otherwise well, then there is absolutely no apparent reason for another test.

As Melman said, an autoset machine can do a very good job at self-titration. What's more, it will adjust as necessary through the night and over time as your needs change (eg if you gain or lose weight). A titration test in a lab is just a snapshot in time, in an alien environment and wired up to 19 different probes and sensors. How can that possibly provide a sensible result on which to base your settings forever (or at least until the doc's kid needs to see the orthodontist again).

restful Wrote:Are there any issues if I don't go?

Do you own your machine, or is it still under some sort of rent-to-buy option? If the latter the insurance company might stick its nose in. The other possible issue is if you need a certificate for commercial driver or aircraft license. If these things don't apply then tell him (in the nicest possible way) where to stick his test.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
Post Reply Post Reply
#4
RE: new sleep study titration??
Seems to me that a new titration test would only be needed if you were having problems with your therapy. I can’t imagine what purpose would be served otherwise, but then again, I’m not a doctor, so what do I know about it? ?
Post Reply Post Reply



Donate to Apnea Board  
#5
RE: new sleep study titration??
(08-12-2019, 03:17 PM)Melman Wrote: Welcome to the forum. If your apnea is well controlled and you feel well there is, in my opinion, nor reason for a titration study. What model Resmed do you have? If you have an Airsense10 autoset or an S9 auto it can be put in auto mode with a pressure range of 6-20 and you can self titrate with our help. I see you have OSCAR. Before doing anything, I suggest you post a daily chart following the instructions in the links below.

I have an Airsense10 Autoset.  Will get some charts posted in the near future.  

(08-12-2019, 09:13 PM)DeepBreathing Wrote: G'day Restful. Welcome to Apnea Board.

I'm not making any allegations here, but does the doctor get a cut of the lab fees for the test? I think that sometimes (often) there is a financial incentive for doctors to over-service, leaving their patients poorer but with no better treatment. If your AHI is regularly under 5 and you feel well rested and otherwise well, then there is absolutely no apparent reason for another test.

As Melman said, an autoset machine can do a very good job at self-titration. What's more, it will adjust as necessary through the night and over time as your needs change (eg if you gain or lose weight). A titration test in a lab is just a snapshot in time, in an alien environment and wired up to 19 different probes and sensors. How can that possibly provide a sensible result on which to base your settings forever (or at least until the doc's kid needs to see the orthodontist again).

restful Wrote:Are there any issues if I don't go?

Do you own your machine, or is it still under some sort of rent-to-buy option? If the latter the insurance company might stick its nose in. The other possible issue is if you need a certificate for commercial driver or aircraft license. If these things don't apply then tell him (in the nicest possible way) where to stick his test.

That was my first thought too, unfortunately.  I am not sure if the doctor gets a cut of the study, but they would get paid for the post study follow-up.  

I own the machine.  Don't need any certificate like that.  My AHI is pretty low.  Normally less than 2.  


(08-12-2019, 09:24 PM)WhyMe Wrote: Seems to me that a new titration test would only be needed if you were having problems with your therapy.  I can’t imagine what purpose would be served otherwise, but then again, I’m not a doctor, so what do I know about it? ?

I agree.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [Treatment] help with starting settings and titration for UARS GoldMaster 22 785 08-16-2019, 01:37 PM
Last Post: GoldMaster
  My sleep study report : any recommendations SunHu 1 102 08-12-2019, 12:25 PM
Last Post: OpalRose
  New user- 2 week CPAC results + sleep study kiwi man 38 498 08-11-2019, 09:41 AM
Last Post: pholynyk
  Dr wants another study ShariMarie 33 874 08-01-2019, 11:13 AM
Last Post: SarcasticDave94
  [Diagnosis] Help Interpreting In-Home Study coscribe9 5 201 07-30-2019, 05:52 PM
Last Post: coscribe9
Question Noob attempting self-titration - assistance interpreting results deepdiver 2 162 07-29-2019, 09:06 PM
Last Post: DeepBreathing
  Sleep Study Apnearon 25 779 06-30-2019, 04:49 AM
Last Post: Apnearon


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.