(04-26-2015 12:17 AM)Shvitzer Wrote: My doc wants to see technical info on the A10 Auto, since he says that only someone with inhalation issues (is that Central SA??) can benefit from an Autoset. Since I have Obstructive only, he feels it's not needed. What's the best place to get this info for him?
I'm concerned that, if all I get is a scrip for fixed pressure, Medicare will not pay for the Autoset. Thanx.
(04-25-2015 11:13 AM)Sleepster Wrote:
(04-25-2015 12:23 AM)Shvitzer Wrote: So - my question is - is there info in the manual available on the Apnea Board that will enable me to switch from fixed to auto mode on my own?
Yes and it's so easy to do, too. Usually you just hold down a pair of buttons simultaneously until you hear a beep. Then you're in a whole bunch of on-screen menu choices where you can change a whole bunch of stuff.
Of course, the medical industry will carefully warn you that you are not qualified to make these choices. Well, in many cases they may be right, so make sure you educate yourself about what each setting does before you alter it. In all cases, if you don't know, leave it be.
i agree with zonk and respectfully disagree with your doc. with an autoset, there is a pressure range so if you need a higher pressure occasionally during your sleep, the autoset will provide it rather than having a fixed pressure. If your pressure is fixed at say 10 for example and during the night you have an occasion to need a higher pressure, you won't get it with the fixed pressure of 10 but you will with an autoset because you will have a pressure range from say 10 to 15.
I started out with a respironics many years ago and didn't use it much. Then I got a Resmed s9 elite at fixed pressure of 12 I think. Had problems with it as well as the FFM. Nobody ever told me that there were other choices in masks so I suffered with the FFM.
Then I got the S9 autoset but was still stuck with the FFM and was not doing well with the machine. Had a sleep study and doc told the tech that if I got to 15 to try vpap but they didn't do it. I was very angry with the tech to begin with because I got tired of being trapped with her putting all the wires on me and telling me all about her medical issues etc but yet when I was trying different masks, she was not very patient with me.
Then I went to another sleep doc and he said that he wanted to do a titration only sleep study with a vpap. Prior to the study, the manager met me at the facility with a whole lot of different masks for me to try (new ones still in the original packaging). He hooked them up to the machine and let me try the masks I wanted to try. I choose the wisp and he gave me a chin strap (a really nice, sturdy one) because I thought I was a mouth breather. I had the opportunity to use them both for a week or two to get used to them before my titration which was really great.
So, during the titration, for the first time in all the tests I had, I only woke up once very briefly and went right back to sleep. Probably had to do with the dead roach in the bathroom lol
Anyway, the only complaint other than the roach was that the tech used too much glue and when he pulled one of the wires off, it made me bleed. Small issue. I got my vpap auto (my doc didn't want to give me the auto but I got it anyway) and I still use the wisp and it has been over a year now. I no longer use the chin strap; I guess it trained my mouth to stay shut ha ha. I really like the wisp a lot. Leaks are good; AHI is really good; not having the difficulty that I had with the other two s9's. Some people just have trouble on fixed pressure or for whatever reason they do better with the vpap auto and I am one of those.
If it were me, I would get the autoset, insist on it. If doc won't give it to you, I would find another doc. things change when we get older, lose or gain weight, have additional medical issues, change in medication, etc. etc. so it is worth it to have the option of an autoset even if you don't use it at the beginning. Someday you may need it and you won't get another machine for 5 years or longer depending on what the rules are at the time. That is my advice to you. As far as the masks go, as it has been said, it is an individual thing and what works for me may not work for you. Some swear by the pillows; some nasal masks, some FFM and some total face masks. It can't hurt to give the wisp a try and if you don't like it, try a different one. I do like that it is less intrusive than a FFM and the wisp works well for me.
let us know what you end up getting and how things are going for you.