Sleep study suggests central but diagnosed with obstructive

[Catherine416]

Thanks, I’m saving the name of this machine.

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Unbelievable, the hoops you have to jump through to get the insurance to pay for the correct treatment.

[SarcasticDave94]

This doctor is absolutely wrong and you are correct. CPAP is programmed to not react to Centrals. If it did, it would choose the wrong action, increase pressure in the wrong way.

My opinion
Fire Doctor Not Correct and get someone more knowledgeable. Things won't get better with this Dr. McQuack's office.

[Gideon]

Dave can get a little sarcastic when he learns a doc is getting it wrong.

All we can do is attempt to avoid centrals on machines not capable of treating them, but this means changing settings in a manner that will likely increase obstructive events. This means reduce EPR, Flex, PS, then remove other pressure fluctuations so minimizing impact of any auto function and finally decreasing pressure(EPAP) all of which tend to increase obstructive events.

Managing, not treating, centrals on a machine such as yours is a delicate balancing act.

[Sleeprider]

A doctor that does not recognize that central and complex apnea requires different therapy, is like a doctor that treats a stroke the same as a heart attack. Well, there are actually a lot of those, so let's move on. CPAP is constant pressure which is fine to keep your airway from obstructing, while ASV senses a reduction in breathing and provides pressure support on a breath by breath basis to treat centrals and hypopnea, and if the airway is blocked, it increases exhale pressure like CPAP. So there is very little in common. Your doctor didn't even care enough to prescribe a machine that gave data, so she will never be wrong. You needed a new doc and you got it! Congrats.

Your machine is not going to give us data, so we have to guess at how to minimize events. We have learned that central apnea responds best to moderately low, constant pressure if CPAP is in use. If you are going to continue using the machine get the App provided by Resvent and let's see what it tells use If it as good as the Chinese English on their web page, I don't have high hopes. http://www.resvent.com/en/product/type/30-1.html My suggestion is that you use a fixed pressure of 6 or 7 rather than a range of 4-20. I'd like to see you get on a proper ASV as soon as possible. I actually think you should return the Resvent to the DME. I don't know of a single other person using this piece of crap that provides no feedback to your therapy, and you clearly have complex apnea. I think your technician or respiratory therapist at the DME sounds sympathetic to your situation. Ask that person if she knows of a doctor or practice that has knowledge of treating central and complex apnea, and see if you can return this machine for a Resmed Autoset.

I hate to say it, but if this is your doctor's expertise with CPAP, and her level of concern for your care, you need to change doctors.

[SarcasticDave94]

Hi doc! We will roast no duck before its time. E & J Follo