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+--- Thread: Cannot get answers!! (/Thread-Cannot-get-answers)
RE: Cannot get answers!! - Franklyspeaking - 11-17-2014
My insurance (BCBS) did cover a S10, I have yet to get to talk with the DME, I've only worked with a respiratory therapist. He has been very helpful. The first s10 was a lemon, just picked up my second one today. I plan to hook it up tomorrow night. I plan to jot down all my settings from my old S9 into my new machine.
Wish I could be more help, but I did learn that my DME is booked through March, of course if you only work two days a week
that might explain the long wait to get in
You might want to read around in the sleepy software section as to explanations of the graphs and other things in your sleep recordings to help you understand what each thing pertains to.
I'm no expert, but I do know my AH1 and A1, along with leaks and OS/events are what I watch for.
You are in the right place, there are plenty of helpful folks here, and sometimes if they don't have the answers to your questions, just being able to share it with someone that may have your same problems I'd beneficial.
Best of luck to you
RE: Cannot get answers!! - Coroboree - 11-19-2014
Hi Lambsydoats: I tried sending you a personal message, but it did not go because it said that you were not a registered member. So, how that can be, I don't know.
(10-29-2014, 07:49 PM)Lambsydoats Wrote: Can you please help?
Today I got the call that my CPAP titration had been read, and that my doc would be sending it to a nearby DME who works with my insurance company. That's the good news.
The bad news is that I CANNOT get in touch with anyone who can discuss my results with me. The assistant isn't qualified, of course, the PA is "booked until December 8," and when I asked if I could discuss it with the doctor then, she said, "No." What the heck?!
My concern is that I show not only OSA but CSA as well--and that scares me. A lot. I've had no TBI, stroke, nor any other damage to my brain. So what's going on?? It's obviously a neurological problem (it appeared on the second of my two take-home tests too), and the CPAP won't do any good when it comes to resolving that issue; I'll still stop breathing during sleep.
Attached is the Rx.
Is the # of sleep apneas the number per hour, or the total number for the time I was asleep?
My other question is this: Because of what my doctor checked, does it mean I will be unable to get the AirSense 10 Autoset for her (i.e., CPAP and not Auto-CPAP)?
Thank you for any insight you have to offer! (And if I should have posted this somewhere else, please just let me know.)
Lamb
RE: Cannot get answers!! - Franklyspeaking - 11-19-2014
(11-19-2014, 04:09 PM)Coroboree Wrote: Hi Lambsydoats: I tried sending you a personal message, but it did not go because it said that you were not a registered member. So, how that can be, I don't know.-----------------
(10-29-2014, 07:49 PM)Lambsydoats Wrote: Can you please help?
Today I got the call that my CPAP titration had been read, and that my doc would be sending it to a nearby DME who works with my insurance company. That's the good news.
The bad news is that I CANNOT get in touch with anyone who can discuss my results with me. The assistant isn't qualified, of course, the PA is "booked until December 8," and when I asked if I could discuss it with the doctor then, she said, "No." What the heck?!
My concern is that I show not only OSA but CSA as well--and that scares me. A lot. I've had no TBI, stroke, nor any other damage to my brain. So what's going on?? It's obviously a neurological problem (it appeared on the second of my two take-home tests too), and the CPAP won't do any good when it comes to resolving that issue; I'll still stop breathing during sleep.
Attached is the Rx.
Is the # of sleep apneas the number per hour, or the total number for the time I was asleep?
My other question is this: Because of what my doctor checked, does it mean I will be unable to get the AirSense 10 Autoset for her (i.e., CPAP and not Auto-CPAP)?
Thank you for any insight you have to offer! (And if I should have posted this somewhere else, please just let me know.)
Lamb
I was able to pick the machine I wanted, my doctor didn't suggest any machine. The s10 can be setup to be just CPAP or autoset (APAP).
RE: Cannot get answers!! - zonk - 11-19-2014
(11-19-2014, 04:24 PM)Franklyspeaking Wrote: The s10 can be setup to be just CPAP or autoset (APAP).Only AirSense 10 AutoSet and AirSense 10 AutoSet for Her can be setup in either CPAP mode or AutoSet mode
AirSense 10 AutoSet for Her has an extra mode ... 'AutoSet for Her' and report RERAs in all 3 modes (all others don't)
AirSense 10 CPAP (basic machine) and AirSense 10 Elite are fixed pressure machines
RE: Cannot get answers!! - Lambsydoats - 11-29-2014
How many seconds for a CA is "long?"
I see advice not to worry about them unless they last a while.
I've had some that have been in quick succession (so quick, that they look like a solid block on the SH report), and each lasted at least 10 seconds, most lasted 14, and one lasted 17 seconds. Here's last night's report--with 39 CAs.
They MUST have something to do with pain and holding my breath when I move in my sleep.
Lamb
RE: Cannot get answers!! - archangle - 11-30-2014
(11-29-2014, 10:57 PM)Lambsydoats Wrote: How many seconds for a CA is "long?"
I see advice not to worry about them unless they last a while.
I've had some that have been in quick succession (so quick, that they look like a solid block on the SH report), and each lasted at least 10 seconds, most lasted 14, and one lasted 17 seconds. Here's last night's report--with 39 CAs.
They MUST have something to do with pain and holding my breath when I move in my sleep.
Lamb
10 seconds is the level at which you consider it to be "no problem". The longer it gets, the closer together, and the more of them you have, the worse it is. It's not a clear yes/no question.
Where to draw the line is a judgement call. Try holding your breath for the time period the central lasted and think about how bad that's going to hurt you. As a rough guess, 30 is getting to the bad level if you don't have them too often. Some people have apneas that last more than a minute, which is getting scary.
What's your total nightly AHI and CAI?
Post a graph zoomed in on your CA's.
RE: Cannot get answers!! - vsheline - 11-30-2014
(11-29-2014, 10:57 PM)Lambsydoats Wrote: How many seconds for a CA is "long?"
I see advice not to worry about them unless they last a while.
I've had some that have been in quick succession (so quick, that they look like a solid block on the SH report), and each lasted at least 10 seconds, most lasted 14, and one lasted 17 seconds. Here's last night's report--with 39 CAs.
They MUST have something to do with pain and holding my breath when I move in my sleep.
Hi Lamb,
I think Central Apnea events lasting less than 20 seconds are fairly short.
The CA events are concentrated in a short period. Using SleepyHead, can you zoom in on the dense cluster of CA events to show us a 5 or 10 minute period during that cluster of CAs?
Here is an article which overviews Central Sleep Apnea. The article has a PRINT icon which will allow you to save the complete article as a pdf file on your computer, for future reference.
http://emedicine.medscape.com/article/304967-overview
Take care.
--- Vaughn
RE: Cannot get answers!! - Lambsydoats - 11-30-2014
(11-30-2014, 12:37 AM)vsheline Wrote: The CA events are concentrated in a short period. Using SleepyHead, can you zoom in on the dense cluster of CA events to show us a 5 or 10 minute period during that cluster of CAs?
Like this? (There are too many to fit in detail on one screen, but you can see several of them here.)
Thank you for the link to the article. I am building my sleep library (and my knowledge base) quite nicely.
Lamb
RE: Cannot get answers!! - PaulaO2 - 11-30-2014
Yes, but show the flow rate, not the insp. time. And try to show about 10 minutes worth of them, whichever 10 minutes hold the most of them.
Like this:
[attachment=1111]
(how to do an attachment: http://www.apneaboard.com/forums/Thread-How-to-Attachments )
RE: Cannot get answers!! - vsheline - 11-30-2014
(11-29-2014, 10:57 PM)Lambsydoats Wrote: I've had some that have been in quick succession (so quick, that they look like a solid block on the SH report), and each lasted at least 10 seconds, most lasted 14, and one lasted 17 seconds. Here's last night's report--with 39 CAs.
(11-30-2014, 09:28 AM)Lambsydoats Wrote: Like this? (There are too many to fit in detail on one screen, but you can see several of them here.)
Hi Lamb,
As PaulaO2 suggested, we are primarily interested in the detailed Flow waveform.
So we will be able to see the fine detail well, I suggest changing the vertical scale on the Flow so that the top of the scale is about +80 and the bottom is about -80. (I don't use SH, so I'm not sure how that would be done.) Even if a few of the positive or negative peaks get clipped, it is more important to be able to clearly see what is happening when the Flow is small.
After selecting 10 minutes during the cluster, I suggest you then create a full Daily Report like you did yesterday. This way all waveform data would be shown for the 10 minute period which was selected, including the Flow data.