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First Night OSCAR Results - PavlovsCat - 02-20-2022
I'm not sure this is enough data to gather anything meaningful from, but I've spent some time staring at it and reading on how to interpret OSCAR results, and figured I'd kick it over to the pros for input. It's a little over three hours from my first night of sleep.
I've included my initial at home sleep study results- most of my apneas were central in nature. I'm wondering if these initial results lend themselves to my issue being Central rather than Obstructive. I'll continue to gather data, but I find myself holding my breath while awake and then hyperventilating to catch up, I'm not at all surprised if that's also an issue while I'm asleep.
Any and all input/recommendations are appreciated!!!
RE: First Night OSCAR Results - LindanHotAir - 02-21-2022
According to your sleep study, you had 90% central apnea which your current machine is not designed to treat. Until you get a proper machine which would be the AIRCURVE 10 ASV, you may want to increase your minimum pressure to 7 and see if you feel any better. Contact your doctor and ask to have the current machine replaced with the ASV. Some insurance requires you to fail on the wrong machine before they get you the ASV, but the doctor should have prescribed the ASV at the beginning. Collect the data showing the current machine is not properly treating your apnea.
RE: First Night OSCAR Results - PavlovsCat - 02-22-2022
(02-21-2022, 12:41 PM)LindanHotAir Wrote: According to your sleep study, you had 90% central apnea which your current machine is not designed to treat. Until you get a proper machine which would be the AIRCURVE 10 ASV, you may want to increase your minimum pressure to 7 and see if you feel any better. Contact your doctor and ask to have the current machine replaced with the ASV. Some insurance requires you to fail on the wrong machine before they get you the ASV, but the doctor should have prescribed the ASV at the beginning. Collect the data showing the current machine is not properly treating your apnea.
Thank you for the feedback! I had actually asked about that in my first post and it was recommended that I start with the APAP and go from there. I’m having a difficult time adjusting to wearing this thing…
Do you (or anyone else) think the clusters on my results warrant getting a SCC? I’m wondering if they are indicative of chin tucking. I woke myself this morning by chin tucking (I think). Thanks!
RE: First Night OSCAR Results - staceyburke - 02-22-2022
You know about the centrals so I won’t speak to that. Your min should go up to 7. That can help with the H events - they do NOT o look like positional apnea.
RE: First Night OSCAR Results - Gideon - 02-22-2022
Chin tucking? very unlikely because those events are central, not obstructive.
http://www.apneaboard.com/wiki/index.php/Justifying_Advanced_PAP_Machines
It is very likely that you are here because someone referred you here because after reviewing your OSCAR daily charts and/or your Sleep Studies they felt that you are a candidate for an Advanced PAP machine such as one of the Bi-Levels. There are two paths to treatment and the choice is yours.
Path 1: The path that you were thrown into whether you realize it or not. That is to treat your apnea, whatever types of apnea that you have, with the machine they gave you, a CPAP, preferable an auto-CPAP either the ResMed or the Philips Respironics machines. New members of the forum come here looking for help with intractable apnea and discomfort from these problems. The forum members and "gurus" are very good at optimizing therapy to reduce these problems, and increase comfort with the therapy.
Path 2: Take the often difficult and lengthy journey to procure an advanced PAP machine. The new member that has been advised they have central or complex apnea needs to be aware that optimizing may provide significant immediate relief from symptoms and improve AHI, but improved therapy results can disqualify them from higher levels of therapy (ASV), that might be possible without this self-optimization. Sometimes individuals resolve central and complex apnea with CPAP and find long-term comfort, however, if results are inconsistent, or produce good AHI but not comfort or relief from other symptoms, The forum optimization should be discontinued as soon as possible to avoid disqualification from higher levels of therapy. This path frequently requires failing at CPAP, then failing at BiLevel E0470, before succeeding at ASV E0471
The Medical system seems to always start with an APAP/CPAP no matter what the sleep study indicates.
RE: First Night OSCAR Results - upsman - 02-22-2022
It does look like some chin tucking.
The easiest way to find out is with a soft cervical collar as you mentioned. Can't hurt anything. They're fairly inexpensive.
EDIT: Ahhh, yes. Those are all central events so it's probably not chin tucking. Guess I should wear my glasses when perusing posts.
RE: First Night OSCAR Results - PavlovsCat - 02-22-2022
Thank you everyone for the thoughtful responses! I’m in a quandary at this point as to what my next step should be. I bought my current machine (Resmed 10 Autoset) out of pocket, as I have a HDHP and additionally did not want to deal with or wait for a DME (who I still haven’t heard from in more than a month since my referral.) The ASV machines are significantly more cost prohibitive.
I’m thinking maybe I continue with my current machine (with min set to 7) solely to see if I can handle continued CPAP use (I’m struggling currently…) and if I can, then make the decision to buy an ASV out of pocket or fight with my medical provider to get one.
Thoughts? What would you do?
RE: First Night OSCAR Results - staceyburke - 02-22-2022
Remember you can sell your Cpap - right now it is a sellers market. You would not recoup a total but a large portion of your money. There are quite a few people out there that need a machine but have to wait for months before they get what they want.
Do check out suppler #2 In Our suppliers list at the top of the site. They sell slightly used machines and I have purchased 2 from them.
RE: First Night OSCAR Results - LindanHotAir - 02-22-2022
You can follow Staceyburke’s advice and look for a low hour ASV machine. You can get the same therapy from the S9 ASV as the Aircurve 10 ASV, if you can find a low hour machine for a reasonable price. Low hour could be 0 to around 4000 hours .
RE: First Night OSCAR Results - PavlovsCat - 02-27-2022
(02-22-2022, 01:05 PM)staceyburke Wrote: Remember you can sell your Cpap - right now it is a sellers market. You would not recoup a total but a large portion of your money. There are quite a few people out there that need a machine but have to wait for months before they get what they want.
Do check out suppler #2 In Our suppliers list at the top of the site. They sell slightly used machines and I have purchased 2 from them.
I’m going to go ahead and buy an ASV from them. How many hours do they normally come with? Do I need to change any settings from what I use currently with my Autoset? How different is using an ASV versus an APAP?