Changes

=== Complex Sleep Apnea ===

* Therapy Optimization should be discontinued and the original settings, from the doctor, restored.

* Titrate to minimize OSA, that is the obstructive AHI to less than 5 per hour. '''''This typically is raising EPAP or pressure until obstructive AHI is less than 5 per hour, we expect this to make the Central and Complex Apnea worse thus failing the current treatment'''''

# Witnessed apneas '''''Most of us have this one with our significant others''

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=== For Central Sleep Apnea ===

For Central Sleep Apnea the Medicare requirements for issuing an ASV machine.