Philip J Fry said:

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If you have an aircurve, I think bi pap is built into it?

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Resmed Aircurve 11. It has some bipap functionality but not the same as a normal bipap allegedly.

Cromagnum said:

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Philip J Fry said:

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If you have an aircurve, I think bi pap is built into it?

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Resmed Aircurve 11. It has some bipap functionality but not the same as a normal bipap allegedly.

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This could get WAY into the weeds, but do you know why you have central sleep apnea? It's often cardiac in origin. If you do not have a significant cardiac issue, perhaps they could let you run a while in autoPAP, with a V-com device attached for comfort, and see if your central events go away or lessen. It would certainly be better than not treating your apnea. BiPAP is becoming less and less used outside of people with obesity hypoventilation or significant pulmonary issues (emphysema, etc.).

Kool said:

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Cromagnum said:

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Philip J Fry said:

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If you have an aircurve, I think bi pap is built into it?

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Resmed Aircurve 11. It has some bipap functionality but not the same as a normal bipap allegedly.

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This could get WAY into the weeds, but do you know why you have central sleep apnea? It's often cardiac in origin. If you do not have a significant cardiac issue, perhaps they could let you run a while in autoPAP, with a V-com device attached for comfort, and see if your central events go away or lessen. It would certainly be better than not treating your apnea. BiPAP is becoming less and less used outside of people with obesity hypoventilation or significant pulmonary issues (emphysema, etc.).

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Don't know why. Only cardiac issue is high blood pressure and high cholesterol. On medication for both for years. For all i know it's the bull**** emergent kind that only shows up when you are on CPAP

Cromagnum said:

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Kool said:

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Cromagnum said:

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Philip J Fry said:

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If you have an aircurve, I think bi pap is built into it?

---

Resmed Aircurve 11. It has some bipap functionality but not the same as a normal bipap allegedly.

---

This could get WAY into the weeds, but do you know why you have central sleep apnea? It's often cardiac in origin. If you do not have a significant cardiac issue, perhaps they could let you run a while in autoPAP, with a V-com device attached for comfort, and see if your central events go away or lessen. It would certainly be better than not treating your apnea. BiPAP is becoming less and less used outside of people with obesity hypoventilation or significant pulmonary issues (emphysema, etc.).

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Don't know why. Only cardiac issue is high blood pressure and high cholesterol. On medication for both for years. For all i know it's the bull**** emergent kind that only shows up when you are on CPAP

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What did your diagnostic study show in terms of central events per hour (including mixed apneas and hypopnea) versus obstructive events? If the centrals are treatment emergent events, the answer is to treat the obstructive events with PAP and monitor over time, as they will often go away. AutoPAP with a nasal mask (especially nasal pillows) with one or two in-line V-Com devices is the way to go for comfort for most people. Did you just have a split study, where they did the first half of the night in diagnostic mode and the second half in therapeutic mode? Again, if the central events were not present during a diagnostic study in significant numbers, just treat the obstructive events and follow.

I don't remember the numbers now since the study was back in February. 1st night was a split study, where they ended with Bipap and said I had enough central events to warrant ASV. I did night two on ASV and didn't fall asleep at all so the data was probably absolute crap.

So if the diagnostic portion did not have a preponderance of central events, do APAP and see if the centrals go away

Kool said:

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So if the diagnostic portion did not have a preponderance of central events, do APAP and see if the centrals go away

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Even though they claim there are no refunds / returns, they magically have a trial program for a bipap to let me try out starting tomorrow. I already told them I'm not buying anything else from them since they pushed a useless ASV on me.

Yeah. Sounds like a bunch of ****s to me.

They loaned me one of these auto bipaps, but I can already tell this isn't going to work either. I sat there for 2 hours and could not fall asleep with this thing on. Took it off and slept without it. Pretty well convinced im not treatable.

Cromagnum said:

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They loaned me one of these auto bipaps, but I can already tell this isn't going to work either. I sat there for 2 hours and could not fall asleep with this thing on. Took it off and slept without it. Pretty well convinced im not treatable.

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Maybe you're a candidate for that "Inspire" implanted device?? I don't know much about it but a friend has it and says it works well for her….

88Warrior said:

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Cromagnum said:

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They loaned me one of these auto bipaps, but I can already tell this isn't going to work either. I sat there for 2 hours and could not fall asleep with this thing on. Took it off and slept without it. Pretty well convinced im not treatable.

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Maybe you're a candidate for that "Inspire" implanted device?? I don't know much about it but a friend has it and says it works well for her….

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Not interested in getting something implanted. That's a non-starter for me.

Cromagnum said:

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88Warrior said:

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Cromagnum said:

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They loaned me one of these auto bipaps, but I can already tell this isn't going to work either. I sat there for 2 hours and could not fall asleep with this thing on. Took it off and slept without it. Pretty well convinced im not treatable.

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Maybe you're a candidate for that "Inspire" implanted device?? I don't know much about it but a friend has it and says it works well for her….

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Not interested in getting something implanted. That's a non-starter for me.

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It's too invasive for my liking as well…just threw it out there as possible option….hopefully you figure something out…

PA at this place tried to tell me that the inspiration pressures are as low as they can be set. Bull***** I looked up how to engage the clinicians menu and dialed that **** down to a more reasonable level. They had this **** nearly pegged to max and felt like my lungs were being overinflated yesterday.

I would rather get some relief and still be able to sleep than to be at some crazy high pressure that would stop most apnea events if it didn't also prevent all sleep.

Suggest you just ****ing titrate it yourself. Start with the lowest setting. Raise it gradually every couple nights until the apnea numbers get better

I give up. I tried the loaner auto bipap for a couple of weeks and can't even fall asleep with it no matter how low I set it. Looks like im just going to have to live with untreated apnea. 4 months I've tried and tried, but nothing works.

Went to an ENT who suggested I do minimally invasive turbinate reduction with the laser treatment. Did that about 5-6 weeks ago, and while I can breath through my nose somewhat better, I am still completely intolerant of any form of CPAP, BiPAP, ASV. Sleep docs won't take my useless and expensive ASV back so I'm going to try to sell it outright.

Not a candidate for Inspire due to severity of apnea, but I'm not willing to get an implant anyways. Gonna try the mouth guard route to see if I can at least put some kind of dent in this. Normally thats for folks with light to perhaps moderate apnea, so im not the best candidate for that either. Otherwise, I'm basically untreatable.

I did cpap for almost a year. While I slept better, minimal- no snoring, got to where I couldn't keep the mask n place. Have used an oral apnea appliance and love it. Sleeping well, no snoring, etc.