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Settings 8 to 20 pretty much guarantee problems, maybe not so much if your 90% is 9.
If you are not prepared to adjust your machine yourself, you have to badger your clinic. Question is - do they know how to adjust an APAP optimally for you? You need an adjustment every four days while you chase the "correct" settings - which change according to you, the weather, de dah. de dah.
My advice? Learn to adjust for yourself - it really is very easy. You can get from AHI 20 to <5 in a few days, no problem.
Settings 8 to 20 pretty much guarantee problems, maybe not so much if your 90% is 9.
If you are not prepared to adjust your machine yourself, you have to badger your clinic. Question is - do they know how to adjust an APAP optimally for you? You need an adjustment every four days while you chase the "correct" settings - which change according to you, the weather, de dah. de dah.
My advice? Learn to adjust for yourself - it really is very easy. You can get from AHI 20 to <5 in a few days, no problem.
Here's the legal bit - if I tell you how to make adjustments then I am liable in law; if you know how to make adjustments I can discuss with you "what I would do in that situation" adjustments I would make. It's also about you doing some of the work, taking ownership of your therapy. I am not a doctor.
That said, if you were to Google "name/model of your machine Clinicians' Menu" it should not take long for you to discover the "how to" of making adjustments - it's just button pushing. If that doesn't work, go to most any American CPAP retail site and nose around your machine and pretty soon it will reveal the "how to".
Once you know "how to", I'll be happy to discuss what I would do to improve my AHI if I were in your position.
Something else that would hugely help in the adjustment stage is knowing what your 90% pressure is - or 95% in some makes. It's one of the readings recorded by the machine in the Clinicians' Menu if not the Patients' Menu as well.
Here's the legal bit - if I tell you how to make adjustments then I am liable in law; if you know how to make adjustments I can discuss with you "what I would do in that situation" adjustments I would make. It's also about you doing some of the work, taking ownership of your therapy. I am not a doctor.
That said, if you were to Google "name/model of your machine Clinicians' Menu" it should not take long for you to discover the "how to" of making adjustments - it's just button pushing. If that doesn't work, go to most any American CPAP retail site and nose around your machine and pretty soon it will reveal the "how to".
Once you know "how to", I'll be happy to discuss what I would do to improve my AHI if I were in your position.
Something else that would hugely help in the adjustment stage is knowing what your 90% pressure is - or 95% in some makes. It's one of the readings recorded by the machine in the Clinicians' Menu if not the Patients' Menu as well.
You spend 90/95% of your sleeping time at or above this pressure. To begin with, I had to think hard as to the relevence of that figure but soon saw that it is key to knowing the pressure settings needed and more importantly, it is an index of the efficiency of your therapy.
If you are at AHI <1 and 90% 15cm and then we tweak and adjust and achieve an AHI <1 and a 90% 12cm, have we improved or worsened your therapy? Also think of comfort at lower pressures.
What is your 90% at the moment?
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