RemStar Pro w/Cflex
Question:
Nashville obviously hasn’t read up on central apnea and how it can be CAUSED by over pressure on the CPAP oh well….. it’s his brain that will go without oxygen for longer……….. "*Bob Gootee" <goo…@comcast.net> wrote in message
news:4127316B.8080001@comcast.net… – Hide quoted text — Show quoted text -> Nashville Pete wrote: > > Yeh, right. And you’re telling me that the exact, correct pressure is > > determined during a sleep lab test over one arbitrarily selected night > > ignoring variations due to weather (barometric pressure and humidity) and > > the patient’s allergy situation. > > Bob, your message is strikingly similar the that of the FDA’s in regards the > > prescription Meds from Canada. You don’t have much credibility in my view. > Hey, go ahead and spin the cylinder, pull the trigger and see what happens. > I’ve had 2 Dr’s certified in sleep medicine from sleep labs accredited > by the American Sleep Apnea Association and 3 sleep lab tech’s tell me > this plus seeing it here over the last 8-9 years. > What’s your qualifications, some dislike for the FDA? > — > Bob Gootee
Response:
"Tiger Lily" <m…@privacy.com> wrote in message
news:2oosgqFd3tbtU1@uni-berlin.de… > Nashville obviously hasn’t read up on central apnea and how it can be CAUSED > by over pressure on the CPAP > oh well….. it’s his brain that will go without oxygen for > longer………..
I never mentioned adjusting to an over pressure. Au Contraire…I attempt to get the facts which allow me to take informed decisions as regards to to my health and life. My CPAP Titration Results indicate a wide range of effective pressure yielding 0 apnea and hypopnea events with a measured range of 91 -93% SaO2. Are you two suggesting I risk central apnea using a CPAP adjusted to a pressure within that range?
Response:
On Sat, 21 Aug 2004 16:34:30 -0500, Nashville Pete wrote: >"Tiger Lily" wrote: >> Nashville obviously hasn’t read up on central apnea and how it can be >>CAUSED by over pressure on the CPAP >> oh well….. it’s his brain that will go without oxygen for >> longer……….. >I never mentioned adjusting to an over pressure. >Au Contraire…I attempt to get the facts which allow me to take informed >decisions as regards to to my health and life. >My CPAP Titration Results indicate a wide range of effective pressure >yielding 0 apnea and hypopnea events with a measured range of 91 -93% SaO2. >Are you two suggesting I risk central apnea using a CPAP adjusted to a >pressure within that range?
Well, within your titration range, you’re OK. The concern is more with putting people for the first time on CPAP.
Response:
Nashville Pete wrote: > Yeh, right. And you’re telling me that the exact, correct pressure is > determined during a sleep lab test over one arbitrarily selected night > ignoring variations due to weather (barometric pressure and humidity) and > the patient’s allergy situation. > Bob, your message is strikingly similar the that of the FDA’s in regards the > prescription Meds from Canada. You don’t have much credibility in my view.
Hey, go ahead and spin the cylinder, pull the trigger and see what happens. I’ve had 2 Dr’s certified in sleep medicine from sleep labs accredited by the American Sleep Apnea Association and 3 sleep lab tech’s tell me this plus seeing it here over the last 8-9 years. What’s your qualifications, some dislike for the FDA? — Bob Gootee
Response:
On Thu, 19 Aug 2004 17:51:53 -0400, superkite <nob…@hotmail.com> wrote: >There are studies showing that self-titrations are about as >efficacious as sleep lab titrations. I do remember reading one study >that indicated that self-titraters sometimes set their pressure on the >low side (which is worse than setting it too high). OTOH, lab >titrations are sometimes set too high, (e.g., side sleepers, those who >lose wieght while on CPAP, those w/ congestion, others). I doubt the >funeral homes are much better off as a result of these overpressurized >CPAPs.
There was a recent study from an eminent doctor at Radcliffe in Oxford making this very point. http://tinyurl.com/638w7 >Unfortunately, it is tough to self-titrate, as most events occur >unnoticed and unremembered during sleep or the fog of night. It took >me a while to get dialed in. FWIW, while I would love to see where a >proper lab titration would put me, if the outcome was not improved >sleep I would go right back to my self-derived setting. >All that said, I would not advocate self-titrating without the >guidance of a good sleep m.d.
Certainly. One should also keep in mind that there are warnings in the documentation of at least two flow generators of different brands that I have seen that warn that under fault conditions the flow generator could raise the pressure to and uncontrolled 30cm. Undoubtedly the manufacturers go out of their way to avoid this, but have identified that theoretically it could happen. They go on to advise that if this is believed to be a potential problem for the patient that the product should not be used. .andy To email, substitute .nospam with .gl
Response:
On Thu, 19 Aug 2004 15:34:31 -0700, "Quick" – Hide quoted text — Show quoted text -<quick7135-n…@NOSPAMyahoo.com> wrote: >This peaked my technical curiosity on a couple of points: >1) Central Apneas >With OSA, as your O2 drops, your brain wakes you up >and you start breathing again. What about Central Apnea? >I’m assuming that "normal" CA events are temporary? and >something clicks and you start breathing again? >With too high of a pressure the external condition causing >the reflex persists. Does your brain still wake you up in >the same way? Do you still feel like you have to gasp >for air once you’re concious? Is there some marginal >pressure where you wake up and realize that you need >to exhale in order to inhale and well above that it’s simply >fatal and you pass away quietly?
I looked at this in respect of flow generators and pressure setting in general, whether it be fixed pressure or automatic control. I can try to find the references in my notes if you like, but at least one of the mechanisms is the Hering Breuer reflex, which is essentially associated with the receptors in the lungs that "inform" the brain that inhalation has reached its maximum. The suggestion in the articles that I read was that excessively high CPAP pressure could trigger this reflex and effectively fool the brain into thinking that breathing is happening when it is not. >2) Barometric pressure >Do the Cflex machines have pressure transducers? I was under >the impression that they were "fixed speed" machines (unlike >APAPs) with a different *fixed* inhale pressure and exhale pressure. >2 or 3 fixed settings with different deltas and timing. Certainly >my CPAP doesn’t have any pressure transducers and the pressure >is determined by a fixed fan motor speed. I have 3 settings for >altitude adjustment. This is to compensate for the density of >the air which in turn is effected by pressure (of the atmosphere >above). >I just assumed that barometric pressure changes at a particular >altitude were small relative to the barometric pressure change >from changing altitude (like going up a few thousand feet)?
This would all suggest a situation where there is a single pressure sensor and assumptions being made about air density and flow, much as they are with simple blower units – hence the need to set the altitude setting. I know for at least ResMed’s Autoset series machines, there are two pressure sensors, being at ends of a path of known resistance. From this it is possible to deduce flow and pressure with no need to make altitude settings. However, there are assumptions about deliberate mask leak, making it necessary to tell the machine about the mask. There are some quite complex formulae that tie these factors together, which no doubt are handled by the machine algorithms. I haven’t looked at the CFLEX machines in a lot of detail, but the Remstar information suggests that the machine detects commencement of exhalation and simply drops the motor power by a user settable amount, increasing it again when inhalation begins again or after a timeout. It did not appear that the machine does an accurate lower setting – for one thing, that ought not then to be in the user’s hands. I did look at the patents and technical details on a couple of Bilevel machines some while ago, and these certainly manage the pressure as accurately as possible between two levels. This implies being able to control and accelerate/decelerate the motor very quickly, and is a whole different engineering challenge to CPAP and aPAP equipment; and is one reason for the higher price tag. – Hide quoted text — Show quoted text ->-Quick >ronlin wrote: >> Actually humidity and barometric pressure have noe effect on the units >> pressure. Pressure transducers measure and causes the equipment to >> control the pressure relative to atmospheric pressure. One leg of the >> transducer is vented to air. The only thing the relative humidity >> affects is the amount of water the air can pick up from the >> humidifier. >> Nashville Pete wrote: >>> Yeh, right. And you’re telling me that the exact, correct pressure is >>> determined during a sleep lab test over one arbitrarily selected >>> night ignoring variations due to weather (barometric pressure and >>> humidity) and the patient’s allergy situation. >>> Bob, your message is strikingly similar the that of the FDA’s in >>> regards the prescription Meds from Canada. You don’t have much >>> credibility in my view. >>> "*Bob Gootee" <goo…@comcast.net> wrote in message >>> news:412432D4.9040107@comcast.net… >>>> Pete, >>>> While adjusting your machine if you set it too low, you will just >>>> have a hose hanging off your face with annoying air blowing up your >>>> nose all night long doing no good. >>>> If you set it too high you will induce central apneas and may need >>>> one of these – >>>> http://www.countrylogcaskets.com/ >>>> — >>>> Bob Gootee
.andy To email, substitute .nospam with .gl
Response:
This peaked my technical curiosity on a couple of points: 1) Central Apneas With OSA, as your O2 drops, your brain wakes you up and you start breathing again. What about Central Apnea? I’m assuming that "normal" CA events are temporary? and something clicks and you start breathing again? With too high of a pressure the external condition causing the reflex persists. Does your brain still wake you up in the same way? Do you still feel like you have to gasp for air once you’re concious? Is there some marginal pressure where you wake up and realize that you need to exhale in order to inhale and well above that it’s simply fatal and you pass away quietly? 2) Barometric pressure Do the Cflex machines have pressure transducers? I was under the impression that they were "fixed speed" machines (unlike APAPs) with a different *fixed* inhale pressure and exhale pressure. 2 or 3 fixed settings with different deltas and timing. Certainly my CPAP doesn’t have any pressure transducers and the pressure is determined by a fixed fan motor speed. I have 3 settings for altitude adjustment. This is to compensate for the density of the air which in turn is effected by pressure (of the atmosphere above). I just assumed that barometric pressure changes at a particular altitude were small relative to the barometric pressure change from changing altitude (like going up a few thousand feet)? -Quick – Hide quoted text — Show quoted text -ronlin wrote: > Actually humidity and barometric pressure have noe effect on the units > pressure. Pressure transducers measure and causes the equipment to > control the pressure relative to atmospheric pressure. One leg of the > transducer is vented to air. The only thing the relative humidity > affects is the amount of water the air can pick up from the > humidifier. > Nashville Pete wrote: >> Yeh, right. And you’re telling me that the exact, correct pressure is >> determined during a sleep lab test over one arbitrarily selected >> night ignoring variations due to weather (barometric pressure and >> humidity) and the patient’s allergy situation. >> Bob, your message is strikingly similar the that of the FDA’s in >> regards the prescription Meds from Canada. You don’t have much >> credibility in my view. >> "*Bob Gootee" <goo…@comcast.net> wrote in message >> news:412432D4.9040107@comcast.net… >>> Pete, >>> While adjusting your machine if you set it too low, you will just >>> have a hose hanging off your face with annoying air blowing up your >>> nose all night long doing no good. >>> If you set it too high you will induce central apneas and may need >>> one of these – >>> http://www.countrylogcaskets.com/ >>> — >>> Bob Gootee
Response:
- Hide quoted text — Show quoted text -Still Lurking wrote: > x-no-archive: yes > Quick wrote: >> This peaked my technical curiosity on a couple of points: >> 1) Central Apneas >> With OSA, as your O2 drops, your brain wakes you up >> and you start breathing again. What about Central Apnea? >> I’m assuming that "normal" CA events are temporary? and >> something clicks and you start breathing again? > I am not going to get "into it" again with you. I just want folks to > know that the breathing reflex in the brain is triggered not by > dropping O2 levels, but by raising CO2 levels in the blood supplied > to the brain.
Heh, I want to know too -:). My understanding of OSA is that the breathing reflex is not interrupted. It’s because your airway is physically blocked that the physical action of breathing (in?) doesn’t happen. Then chemical changes tell your brain that something else needs to happen for preservation. That would include an arrousal to a conscious or more conscious state. Is this correct? If so, is this different in this respect than central apnea events? When your brain suspends the breathing (inhale?) reflex (due to the HB reflex) does it respond in the same way to the resulting blood chemistry changes? Are your O2 levels independent (in this context) of your CO2 levels? -Quick – Hide quoted text — Show quoted text ->> With too high of a pressure the external condition causing >> the reflex persists. Does your brain still wake you up in >> the same way? Do you still feel like you have to gasp >> for air once you’re concious? Is there some marginal >> pressure where you wake up and realize that you need >> to exhale in order to inhale and well above that it’s simply >> fatal and you pass away quietly? >> 2) Barometric pressure >> Do the Cflex machines have pressure transducers? I was under >> the impression that they were "fixed speed" machines (unlike >> APAPs) with a different *fixed* inhale pressure and exhale pressure. >> 2 or 3 fixed settings with different deltas and timing. Certainly >> my CPAP doesn’t have any pressure transducers and the pressure >> is determined by a fixed fan motor speed. I have 3 settings for >> altitude adjustment. This is to compensate for the density of >> the air which in turn is effected by pressure (of the atmosphere >> above). >> I just assumed that barometric pressure changes at a particular >> altitude were small relative to the barometric pressure change >> from changing altitude (like going up a few thousand feet)? >> -Quick >> ronlin wrote: >>> Actually humidity and barometric pressure have noe effect on the >>> units pressure. Pressure transducers measure and causes the >>> equipment to control the pressure relative to atmospheric pressure. >>> One leg of the transducer is vented to air. The only thing the >>> relative humidity affects is the amount of water the air can pick >>> up from the humidifier. >>> Nashville Pete wrote: >>>> Yeh, right. And you’re telling me that the exact, correct pressure >>>> is determined during a sleep lab test over one arbitrarily selected >>>> night ignoring variations due to weather (barometric pressure and >>>> humidity) and the patient’s allergy situation. >>>> Bob, your message is strikingly similar the that of the FDA’s in >>>> regards the prescription Meds from Canada. You don’t have much >>>> credibility in my view. >>>> "*Bob Gootee" <goo…@comcast.net> wrote in message >>>> news:412432D4.9040107@comcast.net… >>>>> Pete, >>>>> While adjusting your machine if you set it too low, you will just >>>>> have a hose hanging off your face with annoying air blowing up >>>>> your nose all night long doing no good. >>>>> If you set it too high you will induce central apneas and may need >>>>> one of these – >>>>> http://www.countrylogcaskets.com/ >>>>> — >>>>> Bob Gootee
Response:
I just read my own message and wanted to kick in that I self-titrated w/ the blessing and the assistance of my (diplomated) sleep doc…. – Hide quoted text — Show quoted text -superkite wrote: > On Thu, 19 Aug 2004 00:55:48 -0400, *Bob Gootee <goo…@comcast.net> > wrote: > [De-lurkage and snippage] > Bob, while I agree that there are risks involved, I can’t agree with > your dire admonition against having people fine tune their pressure > settings. I have seen group posters warn that if you mess w/ your > pressure, you’re going to *die* of central apnea. Perhaps it is taken > as true because it is repeated so frequently and so forcefully within > this very ng. > Setting pressure too high, while not completely without risk, is not > exactly playing Russian Roulette (but then again I have been known to > pop 4 Motrin when the bottle says to eat 1). Many in the profession > advocate for self-titration. I doubt their goal is to court death > (maybe the folks at http://www.countrylogcaskets.com/ are putting them > up to it?). > There are studies showing that self-titrations are about as > efficacious as sleep lab titrations. I do remember reading one study > that indicated that self-titraters sometimes set their pressure on the > low side (which is worse than setting it too high). OTOH, lab > titrations are sometimes set too high, (e.g., side sleepers, those who > lose wieght while on CPAP, those w/ congestion, others). I doubt the > funeral homes are much better off as a result of these overpressurized > CPAPs. > Unfortunately, it is tough to self-titrate, as most events occur > unnoticed and unremembered during sleep or the fog of night. It took > me a while to get dialed in. FWIW, while I would love to see where a > proper lab titration would put me, if the outcome was not improved > sleep I would go right back to my self-derived setting. > All that said, I would not advocate self-titrating without the > guidance of a good sleep m.d. > You are now possessed of my too sense. > moq >>Pete, >>While adjusting your machine if you set it too low, you will just have a >>hose hanging off your face with annoying air blowing up your nose all >>night long doing no good. >>If you set it too high you will induce central apneas and may need one >>of these – >>http://www.countrylogcaskets.com/
Response:
1) Unplug the unit. 2) While holding down the two "right and left" buttons (I ain’t near the machine so I can’t describe this in more detail), plug the unit back in. 3) You will now see the setup screens. Press the right and left buttons to navigate through the various options. One of them will be your pressure. You can change the settings using the ramp and heat buttons. Good luck! ps I am not Grumpstone! – Hide quoted text — Show quoted text -"Nashville Pete" <poremskinos…@comcast.net> wrote in message <news:hc-dnW1IG7VJ_r7cRVn-sg@comcast.com>… > Thanks, I have tried combinations and permutations of the five buttons and > have not been successful. I will need the procedure. > "Dan" <d…@nospam.com> wrote in message > news:vFzUc.5658$3O3.3828@newsread2.news.pas.earthlink.net… > > Nashville Pete wrote: > > > Does anyone know how to adjust the pressure on the Respironics > RemStarPro > > > w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > > > according to the test but two weeks later the distributor’s tech showed > me > > > the prescription calling for 11 Cm and adjusted the machine for 11 Cm > per > > > the prescription. > > > I would like to adjust the machine to a level that works best for me. > > As a child of the 60’s, I have no problem with self medication. On my > > Bi-flex Pro unit you hold down the buttons on the face of the machine > > while turning on the power. Same procedure as doing a self test on a > > printer.
Response:
Thanks for your help. I appreciate it very much! "Grumpstone" <grumpst…@yahoo.com> wrote in message
news:9868910b.0408180927.69e7e297@posting.google.com… – Hide quoted text — Show quoted text -> 1) Unplug the unit. > 2) While holding down the two "right and left" buttons (I ain’t near > the machine so I can’t describe this in more detail), plug the unit > back in. > 3) You will now see the setup screens. Press the right and left > buttons to navigate through the various options. One of them will be > your pressure. You can change the settings using the ramp and heat > buttons. > Good luck! > ps I am not Grumpstone! > "Nashville Pete" <poremskinos…@comcast.net> wrote in message
<news:hc-dnW1IG7VJ_r7cRVn-sg@comcast.com>… – Hide quoted text — Show quoted text -> > Thanks, I have tried combinations and permutations of the five buttons and > > have not been successful. I will need the procedure. > > "Dan" <d…@nospam.com> wrote in message > > news:vFzUc.5658$3O3.3828@newsread2.news.pas.earthlink.net… > > > Nashville Pete wrote: > > > > Does anyone know how to adjust the pressure on the Respironics > > RemStarPro > > > > w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > > > > according to the test but two weeks later the distributor’s tech showed > > me > > > > the prescription calling for 11 Cm and adjusted the machine for 11 Cm > > per > > > > the prescription. > > > > I would like to adjust the machine to a level that works best for me. > > > As a child of the 60’s, I have no problem with self medication. On my > > > Bi-flex Pro unit you hold down the buttons on the face of the machine > > > while turning on the power. Same procedure as doing a self test on a > > > printer.
Response:
Actually humidity and barometric pressure have noe effect on the units pressure. Pressure transducers measure and causes the equipment to control the pressure relative to atmospheric pressure. One leg of the transducer is vented to air. The only thing the relative humidity affects is the amount of water the air can pick up from the humidifier. – Hide quoted text — Show quoted text -Nashville Pete wrote: > Yeh, right. And you’re telling me that the exact, correct pressure is > determined during a sleep lab test over one arbitrarily selected night > ignoring variations due to weather (barometric pressure and humidity) and > the patient’s allergy situation. > Bob, your message is strikingly similar the that of the FDA’s in regards the > prescription Meds from Canada. You don’t have much credibility in my view. > "*Bob Gootee" <goo…@comcast.net> wrote in message > news:412432D4.9040107@comcast.net… >>Pete, >>While adjusting your machine if you set it too low, you will just have a >>hose hanging off your face with annoying air blowing up your nose all >>night long doing no good. >>If you set it too high you will induce central apneas and may need one >>of these – >>http://www.countrylogcaskets.com/ >>– >>Bob Gootee
Response:
Nashville Pete wrote: > Oh hum…more unsolicited advice. Does anyone know how to change the > pressure on a RemStar Pro w/Cflex?
Yes. — michael No matter how cynical I get, I’m unable to keep up. :^>
Response:
On Thu, 19 Aug 2004 00:55:48 -0400, *Bob Gootee <goo…@comcast.net> wrote: [De-lurkage and snippage] Bob, while I agree that there are risks involved, I can’t agree with your dire admonition against having people fine tune their pressure settings. I have seen group posters warn that if you mess w/ your pressure, you’re going to *die* of central apnea. Perhaps it is taken as true because it is repeated so frequently and so forcefully within this very ng. Setting pressure too high, while not completely without risk, is not exactly playing Russian Roulette (but then again I have been known to pop 4 Motrin when the bottle says to eat 1). Many in the profession advocate for self-titration. I doubt their goal is to court death (maybe the folks at http://www.countrylogcaskets.com/ are putting them up to it?). There are studies showing that self-titrations are about as efficacious as sleep lab titrations. I do remember reading one study that indicated that self-titraters sometimes set their pressure on the low side (which is worse than setting it too high). OTOH, lab titrations are sometimes set too high, (e.g., side sleepers, those who lose wieght while on CPAP, those w/ congestion, others). I doubt the funeral homes are much better off as a result of these overpressurized CPAPs. Unfortunately, it is tough to self-titrate, as most events occur unnoticed and unremembered during sleep or the fog of night. It took me a while to get dialed in. FWIW, while I would love to see where a proper lab titration would put me, if the outcome was not improved sleep I would go right back to my self-derived setting. All that said, I would not advocate self-titrating without the guidance of a good sleep m.d. You are now possessed of my too sense. moq – Hide quoted text — Show quoted text ->Pete, >While adjusting your machine if you set it too low, you will just have a >hose hanging off your face with annoying air blowing up your nose all >night long doing no good. >If you set it too high you will induce central apneas and may need one >of these – >http://www.countrylogcaskets.com/
Response:
Yeh, right. And you’re telling me that the exact, correct pressure is determined during a sleep lab test over one arbitrarily selected night ignoring variations due to weather (barometric pressure and humidity) and the patient’s allergy situation. Bob, your message is strikingly similar the that of the FDA’s in regards the prescription Meds from Canada. You don’t have much credibility in my view. "*Bob Gootee" <goo…@comcast.net> wrote in message
news:412432D4.9040107@comcast.net… – Hide quoted text — Show quoted text -> Pete, > While adjusting your machine if you set it too low, you will just have a > hose hanging off your face with annoying air blowing up your nose all > night long doing no good. > If you set it too high you will induce central apneas and may need one > of these – > http://www.countrylogcaskets.com/ > — > Bob Gootee
Response:
- Hide quoted text — Show quoted text -Nashville Pete wrote: > Thanks, but I didn’t ask for advice…I asked how to adjust the pressure. If > it doesn’t work better I can always adjust it back…no big deal. > If there was a plan then someone should have advised me. I have made it > clear to all my providers that I want to be fully informed and I ask > questions at every juncture. I am already investigating the discrepancy > between the report and the prescription. >>"Nashville Pete" <poremskinos…@comcast.net> wrote in message >>news:SN2dnSzSANQP2b_cRVn-jg@comcast.com… >>>Does anyone know how to adjust the pressure on the Respironics > RemStarPro >>>w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right >>>according to the test but two weeks later the distributor’s tech showed > me >>>the prescription calling for 11 Cm and adjusted the machine for 11 Cm > per >>>the prescription. >>>I would like to adjust the machine to a level that works best for me.
Pete, While adjusting your machine if you set it too low, you will just have a hose hanging off your face with annoying air blowing up your nose all night long doing no good. If you set it too high you will induce central apneas and may need one of these – http://www.countrylogcaskets.com/ — Bob Gootee
Response:
Thanks, I have tried combinations and permutations of the five buttons and have not been successful. I will need the procedure. "Dan" <d…@nospam.com> wrote in message
news:vFzUc.5658$3O3.3828@newsread2.news.pas.earthlink.net… – Hide quoted text — Show quoted text -> Nashville Pete wrote: > > Does anyone know how to adjust the pressure on the Respironics RemStarPro > > w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > > according to the test but two weeks later the distributor’s tech showed me > > the prescription calling for 11 Cm and adjusted the machine for 11 Cm per > > the prescription. > > I would like to adjust the machine to a level that works best for me. > As a child of the 60’s, I have no problem with self medication. On my > Bi-flex Pro unit you hold down the buttons on the face of the machine > while turning on the power. Same procedure as doing a self test on a > printer.
Response:
yes I do – Hide quoted text — Show quoted text -Nashville Pete wrote: > Oh hum…more unsolicited advice. Does anyone know how to change the > pressure on a RemStar Pro w/Cflex?
Response:
And, pray tell, how does one do it on this model? "paula" <nom…@lspam.net> wrote in message
news:4122D5C1.79AE9857@lspam.net… – Hide quoted text — Show quoted text -> yes I do > Nashville Pete wrote: > > Oh hum…more unsolicited advice. Does anyone know how to change the > > pressure on a RemStar Pro w/Cflex?
Response:
Nashville Pete wrote: > Does anyone know how to adjust the pressure on the Respironics RemStarPro > w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > according to the test but two weeks later the distributor’s tech showed me > the prescription calling for 11 Cm and adjusted the machine for 11 Cm per > the prescription. > I would like to adjust the machine to a level that works best for me.
As a child of the 60’s, I have no problem with self medication. On my Bi-flex Pro unit you hold down the buttons on the face of the machine while turning on the power. Same procedure as doing a self test on a printer.
Response:
Does anyone know how to adjust the pressure on the Respironics RemStarPro w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right according to the test but two weeks later the distributor’s tech showed me the prescription calling for 11 Cm and adjusted the machine for 11 Cm per the prescription. I would like to adjust the machine to a level that works best for me.
Response:
Your best bet is to go back to "They who write prescriptions" and ask why the difference. Things have been known to be copied down incorrectly, and it is quite possible "They who write prescriptions" wanted you start at a lower pressure for a reason. Ask … — The personal opinion of Gary G. Little "Nashville Pete" <poremskinos…@comcast.net> wrote in message
news:SN2dnSzSANQP2b_cRVn-jg@comcast.com… – Hide quoted text — Show quoted text -> Does anyone know how to adjust the pressure on the Respironics RemStarPro > w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > according to the test but two weeks later the distributor’s tech showed me > the prescription calling for 11 Cm and adjusted the machine for 11 Cm per > the prescription. > I would like to adjust the machine to a level that works best for me.
Response:
Thanks, but I didn’t ask for advice…I asked how to adjust the pressure. If it doesn’t work better I can always adjust it back…no big deal. If there was a plan then someone should have advised me. I have made it clear to all my providers that I want to be fully informed and I ask questions at every juncture. I am already investigating the discrepancy between the report and the prescription. "Gary G. Little" <gglittle.nos…@sbcglobal.net> wrote in message news:EbsUc.8214$GN2.6842@newssvr22.news.prodigy.com… – Hide quoted text — Show quoted text -> Your best bet is to go back to "They who write prescriptions" and ask why > the difference. Things have been known to be copied down incorrectly, and it > is quite possible "They who write prescriptions" wanted you start at a lower > pressure for a reason. Ask … > — > The personal opinion of > Gary G. Little > "Nashville Pete" <poremskinos…@comcast.net> wrote in message > news:SN2dnSzSANQP2b_cRVn-jg@comcast.com… > > Does anyone know how to adjust the pressure on the Respironics RemStarPro > > w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > > according to the test but two weeks later the distributor’s tech showed me > > the prescription calling for 11 Cm and adjusted the machine for 11 Cm per > > the prescription. > > I would like to adjust the machine to a level that works best for me.
Response:
When you had your last study done, they varied the pressure during the night and determined the optimum pressure, based on the recorded data. You may not feel the difference between 11 and 14cm, but the data may indicate otherwise. Would you change the prescribed dosage of any medication you are taking, based on how you feel? – Hide quoted text — Show quoted text -Nashville Pete wrote: > Thanks, but I didn’t ask for advice…I asked how to adjust the pressure. If > it doesn’t work better I can always adjust it back…no big deal. > If there was a plan then someone should have advised me. I have made it > clear to all my providers that I want to be fully informed and I ask > questions at every juncture. I am already investigating the discrepancy > between the report and the prescription. > "Gary G. Little" <gglittle.nos…@sbcglobal.net> wrote in message > news:EbsUc.8214$GN2.6842@newssvr22.news.prodigy.com… >>Your best bet is to go back to "They who write prescriptions" and ask why >>the difference. Things have been known to be copied down incorrectly, and > it >>is quite possible "They who write prescriptions" wanted you start at a > lower >>pressure for a reason. Ask … >>– >>The personal opinion of >>Gary G. Little >>"Nashville Pete" <poremskinos…@comcast.net> wrote in message >>news:SN2dnSzSANQP2b_cRVn-jg@comcast.com… >>>Does anyone know how to adjust the pressure on the Respironics > RemStarPro >>>w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right >>>according to the test but two weeks later the distributor’s tech showed > me >>>the prescription calling for 11 Cm and adjusted the machine for 11 Cm > per >>>the prescription. >>>I would like to adjust the machine to a level that works best for me.
Response:
Oh hum…more unsolicited advice. Does anyone know how to change the pressure on a RemStar Pro w/Cflex? "ronlin" <ron…@verizon.net> wrote in message
news:3CuUc.10116$Zh3.7237@trndny02… – Hide quoted text — Show quoted text -> When you had your last study done, they varied the pressure during the > night and determined the optimum pressure, based on the recorded data. > You may not feel the difference between 11 and 14cm, but the data may > indicate otherwise. > Would you change the prescribed dosage of any medication you are taking, > based on how you feel? > Nashville Pete wrote: > > Thanks, but I didn’t ask for advice…I asked how to adjust the pressure. If > > it doesn’t work better I can always adjust it back…no big deal. > > If there was a plan then someone should have advised me. I have made it > > clear to all my providers that I want to be fully informed and I ask > > questions at every juncture. I am already investigating the discrepancy > > between the report and the prescription. > > "Gary G. Little" <gglittle.nos…@sbcglobal.net> wrote in message > > news:EbsUc.8214$GN2.6842@newssvr22.news.prodigy.com… > >>Your best bet is to go back to "They who write prescriptions" and ask why > >>the difference. Things have been known to be copied down incorrectly, and > > it > >>is quite possible "They who write prescriptions" wanted you start at a > > lower > >>pressure for a reason. Ask … > >>– > >>The personal opinion of > >>Gary G. Little > >>"Nashville Pete" <poremskinos…@comcast.net> wrote in message > >>news:SN2dnSzSANQP2b_cRVn-jg@comcast.com… > >>>Does anyone know how to adjust the pressure on the Respironics > > RemStarPro > >>>w/CFlex? The Lab Tech at the Sleep Lab said that 14 Cm looked right > >>>according to the test but two weeks later the distributor’s tech showed > > me > >>>the prescription calling for 11 Cm and adjusted the machine for 11 Cm > > per > >>>the prescription. > >>>I would like to adjust the machine to a level that works best for me.
