cdowis

Let me clarify. I am trying to convince my dr that it is unnecessary and that he can simply use the data from the in home study. If it just is a way to decide whether to get a bilevel or simple ACAP, I'll go with the bilevel, since the cost will be the same. He will still set the machine.

I had an in home sleep study and my AHI was 38, so they put me on an APAP with a nasal mask for a few days and the AHI was down to 19. They told me that was not good enough and needed a formal study done.

I asked why, and they said that I may need a bilevel instead of an APAP. Also it may involve mouth breathing, and a study could determine all that. For me it is cheaper to go ahead and purchase a bilevel than pay the co-pay for a formal study. And I could play aound with a full face mask to see if I am mouth breathing.

So what do you think? Do I really need a formal study?

I am just starting to use my CPAP machine. I was having a serious problem throwing off my mask, so I started to investigate. I set it to ramp up, and discovered that I was frequently clearing my throat and coughing. As the pressure gradually increased, at some point, of course it made it impossible to clear the mucus and I was literally drowning.

So, off came the mask.

I realized that the problem was that the humidity setting was too high and causing the mucus to buildup. I lowered the setting and was able to sleep and kept my mask on.

What a relief that it was finally working!

I have more confidence in a machine that can make adjustments without going to the Dr's office on a regular basis to check the ideal pressure. Perhaps avoiding the cost of office visits will offset the additional cost of the machine.

For those who have insurance, the additional cost may be very cost effective. In my case I only pay 20% co-pay, so even an additional price of $300 is only a $60 copay, almost the cost of an office visit. Over the years, the machine will adjust to the changes in my needs.

Just my thoughts.

Having completed my in home sleep study, I need advice on which one I should get to have the best chance for success.

Thanks