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phillytransplant

phillytransplant
Joined Mar 2019
phillytransplant
Joined Mar 2019

Hello, My father is in a nursing home, I was hoping with his new machine (Resmed v10, I think) I would get useful data on whether his mask was put on correctly, whether he took it off, etc. (he is somewhat memory and thinking impaired, with some expressive aphasia). I was disappointed to see that the summary data that I had each morning was primarily geared to whether he used it or not, for reimbursement purposes I guess. Someone here suggested Sleepyhead, well, the kerfuffle over that on the web shied me away and I hoped a follow up to the doc would provide better information. The person (an NP for the first time, previous MDs gone) had no better data than I did, did not seem to understand my problem, and scheduled my dad for a mask fitting, which he doesn't need. (The first MD was great, expert in SA, made sure my dad had a proper fitting full face mask as he needs; he retired and second doc was not SA expert, but seemed to know what he was talking about). So, I went on line and downloaded OSCAR and today looked at my dad's data for the first time... Typically he starts out with a good seal and few events (the nurses are doing a great job putting it on), but as the nights continue the leek gets big, events start happening, and sometimes even when the leak is improved (nurse re-positioning, I imagine) his events still are pretty high (over 30-35). I am not sure what his pressure settings are, when we last did a study at the NH monitored by me, he had an AHI of 10 which was considered ok by the MD, I assumed my only issue was to verify whether or not it was on correctly. I do not feel confident in the practice we had been going to anymore. Not sure if I should return and request one of the MD's, or go to another practice, or if someone professionally will read the data and interpret it off of OSCAR. I have nothing against NP's in general, some are very good at what they do (I am an MD and have worked with them). So, I either need (I think) a person who can help me interpret the OSCAR data, or suggestions on someone I can have confidence in in Philadelphia or it's northern suburbs. Thank you.