My husband used to snore loud enough to wake the dead. I finally got him to have a sleep study and VOILA! he had mixed OSA & CSA. They put him on a straight CPAP set at 14. Everything was quiet for about a year, but now he's back to taking daily afternoon naps and snoring with the mask on! He thinks he shouldn't bother the Dr. but I'm wondering if he should go in for another titration study? His pulmonologist hasn't checked his smart card for over 6 months and we can't do it ourselves. Should he be rechecked?

He should have a followup visit with his pulmonologist and yes, have the smart card info printed out.  

There may need to be an adjustment in pressure.  But he needs to know if everything else with his cpap setup is working ok.  What kind of mask does he use -- is it the nasal (covers nose), nasal pillows (at nostrils) or a full face mask (covers nose and mouth)?  Is he a mouth breather while he sleeps?  If he uses a nose-only type of mask and is mouth breathing, then he can't get the full benefit of the cpap pressure.  If this is the case, it may not be the cpap pressure.  But if everything is working as it should, there may be a need for a pressure change, and only the pulmonologist can order that (done by your DME).  It's important to have a followup visit, especially if his symptoms reappear.  He may or may not need a re-titration sleep study at a sleep study center; or he may need some other type of change.  If the smart card doesn't resolve things, the doc might order the temporary use of an auto cpap to titrate him at home.  It's good to have your husband see the doctor.  Let us know  how things go.


Linda

Mrs. Baddawq-Sounds like your hubby is having similar trouble as I.  Keep us posted.  I am having a titration study on 8/21.Lantern

My husband called his pulmonologist today and they're going to download his smart card next Wednesday and go from there. He said probably just need DME rep to set it back to auto for a couple weeks.