Looking for a doctor in North Hutchinson Island, Fla area

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You should be transitioned now, not later. Making the muscles involved in exhalation work harder than they need to which is what happens when EPAP cannot be set low enough, can accelerate your progression, and there are other features BiPAPs have that CPAPs don't, that will improve the synchrony that the muscles need to work their best. If your pulmo doesn't get this, I'd find another. In fact, my husband, who was in the same situation, had his BiPAP script written by his internist as soon as he was diagnosed; it's not like this is specialist knowledge.

Meanwhile, if your CPAP has an EPR function, set the EPAP to be as far from the IPAP as possible (usually 3cm).
 
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Lisa,
Yes I use a CPAP machine maybe I should be switched to a bipap machine? What is difference? (I will google it ) I think I will go to a pulmonologist, is Dr. Pamer accept new patients?
Thanks,
Barbi
 
Good information thanks
Barbi
 
CPAP is continuous flow. With MND respiratory involvement you lose diaphragm strength and it becomes harder to exhale properly Having to exhale against cpap pressure makes this worse
 
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