ISnoreBadly wrote:I got my equipment today. I wound up with the 460. I had asked for the 560 ahread of time but was told that I wouldn't be taking advantage of the capabilities since it would be set for a single pressure. The tech said that the pressure requirement sometimes changes during the night, or from day to day. I thought that was my in to get the 560 but was told that it wouldn't be configured as an APAP only not a CPAP since that's how my prescription was written. I pushed for it anyway, but they stood firm. I said I was going to have to think about it and got up to leave, they asked if talking to my doctor would help me make up my mind so they got him on the rap rod. He pretty much told me the same thing, but did say that once they review my data if it turns out that I would benefit from an APAP instead they would be able to swap the 460 for the 560.
Your doctor did you no favor. If it were configured for a single pressure, you could still reconfigure it to APAP when needed. It's nothing but software reconfiguration via buttons. You just have to access the "secret" menu to adjust the settings. We will show you where to get the clinician instruction manual.
ISnoreBadly wrote:...During the titration the only thing they had offered me was the nasal pillow, today the tech told me that a nasal mask would probably be better with the pressure I'm using (12).
Pugsy uses the P10 pillow at a pressure greater than 20 cmH2O. I use it at 14.5, with no problem.
Now the 460 can operate as an APAP for a fixed number of days. Then it becomes a fixed pressure machine.
I think the DME and your doctor ganged up on you and maximized the DME's profit at your expense of losing the ability to easily self titrate in say, two years.
This reply was written on my phone over the last hour, so my thoughts may be disjointed. They will be others to follow with solid advice. By Monday you should have solid arguments for the 560 now, rather than a later "sure, no problem".
Archangle has some thoughts on the believability of DMEs.