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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jnk...
 
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Re: one size fits nobody

Postby jnk... on Mon May 15, 2017 6:59 am

xxyzx wrote:we are all different

Some of us more than others. :D

xxyzx wrote:our bodies change all the time

As do our brains when we choose to learn.

xxyzx wrote:congestion from pollen or other cause requires changes in air pressure

I do raise my minimum pressure during allergy seasons and UPIs, myself.

xxyzx wrote:other changes we have constantly mean that one size fits nobody

Some do best on straight CPAP, since some find their nervous system can't get used to variations in pressure.

xxyzx wrote:why are not auto adjusting machines the default norm?

Not all sleep docs are on-board with APAP because of problems certain of their patients have had with it.

xxyzx wrote:is it strictly for cost reasons

Applied science without cost consideration quickly deteriorates to irrelevant theory.

xxyzx wrote:that so many are forced to use an inferior but 'good enough' solution
instead of giving them the best sleep possible

A better argument, in my opinion, is that having APAP available on every machine allows patient-involvement and makes options available to clinicians that, in the long run, pay for the perceived, very slight increase in costs involved in selling APAP. And it could be argued that it actually costs more to keep making machines that aren't APAPs, since making one type of machine is more economical on an assembly line than making two types. Economic arguments tend to grow legs faster than patient-preference arguments in the US these days, I believe.

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Re: one size fits nobody

Postby chunkyfrog on Mon May 15, 2017 7:43 am

Mathematics is an odd discipline.
Hated and despised by young and old, its immutable laws continue to enable all things to work;
and it is the basis for nearly every life-changing decision on this sad little rock.
For a lighter look at math, I refer you to a couple songs by Tom Lehrer:
"That's Mathematics", and "Lobachevsky" :D :lol:
Edit: I am pleased to observe that Mr Lehrer is still breathing--at the ripe age of 89!

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Some of xxyzx's posts are not accurate He should not be considered an authority. He is also frequently profane and abusive.

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Re: one size fits nobody

Postby hmeworker on Wed May 17, 2017 8:39 am

Here is why you aren't going to get an auto unless medically necessary.

My HME pays $380 for an Airsense 10 Autoset with Climate Control Tubing vs $268 for an Airsense 10 CPAP with Climate Control Tubing.

In my state, Medicare will pay me $444 for that equipment. So I must choose between a 17% or 67% markup margin. A 17% markup margin does not cover my other costs to operate this business. Don't blame the HME companies for only trying to survive. The current market patients are in is to be blamed on CMS and the Competitive Bidding Program. Nearly 65% of DME companies have had to close their doors in the last couple of years due to insurance companies reducing their payment amounts to less than 40% of what it used to be.

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Re: one size fits nobody

Postby DTXBrian on Wed May 17, 2017 8:55 am

xxyzx wrote:
Julie wrote:"Congestion from pollen or other cause requires changes in air pressure"

Really? And what medical school did you learn that from?

Stop posting junk. Stop posting what you obviously know nothing about. Maybe stop posting altogether.

================

engineering school
fluid dynamics

air is a fluid
too bad your tiny little mind needs to sling insults to help it cope with reality

and when both sides of my nose are congested no amount of pressure can push air through it


Pressure drop through a partial obstruction is directly related to the volume of flow. That's why, when you barely turn the water hose on, just a trickle, and you cap the end, given a little bit of time (and really not all that long) the pressure inside the hose is equivalent to the pressure in the supply lines.

When you stop breathing due to a complete obstruction, as in Obstructive Sleep Apnea, the pressure at the obstruction will be just as high if you're congested (assuming it's not totally blocked by congestion) as if you're not at all congested. Difference is, as soon as you start breathing, the pressure will drop a bit more than if you're not congested. But, by that point, your airway has been opened.

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Re: one size fits nobody

Postby Julie on Wed May 17, 2017 9:08 am

You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.

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Re: one size fits nobody

Postby DTXBrian on Wed May 17, 2017 9:24 am

Julie wrote:You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.


I was agreeing with you. I was pointing out his faulty logic.

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Re: one size fits nobody

Postby Julie on Wed May 17, 2017 11:52 am

:roll: :lol: Thx - I'm not techie, but...

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Re: one size fits nobody

Postby chunkyfrog on Wed May 17, 2017 12:51 pm

Sometimes it is obvious how a person cannot find work as a technical writer . . .
(((and yet remains deluded about his qualifications)))

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Some of xxyzx's posts are not accurate He should not be considered an authority. He is also frequently profane and abusive.

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Re: one size fits nobody

Postby xxyzx on Wed May 17, 2017 2:42 pm

hmeworker wrote:Here is why you aren't going to get an auto unless medically necessary.

My HME pays $380 for an Airsense 10 Autoset with Climate Control Tubing vs $268 for an Airsense 10 CPAP with Climate Control Tubing.

In my state, Medicare will pay me $444 for that equipment. So I must choose between a 17% or 67% markup margin. A 17% markup margin does not cover my other costs to operate this business. Don't blame the HME companies for only trying to survive. The current market patients are in is to be blamed on CMS and the Competitive Bidding Program. Nearly 65% of DME companies have had to close their doors in the last couple of years due to insurance companies reducing their payment amounts to less than 40% of what it used to be.

==========

my doctor said medically necessary
and wrote up a justification

i know they want to save money and dont care about comfort or how well we sleep as long as we comply
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did.

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Re: one size fits nobody

Postby xxyzx on Wed May 17, 2017 2:43 pm

Julie wrote:You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.


============

i never post anything iffy

too bad you are logic challenged
and switch to troll mode if you cant understand something
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did.

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Re: one size fits nobody

Postby xxyzx on Wed May 17, 2017 2:43 pm

DTXBrian wrote:
Julie wrote:You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.


I was agreeing with you. I was pointing out his faulty logic.

========

rotflmfao

the only faulty logic was yours

mine was backed by science and engineering facts
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did.

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Re: one size fits nobody

Postby DTXBrian on Wed May 17, 2017 2:47 pm

xxyzx wrote:
DTXBrian wrote:
Julie wrote:You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.


I was agreeing with you. I was pointing out his faulty logic.

========

rotflmfao

the only faulty logic was yours

mine was backed by science and engineering facts


As was mine. A partial obstruction in a path of fluid travel causes a pressure drop past that obstruction that is proportional to the flow rate. It's like... a resistor in an electric circuit causes a voltage drop across the resistor proportional to the current across the resistor. If you put a capacitor on the back side of the resistor, though, the capacitor will slowly charge, the amperage goes down as it charges, and the voltage drop becomes 0 as the current stops.

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Re: one size fits nobody

Postby LSAT on Wed May 17, 2017 3:43 pm

xxyzx wrote:
DTXBrian wrote:
Julie wrote:You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.


I was agreeing with you. I was pointing out his faulty logic.

========

rotflmfao

the only faulty logic was yours

mine was backed by science and engineering facts


What train line do you drive for?

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[color=#0000BF]S9 Autoset
Back up mask is another Quattro FF and an F20
Buckwheat Hull Pillow (CPAPfit) from http://www.pur-sleep.com/

xxyzx thinks he knows everything....that's why he attempts to answer every post......beware his answers.

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Re: one size fits nobody

Postby palerider on Wed May 17, 2017 7:09 pm

LSAT wrote:
xxyzx wrote:
DTXBrian wrote:
Julie wrote:You're right, but I guess it was the pollen thing that got me... he just posts so many iffy things that sometimes I lose track of what's what.


I was agreeing with you. I was pointing out his faulty logic.

========

rotflmfao

the only faulty logic was yours

mine was backed by science and engineering facts


What train line do you drive for?

the insanity express... seems like.

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Re: one size fits nobody

Postby Midnight Strangler on Wed May 17, 2017 7:41 pm

LSAT wrote:
xxyzx wrote:rotflmfao

the only faulty logic was yours

mine was backed by science and engineering facts


What train line do you drive for?


He drives for The Sodor & Mainland Railway.

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