cRaP! Maybe I'm just more blood I need, and not H2opalerider wrote:maybe works nights and sleeps during the day... not to imply that sleep techs are vampiresLSAT wrote:Our "sleep pro" has left the building.................
Questions about PAP therapy that never seem to get answered
- SleepyEyes21
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Re: Questions about PAP therapy that never seem to get answered
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SleepyEyes21
Re: Questions about PAP therapy that never seem to get answered
Something could have come up that has temporarily taken him away from this board.LSAT wrote:Our "sleep pro" has left the building.................
49er
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Re: Questions about PAP therapy that never seem to get answered
I am not sure that most folks here have had a doc who failed to follow up on therapy but if I had one I would find another doc. Docs are not as restricted by insurance as DME's are. Docs will schedule the next follow up that will be covered by insurance. You may have only one DME in network but several docs who accept your insurance.JQLewis wrote:I can't agree. Why are the doctors who fail to follow up with their patients or properly monitor their therapy not the weak link? Why are insurance companies which set up irrational rules for compliance which do not care about the effectiveness of the therapy not the weak link?
So that is one reason.
You have not explained what irrational rules for compliance your insurance has set up.
OTOH you will find DME's who will restrict what equipment you will get and will in fact argue with you (or simply refuse to help) if you have a preference for equipment vendor or model. Some will limit which mask you can get w/o regard for your comfort or the effectiveness of you therapy. Others will hand out equipment w/o any training at all.
We all know that finding the right mask is the hardest part of this therapy. Many DME's do not follow the mask mafg policy when a mask fails to work for someone.
I think that DME failure is the reason the majority of people find this site. Maybe we need another poll?
I explained my reasons for saying that DMEs are "THE Weakest Link". So explain why you can't agree.
Re: Questions about PAP therapy that never seem to get answered
Please review thread title.49er wrote:Something could have come up that has temporarily taken him away from this board.LSAT wrote:Our "sleep pro" has left the building.................
49er
You Kids Have Fun!!
Re: Questions about PAP therapy that never seem to get answered
lolSludge wrote:Please review thread title.
if he stepped away to fix the sleep business he could be gone awhile lol
maybe he went to his dme?
Re: Questions about PAP therapy that never seem to get answered
I'm not going to recap my experiences with the four sleep doctors I've seen over the last four months. If you're really interested, read my prior threads. Also read the many responses who say that my experiences are all too typical.Guest wrote:I am not sure that most folks here have had a doc who failed to follow up on therapy but if I had one I would find another doc.JQLewis wrote:I can't agree. Why are the doctors who fail to follow up with their patients or properly monitor their therapy not the weak link? Why are insurance companies which set up irrational rules for compliance which do not care about the effectiveness of the therapy not the weak link?
http://doctorstevenpark.com/sleep-apnea ... -crazinessGuest wrote:You have not explained what irrational rules for compliance your insurance has set up.
To quote a relevant line:
" Ultimately, a major part of poor CPAP compliance is due to the health care system that’s dropping the ball."
One of the few honest voices in the medical profession regarding sleep apnea treatment.
It's a pointless argument. There are no weak links because there is no chain. Just a bunch of disconnected links lying in a heap. If you think sleep apnea treatment is just fine the way it is, that's your opinion. You want to blame it all on DMEs go ahead. If you've come here to defend the system, have at it. I'm sure the folks here would be very interested in what you have to say.
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Re: Questions about PAP therapy that never seem to get answered
I hate my dme I overpayed for the machine. don't have the correct mask. they don't help me with any information. They said just use this
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Re: Questions about PAP therapy that never seem to get answered
Seriously? That is an example of what? Maybe DMEs are not part of your health care system?JQLewis wrote:To quote a relevant line:
" Ultimately, a major part of poor CPAP compliance is due to the health care system that’s dropping the ball."
Hey you brought it up just w/o examples. I'm not searching anywhere for things you brought up here.JQLewis wrote:I'm not going to recap my experiences with the four sleep doctors I've seen over the last four months. If you're really interested, read my prior threads. Also read the many responses who say that my experiences are all too typical.
Here IS an example for ya..
Greg Riddle wrote:I hate my dme I overpayed for the machine. don't have the correct mask. they don't help me with any information. They said just use this
Re: Questions about PAP therapy that never seem to get answered
Don't look at me, I'm still using mine!SleepyEyes21 wrote:cRaP! Maybe I just more blood I need, and not H2opalerider wrote:. not to imply that sleep techs are vampires
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
- MarchWinds
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Re: Questions about PAP therapy that never seem to get answered
Hi Jeff,15+yearSleepPro wrote:Hello, I am a Registered Polysomnographic Sleep Technologist or RPSGT (as my name states) for 15+ years and I did sleep studies for about 10 of those years and I now work on the DME or Durable Medical Equipment side of sleep disorders. I see many patient's that for years upon years have been on the wrong mask, do not wear there mask or use the PAP therapy simply because they were not seen by a competent DME Clinician or a doctor that really cared, therefore using the therapy is too daunting. I wanted to start this topic for anyone that has questions about the therapy they use or has simply never been informed of the basic principles of Sleep Apnea/OSA or was only showed how to use the machine and told "you have to wear this". I will try to always be available to answer all posts to this topic. Jeff
Thanks for offering your views. I am a Canadian, so I think I get better care! I was offered a good, data-capable machine with a heated hose right off the bat, and my DME is a nurse who is very proactive. It's only been 6 weeks though, and although my therapy is coming along well with an AHI of 1 or less per night, I am sometimes awakened by leaks from my mask, and it took me a few weeks just to get used to using it and also get used to the concept of having a cpap. So I don't always sleep that well yet.
But what I really wonder is how long it takes for stamina levels to reach a good, steady level? I find it's pretty up and down, with some bad days and good days so far. And along with low stamina comes a lot of anxiety, which I think has been exacerbated by the years of bad sleep. Does it take 6 months? A year? Longer?
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Re: Questions about PAP therapy that never seem to get answered
In case Jeff doesn't come back (living up to the Subject of this thread) I will say that each of us is different and therfore there is no one answer.MarchWinds wrote:But what I really wonder is how long it takes for stamina levels to reach a good, steady level?
But I will also say that if your leaks are too large your machine may not detect some or all events resulting in a false low AHI value, even zero. This would mean that therapy is ineffective and lead to a longer recovery time. Best to determine exactly what your leak rate it.
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Re: Questions about PAP therapy that never seem to get answered
You also need to work on sleep hygiene to be able to get to the nirvana/heaven/paradise/whatever-else-you-call-it of "stamina." For example, if my sleep hours go below 7.5 each night, I seem to have a higher AHI. Also needs to be consistent over a few nights. Not to mention mask cleanliness and tightness (or looseness) and humidity. And stress levels. And a host of other things. CPAP is not entirely science - there is a lot of art in success stories. As well as a sprinkling of luck for some.Guest wrote:In case Jeff doesn't come back (living up to the Subject of this thread) I will say that each of us is different and therfore there is no one answer.MarchWinds wrote:But what I really wonder is how long it takes for stamina levels to reach a good, steady level?
But I will also say that if your leaks are too large your machine may not detect some or all events resulting in a false low AHI value, even zero. This would mean that therapy is ineffective and lead to a longer recovery time. Best to determine exactly what your leak rate it.
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Not a medical professional - just a patient who has done a lot of reading
- MarchWinds
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Re: Questions about PAP therapy that never seem to get answered
My leak rate is 1.75. I suppose that's pretty good?Guest wrote:In case Jeff doesn't come back (living up to the Subject of this thread) I will say that each of us is different and therfore there is no one answer.MarchWinds wrote:But what I really wonder is how long it takes for stamina levels to reach a good, steady level?
But I will also say that if your leaks are too large your machine may not detect some or all events resulting in a false low AHI value, even zero. This would mean that therapy is ineffective and lead to a longer recovery time. Best to determine exactly what your leak rate it.
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Using in C-Flex mode x3; Heated tube; Sleepyhead |
Re: Questions about PAP therapy that never seem to get answered
1.75 what?MarchWinds wrote:My leak rate is 1.75. I suppose that's pretty good?
In order to figure this out we need to know which mask at what pressure then the leak rate. Keep in mind an avg leak is gonna have peaks too. This is why looking at your data with software is so important.
so...
1. mask
2. pressure
3. leak
Re: Questions about PAP therapy that never seem to get answered
This was posted in another thread...
Guest wrote:Now this is a failure of the DME...a loaner should have been offered immediately. It is normally covered by the insurance.But this DME failure is for another thread.Krelvin wrote:Why does it takes 6 days to repair a unit (even one under warranty which mine was not) ?? who knows... Was I pissed off at the DME for not helping, Yes. Did that help, Nope. Did they offer a rental or loaner unit? Nope.