Third sleep doc; 3rd study upcoming

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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n0hardmask
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Third sleep doc; 3rd study upcoming

Post by n0hardmask » Thu Apr 30, 2015 10:32 am

Tuesday I drove 140 mi -x2 to Ft Worth to see a new sleep doc, Donald Watenpaugh at Texas Pulmonary/Sleep Consultants. He seemed intent on grasping what I'm dealing with (in sharp contrast to two Abilene 'sleep docs'). He offered me some specific advice on using the FitLife- he says it's the better choice (over the SleepWeaver) for my eyes, which are an ongoing irritation. I'll return on 10 May for a split-study, since I don't have any data from my initial home sleep study in '011.

AN interesting opinion- the doc doesn't care for Resmed, so I guess he'll be prescribing Respironics when the time comes. Any thoughts on transitioning from VPAP to an ASV from Respironics?

I don't want to get my hopes up, but I do wish that they'll get some good data, paricularly on my central events. I am beholden to each of Y'all here for the education and support I have found and seen given freely to many others. n0hardmask

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palerider
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Re: Third sleep doc; 3rd study upcoming

Post by palerider » Thu Apr 30, 2015 11:59 am

n0hardmask wrote: AN interesting opinion- the doc doesn't care for Resmed, so I guess he'll be prescribing Respironics when the time comes. Any thoughts on transitioning from VPAP to an ASV from Respironics?
if you have a s9 vpap adapt (the adapt sv is a s8, so your equipment listing is a bit unclear). why would you need another ASV?

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QualityDMEGuy
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Re: Third sleep doc; 3rd study upcoming

Post by QualityDMEGuy » Thu Apr 30, 2015 12:48 pm

Be weary of doctor's who don't keep all manufacturer's on the table. The doctors that do this are usually ones that are doing it for money - is he going to be the one providing the new machine/equipment and bill for it directly? A sleep doctor should understand that every patient is different and should not rule out any options in order to find successful therapy.

That being said, Philips Respironics ASV vs. ResMed VPAP Adapt are too similar for most people to notice. I've had some people feel a difference in therapy, but it's rare. They DO use different algorithms and parameters to be set, but that's something that most doctor's dont know about. The reason either one is used more often than the other is just because the prescribed settings are based on what the sleep study found. And the sleep study is done with either a ResMed or Philips Respironics machine, thus creating parameters that match one or the other. A good doctor can interpret the report to be used for either machine.

Both machines are very good about data reporting and will tell the tale of what's going on.

Regarding the mask - I wouldn't use a Sleepweaver on an ASV/VPAP Adapt - depending on your settings, the pressure has potential for getting up there and the sleepweaver isn't great at high pressures. The Fit Life is a decent mask, albeit a bit old school. If you are having eye irritation I'd think it's the sleepweaver leaking more than anything.

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Pesser
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Re: Third sleep doc; 3rd study upcoming

Post by Pesser » Thu Apr 30, 2015 1:49 pm

The only legitimate objection to Resmed would be ????????? It doesn't exist. Your machine is a real good machine. The brand is fine. Ask what his problem with your machine is. I would not put up with a doc telling me what machine I should have.

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Bill44133
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Re: Third sleep doc; 3rd study upcoming

Post by Bill44133 » Thu Apr 30, 2015 2:04 pm

n0hardmask wrote:Tuesday I drove 140 mi -x2 to Ft Worth to see a new sleep doc, Donald Watenpaugh at Texas Pulmonary/Sleep Consultants. He seemed intent on grasping what I'm dealing with (in sharp contrast to two Abilene 'sleep docs'). He offered me some specific advice on using the FitLife- he says it's the better choice (over the SleepWeaver) for my eyes, which are an ongoing irritation. I'll return on 10 May for a split-study, since I don't have any data from my initial home sleep study in '011.

AN interesting opinion- the doc doesn't care for Resmed, so I guess he'll be prescribing Respironics when the time comes. Any thoughts on transitioning from VPAP to an ASV from Respironics?

I don't want to get my hopes up, but I do wish that they'll get some good data, paricularly on my central events. I am beholden to each of Y'all here for the education and support I have found and seen given freely to many others. n0hardmask
Hi Earl! Sorry to read that the SleepWeaver mask didn't work out to well for you.

My guess is both kinds of machines are good. Could be the doctor is just more familiar with Respironics and is more comfortable with them.


I wish you well

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SewTired
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Re: Third sleep doc; 3rd study upcoming

Post by SewTired » Thu Apr 30, 2015 5:19 pm

Still waiting for my titration study. The primary differences that I could find between Resprionics and Resmed were battery use, humidifier, and app vs program. As mentioned, the algorithms are different. Don't let your doctor plow over you. You are the one who has to pay for this. Ask him specifically to state why he prefers one over the other when online sources indicate both manufacturers to be top of the line. Perhaps he prefers the software- if you use Sleepy head, that probably would eliminate that as an issue.

Let me explain on the humidifier. The new Resmed Airsense 10 models have a basin that can be easily overfilled, apparently. There is a youtube video of a doctor who tested it and that was his only complaint about the machine. The Resprionics max fill line is much easier to see.

Battery use- Resprionics is American made so doesn't require a converter to use batteries during power outs or away from home. I don't actually know enough about it to discuss with any intelligence, but since you live near Abeline (I had breakfast there once) and haven't had any issues with Resmed, then it is a non issue for you.

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n0hardmask
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Re: Third sleep doc; 3rd study upcoming

Post by n0hardmask » Mon May 04, 2015 8:13 am

Thanks all for the thoughts.
I'll quiz the doc next week when I have my after study appointment.
What generation is the respironics in- last I recall folks talking about is the 650; I haven't gotten any sense other than the comment regarding S10 humidifier.

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Don't know what I did to hide the Equipment?! new SleepWeaver Anew-NOT hard!, Quattro ffm, S9 VPAP ADAPT. Sobakawa bead pillow
Sleepyhead, Rescan4; ZEO Bedside -not used
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OkyDoky
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Re: Third sleep doc; 3rd study upcoming

Post by OkyDoky » Mon May 04, 2015 8:23 am

Here is a site just completed by Krevlin, a member here, that should help. https://sleep.tnet.com/cmd
ResMed Aircurve 10 VAUTO EPAP 11 IPAP 15 / P10 pillows mask / Sleepyhead Software / Back up & travel machine Respironics 760

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Pugsy
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Re: Third sleep doc; 3rd study upcoming

Post by Pugsy » Mon May 04, 2015 8:36 am

The most often ASV Respironics model machine is the model 960 (that's the latest)
60 series is the newest line...50 series is the prior line.
https://www.cpap.com/productpage/pr-60- ... anced.html
which most closely mimics the S9 Adapt

I used the S9 Adapt for well over a year and just recently got a model 960 PR S1 machine to try out.
The settings needed a bit of adjusting due to the way the PR S1 responds but overall not hugely different and I am sleeping well with it.

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purple
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Re: Third sleep doc; 3rd study upcoming

Post by purple » Mon May 04, 2015 3:13 pm

Phillips Respironics software for looking at data is far superior to what Resmed supplies. Which is mysterious as Resmed has had years to improve their software program. PR machines (the older ones I handled) are built like Soviet Tanks. Resmed, feels more lightweight, handle with extreme care. I have an S9 VPAP auto and the water tank is so small that I have to get up in the early hours of the night to refill it. The comfort level of many Resmed patients seems to be higher than PR patients. PR seems to offer machines at a lower price, and more often with discounts than Resmed. Resmed is just plain greedy. I suspect the Resmed algorithm for shaping the rate of airflow is superior to the PR.

That is what I see. Right now I have a Resmed, I am pretty sure, based on what I see now, I will get a PR machine next.

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ChicagoGranny
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Re: Third sleep doc; 3rd study upcoming

Post by ChicagoGranny » Mon May 04, 2015 3:22 pm

QualityDMEGuy wrote:Be weary (sic) of doctor's who don't keep all manufacturer's on the table. The doctors that do this are usually ones that are doing it for money
That's ridiculous. A doctor who prescribes all manufacturers' machines is confused.

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palerider
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Re: Third sleep doc; 3rd study upcoming

Post by palerider » Mon May 04, 2015 3:28 pm

ChicagoGranny wrote:
QualityDMEGuy wrote:Be weary (sic) of doctor's who don't keep all manufacturer's on the table. The doctors that do this are usually ones that are doing it for money
That's ridiculous. A doctor who prescribes all manufacturers' machines is confused.
how so?

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Re: Third sleep doc; 3rd study upcoming

Post by ChicagoGranny » Mon May 04, 2015 3:38 pm

palerider wrote:how so?
You have to ask?

3B Products
AEIOMed
Apex Medical
CareFusion
Curative Medical
DeVilbiss
Evo
Fisher & Paykel
Human Design Medical
Philips Respironics
PMI Probasics
Puritan Bennett
ResMed
Somnetics
Sunrise Medical
Viasys

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palerider
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Re: Third sleep doc; 3rd study upcoming

Post by palerider » Mon May 04, 2015 4:48 pm

ChicagoGranny wrote:
palerider wrote:how so?
You have to ask?
3B Products AEIOMed Apex Medical CareFusion Curative Medical DeVilbiss Evo Fisher & Paykel Human Design Medical Philips Respironics PMI Probasics Puritan Bennett ResMed Somnetics Sunrise Medical Viasys
aren't some of those out of business?

and, even so, how is anyone benefited by a doctor saying "you *HAVE* to use a F&P machine (because I get kickbacks from them)???

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ChicagoGranny
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Re: Third sleep doc; 3rd study upcoming

Post by ChicagoGranny » Mon May 04, 2015 5:37 pm

palerider wrote:because I get kickbacks from them
I am not as cynical about my doctors as some people on here are. I have used some that did not seem fully competent and I got rid of them quickly.

Provide me some evidence of doctors that get kickbacks on CPAP machines.