one size fits nobody
Re: one size fits nobody
"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.
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.
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Last edited by Julie on Sun May 14, 2017 1:21 pm, edited 1 time in total.
- ChicagoGranny
- Posts: 14539
- Joined: Sun Jan 29, 2012 1:43 pm
- Location: USA
Re: one size fits nobody
I think the best you can hope for is he/she will learn where the caps keys and punctuation keys are. Paragraph construction may be beyond his reach.Julie wrote:Stop posting junk. Stop posting what you obviously know nothing about. Maybe stop posting altogether.
Re: one size fits nobody
xxyzx wrote:==========ChicagoGranny wrote:I think the best you can hope for is he/she will learn where the caps keys and punctuation keys are. Paragraph construction may be beyond his reach.Julie wrote:Stop posting junk. Stop posting what you obviously know nothing about. Maybe stop posting altogether.
in addition to my day job
i was a professional writer[not wasting formal writing on informal web posts
it is too bad you have such low self esteem that yuo need to take every chance to sling insults at people who are better and smarter than you are
Thanks for the best laugh of the day... you sir/madam are not as smart as you think you are
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Started cpap in 2010.. still at it with great results.
Re: one size fits nobody
Almonds, Pecans, Pistachios...............xxyzx wrote:========================nanwilson wrote:Thanks for the best laugh of the day... you sir/madam are not as smart as you think you arexxyzx wrote:==========ChicagoGranny wrote:I think the best you can hope for is he/she will learn where the caps keys and punctuation keys are. Paragraph construction may be beyond his reach.Julie wrote:Stop posting junk. Stop posting what you obviously know nothing about. Maybe stop posting altogether.
in addition to my day job
i was a professional writer[not wasting formal writing on informal web posts
it is too bad you have such low self esteem that yuo need to take every chance to sling insults at people who are better and smarter than you are
you are easily amused but we already know your reptile sized brain does not have room to consider facts so keep laughing at yourself.
i can guarantee to a john mclaughlin metaphysical certitude that my IQ is higher than yours, my education far better than yours, and my experience more pertinent than yours assuming you ever had a job and are not still living in your parents basement
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Re: one size fits nobody
For this show, I prefer popcorn.LSAT wrote:.. Almonds, Pecans, Pistachios...............
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Re: one size fits nobody
Hey xxx,
You have made it abundantly clear that you think you are better than anyone else here. What do you think that will get you?
You have made it abundantly clear that you think you are better than anyone else here. What do you think that will get you?
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Life is a dream…if I'm wearing my Resmed AirTouch F20 cushion and my Autosense 10 Autoset isn't being hijacked by some dung-eating state security troll.
Re: one size fits nobody
Well that's certainly mature.
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Re: one size fits nobody
Just my personal experience.
Right now, my pressure settings are 14.2/9.8. for my VPAP-S. In the past, when my nasal congestion was really bad and I couldn't find anything to resolve it, I found raising the pressure slightly helped.
Be nice folks as I am not making any scientific claims but wanted to mention why I could understand the statement that congestion might require a chance in pressure. Of course, I don't agree with the OP making outright general claims and assuming they apply to everyone.
Thanks!
49er
Right now, my pressure settings are 14.2/9.8. for my VPAP-S. In the past, when my nasal congestion was really bad and I couldn't find anything to resolve it, I found raising the pressure slightly helped.
Be nice folks as I am not making any scientific claims but wanted to mention why I could understand the statement that congestion might require a chance in pressure. Of course, I don't agree with the OP making outright general claims and assuming they apply to everyone.
Thanks!
49er
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- chunkyfrog
- Posts: 34444
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
Re: one size fits nobody
I, for one, got enough sleep.
"Somebody" needs to go back to bed.
Use your cpap.
"Somebody" needs to go back to bed.
Use your cpap.
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Last edited by chunkyfrog on Mon May 15, 2017 7:34 am, edited 1 time in total.
Re: one size fits nobody
Some of us more than others.xxyzx wrote:we are all different
As do our brains when we choose to learn.xxyzx wrote:our bodies change all the time
I do raise my minimum pressure during allergy seasons and UPIs, myself.xxyzx wrote:congestion from pollen or other cause requires changes in air pressure
Some do best on straight CPAP, since some find their nervous system can't get used to variations in pressure.xxyzx wrote:other changes we have constantly mean that one size fits nobody
Not all sleep docs are on-board with APAP because of problems certain of their patients have had with it.xxyzx wrote:why are not auto adjusting machines the default norm?
Applied science without cost consideration quickly deteriorates to irrelevant theory.xxyzx wrote:is it strictly for cost reasons
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.xxyzx wrote:that so many are forced to use an inferior but 'good enough' solution
instead of giving them the best sleep possible
-Jeff (AS10/P30i)
Accounts to put on the foe list: Me. I often post misleading, timewasting stuff.
Accounts to put on the foe list: Me. I often post misleading, timewasting stuff.
- chunkyfrog
- Posts: 34444
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
Re: one size fits nobody
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"
Edit: I am pleased to observe that Mr Lehrer is still breathing--at the ripe age of 89!
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"
Edit: I am pleased to observe that Mr Lehrer is still breathing--at the ripe age of 89!
_________________
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Re: one size fits nobody
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 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.
Re: one size fits nobody
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.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
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.
Re: one size fits nobody
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
I was agreeing with you. I was pointing out his faulty logic.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.