"Sleep Doctor" doesn't like autopaps

DreamStalker · Post by **DreamStalker** » Thu Nov 15, 2007 2:40 pm

rested gal wrote:
DreamStalker wrote:RG can reply for herself but not all doctors DESERVE to keep their certification unlike all OSA patients who DESERVE to get the best treatment possible.

tillymarigold wrote:walked out and came here and implied her board certification should be revoked!
ok, re-read my initial post and see where:
I wrote:Oh, and I forgot to mention....it's a Board Certified Sleep Doctor. "Doesn't like autopaps." LOL! There seem to be a lot of them out there - autopaps AND "sleep doctors" who are anti-autopap.
That was simply expressing my astonishment -- not a call for revoking a certificate. I can see where some might think that was implied. But, nope.

Yep ... that's why I said RG could reply for herself on Tilly's comment.

I still believe however that there are some doctors out there who do not deserve to keep their certificates ... the certificates do NOT give them god status (temporary or permanent).

There have been a few posts on this forum where Tilly implies that she is tired of people not following doctor's orders (in addition to being tired of some of us telling folks who come to this forum that it is better to get an APAP if at all possible ... and it is possible). Opinions opinions, I used to have a signiture that said "Not blame me if your opinions differ from mine". Maybe I need to change it back

KansasRT · Post by **KansasRT** » Thu Nov 15, 2007 2:58 pm

I hope not to make anyone mad, but I think what Dr's see is that an APAP at 4-20 is not better than CPAP at a constant pressure. I agree. Most of the studies that I have seen are studying APAP at 4-20. I believe that your range should be closer to your titrated pressure. I think that some Dr's read the last paragraph of a study and not the whole study.

Wulfman · Post by **Wulfman** » Thu Nov 15, 2007 3:04 pm

KansasRT wrote:I hope not to make anyone mad, but I think what Dr's see is that an APAP at 4-20 is not better than CPAP at a constant pressure. I agree. Most of the studies that I have seen are studying APAP at 4-20. I believe that your range should be closer to your titrated pressure. I think that some Dr's read the last paragraph of a study and not the whole study.

I agree.....and I think most of us here, do, too.

But, why would a doctor prescribe an APAP with that kind of a pressure range?
That's what puzzles me.

Den

rested gal · Post by **rested gal** » Thu Nov 15, 2007 3:10 pm

Excellent point, KansasRT.

sharon1965 · Post by **sharon1965** » Thu Nov 15, 2007 3:40 pm

Opinions opinions, I used to have a signiture that said "Not blame me if your opinions differ from mine".

dreamstalker,
i don't know about changing your signature line, but i do wish you would change your avatar back--you know how much i liked the old one...and...once again, you're scaring me ...not to mention the brain scrambler on your posts...don't you think sleep deprivation has addled my brain enough? btw, glad to see you comin' around some...missed ya

RG,
you are one classy lady...since my first day on this forum you have been an inspiration to me--whether you like it or not! --and i envy how you always seem to manage everything with class and grace, even when someone inadvertently (i hope) puts words in your mouth and infers something you didn't imply...

tilly
love your m & m

gasp · Post by **gasp** » Thu Nov 15, 2007 5:17 pm

Great story. While reading I was jumping up and down with virtual pom poms : )

Guest · Post by **Guest** » Thu Nov 15, 2007 5:19 pm

Hi,

Doctors and sleep techs are human and they cant ignored the advancement of technology. In another few more years we will see a auto detect health systems in the market with advanced-predictive-health-systmes that able to coup with baby boomers that are retiring soon. None of the doctors can treat sleep apnea patients without technologyevent in surgicals. Without technology the doctors and sleep techs are nothing buy a pure consultants.

Human has limitations but technology can be improved over time.
All doctors are human but technology gives straights numbers.
Technologies dont lie....just like your computers.

ps:My newphews, my neices, my friends sons, my friends and many are doctors in medical fields. But none wants to claims they know everything and they respect tecnologies....including the hammers and knifes.

Mckooi

DreamStalker · Post by **DreamStalker** » Thu Nov 15, 2007 8:50 pm

sharon1965 wrote: dreamstalker,
i don't know about changing your signature line, but i do wish you would change your avatar back--you know how much i liked the old one...and...once again, you're scaring me ...not to mention the brain scrambler on your posts...don't you think sleep deprivation has addled my brain enough? btw, glad to see you comin' around some...missed ya

My current avatar is a picture of my friend Tloloc ... he's nothing to be scared of. He just looks like that cuz he consumes lots of tropical rainforest mushrooms for trips into the dreamworld.

As Den warned me ... it is hard to stay away from fellow CPAP comrades.

Wulfman · Post by **Wulfman** » Thu Nov 15, 2007 9:10 pm

DreamStalker wrote:
sharon1965 wrote: dreamstalker,
i don't know about changing your signature line, but i do wish you would change your avatar back--you know how much i liked the old one...and...once again, you're scaring me ...not to mention the brain scrambler on your posts...don't you think sleep deprivation has addled my brain enough? btw, glad to see you comin' around some...missed ya
My current avatar is a picture of my friend Tloloc ... he's nothing to be scared of. He just looks like that cuz he consumes lots of tropical rainforest mushrooms for trips into the dreamworld.

As Den warned me ... it is hard to stay away from fellow CPAP comrades.

And it's good to have you back, Roberto.

Den

yamdigger · Post by **yamdigger** » Sat Nov 17, 2007 3:35 pm

At first, I wondered why doctors wouldn't like the AutoPAP. Then I read one post were a doctor said; "They only use those in eastern Canada where they don't have any sleep disorder clinics." All of a sudden, the reason became obvious! If they prescribe a machine that can automatically find the optimal pressure setting for your case, you wouldn't need to go back to the doctor for future consultation! And your sleep doctor's brand new Mercedeze isn't exactly going to pay for itself you know. He / She needs you to come back time and again to provide him/her with an income.

I recently took delivery of a Remstar Pro M with C-Flex. This was the top-of-line model that the vendor my clinic sent me to had in stock. Also, if you had a AutoPAP, you wouldn't need the vendor too much either. I was priscribed an initial setting for 6 cmH2O. I'm supposed to go back for an overnight stay at the sleep clinic in a couple of weeks for them to see what the best pressure for me would be. And this sleep study session isn't exactly cheap! Thankfully, the Ontario Medicare system picks up the tab <hew!!>. But if they gave me an AutoPAP, I wouldn't really need that next sleep study so much now, wouldn't I?

Yam Digger

billbolton · Post by **billbolton** » Sat Nov 17, 2007 3:49 pm

yamdigger wrote:But if they gave me an AutoPAP, I wouldn't really need that next sleep study so much now, wouldn't I?

If your Sleep Disordered Breathing issue is simple OSA, then that is mostly true. If it is anything at all more than simple OSA, then just using an APAP won't solve the problem and could in fact be dangerous.

Cheers,

Bill

sharon1965 · Post by **sharon1965** » Sat Nov 17, 2007 3:54 pm

And this sleep study session isn't exactly cheap! Thankfully, the Ontario Medicare system picks up the tab <hew!!>

come on, yamdigger, you know we ALL pick up the tab...i assume you pay the crazy taxes the rest of us ontarions pay? please don't perpetuate the myth that we have free health care here in canada...we pay dearly, and get very little for our money

RipVW · Post by **RipVW** » Sat Nov 17, 2007 5:45 pm

billbolton wrote:
yamdigger wrote:But if they gave me an AutoPAP, I wouldn't really need that next sleep study so much now, wouldn't I?
If your Sleep Disordered Breathing issue is simple OSA, then that is mostly true. If it is anything at all more than simple OSA, then just using an APAP won't solve the problem and could in fact be dangerous.

Cheers,

Bill

Guest · Post by **Guest** » Sat Nov 17, 2007 8:56 pm

Bill is correct, it could be OSA, CSA or both...or others. One nened to find to confirm on the cause.

yamdigger · Post by **yamdigger** » Sun Nov 18, 2007 9:39 pm

billbolton wrote:
yamdigger wrote:But if they gave me an AutoPAP, I wouldn't really need that next sleep study so much now, wouldn't I?
If your Sleep Disordered Breathing issue is simple OSA, then that is mostly true. If it is anything at all more than simple OSA, then just using an APAP won't solve the problem and could in fact be dangerous.

Cheers,

Bill

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"Sleep Doctor" doesn't like autopaps

Question for Bill