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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
KMCKOB
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Post by KMCKOB » Sat Mar 20, 2010 5:36 pm

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Last edited by KMCKOB on Wed Apr 21, 2010 12:33 pm, edited 5 times in total.

SMF
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Re: DME REP BRINGS WRONG DEVICE

Post by SMF » Sat Mar 20, 2010 5:39 pm

Yes you do want what the Rx calls for, make sure they bring back the Pro not the Plus model. only the Pro or Auto will have your data...

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jnk
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Re: DME REP BRINGS WRONG DEVICE

Post by jnk » Sat Mar 20, 2010 5:42 pm

KMCKOB wrote:My Rx is for:
CPAP device (C-Flex #2) [my searching shows it to be a Respironics device]
CPAP pressure of 11 cms H2O
Mask: Respironics large-sized "Comfort Gel" Full Face Mask
Warm air humidification
Ramp=20 minutes

DME Rep brought:
ResMed S8 Escape II with carrying case [I don't need a traveling CPAP device]
Mask: Ultra Mirage Full Face Mask
H4i Heated Humidifier

DME Rep speaks broken English and I don't recall her reasoning for ResMed instead of Respironics.
SHOULD I DEMAND WHAT Rx CALLS FOR OR DOESN'T IT MAKE ANY DIFFERENCE?
Thanks!!!
ResMed or Respironics is not the issue. The issue is that you were brought a machine with no efficacy data. I would insist on getting a machine with efficacy data.

See this link:

viewtopic.php?p=307168#p307168

Many machines, even non-travel ones, come with a case.

If the DME does ResMed, the very least I would accept is an Elite II. By least, I mean only least expensive for the DME. It is a great little machine. I would not accept an Escape, since it doesn't give any efficacy data.

jeff

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DoriC
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Re: DME REP BRINGS WRONG DEVICE

Post by DoriC » Sat Mar 20, 2010 5:50 pm

You lucked out with the UltraMirageFF, it's a good mask.

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Wulfman
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Re: DME REP BRINGS WRONG DEVICE

Post by Wulfman » Sat Mar 20, 2010 5:51 pm

KMCKOB wrote:My Rx is for:
CPAP device (C-Flex #2) [my searching shows it to be a Respironics device]
CPAP pressure of 11 cms H2O
Mask: Respironics large-sized "Comfort Gel" Full Face Mask
Warm air humidification
Ramp=20 minutes

DME Rep brought:
ResMed S8 Escape II with carrying case [I don't need a traveling CPAP device]
Mask: Ultra Mirage Full Face Mask
H4i Heated Humidifier

DME Rep speaks broken English and I don't recall her reasoning for ResMed instead of Respironics.
SHOULD I DEMAND WHAT Rx CALLS FOR OR DOESN'T IT MAKE ANY DIFFERENCE?
Thanks!!!
Durned tootin' it makes a difference.

Either way, they probably weren't going to give you a data-capable machine. You either want the REMstar Pro or the Auto. If this DME only deals in ResMed equipment (which it appears they do), the alternative would be the S8 Elite II or the S8 Autoset II. If they won't give you the correct equipment, you should look at switching DMEs.

As a side note, the Ultra Mirage Full Face would be a better choice than the Comfortgel Full Face. It seems that most CGFF users have had leak problems.

Never accept a machine that has the name "Compact", "Escape" or "Plus" in its name.


Den
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
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allen476
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Location: Upstate,NY

Re: DME REP BRINGS WRONG DEVICE

Post by allen476 » Sat Mar 20, 2010 7:05 pm

Why would they bring a machine without any type of exhale relief when the prescription calls for it. Was this a DME that the hospital recommended or was it one that you picked?

Allen

jules
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Re: DME REP BRINGS WRONG DEVICE

Post by jules » Sat Mar 20, 2010 7:09 pm

allen476 wrote:Why would they bring a machine without any type of exhale relief when the prescription calls for it.

Allen

but they did - the escape II has EPR

but all they had to do is just get the writing doc(or his/her assistant) to agree to any change and it is a done deal

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allen476
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Re: DME REP BRINGS WRONG DEVICE

Post by allen476 » Sat Mar 20, 2010 8:15 pm

That might explain why. My first machine was an Escape but it didn't have any exhale relief. I had to buy my own if I wanted that. I haven't even looked at any Resmed machines since.

It might be a tougher sell to the insurance company though. If you think about it, if you are given a prescription for say Cipro and you take it to get it filled, the pharmacist is going to fill it with a generic (ciprofloxin), that is the equivalent that your insurance company is going to pay for, unless the Dispense-As-Written box is checked.

Now if you apply that to your situation, the machine they provided filled the prescription. If I was you, either I would tell them that you want the machine that was prescribed, or you will be going elsewhere. That might get you far enough to get the machine with data.

I know when I do get insurance again, I am going to have my PCP write a new prescription that includes the phrase "full data capabilities" so that some DME doesn't' try to pawn off some cheapie xPAP when I go in.

Allen

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sleepycarol
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Re: DME REP BRINGS WRONG DEVICE

Post by sleepycarol » Sat Mar 20, 2010 8:24 pm

Some DME's will still try to pawn off compliance only machines even if the script has written on it "fully data capable".

They will argue that it IS data capable. I really am beginning to think that they DON"T know their machines and DON'T want to learn about them.
Start Date: 8/30/2007 Pressure 9 - 15
I am not a doctor or other health care professional. Comments reflect my own personal experiences and opinions.

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rested gal
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Re: DME REP BRINGS WRONG DEVICE

Post by rested gal » Sat Mar 20, 2010 8:34 pm

sleepycarol wrote:Some DME's will still try to pawn off compliance only machines even if the script has written on it "fully data capable".

They will argue that it IS data capable. I really am beginning to think that they DON"T know their machines and DON'T want to learn about them.
I think you're right, Carol. Too many of them DON'T know their machines and DON'T want to learn about them. Lack of interest or lack of time... whatever the reason, it's a shame.

DME might not understand what "Full data" is.
viewtopic.php?p=344265#p344265

LinkC's conversation with his DME about data:
viewtopic.php?p=342111#p342111

My list of machines that record "full data" (AHI and leak info) and those that don't -- updated through March 2010:
viewtopic.php?p=307168#p307168
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435

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howkim
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Location: South Florida

Re: DME REP BRINGS WRONG DEVICE

Post by howkim » Sun Mar 21, 2010 10:27 am

sleepycarol wrote:Some DME's will still try to pawn off compliance only machines even if the script has written on it "fully data capable".
Yeah. I dealt with the A-DME company. The tech that gave me the machine I got last year, pointed to the card and said it was data capable. I said that I wanted efficacy data not just compliance. She made a face and took the machine away. She brought back my M-Series Pro.

One of the next times I was at my PCP's office, a rep for the A-DME was there and I told him (in the presence of my PCP) that the only good RT in his shop was X (who was NOT the tech I had dealt with in picking up my machine). The others didn't know diddly squat. He shut up, and the PCP laughed. I usually say what I think in the PCP's office. I certainly hope they're used to it by now.

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fiberfan
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Re: DME REP BRINGS WRONG DEVICE

Post by fiberfan » Sun Mar 21, 2010 11:46 am

My doc's prescription was for a cpap machine with AHI and leak data download. I had no problems at the DME but I also don't know if they would have started with a compliance only machine with a less specific prescription.

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