In order to get a fully data capable CPAP these are the only ones to consider:
Resmed S8 Elite
Respironics M Series Pro w/C-Flex
Both travel well w/or w/o their integrated humidifier.
As mentioned above autoPAPs fall under the SAME insurance (HCPCS) code as the straight CPAPs (inlcuding the bare-bones, compliance data only models). Just less profit for the local DME supplier if they have to provide better than the bare-bones model. The DME suppliers will try to get out of providing an autoPAP if your script provides only a set pressure rather than a pressure range. TOUGH! For them. Since an auto can be set to CPAP mode w/just the one set pressure as scripted.
The only autoPAPs you are going to want to consider are the:
Resmed S8 AutoSet Vantage (w/EPR only in CPAP mode)
Respironics M Series Auto w/C-Flex (in both auto and CPAP mode)
Respironics M Series Auto w/A-Flex
Puritan Bennett GoodKnight 420E (no expiration relief either mode)
I was also on 8cms of pressure in straight CPAP mode. I "have" used the Respironics pre-M Series Auto w/C-Flex and got EXCELLENT therapy w/it in both auto mode and straight CPAP mode. I did not keep the pre-M Series Auto simply because so much more data was so much more easily available via Resmed's much easier to read LED screen. The Respironics require an unplugging, plugging back in and button press to access your data.
I've never used a Respironics M Series and have no interest in trying one. I'll pass until Respironics wises up and comes up w/a new model w/a sensibly designed integrated humidifier. In addition the Respironics have a 3rd "piece", the power brick and extra wires, whilst the Resmeds don't. And despite their size weigh 1/2 lb more when complete for traveling than the Resmeds.
I opted for the Resmed S8 Elite BECAUSE of the easy to read LED screen, the amount of data available via the LED screen and the EASE of accessing that data via the LED screen; just simple button pushes, no unplugging, plugging back in and button push like the Respironics. The integrated humidifier wasn't an issue in my choice because the M Series wasn't available at the time. The capacity of the Humidaire 3i integrated humidifer is as great as the Respironics M Series w/o the problems. The tank is easily removed and replaced. It doesn't leak. There are only the two "pieces", the CPAP itself and the humidifer, no heavy bothersome power brick and extra wires.
I had no problems this year, but my first winter w/xPAP I did run into a couple of nights w/the Respironics pre-M Series humidifier not quite able to provide enough humidity, HOWEVER, I also ran into a couple of nights where the Resmed Humidaire 3i humidifier couldn't quite cut the mustard either. On those rare nights is when that Fisher & Paykel HC 150 stand alone heated humidfier comes in handy. On the other hand, that Humidaire 3i is easy enough to add a little more distilled water to during the night if necessary.
I "bought into" the autoPAP preferences and self-purchased a Resmed S8 AutoSet Vantage. I love it every bit as much as my Elite. But, guess what? I did no better w/the Vantage in auto mode than my Elite straight CPAP so mostly ran it in CPAP mode and in fact, use it as my backup and travel CPAP.
I have COPD and so was brought in for a bi-level titration and switched to a bi-level machine. I INSISTED that it be the new Resmed VPAP Auto. I "would" have "considered" the pre-M Series Bi-PAP but that Resmed ease of data via the LED screen won the day.
I've never had the opportunity to try the Puritan Bennett GoodKnight 420E but it is so loved by all those who own them that I really wanted to try one. Of course, now that I'm on bi-level that idea is out.
My preference and recommendation:
You want ease for travel: the fully data capable Resmeds. You want easy access to your data: the fully data capable Resmeds. You want less extra wires, etc.: the fully data capable Resmeds. You want an easy to use humidifier w/no leak problems: the fully data capable Resmeds w/their integrated Humidaire 3i humidifier. You DON'T want troublesome blue lights: the fully data capable Resmeds.
When your insurance company is contracted w/more than one local DME supplier you have a great advantage. You can shop each of your options, pit one against the other if necessary to get what you want. You don't HAVE to buy from them. If they want your business they'll give you what you want as long as it is a CPAP OR an AutoPAP (remember, the autoPAPs are the exact same HCPCS code, E0601, as the straight CPAPs.)
Actually, as long as you go w/any of the 6 xPAPs listed above you will get good therapy and access to your data. I don't think you would regret getting any one of the 6.
Resmed vs. Respironics - Help
_________________
| Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
| Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator |
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.
My computer says I need to upgrade my brain to be compatible with its new software.
[quote="Slinky"]In order to get a fully data capable CPAP these are the only ones to consider:
Resmed S8 Elite
Respironics M Series Pro w/C-Flex
Both travel well w/or w/o their integrated humidifier.
As mentioned above autoPAPs fall under the SAME insurance (HCPCS) code as the straight CPAPs (inlcuding the bare-bones, compliance data only models). Just less profit for the local DME supplier if they have to provide better than the bare-bones model. The DME suppliers will try to get out of providing an autoPAP if your script provides only a set pressure rather than a pressure range. TOUGH! For them. Since an auto can be set to CPAP mode w/just the one set pressure as scripted.
The only autoPAPs you are going to want to consider are the:
Resmed S8 AutoSet Vantage (w/EPR only in CPAP mode)
Respironics M Series Auto w/C-Flex (in both auto and CPAP mode)
Respironics M Series Auto w/A-Flex
Puritan Bennett GoodKnight 420E (no expiration relief either mode)
I was also on 8cms of pressure in straight CPAP mode. I "have" used the Respironics pre-M Series Auto w/C-Flex and got EXCELLENT therapy w/it in both auto mode and straight CPAP mode. I did not keep the pre-M Series Auto simply because so much more data was so much more easily available via Resmed's much easier to read LED screen. The Respironics require an unplugging, plugging back in and button press to access your data.
I've never used a Respironics M Series and have no interest in trying one. I'll pass until Respironics wises up and comes up w/a new model w/a sensibly designed integrated humidifier. In addition the Respironics have a 3rd "piece", the power brick and extra wires, whilst the Resmeds don't. And despite their size weigh 1/2 lb more when complete for traveling than the Resmeds.
I opted for the Resmed S8 Elite BECAUSE of the easy to read LED screen, the amount of data available via the LED screen and the EASE of accessing that data via the LED screen; just simple button pushes, no unplugging, plugging back in and button push like the Respironics. The integrated humidifier wasn't an issue in my choice because the M Series wasn't available at the time. The capacity of the Humidaire 3i integrated humidifer is as great as the Respironics M Series w/o the problems. The tank is easily removed and replaced. It doesn't leak. There are only the two "pieces", the CPAP itself and the humidifer, no heavy bothersome power brick and extra wires.
I had no problems this year, but my first winter w/xPAP I did run into a couple of nights w/the Respironics pre-M Series humidifier not quite able to provide enough humidity, HOWEVER, I also ran into a couple of nights where the Resmed Humidaire 3i humidifier couldn't quite cut the mustard either. On those rare nights is when that Fisher & Paykel HC 150 stand alone heated humidfier comes in handy. On the other hand, that Humidaire 3i is easy enough to add a little more distilled water to during the night if necessary.
I "bought into" the autoPAP preferences and self-purchased a Resmed S8 AutoSet Vantage. I love it every bit as much as my Elite. But, guess what? I did no better w/the Vantage in auto mode than my Elite straight CPAP so mostly ran it in CPAP mode and in fact, use it as my backup and travel CPAP.
I have COPD and so was brought in for a bi-level titration and switched to a bi-level machine. I INSISTED that it be the new Resmed VPAP Auto. I "would" have "considered" the pre-M Series Bi-PAP but that Resmed ease of data via the LED screen won the day.
I've never had the opportunity to try the Puritan Bennett GoodKnight 420E but it is so loved by all those who own them that I really wanted to try one. Of course, now that I'm on bi-level that idea is out.
My preference and recommendation:
You want ease for travel: the fully data capable Resmeds. You want easy access to your data: the fully data capable Resmeds. You want less extra wires, etc.: the fully data capable Resmeds. You want an easy to use humidifier w/no leak problems: the fully data capable Resmeds w/their integrated Humidaire 3i humidifier. You DON'T want troublesome blue lights: the fully data capable Resmeds.
When your insurance company is contracted w/more than one local DME supplier you have a great advantage. You can shop each of your options, pit one against the other if necessary to get what you want. You don't HAVE to buy from them. If they want your business they'll give you what you want as long as it is a CPAP OR an AutoPAP (remember, the autoPAPs are the exact same HCPCS code, E0601, as the straight CPAPs.)
Actually, as long as you go w/any of the 6 xPAPs listed above you will get good therapy and access to your data. I don't think you would regret getting any one of the 6.
Resmed S8 Elite
Respironics M Series Pro w/C-Flex
Both travel well w/or w/o their integrated humidifier.
As mentioned above autoPAPs fall under the SAME insurance (HCPCS) code as the straight CPAPs (inlcuding the bare-bones, compliance data only models). Just less profit for the local DME supplier if they have to provide better than the bare-bones model. The DME suppliers will try to get out of providing an autoPAP if your script provides only a set pressure rather than a pressure range. TOUGH! For them. Since an auto can be set to CPAP mode w/just the one set pressure as scripted.
The only autoPAPs you are going to want to consider are the:
Resmed S8 AutoSet Vantage (w/EPR only in CPAP mode)
Respironics M Series Auto w/C-Flex (in both auto and CPAP mode)
Respironics M Series Auto w/A-Flex
Puritan Bennett GoodKnight 420E (no expiration relief either mode)
I was also on 8cms of pressure in straight CPAP mode. I "have" used the Respironics pre-M Series Auto w/C-Flex and got EXCELLENT therapy w/it in both auto mode and straight CPAP mode. I did not keep the pre-M Series Auto simply because so much more data was so much more easily available via Resmed's much easier to read LED screen. The Respironics require an unplugging, plugging back in and button press to access your data.
I've never used a Respironics M Series and have no interest in trying one. I'll pass until Respironics wises up and comes up w/a new model w/a sensibly designed integrated humidifier. In addition the Respironics have a 3rd "piece", the power brick and extra wires, whilst the Resmeds don't. And despite their size weigh 1/2 lb more when complete for traveling than the Resmeds.
I opted for the Resmed S8 Elite BECAUSE of the easy to read LED screen, the amount of data available via the LED screen and the EASE of accessing that data via the LED screen; just simple button pushes, no unplugging, plugging back in and button push like the Respironics. The integrated humidifier wasn't an issue in my choice because the M Series wasn't available at the time. The capacity of the Humidaire 3i integrated humidifer is as great as the Respironics M Series w/o the problems. The tank is easily removed and replaced. It doesn't leak. There are only the two "pieces", the CPAP itself and the humidifer, no heavy bothersome power brick and extra wires.
I had no problems this year, but my first winter w/xPAP I did run into a couple of nights w/the Respironics pre-M Series humidifier not quite able to provide enough humidity, HOWEVER, I also ran into a couple of nights where the Resmed Humidaire 3i humidifier couldn't quite cut the mustard either. On those rare nights is when that Fisher & Paykel HC 150 stand alone heated humidfier comes in handy. On the other hand, that Humidaire 3i is easy enough to add a little more distilled water to during the night if necessary.
I "bought into" the autoPAP preferences and self-purchased a Resmed S8 AutoSet Vantage. I love it every bit as much as my Elite. But, guess what? I did no better w/the Vantage in auto mode than my Elite straight CPAP so mostly ran it in CPAP mode and in fact, use it as my backup and travel CPAP.
I have COPD and so was brought in for a bi-level titration and switched to a bi-level machine. I INSISTED that it be the new Resmed VPAP Auto. I "would" have "considered" the pre-M Series Bi-PAP but that Resmed ease of data via the LED screen won the day.
I've never had the opportunity to try the Puritan Bennett GoodKnight 420E but it is so loved by all those who own them that I really wanted to try one. Of course, now that I'm on bi-level that idea is out.
My preference and recommendation:
You want ease for travel: the fully data capable Resmeds. You want easy access to your data: the fully data capable Resmeds. You want less extra wires, etc.: the fully data capable Resmeds. You want an easy to use humidifier w/no leak problems: the fully data capable Resmeds w/their integrated Humidaire 3i humidifier. You DON'T want troublesome blue lights: the fully data capable Resmeds.
When your insurance company is contracted w/more than one local DME supplier you have a great advantage. You can shop each of your options, pit one against the other if necessary to get what you want. You don't HAVE to buy from them. If they want your business they'll give you what you want as long as it is a CPAP OR an AutoPAP (remember, the autoPAPs are the exact same HCPCS code, E0601, as the straight CPAPs.)
Actually, as long as you go w/any of the 6 xPAPs listed above you will get good therapy and access to your data. I don't think you would regret getting any one of the 6.
_________________
| Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear |
| Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
I don't like the blue lights and they will light up the bare ivory-colored walls of the small guest bedroom I use. But it is easy to just lay a sock over them.Claire wrote:You asked about the light from the Resmed machine. Only the start/stop button glows at night. .........
The A-Flex will give you A-Flex mode, C-Flex mode or straight cpap. It has software that you need to find the best pressure. It does have a poorly designed humidifier tank, but for me it works and no leaks after six months. An option is to get it without the humidifier and buy a separate F&P HC150 humidifier.
Rooster
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
Re: Resmed vs. Respironics - Help
I am new also, but don't lose sight of the fact that it is all about money. First get a copy of your prescription, then have your regular or sleep doctor change it for a Respironics Remstar Auto M Series CPAP w/Humidifier p/n DS510SH. It is fully data capable and has AFlex exhalation Pressure Relief. The DME doesn't seem to mind this combination because they make money on the humidifier and not on the machine if you get an auto. Most lease the machine to you via Insurance company for the first two months and IF your compliance is good then they extend the lease to a 13 month lease at which time the machine is finally yours. It seems to be very difficult to change machines after they unwrap the "Brand New Machine" and set it up for you.Needsdecaf wrote:Hello all!
Newbie here, so pardon the possibly repetitive questions. I have done a search, but this forum isn't sub-divided and there are a LOT of results to sift through!
I initially though I wanted the ResMed machines, but really like the features of the Respironics auto M series better and they allow aflex (which is really nice) in the auto modes and cflex in the pure cpap mode. Be careful as they have two auto machines at the same price. The p/n I gave you that does aflex and also does cflex, but the cflex machine will not do aflex. I have no idea why.
The mask is a big part of your therapy and get your prescription written for the one you want. The ResMed MIRAGE Swift II CPAP Mask if you were happy with that one or the ResMed Quattro Full Face Mask or the ResMed Ultra Mirage Full Face Mask if you are unsure. It seems that most of us wind up with the full face mask eventually and they are quite expensive to buy the good ones. So far I am unwilling to tape my mouth to make the nasal mask work.
Plan on spending your own money for a second mask, so you may want to get the most expensive maske on your insurance. Once again, the DME is paid a flat fee and will try to give you a low cost mask which maximizes their profit.
Most insurance will NOT pay for extras, so plan to order your card reader and software from cpap.com. You will be glad you have it soon. It only runs on Windows computers, though.
Put the unit a little below your eye level and you will welcome the blue lights when at 3 am you are looking for the off or on buttons!
Good luck...
_________________
| Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
| Mask: Fisher & Paykel Vitera Full Face Mask with Headgear - Fit Pack (All Sizes Included) |
| Additional Comments: Titrated on Auto CPAP at 7/14 cm: Only licensed medical professionals can give medical advice or write prescriptions |
-
Needsdecaf
- Posts: 374
- Joined: Fri Apr 04, 2008 10:58 am
- Location: Fairfax County, VA
Hmm. Interesting info so far.
I have heard a lot of people espouse the separate humidifier. Why? Reasons I can think of:
1) Extra capacity
2) Ability to use with different machines.
3) Main unit can travel alone (not an option with those with integrated humidifiers, but is an option with the units I am looking at).
I have to say I am still not sold. I don't like the idea of having an entire separate unit to have to run tubing through. Also I'm not wild about having two separate power cords.
The blue light doesn't thrill me, but that's easily solved with some tape, etc. Not a deal breaker. I have very good night vision and location memory, so I'm not worried about being to find buttons in the dark.
So it basically comes down to personal preference? Maybe the integrated humidifier on the ResMed is seemingly better?
The units I am considering both have exhalation relief. Only one, the Respironics has it both on CPAP and APAP. Supposedly the Respironics feels more natural. To some...
Finally there is the straight CPAP vs. the APAP. Is there any reason NOT to go with the APAP vs. the CPAP? Say you had your choice, a stranger told you they'd buy whatever device you wanted. Does the APAP not do CPAP as well or suffer from a "jack of all trades, master of none" complex in any way?
I will make sure to get a copy of my scrip on Monday. If, as has been said, APAP and CPAP machines are under the same payment code, it really shouldn't matter should it?
Don't worry, I already stood up to one bully. I KNEW that jerk was trying to push the cheapie models on me for some reason. I couldn't figure out why but the voice in my brain said "pushy salesman" and I told him to go pound. I will get what I want....I have a good doc who will write my scrip to go APAP IF need be. And as long as the "special order" process for whatever machine I want (they stock Respironics, not ResMed) I will get what I want.
Thanks for the advice on the masks...I had planned on going for a nice full face one this time round. I like the nasal pillows a lot (albeit only for one night) but understand that FF is useful for when your nose needs a break or is stuffy. My sleep study tech noted that my mouth was closed almost the entire time I slept. Which made me happy. I am also a back sleeper and don't tend to move a lot.
Again, thanks all!
I have heard a lot of people espouse the separate humidifier. Why? Reasons I can think of:
1) Extra capacity
2) Ability to use with different machines.
3) Main unit can travel alone (not an option with those with integrated humidifiers, but is an option with the units I am looking at).
I have to say I am still not sold. I don't like the idea of having an entire separate unit to have to run tubing through. Also I'm not wild about having two separate power cords.
The blue light doesn't thrill me, but that's easily solved with some tape, etc. Not a deal breaker. I have very good night vision and location memory, so I'm not worried about being to find buttons in the dark.
So it basically comes down to personal preference? Maybe the integrated humidifier on the ResMed is seemingly better?
The units I am considering both have exhalation relief. Only one, the Respironics has it both on CPAP and APAP. Supposedly the Respironics feels more natural. To some...
Finally there is the straight CPAP vs. the APAP. Is there any reason NOT to go with the APAP vs. the CPAP? Say you had your choice, a stranger told you they'd buy whatever device you wanted. Does the APAP not do CPAP as well or suffer from a "jack of all trades, master of none" complex in any way?
I will make sure to get a copy of my scrip on Monday. If, as has been said, APAP and CPAP machines are under the same payment code, it really shouldn't matter should it?
Don't worry, I already stood up to one bully. I KNEW that jerk was trying to push the cheapie models on me for some reason. I couldn't figure out why but the voice in my brain said "pushy salesman" and I told him to go pound. I will get what I want....I have a good doc who will write my scrip to go APAP IF need be. And as long as the "special order" process for whatever machine I want (they stock Respironics, not ResMed) I will get what I want.
Thanks for the advice on the masks...I had planned on going for a nice full face one this time round. I like the nasal pillows a lot (albeit only for one night) but understand that FF is useful for when your nose needs a break or is stuffy. My sleep study tech noted that my mouth was closed almost the entire time I slept. Which made me happy. I am also a back sleeper and don't tend to move a lot.
Again, thanks all!
-
NightHawkeye
- Posts: 2431
- Joined: Thu Dec 29, 2005 11:55 am
- Location: Iowa - The Hawkeye State
No reason other than cost.Needsdecaf wrote:Finally there is the straight CPAP vs. the APAP. Is there any reason NOT to go with the APAP vs. the CPAP?
For the machines you are considering, the air-movement mechanics of APAP and CPAP models are identical. No loss in capability exists compared to a CPAP-only machine.Needsdecaf wrote:Say you had your choice, a stranger told you they'd buy whatever device you wanted. Does the APAP not do CPAP as well or suffer from a "jack of all trades, master of none" complex in any way?
Regards,
Bill
Very analytical you are!
To be up front, I should note that I will try to influence you to buy the Respironics A-Flex with integrated humidifier and software.
Now the disclaimer. Despite encouraging you to get an A-Flex, mine has been in the drawer the last two weeks and I am using my old F & P HC234 straight cpap with no data capability. I find this machine quieter, simpler to use, with no lights that stay on and having a better humidifier that is easier to fill.
I am fond of the A-Flex however, because I tinkered with it for about six months and used the software to find the settings that are best for my therapy. I still plan to get it out every few months to use for a week to analyze the therapy.
Good luck!
To be up front, I should note that I will try to influence you to buy the Respironics A-Flex with integrated humidifier and software.
This is an overriding disadvantage of a separate humidifier and the poor design of the A-Flex humidifier is not a major disadvantage. If you get the A-Flex humidifier, don't take the tank apart for cleaning and keep a spare tank on hand in case your tank leaks. Mine has never leaked.Needsdecaf wrote:.......... I don't like the idea of having an entire separate unit to have to run tubing through. Also I'm not wild about having two separate power cords. .......
APAPs do CPAP just as well as straight CPAP. (I do remember many years ago flying into LA on vacation with my young bride and renting a car. When I needed a break from driving she had to ask how to use the automatic transmission. She had only driven manual transmissions before!)Needsdecaf wrote:........
Finally there is the straight CPAP vs. the APAP. Is there any reason NOT to go with the APAP vs. the CPAP? Say you had your choice, a stranger told you they'd buy whatever device you wanted. Does the APAP not do CPAP as well or suffer from a "jack of all trades, master of none" complex in any way? ......
Now the disclaimer. Despite encouraging you to get an A-Flex, mine has been in the drawer the last two weeks and I am using my old F & P HC234 straight cpap with no data capability. I find this machine quieter, simpler to use, with no lights that stay on and having a better humidifier that is easier to fill.
I am fond of the A-Flex however, because I tinkered with it for about six months and used the software to find the settings that are best for my therapy. I still plan to get it out every few months to use for a week to analyze the therapy.
Good luck!
Rooster
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
-
NightHawkeye
- Posts: 2431
- Joined: Thu Dec 29, 2005 11:55 am
- Location: Iowa - The Hawkeye State
Rooster, you sly dog you! What better way to influence the newcomers than providing an example of the machine that works best for you.rooster wrote:Now the disclaimer. Despite encouraging you to get an A-Flex, mine has been in the drawer the last two weeks and I am using my old F & P HC234 straight cpap with no data capability. I find this machine quieter, simpler to use, with no lights that stay on and having a better humidifier that is easier to fill. ... still plan to get it (the Respironics Remstar) out every few months ...
ROTFL!
Regards,
Bill
The Resmed and Respironics integrated humidifiers travel very well w/their unit. That is one of the reasons for the integrated feature.Needsdecaf wrote: ... 3) Main unit can travel alone (not an option with those with integrated humidifiers, but is an option with the units I am looking at). ...
In that case you wouldn't want the Fisher & Paykel HC 150 stand alone heated humidifier I mentioned.Needsdecaf wrote: ... I have to say I am still not sold. I don't like the idea of having an entire separate unit to have to run tubing through. Also I'm not wild about having two separate power cords. ...
I certainly think so.Needsdecaf wrote: ... So it basically comes down to personal preference? Maybe the integrated humidifier on the ResMed is seemingly better? ...
NONE whatsoever, except the possible/likely hassle w/the local DME supplier. If you can an auto w/o a huge hassle it would be the wisest way to go. Just in case, you know.Needsdecaf wrote: ... Finally there is the straight CPAP vs. the APAP. Is there any reason NOT to go with the APAP vs. the CPAP? ...
No, it shouldn't, but since it cuts into the local DME's profit margin to provide an auto instead of a bare bones compliance data only CPAP ....Needsdecaf wrote: ... I will make sure to get a copy of my scrip on Monday. If, as has been said, APAP and CPAP machines are under the same payment code, it really shouldn't matter should it? ...
I know it might make sense to let insurance pay for the most expensive mask that appeals to you - but - I did fine for better than a year before "needing" a full face mask. Full face masks are much harder to find a good fit with. The biggest difficulty in adjusting to CPAP is the mask comfort and fit. You did well w/the Swift, while I personally didn't care for the Swift at all, I think your wisest choice would be to get the Swift as your first mask.Needsdecaf wrote: ... I had planned on going for a nice full face one this time round. I like the nasal pillows a lot (albeit only for one night) but understand that FF is useful for when your nose needs a break or is stuffy. My sleep study tech noted that my mouth was closed almost the entire time I slept. Which made me happy. I am also a back sleeper and don't tend to move a lot.
Resmed, Respironics and Fisher & Paykel all replace FREE to the local DME supplier most any of their masks a client tries that doesn't work out IF the DME supplier will fill out a form and return them w/in 30 days. Ask each local DME supplier you approach what their mask return policy is. Some have a more lenient policy than others.
Under the Red Ball w/the Question Mark at the top of the page is a subject on Mask Fitting. Scroll down to it and check it out so you have a good idea of how a mask fitting SHOULD be done. The mask fitting will give you a good idea of just how "into" CPAP therapy your DME supplier's RT really is. Keep in mind, CPAP is no where near as large a part of the DME supplier's business as the oxygen services. Many of their RTs are good w/oxygen therapy and not so hot w/CPAP therapy.
_________________
| Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
| Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator |
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.
My computer says I need to upgrade my brain to be compatible with its new software.
-
Needsdecaf
- Posts: 374
- Joined: Fri Apr 04, 2008 10:58 am
- Location: Fairfax County, VA
The fox is guarding the henhouse, Bill!NightHawkeye wrote:..........
Rooster, you sly dog you! What better way to influence the newcomers than providing an example of the machine that works best for you.
ROTFL!
Regards,
Bill
.......
But seriously now, because I don't want Needsdecaf to miss the point, if I only had one choice of machines, it would definitely be the A-Flex because of all the features. But since I have more than one choice, I will keep the "features" safely in the drawer until I feel like my settings may need to be revisited.
Rooster
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
-
DreamStalker
- Posts: 7509
- Joined: Mon Aug 07, 2006 9:58 am
- Location: Nowhere & Everywhere At Once
APAP vs CPAP?
Grumpy is ... well, grumpy, and knows not what he mumbles about as grumpy people often do.
APAP does EVERYTHING a CPAP can do (an APAP can be set in CPAP mode) so an APAP too IS - "the gold standard" ... PLUS. APAP offers same exact treatment as CPAP with significantly more options (the PLUS part). Since your insurance pays 100%, the cost difference is a non-issue for you which should make your choice that much easier. Even if you paid 100% out-of-pocket, the APAP would still be the one to get if you had the cash flow to afford it.
As for blue lights, they don't bother me cuz I sleep with my eyes closed .... yes, I know, I'm weird that way. You can alway put a sock over the lights or do what Snoredog did and open the thing up and put electrical tape under the buttons on the inside.
HH, just go with the integrated. If you find you need more then get the HC150 off the auction site ... I got a spare there for less than $50 w/ shipping included.
Grumpy is ... well, grumpy, and knows not what he mumbles about as grumpy people often do.
APAP does EVERYTHING a CPAP can do (an APAP can be set in CPAP mode) so an APAP too IS - "the gold standard" ... PLUS. APAP offers same exact treatment as CPAP with significantly more options (the PLUS part). Since your insurance pays 100%, the cost difference is a non-issue for you which should make your choice that much easier. Even if you paid 100% out-of-pocket, the APAP would still be the one to get if you had the cash flow to afford it.
As for blue lights, they don't bother me cuz I sleep with my eyes closed .... yes, I know, I'm weird that way. You can alway put a sock over the lights or do what Snoredog did and open the thing up and put electrical tape under the buttons on the inside.
HH, just go with the integrated. If you find you need more then get the HC150 off the auction site ... I got a spare there for less than $50 w/ shipping included.
President-pretender, J. Biden, said "the DNC has built the largest voter fraud organization in US history". Too bad they didn’t build the smartest voter fraud organization and got caught.
-
Needsdecaf
- Posts: 374
- Joined: Fri Apr 04, 2008 10:58 am
- Location: Fairfax County, VA
Thanks for the heads up. I should clarify:Slinky wrote: I know it might make sense to let insurance pay for the most expensive mask that appeals to you - but - I did fine for better than a year before "needing" a full face mask. Full face masks are much harder to find a good fit with. The biggest difficulty in adjusting to CPAP is the mask comfort and fit. You did well w/the Swift, while I personally didn't care for the Swift at all, I think your wisest choice would be to get the Swift as your first mask.
Resmed, Respironics and Fisher & Paykel all replace FREE to the local DME supplier most any of their masks a client tries that doesn't work out IF the DME supplier will fill out a form and return them w/in 30 days. Ask each local DME supplier you approach what their mask return policy is. Some have a more lenient policy than others.
Under the Red Ball w/the Question Mark at the top of the page is a subject on Mask Fitting. Scroll down to it and check it out so you have a good idea of how a mask fitting SHOULD be done. The mask fitting will give you a good idea of just how "into" CPAP therapy your DME supplier's RT really is. Keep in mind, CPAP is no where near as large a part of the DME supplier's business as the oxygen services. Many of their RTs are good w/oxygen therapy and not so hot w/CPAP therapy.
When I did my last sleep study, I tried a nasal mask (Resmed, don't remember the type) and the nasal pillows (above mentioned Swift). Both worked with very little leakage. I decided during the study to go for broke and find out if I could be compatible with the pillows (mouth breathing issues). I was.
I left with BOTH the nasal mask and the pillows.
A FF will complete the collection.
So it seems like APAP is the way to go if I can get it...which I will make sure I do. The only downside is that I'm leaning toward the ResMed for a couple of reasons, but it has no exhalation relief on the APAP mode as others have mentioned.
Having said that, the machine I used at the SS definitely did not have exhalation relief, and it didn't bother me much at all, so I wonder if that's really a big deal.
For some that expiration pressure relief DOES make a difference. Most seem to do as well w/o it as w/it. In auto mode it would be less likely to be needed but we are all individuals and one man's poison can be another's man's treasure.
Because of Resmed's and Respironics' MAP policy for online DME suppliers I'd be inclined to go w/the Resmed, as they are currently the more expensive, since insurance is making the purchase. More than likely you are gonna end up wanting a back up/travel CPAP (so you don't have to pack and unpack) and might considering buying online, at which time, again due to the MAP policies you could negotiate a Respironics auto for less than you could a Resmed in all likelihood. (Just ask about any "unadvertised" sale prices, etc.)
My first CPAP was the Resmed S8 Elite. I loved it. But I got caught up in the "autoPAP" reasoning and the strong preference for the Respironics xPAPs in this forum so bought a Respironics pre-M Series Auto w/C-Flex. I got good therapy. I liked it. But .... I'm hung up on that ease of data access via the LED screen so when the opportunity arose to purchase a Resmed S8 AutoSet Vantage I sold the Respironics to my son in law and grabbed that Vantage. I've never regretted it.
As an aside: I did and still do have the software for both the Respironics AND for my Resmeds. And I use it. But I LIKE getting up in the morning and accessing that onscreen data. I look forward to it. Later in the day I can use the software and do a download.
Ah, and I also forgot: my Resmeds have NEVER dropped a bit of data. The M Series has a problem w/occasionally dropping data. As much as two days a month. There's been quite a bit of discussion about that in this forum.
Which brings up something else. The Respionics' devices you have to leave your data card in the machine until you are ready to do a download. The Resmeds you only insert the data card when you want to do a download. The Puritan Bennetts don't require a data card. You take your PB to your 'puter and do the download.
Because of Resmed's and Respironics' MAP policy for online DME suppliers I'd be inclined to go w/the Resmed, as they are currently the more expensive, since insurance is making the purchase. More than likely you are gonna end up wanting a back up/travel CPAP (so you don't have to pack and unpack) and might considering buying online, at which time, again due to the MAP policies you could negotiate a Respironics auto for less than you could a Resmed in all likelihood. (Just ask about any "unadvertised" sale prices, etc.)
My first CPAP was the Resmed S8 Elite. I loved it. But I got caught up in the "autoPAP" reasoning and the strong preference for the Respironics xPAPs in this forum so bought a Respironics pre-M Series Auto w/C-Flex. I got good therapy. I liked it. But .... I'm hung up on that ease of data access via the LED screen so when the opportunity arose to purchase a Resmed S8 AutoSet Vantage I sold the Respironics to my son in law and grabbed that Vantage. I've never regretted it.
As an aside: I did and still do have the software for both the Respironics AND for my Resmeds. And I use it. But I LIKE getting up in the morning and accessing that onscreen data. I look forward to it. Later in the day I can use the software and do a download.
Ah, and I also forgot: my Resmeds have NEVER dropped a bit of data. The M Series has a problem w/occasionally dropping data. As much as two days a month. There's been quite a bit of discussion about that in this forum.
Which brings up something else. The Respionics' devices you have to leave your data card in the machine until you are ready to do a download. The Resmeds you only insert the data card when you want to do a download. The Puritan Bennetts don't require a data card. You take your PB to your 'puter and do the download.
_________________
| Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
| Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator |
Last edited by Slinky on Sat Apr 05, 2008 7:23 am, edited 1 time in total.
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.
My computer says I need to upgrade my brain to be compatible with its new software.