What to put in the humidfier? Silver metal

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Sleepless in St. Louis
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Post by Sleepless in St. Louis » Mon Aug 14, 2006 6:52 am

I think you guys are living on another planet. Uranus comes to mind.
Sucking Wind since Feb '06.

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tomjax
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bc

Post by tomjax » Mon Aug 14, 2006 7:08 am

Let moi ask it in a 6th grade math way.

If a person takes 365 pills(Tablets) in a year and those tablets come 28 to a pack, Which pack does the 365th pill come from?

Get a real calendar and start on Jan 1.
It is beyond me how you or anyone can argue absolute and unequivocal facts.

You are displaying your ignorance and arrogance for all the world to see hiding behind your guest. I am sure I would do it too if I used your critical thinking.

This is not condencending or being a jerk. Ignorance is the lack of knowledge which is all you are displaying.

Your ortho site actually confirms my claim. It gives a way to start on a Sunday, but also for any other day.
Not sure how long you have been in pharmacy, but you are very misleading. Do you by chance remember the original Pills which came in 20 to a pack? Now this was a real challenge to advise patients and led to the 21 cycle pack which was still not all that easy which led to the 28 cycle pack.
I started practicing in 63 and the BC pills came out either that year or the next- 1965 +/- a year. Btw- the first Ortho pills were 10 mg!!! Enovid was 5 and 10 mgm and did not come in packs.

If you want to continue this, I will do it offline.
tomjax at yahoo dot com.
Maybe I can simplify it, but I do not know how.
All the docs and others on a pharmacy forum seem to get it.
I am sure others are growing weary of this exchange.

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wading thru the muck!
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Post by wading thru the muck! » Mon Aug 14, 2006 7:53 am

Anonymous wrote:
rx written on 1/1/10



That's a laugh... where do you find a Doc available to write a prescription on New Years day!

Sincerely,
wading thru the muck of the sleep study/DME/Insurance money pit!

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mikemoran
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Post by mikemoran » Mon Aug 14, 2006 7:54 am

So as I understand this. Birth control pills will stop the pregnant pauses in my nightly breathing? Goodbye hose, hello Estrogen.


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wading thru the muck!
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Re: bc

Post by wading thru the muck! » Mon Aug 14, 2006 7:56 am

tomjax wrote: I am sure others are growing weary of this exchange.
No Way! ... I love to watch "Guests" make fools of themselves.
Sincerely,
wading thru the muck of the sleep study/DME/Insurance money pit!

Sleepless in St. Louis
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Post by Sleepless in St. Louis » Mon Aug 14, 2006 8:03 am

So as I understand this. Birth control pills will stop the pregnant pauses in my nightly breathing? Goodbye hose, hello Estrogen.
Ya but you may have to go out and purchase a man-zeer or a bro (aka bra) for yourself.

You'll never get any work done.



Sucking Wind since Feb '06.

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krousseau
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Post by krousseau » Mon Aug 14, 2006 10:22 am

Guest-you may have written the Rx on 1/1 but you didn't start the pills on 1/1-you waited two days. So why go to 2010 when 2006 started on a Sunday. You say you don't work on Sunday-you were not in the office on Friday anyway-out yachting I think. Being diligent when you return from yachting you pick up messages Saturday evening. One is from a patient who forgot to ask for a nex Rx when she saw you for her annual on Thursday.-or whenever you worked last. So you CALL the Rx to the pharmacy Sunday, the patient fills it Sunday and she starts taking it Sunday, Jan 1 2006. (forget that it is New Years Day) Now what happens if you redo the calculations and mark it out on a calendar and all that-do you then get the same answer that Tomjax gave.

This is numbers and not Rx writing protocols-if it was Rx writing protocols the last pill would have to be issued as a single as the law limits Rx's to 1 year. You couldn't refill for anything over 1 year. But then if insurance is paying you can't even get that-BC/BS accounts for every pill they pay for and it is not even 365 pills. Just 30 day supply with 11 refills (or 90 day supply and 3 refills if I get them by mail order. It falls to the patient to get in for a reexam and new RX in time. Maybe if you paid for it yourself and the pharmacy would do it you could get one on a weekend. Even the pharmacist would be stuck with an Rx for 364 tabs.(sticking to the 13 packs of BC pills)

Someone mentioned infinite refills-IMO that would be irreponsible and poor medicine.
Last edited by krousseau on Mon Aug 14, 2006 3:13 pm, edited 1 time in total.
Faced with the choice between changing one's mind and proving that there is no need to do so, almost everyone gets busy on the proof.....Galbraith's Law

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Goofproof
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Post by Goofproof » Mon Aug 14, 2006 2:54 pm

You are supposed to use Both? Just go Snip, Snip, and use Distilled water. Jim
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"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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Patrick A
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Re: silver

Post by Patrick A » Mon Aug 14, 2006 5:00 pm

tomjax wrote:This has been covered ad nauseaum.
It is pure BS.

You say it works OK.

I have a dog in my back yard I put there to keep elephants out.
It seems to be working OK too.
Tom ,
Can I borrow you dog to teach my Lenny dog to chase away elephants? He runs and hides at his own shadow,(but he's a rescue dog) lot's of problems. Blind in one eye and can't see out of the other Maybe he will be affraid of your dog. He seems to be affraid of his own shadow.

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Guest

Post by Guest » Mon Aug 14, 2006 8:03 pm

i agree it is time to abandon this thread and call an impasse. all i was doing was responding to a challenge that a rx written for 13 packs of bc pills will not cover 1 year. the dates i used were merely to simplify the calculations, illustrating a doc writing rx on a friday, and patient starting rx on sunday. the problem in tomjaxs' rationale is that he has the patient start the SAME DAY as the rx is written. since obviously no family GP usually writes rxs on sunday, and sunday is the usual accepted start date, (alternate sources of this fact are a pharmacists news source called the "pharmacist letter" or the actual package insert) there is always an extra day in the equation, which negates the need for the 14th pack. i am aware that 28 x 13 is 1 less than 365. however, in the real world 13 packs will suffice 99% of patients.

i believe tomjax realizes this and either does not want to concede his lack of medical knowledge (he's calculator smart though!!) and end his ruse, or admit the inanity of asking this in a cpap forum. according to him he has posed this to "many". isnt there a drugstore talk forum that would better serve his 6th grade math riddle hobby?

now, if you'll excuse me, i have to go to the saltwater fishtank talk site and quiz people on the mortality of a bilateral carotid endarterectomy.


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tomjax
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pm

Post by tomjax » Mon Aug 14, 2006 8:50 pm

how do i delete my own post?
i edited this
Last edited by tomjax on Tue Aug 15, 2006 4:17 am, edited 1 time in total.

unclebob
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Post by unclebob » Mon Aug 14, 2006 10:14 pm

So now I am confused and more than a little concerned.

Tomjax said BC pills have been around since approximately 1965. And as far as I can tell there are at least two women who have been taking them - they told me so and not to worry. I believed them (they had honest faces) and so far seems they were right , no unwanted problems so to speak.

The thing is though, some of my buddies said the same thing happened to them. Also, I have been confronted on numerous occasions at work by young ladies who confided in me that they take appropriate medication almost every day to insure they maintain their figures. For a long time I thought they meant vitamin pills but then started to have my doubts. I mean these young ladies seemed in the peak of health and very energetic, so why the need for vitamin pills?

Finally came to the realization that one a day doesn't really mean every day. Some of the days were missing! Or at least the pills were missing. The days (and also the nights) were always there.

Now Tomjax comes along and clears this whole thing up - except for one pill. Yep, one pill. Each and every year. For all who follow this regimen. One missing pill. Do you see what I am saying? One pill may not amount to much, but if this applies to all who believed - and since 1965!!!! Frankly, my calculator ran out of zeros. There is just a hell of a lot of missing pills out there. WHERE ARE THEY???? And what about the the unwanted repercussions?

There were earlier suggestions that perhaps squirreling then away in the security of heated humidifiers might be the answer. I just don't buy that. Seems to me that there is a lot more a stake here than we realize.

We are all aware of evil DME's. But are there also evil pharmacists?

Think about all those missing pills and you be the judge.

Bob F

unclebob

Guest

Post by Guest » Tue Aug 15, 2006 7:24 am

The extra pills are currently being stored in the same warehouse that is connected to your clothes dryer and sucks in 1 sock out of every 5th pair that you throw in.