GUESS WHAT I'M GETTING??

DreamStalker · Post by **DreamStalker** » Wed Oct 04, 2006 1:47 pm

Never doubted your perseverance ... congrats!

- r

snoregirl · Post by **snoregirl** » Wed Oct 04, 2006 2:46 pm

Good job on standing up for yourself!!

Now when you go make sure they give you everything that should come in the box.

I don't have the M so I can't help there too much but there are 2 types of filters with the older Resprionics auto (fine and gross) Make sure you get both (I think I remember seeing replacements on CPAP.com for both so I assume the M has both) and they are installed correctly, the bag, card, ....

Enjoy.

ozij · Post by **ozij** » Wed Oct 04, 2006 3:28 pm

TXKajun wrote: I was gonna guess a puppy, too!

A PAPpy.

O.

NyNurse33 · Post by **NyNurse33** » Wed Oct 04, 2006 3:35 pm

Just picked it up...its so new and shiny!!! LOL I actually saw them open the box up for me. Filled me in real quickly b/c it was closing time. Wanted me to pick it up tomorrow originally, but I told them I had experience with the machine and it wouldn't take long for me to learn (a little white lie). Set @ 4-20, c-flex to 2. Told me to send in the card in 2 weeks, b/c the RPsgT @ the lab wants to see how I'm doing. This was done as an exchange...I brought in my original machine...didn't have a chance to say goodbye. They showed me the humidifier, filter, etc. I will eventually look into the software, maybe this will help me feel better, obtain more energy and work some overtime to pay for it. I noticed the billing code on my invoice is not the same as cpap. The code next to my old machine is E0601, but not the same for this machine-EO562. I know everyone was telling me its supposed to be the same. I wonder what happened. I don't care, I am so happy. I'm going to play with it now...just like you said and I'll get back to all of you later. This feeling is even better when I got the machine the first time. The RT was telling me @ the DME, that "they" (not sure who they is) are looking to use only apap products soon, b/c they are trying to get away with sleep lab. But of course, the sleep lab and MDs are not going to like that.

christinequilts · Post by **christinequilts** » Wed Oct 04, 2006 4:27 pm

E0562 is for the heated humidifier, not the xPAP.
Here are the rest of the codes (from PB site): http://www.puritanbennett.com/remb/sleep.aspx#dmerc
Its for Medicare, but the CPT codes are the same for any insurance.

snoregirl · Post by **snoregirl** » Wed Oct 04, 2006 4:34 pm

Christine beat me to it.

To go on with that.

Usually the heated humidifier is a purchase whereas the CPAP is a rental.

Therefore by changing brands, you have now bought a second heated humidifier.

I would bet that you gave back the original humidifier and that you and your insurance company actually own that item.

You might want to ask for that back if you gave it to the DME.

You can keep it in case you ever go back to that Resmed machine, or sell it as you please.

But I am willing to bet if you look at your original paperwork you bought it like the mask and hose....

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, humidifier, hose, CPAP, DME

NyNurse33 · Post by **NyNurse33** » Wed Oct 04, 2006 4:47 pm

THANKS...I will look into that. I have been fooling around with the machine and I have so many questions, but don't want to bore anyone on here. If anyone has the time and patience for some of my questions, please PM me. Thanks.

KimberlyinMN · Post by **KimberlyinMN** » Wed Oct 04, 2006 4:57 pm

snoregirl wrote:
I would bet that you gave back the original humidifier and that you and your insurance company actually own that item.

You might want to ask for that back if you gave it to the DME.

You can keep it in case you ever go back to that Resmed machine, or sell it as you please.

But I am willing to bet if you look at your original paperwork you bought it like the mask and hose....

Hmmm... that is a good point. I am going in tomorrow to "trade" my rented CPAP for a Bi-PAP. I'll have to dig out my paperwork to see about that too.

Thanks!

Kimberly

NyNurse33 · Post by **NyNurse33** » Wed Oct 04, 2006 5:29 pm

Well I know that Cindy offered her expertise in my new machine, but I just want to sneak in a few questions before I chat tonight:

I tried my machine on for about 10 minutes and now I feel really tired and have a little headache...weird, right? How would I know that it is set for apap and not straight cpap? With it on apap, I won't need ramping, right? It's not seeming to allow me to change the ramp setting at all. Also when I select the FOSQ setting it is saying 1/30..does that have something to do with I have to wait 7 days to see data? I had 2 smart cards given to me, one that they put in the machine and had my name written on it. But when I turned it on the alarms went off signaling that there is a problem with the card, I reinserted it and it did the same thing. So I took that one out and put the other one without my name on it in. Is this ok? Just trying the machine for a few minutes, on 4..it felt as if my mask had tons of leaks, how could that be when I didn't on straight 10?

tlc95066 · Post by **tlc95066** » Wed Oct 04, 2006 5:35 pm

Right on Melissa!!! Glad you hung in there, I know that is is hard to do, but that was how I got my APAP.

Best,
Teri

snoregirl · Post by **snoregirl** » Wed Oct 04, 2006 5:49 pm

I wouldn't start at 4. You may not be comfortable and feel like you can breath a good number of us can't tolerate 4. What was your old ramp set at? Start it there.

As for ramp... On the old Respironics auto you needed the ramp set to zero or you would end up in split night. Not what you want. Maybe someone here with an M can confirm whether this M series also needs ramp to be zero. That should say in YOUR manual even if you don't have the DME one. At least I am pretty sure my old auto manual gave this info.

To tell what the machine is set on I don't know if you can see it on the patient menu. On my old machine, if you go into setup mode (clinitian menu) and toggle through without changing anything you will see AFLE or CFLE (auto with cflex or cpcp mode with cflex) or APAP or CPAP (auto with no cflex and cpap with no cflex)
Again, without having an M of my very own, I can't say if this is the same with your machine.

Same toggling will show you the cflex setting and the humidifier setting. I think that both of these settings can be changed through the patient menu.

The range that the auto is set for is in the setup menu should also be able to be viewed by toggling through without making changes. That is unless you want to make changes (like maybe the 4 to 6)

Oh Oh just hit me. Maybe the little headache you have could be from using the machine at 4? Just a thought.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): respironics, humidifier, cflex, CPAP, DME, Ramp, auto, APAP

Alisha · Post by **Alisha** » Wed Oct 04, 2006 6:37 pm

Congrats, Melissa. I just received my REMstar M Auto, heated humidifier, smart card, and software. I'll keep using old straight cpap till I have the time to sit down and read the manual (I have a copy of the provider manual). A friend is going to install the software, but we have to get a "browser intruder" out of my pc first.

Melissa, my straight cpap pressure is 8 and I plan to set the auto at 6-10. I tried to locate a posting by rested gal which explains why the setting the auto comes with, 4-20, is not a good setting to leave it at. IF (and that's a big IF with some doctors, DMEs, and respiratory therapists) things went as they should your doctor would have told the DME what your auto pressure should be set on. I cannot breathe on a pressure of 4, so didn't use the ramp on the cpap because it was set to start at 4.

If I were you, I would pm Laura, rested gal, and she can explain better why using the set pressure of 4-20 won't help your apnea. She has helped so many of us by her postings, and I don't think she will mind a pm...but if she does, blame it on me! I just want you to get the best of treatment, especially now that you have great equipment.

Many of us have been following and admiring your tenaciousness in acquiring the equipment you want. Continue to update us on your treatment and always ask for help when you have questions. There are some smart, intuitive posters on this site and I am still learning from them.

Alisha · Post by **Alisha** » Wed Oct 04, 2006 6:51 pm

Sorry, Melissa. I forgot to add a disclaimer to my post, so let's try this:

......The information provided in this post is not intended nor recommended as a substitute for professional medical advice......

NyNurse33 · Post by **NyNurse33** » Wed Oct 04, 2006 7:50 pm

My straight cpap was set to ramp starting @ 4 and then after 20 minutes be @ 10. So I was thinking I might be ok @ 4-20 since I had troubles falling asleep while it was ramping, but of course I could be wrong. I'm sure Laura will let me know. She's good like that! I'll see how I feel tomorrow or so and change it if I have to. I have figured out how to get to the provider menu...with a little help So I'm all set there..c-flex @ 2. Ramp won't work, b/c I'm starting @ a 4, nothing to work up from and wouldn't want it to anyways. Going back to the humidifier thing re: whether or not I should get my old one back, on the invoice from DME it states that I returned resmed heated humidifier and exchanged for auto machine heated humidifier. So I shouldn't be billed again, correct? I guess I'll wait and see. I think the whole process was considered an exchange if that sounds possible. Well I can't wait to go off into dream land tonight (although I don't have dreams anymore )

Alisha · Post by **Alisha** » Wed Oct 04, 2006 9:01 pm

Hi, again Melissa. Here is the thread that discusses a 4 - 20 cm H2O setting for an auto. Hope it helps.

viewtopic.php?p=73061&highlight=h2o#73061