CPAPtalk.com

Anonymous wrote:duh.

Here I am.

I agree with you...whomever it was that screwed up this poor person's device SHOULD be called out on it and politely advised. People do make mistakes. Hey, if the doctor was competent s/he should have requested the Smartcard several weeks into treatment to see how the patient was doing and would have discovered this as well.

I'm glad John's machine is fixed.

So due to the stupidity of a DME clinician, a patient suffers from inadequate treatment of their OSA (as well as being placed at risk to stroke and heart attack) for four months … and it becomes the doctor’s fault for not checking to make sure the machine was set up correctly by the stupid DME clinician.

Well, I think I am beginning to understand why you don’t like patients having access to the clinician menu or the software. You don’t want patients to figure out just how useless (and dangerous) some DME clinicians can really be. Secrecy and fear mongering is your technique for cover up … you wouldn’t happen to be related to Al Gonzo would you?

Bytor wrote:Where can I get the EncorePro software, and how much does it typically cost? I already have EncoreViewer, but it's read-only. I already have the USB reader and smart card.

Encore Pro is difficult to find thanks to software police like the drive-by guest. As Jim said, if you set up your profile to receive PMs, someone who knows where to get it, may be able to contact you. Posting info on the forum regarding where to get it only results in that vendor taking it off the market soon after.

"So due to the stupidity of a DME clinician, a patient suffers from inadequate treatment of their OSA (as well as being placed at risk to stroke and heart attack) for four months … and it becomes the doctor’s fault for not checking to make sure the machine was set up correctly by the stupid DME clinician. "

Um, yes and yes. What's your point?

"some DME clinicians can really be."

Exactly...."SOME"

Anonymous wrote:"So due to the stupidity of a DME clinician, a patient suffers from inadequate treatment of their OSA (as well as being placed at risk to stroke and heart attack) for four months … and it becomes the doctor’s fault for not checking to make sure the machine was set up correctly by the stupid DME clinician. "

Um, yes and yes. What's your point?

"some DME clinicians can really be."

Exactly...."SOME"

Point is ... that if you are the same Guest that comes to post on this forum specifically to discourage patients from managing their own treatment (ie. adjusting pressures, using software, etc.) then this thread is one of many that proves why your posts are in error.

Anonymous wrote:
People do make mistakes.

Not if I can help it, and not with my life! Not with the life of any friend or family member who happens to need an xpap! I tell them to push and to push hard for a FULLY data capable machine that is made by a manufacturer that makes software available. Then I tell them to buy the software and learn to use it, it's worth it!

The DME is responsible for training that employee and making sure that there is some kind of a back up system in place to monitor the accuracy of the set up. Just who is going to take care of that patient who stroked out due to the mistake? The DME?

It's not up to the doctor to rectify the mistake. It's up to the DME to insure that they do their job right in the first place. It's medical equipment, for Pete's sake!

These DME's want to skimp on the machines just to make a little extra cash. They don't want people to monitor their own treatment if it costs them money. Then they hire people who don't know what they are doing and don't train them well. Having some sort of failsafe double checking system in place would only hurt their bottom line.

Not an honest mistake. A mistake born of greed and incompetence in most cases.

Apologize to any of the good DME employees who might read this. My experience is that you are in the minority.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): DME

DreamStalker wrote:

Anonymous wrote:"So due to the stupidity of a DME clinician, a patient suffers from inadequate treatment of their OSA (as well as being placed at risk to stroke and heart attack) for four months … and it becomes the doctor’s fault for not checking to make sure the machine was set up correctly by the stupid DME clinician. "

Um, yes and yes. What's your point?

"some DME clinicians can really be."

Exactly...."SOME"

Point is ... that if you are the same Guest that comes to post on this forum specifically to discourage patients from managing their own treatment (ie. adjusting pressures, using software, etc.) then this thread is one of many that proves why your posts are in error.

Roberto,

I don't THINK this is the same one.......just a hunch.

But, yeah, it's amazing that we get berated for playing Russian Roulette with the "dangerous pressures" (while we monitor it with software).....and then the DMEs can get by with an "oops" when they screw up.
The finger pointing between the DME and doctor in this case (or any others) is yet another example of the cracks that the medical issues can fall through.

Den

Wulfman wrote:Roberto,

I don't THINK this is the same one.......just a hunch.

But, yeah, it's amazing that we get berated for playing Russian Roulette with the "dangerous pressures" (while we monitor it with software).....and then the DMEs can get by with an "oops" when they screw up.
The finger pointing between the DME and doctor in this case (or any others) is yet another example of the cracks that the medical issues can fall through.

Den

Well sure looks like the same one ... even spells his name the same way

DreamStalker wrote:

Wulfman wrote:Roberto,

I don't THINK this is the same one.......just a hunch.

But, yeah, it's amazing that we get berated for playing Russian Roulette with the "dangerous pressures" (while we monitor it with software).....and then the DMEs can get by with an "oops" when they screw up.
The finger pointing between the DME and doctor in this case (or any others) is yet another example of the cracks that the medical issues can fall through.

Den

Well sure looks like the same one ... even spells his name the same way

HA! Well, you know how bad this "identity theft" situation has gotten anymore......

Den

GUEST's are real people tpp, ......... Well, maybe they are. Jim

ozij wrote:

Congartulations, John. What an introduction to the world of cpap and cpaptalk. Did anyone read your smart card during these 4 months?

Goofproof wrote:

DreamStalker wrote:Where is that stupid drive-by guest when you need yell at him ...

Great that you were able to discover and fix your machine up right John.

Welcome to the group too.

He's on the road, visiting his fellow DME's, teaching them how to set up XPAPs for split night studies on every machine. Every once in a while a DME gets one set correctly, he has to make sure those mistakes stop. Jim

Bytor wrote:Where can I get the EncorePro software, and how much does it typically cost? I already have EncoreViewer, but it's read-only. I already have the USB reader and smart card.

If a person has EncoreViewer they don't really need Encore Pro to have seen what John saw. Encore Viewer gives the exact same detailed data graph, so the appearance of "3 hour" split night therapy that John saw in Encore Pro would also show up just like that in EncoreViewer.

Nor do you need Encore Pro to change a machine's settings if you need to correct a setting the DME has put in. Every setting can be changed right there on the machine itself, with the buttons, once you go into the therapy setup menu on the machine. In fact, more settings can be changed using the machine's buttons than through the Encore Pro software.

ozij wrote:Did anyone read your smart card during these 4 months?

What a GREAT question, ozij!

jbriar wrote:Yes, about 2 months into the therapy, my Dr requested the DME read the card and supply him with the reports. Nothing of interest came about from that appointment but a notation that my leak rate was too high. We'll see what happens the next time I go in to see him.

Regards,

John

Wow. Yes, that should be a very interesting conversation next time you go into to see the doctor who presumably looked at the Smart Card report.

Before going to see the doctor again, I'd get a copy of the "full details" report of that download the DME did at the two month mark. Not a "summary" report or "trend" report. I'd get the DME (or doctor's office) to give me a copy of the "full details" report from that download.

No wonder the Doctors and DMEs don't want us mortals to have access to the software, If we didn't have it, we would be more likely to think they knew what they were doing, And if it happened that they didn't, they could blame us for not doing well on the treatment, or quitting because it's not working for us. Jim

Then there's the cost of the extra sleep tests and office visits, and out of pocket purchases, trying to correct their errors.

rested gal wrote: Before going to see the doctor again, I'd get a copy of the "full details" report of that download the DME did at the two month mark. Not a "summary" report or "trend" report. I'd get the DME (or doctor's office) to give me a copy of the "full details" report from that download.

I'ld just ask (curiously and gently) both for a copy of "the report:. Neither the doctor nor the DME may have ever seen a "full details" report in their lives. And once I have their report in my hands, I'd decide how to continue.



O.